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342 11th St (vault) PERMIT WORKSHEET Certificate of Occupancy Job Address: 34-Z Type Work: T-k-F S 1 Property Owner: Phone # Z(4 Cl _ ,�Z Contractor: Phone # Permit#: Date Issued: Z--7—C)5 c�5- �� Tree Permit# Foundation Permit# Demolition Permit# BUILDING ELECTRIC MECHANICAL �5-�� PLUMBING �`I�y v Temp.Power# Footing 2- 1 --oS JEA Release Date Temp. Power Z�-OS Slab Z_Z�,�c Letter Rec'd. Underslab Tie Beam Temp Pole# Lintel JEA Release Gas Piping Date Water/ Nailing/ rJ Sewer Sheathing L Rough/ Framing Rough Rough Topout Insulation , l- JEA Release Date Building Electric Mechanical Plumbing Final Final Final Final JEA Release Date Drainage Inspection: Pool Permit# - Z941 �C+�l �c1 bS Inspections: Steel - - Final b Elec./Grounding Final Roofing Permit# Inspect: Nailing/Sheathing -l --C Final Fire Inspection: Failed Inspections: — _ _ Date Paid: q� l CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD J r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00000921 Date 7/16/08 Property Address . . . . . . 342 11TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 ---------------------- ----------- ------------------------------ ------------------------------- Application desc interior remodel --------------------------------- Owner Contractor ---- ------------------------ -------------------- DAWES, DOUGLAS CORNELIUS CONSTRUCTION CO. 342 11TH STREET 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-9706 __________ Structure Information 000 000 --------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood---------- ZonZONE -------------------- -------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . plan Check Fee . 00 Permit Fee . . . 70 . 00 0 Issue Date . . . 7/15/08 Valuation Expiration Date . . 1/11/09 ----------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . ________ ------ Fee summary Charged Paid Credited ----- ---------- . 00 ------- - -------------- -----70 . 00 70 . 00 . 00 Permit Fee Total 00 00 . 00 Plan Check Total • 00 . 00 Grand Total 70 . 00 70 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH OQ-P7 I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 v _ OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 13.DA DYES PERMIT#: I PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: ELECTRICAL CONTRACTOR: 7. OFC M AN�l 8.ADDRESS.: C 9.STATE O F /' 41qJDA C O: Q 10.CELL,N 11.FAX NO.: (P 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if 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. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17.SERYICE: 18.METER NUMBER: ❑ MULTI FAMILY-#OF UNITS: [3(RESIDENTIAL (x,81 1-GLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ❑ALTERATION ❑SIGN ❑OLD ❑ NEW 11'05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL/SPA ©-REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: #of AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBEj IND I tAIL: �� I COAB FORM BLDG02:REVIISSEDD::..1/10/2008 �s n, CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ' INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000931 Date 7/11/08 Property Address . . . . . . 342 11TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 fixture ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BECTON DAN BRYANT PLUMBING 342 11TH STREET P.O. BOX 331275 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 242-9256 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 1% it OFFICE:(904)247-5826•FAX NO.:(904)247-5845 f BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE ❑NO n Atlantic Beach, FL 32233 ❑YES PERMIT#: 17— jj PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: P� Li (L�7,Ae-� �±MVf-k��L PLUMBING CONTRACTOR: AME OF CPYPANY: Lvn bre ,' 8.ADDRESS.: �Q�� A - / !/ G �Bcf� � , zz33 9.STATEOF FLO�RIS DA LIC (V��!!/ 10.CE PHZNE, /5) 7/ 1�21. NO EMAIL ADD('j $ 13Q�(J��02-HON�d` 14. 7 Application i/s"hereby made to obtain a permit to do the work and installations as indicate . certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes II nd void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mo nt s at any time after work is commenced., CONTRACTORS SIGNATURE 15.NUMBER OF FIXTURES: NEW ❑ RE-PIPE BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK �l?�P/J ' 7 DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY OTHER (SPECIFY): SEE BACKFLOW AND IRRIGATION PROCEDURE SHEET ROOF DRAIN 16.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03:REVISED:8/13/2007 rSL�r. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 - -_ .� E-mail: building-dept@coab.us 1 CISH ' I Q City web-site: http://www.coab.us �T JUL 4 9 2008 APPLICATION REVIEW AND T"CKING FORM _y: 774 S7_ D en d Yes No Property Address: 7 Building Cannmg Zoning Applicant: _,. �IJ�Li(�-� ,(r7')�SLY'k �7 l,U Public Works Public Utilities Project: i�l b le.. Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Dateof 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: APPLLCATION STATUS Reviewing Department First Review: Approved. —]Denied. (Circle one.) Comments: ( B�UILDINCG- PLANNING &ZONING Reviewed by: Date: 7 PUBLIC WORKS 61 PUBLIC UTILITIES Second Review: ❑Approved as revised. []Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH zs 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000921 Date 7/11/08 Property Address . . . . . . 342 11TH ST Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 50000 ---------------------------------------------------------------------------- Application desc interior remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAWES, DOUGLAS CORNELIUS CONSTRUCTION CO. 342 11TH STREET 71 19TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-9706 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 280 . 00 Plan Check Fee 140 . 00 Issue Date . . . . Valuation . . . . 50000 Expiration Date . . 1/07/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 280 . 00 280 . 00 . 00 . 00 Plan Check Total 140 . 00 140 . 00 . 00 . 00 Grand Total 420 . 00 420 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH08 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 �+i } OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS 2.VALUATION OF WORK: 3;SQ.FT.UNDER ROOF SWL IM" 5*' Atlantic Beach, FL 32233 �� 4':LEGAL DESCRIPTION: 5:tLASS OFWORK:: 6:USEOF STRUCTURE: T,�1 Z �1 ❑NEW BUILDING ❑0E'J�OLITION E RESIDENTIAL LOT ITBLOCK SUB DIVISION 'FLAllj l C- &5:H ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7 DESCRIPTION OF WORK: ' B9CLTERATION ❑ACCESSORY BLDG. B.FIRE SPRINKLER: _ A !� ❑REPAIR ❑POOL/SPA ❑YES A ,�knF-P,K" R 1:��flI=L ❑MOVE ❑OTHER ❑NO. PROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: {� Cn�NE�tuS 6oKST'RucT1oN� IJLs P1, Eh1E,�s [EGIrJ�� C-{.1 2nA�T H `�ETON 16.NAME: 24.LICENSEE NAME: 1'Yl FHyLz f�lZ Z CoR1JF�1 v SIr-prew* 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: e t3 co 4-89(o 7 Ek. p o 3t4 2 18.ADDRESS: 26.ADDRESS: �-rua►.rT� -�c7I•, �. �u 3 N �- 114&1 on,u, JV-- 11. 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: S - 42- '2qq •q 0� - ` S1.• 4a1 2Coo 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: ztt9 -137&C- 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLEHOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHERTHAN OWNER): 31,NAME: 33.NAME: 35.NAME: 6&171zE_CT0 32.ADDRESS: 34.ADDRESS: DDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of 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 if 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, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ,hk�r WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER orAGENT CONTRACTOR (IJ Age paw el of Att)rneyil6r Agency Letter Required) (Qualifier Only) ry Signed ` QQ D e:' Signed: Date: / / L 2007 in the count of Before me tN �day of •T(�Lt 7�,��07 in h county of Before me this day of y y Duval,State of Florida,has personally appeared Duval,State of Florida,has personally afpeared f 6 a,, b, ,t herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. ,\\ -- // true and accurate. Notary Public at Large,State of `Gt,County of TJ it V QX Nota lic at Large,State of L Co f LI-Ca ❑Personally Known ` ersonally Known hkproduced Identification/- - '\I C �� ElProduced Identific - Notary Signature: a PQ, C� /k Notary Sig No Public tate o F rida LNC .. E P9" _M Co i ices Feb 14; IC BCx Y Notary Public State of Florida ="�' y Cornlo8 ;DD 51F13330R DTTION AL F1BndW r °i[ e a Helen R Wilson �rF° �� o $�fDji� W No ls&N [ � b t7 , o My Commission DD579225 CONDITIONS. 0 M BL o ISE .-11/09 ° Expires 0811512010 -� REVIEWED BY: DATE: /0'0 NOTICE OF COMMENCEMENT State of 1"I.O R I T. Tax Folio No. County of :Pj 3 VA/ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: 8142 t1q /-ATL-AAJrtL "LCA i fit. 3Z2�3 General description of improvements: O O Owner:51x17 4133 jaZ t4 B fGTON Address: 3 4 Z 11`�'�'` ST TL.6IJTj c "%c i-1, FL S2 2.3,3 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: MA R L"Re€ ('-0 1.z rE f -S Address: 52-0 OGF 7.IFf titT hj-F ►u►JE �r-o �z 3�Z(a �� Telephone No.: 10 4`ZYt j -4 70<o Fax No: --- Surety(if any) Address: Amount of Bond$ Telephone 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: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: G Telephone 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 specified): THIS SPACE FOR RECORDER'S USE ONLY OW /;�} Signed: Date v v Before m y of in the County uval,State Of Florida; personally appeared 9 cc -74 �� n Doc it 20081771977,OR BK 14567.Page 1443," Notary Public at Large,State of Florida,C unty of Duval. Number Pages:1 ` Ay commission expires: 4,11 ti f to Recorded 07109/2008 at 02:43 PM,, 3ersonally Known: or JIM FULLER CLERK CIRCUIT COURT DUVAL 'roduced Identification: rL VviliwAlS .tii COUNTY -*, �3,c, Helen R Wilson RECORDING$10.00 f� Qrti �,(� �`1'� o-4 My Commission DD579225 �OF fu Ex ires 08/1512010 04/��:ibYaj 1(:.i/+ 'yF74L4 f 47�u i..n:�:. .ri:•u•..�.,_• .,..,.�. • � 7 S.O' r------------- — -� ------ ---------� j - U tY N d F-- I r w ju Idr), Q m j EXIST ! j GARAGE ( — o conm IEXI I t --i(7 jSET ACKry �, � �G f'1 I EXIST � � a � o-4< ( DRIVE : f # � I'M c; ! jo —.J iFAA lin j I EXIST j RESIDENC uy I s I x i - ! I `r I j ! 1 'EXIST E I5 f IS m T5A SETlSACC = W EXIST DRIVE ! 43 d) lu i R 75.0' - M EL=V=fvTH CZ-i R==T• LOT OT 19 & EAST HALF OF aF y !T 21, BLQDC-K 15; A S t L"!N rAar nacnc,. ONMAPOF - .. ---- ---- u-LAN ii , • 20'—v' ! �nva Z i 'I iJ 1 Ki- l.�f'd L•S+.iJ Q2h VI Iletow !;••.'A � ,.+:. g. A S s '} ?!� f P" L! i ,-}��e i G V Y G-r et R fi p,,r Pp zo r,7% F.M'?aas'd f Y `F i'o a✓r.. 'ria -. _ - _ _ j •.rv�.r �t�,at v �• �g � 1 s IVT ✓a'�tar.�.i.li/ i 1 y9X i j F r+ar e�♦1!t1t 1Y ci]',69: i^.-!f= .•1. ,e1' a 1 LAIt 4 1Se+' C EAC, .: c ...Fa..... . e w xr/tr .t%v►vu ZO _ . GRAVEL, ._ �—. , i(' tl+.(=+�k-A' QY: . r+t♦K S�ik k}a31.i nick TIO s"` mar'i 1-S• 6 as9Sf�?EL, - - � X6'RATED SHEATHING, --FACE OF EXISTING EXPOSURE I FASTENED FOOTING WITH 0.131"x 2Y"NAILS i @ 6"O.C.ALL SUPPORTS CONTRACTOR NEW WOOD FRAMED VERIFY NEW PAD FOOTING CHIMNEY (2x4 SPF#2 @ 16"O.C.) 12"THICK WITH(3) #5 EACH WAY NEW HEADER NOT REQUIRED O IF TIE-BEAM AT TOP OF WALL o IS PRESENT 0 [r LL a _ a L �) F- w oma ' U a FASTEN END STUD TO EXISTING CMU WITH %6"x 3Y"TAPCONS @ 18-O.C. INSTALL#5 DOWELS EMBEDDED INTO ADHESIVE (4"MINIMUM).DOWELS WILL BE Y2"ANCHOR BOLTS WITHIN EMBEDDED INTO NEW POURED CONCRETE 6"OF EACH CORNER (12"MINIMUM). FOUNDATION PLAN FLOOR PLAN NEWCCEE FT.IREPLACE ADDITION BECTON ALTERATIONS 11481 ST.AUGUSTINEULSBERG ENGINEE , N RD.,#202 JACKSONVILLE,FL. 32258 r 'y Ph.(904)886-2401 JEFFREY K.HULSBERG,PE. WILLIAM J.DERY,PE. L YD S.SI S PE. Fax(904)260367 (FL.PE.No:33152) (FL.PE.No:49025) (FL.PE.N0:50791; SCALE:1/2"=T-0" RELEASE DATE:06-27-08 DRAWN Y:DJM CHEC BY: FSS CITY OF ATLANTIC BEACH SJ 800 SEMINOLE ROAD .1 } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00000938 Date 7/11/08 Property Address 342 11TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------- Application desc DUCT WORK ONLY ----------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BECTON OCEAN STATE HEAT & AIR, INC. 342 11TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 --------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/09 ------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 07/11/2008 15: 11 FAX 9042498949 OCEAN_STATE-A/C a ATLANTIC-BEACH la001/001 Sry Tn✓, CITY OF ATLANTIC BEACH. ]vLECB_A_N_1C kL PERMIT A-PPLIC ATION Property Address: -1 64 ' e Owner-. �� l p � 1'1 Telephone L4L— q Contractor Telephone 4: Eqq ..Coutracior Ad.dress:.�.�. �,Q1 C Gl `�.�(� � Fax r'r-�Q�-�-i�� 1a cooeiderapon of perms¢auto for don►i rbc warl'.u donctibed m the 2h3-r sraccmMn,wt botch} urec•w perfom:yid work in aeeordaae_ attached ans with the ched placrd 1petr5caaom which are a pan hereof and in accordance with the City a:Atlaouc Bach ordimuccs=d etsadard.of ¢aoA ornmcc li=d themia. Type of Seaun`fuel: it other wasQu m=is bei dons on ttu buildmz or site,fist the h1aang pest number. ' -�1ileCtnL - �� .. ❑ Gas: _L.P N�,aal _❑ Uility 0 012 0 Other-Suedfv JV3CEANIC_AL EQ�MENT TO DE INSTALLED NATIO OF WORK M/ Btm _Space _R:ecessed . _✓Cetriral _door p R sidmbst W Conditioning _Room Ccntra] W Duct S�sty: Mdemal _Thickness z) Commercial May,mum capacity C±M ❑ ReiriFetauon 0 Nevv$tbl 0 Cooling Tower, Capscity SUM ❑ Exist Bunton ❑ Firt 5m-mitlar:Number of Heads 0 Elevator: _ �vlaaliit EacalElxor number) O poula===aM-dsdng 5ynrm ❑ Gasoline Pumps {1�Tumber) o Tanks (Nvmberl o New h-fin=- � 0 LPG Containrrs ber) (No system.prwlonsly instsZed� ❑ Unfired Pressure Vessel ❑ 8'aeukan or Add-on to Existing System ❑ Boilers 0 Oras Piping --- a p _ C3 Other_Specify LIST ALL E .TTIPbf YT AM conITIONMgr.,pj,' ; =p_A,.MCYN LQVIIv1VWM7ac COriDMISOR'S ',Ppr°Y'as Number Units Description Model' Manubetilrer Ton's A4eaey JE4a2A�C-I�JFtNr�CPS 13Oa ,1�tLYLACTS AM DA1APP—in€ Mumber Unirs Dtseription biodcl n [vlaattcitaror ETI.➢: Agoocy T�1NT<5 T lomirual tapas u� �ypc -iquid How Han- Contained P.PAPereanvcnvt g • 50f1 Sctnin.ole.(toad � .'..tlnntic Bas.cli, Florida �''�33-��1d$ ' Phnnr (9011 Ful: 19041 2A%-5R35. h"t //www r;otlantiC-bench.f]_nq -'err arr. CITY OF ATL_- PEACH "- i "B CH: N AL PEP IT APPLICATION f i f Date: Property Address: " -I SVe e - , t^ Owner, PILI l I 1 05n C�O1'1 'Telephone#:. - ---- - A �"' . C Telephone:g: Contractor: QCEan E 1L:LL E H IG � -Contractor_A-d.dr-ess:-14�I U t .Q{ L� Fax. In consideramon of permit given for doing the work as described in the above srarement.we hereby agree to perform said wort:in accordance with the attached plans and specincations which are a pan hereof and iu accordance with the City of Atlantic Beach ordmances and standards of eood actice listed therein Type of Heating I+uel: If other coustru�en is being done on tms building or site,list the budging permit number: -Electric _ `�- ❑ Gas: LP Naftu _Central UtDity ❑ OiL ❑ Other—Spec& NiECHAI"T1C_4_L EQUIPMENT TO HE INSTALLED NATURE OF WORK �/ Heat _Space _Recessed . /Central _Floor_Floor ❑ Residual VAiT Conditionma _Room �[Ceatral ZV Duct System: lvlaterial Thic'lmess ❑ Commercial Maijum capacity— �tl(Zp cfm ❑ New B-trilainQ ❑ Refrigeration ❑ Cooling Tower: Capacity °pm ❑ Eistmg Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator iYlanlift Escalator (Number) ❑ Repiacement u:E dstin--System C Gasoline PUMPS (Number) ❑ Tanks (Number) ❑ IVewInstallaaon timber (No system preciously installed) ❑ LPG Containers - ) ❑ Unfired Pressure Vessel ❑ E-amsion or Add-on to Fisting System ❑ BoilersEl Gas Gas Piping -- --- Uther- pe ❑ Other=Specify LIST ALL E Q[T 1(1ENT :SLR COMDMOMNG,RUMGERATION EQUIPN 'L &•CONDENSOR'S Approving Number Units Desorption Model f Manufacturer Ton's Agency IMATiNG—FURMNACES,BOLLERS,FIREPLACES&AIR HANDLER'S Approving Plumber Units Descriprion Model f Manufacturer BTU's Agency pchl n� MAVFS- Nominal-Capacity Type-Liquid Beriat _1 Li rczRP Howlvlanv Dimensions Contained Manufacturer No. _encv Soo Seminole Road • Atlantic Beach, Florida 32233-5445 Phnnr- MAX)'1.c!"-=,-Rf)tl . Fos: (9041 24^,-5845. htt-n=!lwww ri_atlan#ic-beach_#I_vs CITY OF ATLANTIC BEACH iJ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 '��xF31c r' Application Number . . . . . 08-00000938 Date 12/05/08 Property Address . . . . . . 342 11TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------------- Application desc DUCT WORK ONLY ------------------------------------------- Owner Contractor ---- BECTON OCEAN STATE HEAT & AIR, INC. 342 11TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ----------------------------------------- Permit MECHANICAL PERMIT Additional desc . 00 Permit Fee . . . . 55 . 00 Plan Check Fee Issue Date . . . . 7/11/08 valuation . . . . 0 Expiration Date . . 1/07/09 ----------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- - Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J r)1 9 � ATLANTIC BEACH,FL 32233 f INSPECTION PHONE LINE 247-5826 i Application Number . . . . . 06-00032111 Date 1/31/06 Property Address . . . . . . 342 11TH ST Tenant nbr, name . . . . . . DUCT WORK Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------- ------------------------ DAWES, DOUGLAS OCEAN STATE HEAT & AIR 342 11TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 --- ------- --- -- - -- - ----- ---- -- --------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 55 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due--- ----------------- ---------- -- ---- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 ti PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL Jan 30 06 10: 47a Ocean State A/C 904-249-8949 //-- p• 1 � tP � CITY OF ATLANTIC BEACH, MECHANICAL PERMITAPPLICATION -'i Date: Property Address: �� lJ'�• ___....�.�. -- —.—__-_ Owner: Telephone#: D ._�.. Contractor: ocean hj Telephone 4: Conti-actor Address: 147 U1 -.WGJ(NV — Fax #: lu considcrition of permir given Nir Aoing rhoo work as dCScribed in the above:aztement,we k+rby agrec to p,utbrsn Raid work W aOCUntuni:L with the ntnched pt,US anJ SpCCiticwl'i0u which area puri hereof and in acuunlunce with the City of Atlantic Beach ordioauecs Ald Autldurds 0 our!Dmcuix listed dierein. _ Type of Heating Fuel: �- if other waslrtution is being done on this building or site,list tbz buililiag pernut aumhcr: O Electric Q Gas: _LP —Nutttal —C cntral Utility O Ou Q Other--S)ecify MECRAINICAL'EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat ._5puce _Recessed Central —Floor Residemial Q Air Conditioning: —Room Central O Duct System. MaterialGTThickncss ❑ Cunnncrcial Maximum capacity_Z- O ca Q ke&igeratiou ❑ New Building ❑ Cooling Tower:Opacity wpm o F.xi.stio-�Building Fire Sprinklers:Number of Heads O Elevator _ manlift L•scalator (Number) ❑ Replacement of Exlstu,,g System Q Gasoline Pttmps (Number) U Cuuhs tNumber) a Nc-w lnstallaticm a LPG Containers (Number) (No system previously installed) Q Unfired Pressure Vessel Q Extension or Add-on to Existing System ❑ Dnilers ❑ Gas Piping O Other-Spccify O Otht'r-Specify LIST ALL EQUIPMENT :�.at CONDITIONING,REFR1t.BUAtION EQUU-rv1MNT&COND.ENSOR'S Approviug Nutttber Ullits Description Model 9 Manufacturer Tou's Ageuey 11E\TING- 11oI1.E,RS.FULL,PLA(IS Sr A21 HArYDUR'S Appioving i unber Units Descriptio¢ Modti ll Munuiacrurcr OTU's Agency TANKS Nomiiull 4Jp14ily 'I'vt)c Liquid lcnul \ppi0+ir16 Hnw tvLWt $.0' '.nnr mrtrl Many L0.C!urer Crv. _ ACcncv 3U0 Seminnie )toad • ;atlantic Rear.h, Florida 32333-;dd5 -,.^ .._� ..,.. Phone: (904)247-5300 • Fax: (9904) 347-5345 . hrtpa/www,ci.attantic-beach.fl.us `.. J CITY OF ATLANTIC BEACH } � MECHANICAL PERMIT APPLICATION =Ji31)r. 3/ —LDate: Property Address: �� /� tS'�• Owner: ,�. �Q OTI. Telephone #: (Pyi— d Contractor: n —[Q�� (�£ QIC Telephone Contractor Address: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of _good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: ❑ Electric 1W ❑ Gas: LP Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed —Central _Floor 4,--'Residential C3 Air Conditioning. —Room Central ❑ Duct System: Material F14K Thickness ❑ Commercial Maximum capaSity O 4 cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gPm El Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks , (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency FAyrn 1 TANKS Nominal Capacity Type Liquid Serial Approving How Manv &Dimensions Contained Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 . http://www.ci.atiantic-beach.fl.us Nov-16-98 02: 19P Stockton Realty 904 28S 4893 P.01 MAP SHOWING BOUNDARY SURVEY OF IM 19 AND THF. HAST I/2 OF LOT 21, BLOLR 13. ATLANTIC RFACH. ACCORDING TO THF. PIAT THEREOF RECORDED IN PLAT RTXW S. PACY 69, OF THE CURRENT PUBLIC RECORDS OF DIIVAL COUNTY. FIORIDA. CERTIFIED TO: SHFSI.IX)N C. BRYAN, F.RIN H. BRYAN, GIBRALTAR TITLR SERVICES, INC.. AND LAWYERS TITLE INSURANCE CORPORATION. // "' S7- iosrEo)�o.� •� CIF , _ .jV _ -lit Qi / . 7zaa_Y NYU i 0 N N .-_ .. 7- Z /J' t... / f I x i •P. L ZZ is ' o y 3t NCj.a¢,ar'rOST N, J 7. -'i7-17-lel O.I--', i(/A/AJ 2'c�" v P v E Y 0 Q fIAL MOTNM I.BiMN01 AAE B+ISED ONS .- y 2.SIRUCTN0.-- URI 4Dom"Em In am Elam I■E-'L�- AS NIST A 330CIATED 3URVEYOR$ INC. 3.M��` � E"�"°�° o LAND / ENOINEERINO SURVEYS PIPES AND UTILITIES,f ANY XOT OEIIll 40 , W P.O. BOX 382017 4.IURISIXCTIONALXAIlD BY S AND OR FN41RL ENTALLY SENSITIVE AREAS 8 ANY, NOT 4 5915 CEDAR HILLS BOULEVARD 5.THIS SURVEY WAS BASED ON LEGAL DESCRIPTIONS iURNI9NED AND THE JACKSOWLLE, FLORIDA 32210 PUBLIC RECOip$°EIIE NOT SEARONED 9Y THIS MORVEYOR VOR EASEMENTS, TTitL 7 904-771-6486 COVENANTS OR RESTRICTIONS THAT MAY AFFECT THIS PAROL CEITI1Elr-ATE OF AUTHOPoZATION NO. LB 0005468 6.UNLESS OTHER—STATED ALL M PFES MINID HAVE NO MWICAH10N. Y 7.NOT VAUD MTHOUT INE SIONATURE AND THE ORMAL ROUSED SEAL OF A ILOOA UDDW SIIIEM ARD WMETL I HERESY CERTIFY THIS SURVEY WAS DONE UNDER MY LJ1tIillllO/AM0AffMTNMM4 DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL O 9EY IRON PIPE w"M P.C. - POINT OF CARVE STANDARDS FOR LAND SURVEYING PURSU TO CHAPTER 'A1190C.SURVEY-OR L1$W P,T - POINT OF TANOEN CY B1DI�RIDr1 INISTRAT]ppl CO C F.S. .. .FOura RIGH PINI oR PIPE P.R.C.- PINT rx REVERSE CURVE /�JL. ■ POUXO CONCRETE MDNIJYE7fl P.C.C.- PONT Of CREVdMD CURVE O.R.V. OFFICMI RCCORDS VOLUME C/L - C�ipB� 9Y; CMM D. HATCHER X—X ... nDsM I-P. - XRON APE OR M FLORIDA CERTIFICATE NO.3771 (CHID) N:HM R/w - RIUM or Iw PB PIAT BOOK D.R.L- SUILDNNO RESTRILTfXN LAIC JOB NO./?cSy9 DATE rZaY/ /99f3 9/b SI : )> Dcow BANS N) = MEA SCALE: /'1-20' DRIFTER L AMC LD°OTN CORIC1iET[ C G• no AsP,v/Lr AAW-441E 0000 ._!Z -- /dao 3j R r- WOOD o R c croN. r tc�I o TSF J 0s s c/,ItiAL / tTadt� , lor _---- j coNc. 10,4 fee _ _--- F o ,V T EL EVA T 1CA/ ' ""`^ 1 'MID _._�-► -Mc i _ ccoyc. A Z&O AW.Irl- - - --— - — E4 E LEVdT � o /44 pef F�8 rRv � i R T SET sus fN T,euSs ,itNc✓Jo�S �"— A t vtil. eL40Q- ALLOW fPW 'GoCreA1 V AFAYE - - -CV Ad C. T/Af 40!17. - .7-yf' TWO C .4^ _ e CX/E/Va'a �U CSF 14 0 =1Ag - G� xG -/c/iO I ! - SM04%_. a LORE 10 voo,Q V'- AAdX. i " AiF 61.4s. mock, �f'�Po✓�c E 4r \ Qs ,oEs�QEC9 i P/rc,4r :,PASSE 1 I ✓F i1/C L �,•, C�n/G, e4 K . i I ! i D o ra K MEs/r �EinlF. FOUlV DA TI�i�I - 4*. ---t'==— L 14 AJ - mac¢"-/-O" !NF. � ' .� • �o N;. �►' _ r- T c;- �E s'vn.1 o C- ,4 i?+ .4 G G: T YP 16 A L f o o Ylnl lr R 6A) ,� " G on/c, tS E o" r ' F AP° SHOWING SURVEY OF Lot 19 Vit. %ether, with the East 1/2 of Lot 21 , Block 13, as shown on the Plat of Atlantic BeBcl "a recorded in Plat Book 5 , Page 69 of the Current Public Records of Duval County, Florida. ioNCFor: James E. LeSane 7-5 F ee. � rj K T 9 7.9' ': r � .. FCON.'�'' .BLOCK � Wit' .•� �• '• 'n S .7M srt:y t 'f �r � �'( � yt •.ti . fir• � '�. � ��ex.G '�; ''' ' 1. ,,ll-- :.' I • /+' i Yv�� 01... -�� ..;.• if co VNI01 � s,, „• f�� 'i �y• � ,{; llfy ~ \ •' yO t i 1 GA�� r: EL E VENTN 5 T E'E7- a 75 L O T 19 e,7' zz' 7c 79' FbR. 7 9' Z9.z' /- ST>' STUCCO ¢'CoNC_: 51-0C.-- E,4 Y,-- !5 LOCKEAVES A✓9 3/z p 0 5/./' l6.l • O 0 ,1G•P y ' . /7' ZZ-13, 4z ti SAGE J GA 7' N N Or 75 x L O T zz L O T 00 L O T /8 nJO <::-0,0 kJ2FL?S 15E TLEGEND RAY, DURDEN, SNYDER & ASSOCIATES O METAL STAKE SET PROFESSIONAL LAND SURVEYORS 40 METAL STAKE FOUND 38 EAST 17TH STREET e PEII[ANENT REFERENCE MON. JACKSON V I L L E, FLORIDA PHONE 353-6476 cl WOOD STAKE SET v -■-_-:-: FENCE DA'L'E SCALE � ^ 'vov ion�NO: BY: DRAFfSlUN CH CKED BY REGISTF.REU Sl'R�4i, C.ATE N 707 LORIDA �,. REGISTERED SI RIFICATE N . 1226 GEORGIA 14-4-1. � , I I I I : i T-7 1 i I +T I I 1 I i I n17 : -7---- - , IT _. , i ; 1 1 7 1 i I _ i , I : I I I i I I , I , ! : I , 1, : : r r , r� t r r r r T r r ; r ' i I ! , r I .L r i i i � I I I i j I , I Fl G ASS' i � I - - 4. �o s r._. -• --- __. ....... 1 I i • 1 I 1 i L - �' At-,at-to_.R T I j I i r U I - - � - - I ' ' I I , -- --1 - - ... I ---- - - --- I I j ' t I I I , I I : ' � I J : i I tl� � I , I . I . I I I i : I I , I T_ ; 1� /CITY OF ' 4d Be=A-1 Office of Building Official REQUEST FOR INSPECTION 'z L Date Permit No. Time A.M. Received PM. Job Address oc ity Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMB MECHANICAL Framing ❑ Footing _ Rough Wiring C Air Cond. & t Re Roofing L Slab — Temp Pole ❑ Top Out ❑ Heating I Insulation Lintel Final E, Sewer Fire Place _ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. r1 Friday PM. ' •� A. t Inspection Made 3 ' � 9 P.M. Final Inspection Inspector Certificate of Occupancy ❑ Date � ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00029417 Date 6/07/05 Property Address . . . . . . 342 11TH ST Tenant nbr, name . . . . . . 240 SQ FT POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor - ------------------------ ----------------------- BECTON, BETSY KERRY MARTIN POOL BUILDERS INC 342 11TH STREET 9740 SAN JOSE BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 249-8042 (904) 262-2384 ------------------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc WIRE FOR POOL Sub Contractor A-ONE ELECTRICAL SERVICE INC Permit Fee . . . . 75 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due_ ----- ---------- --- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C S. BUILDING OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: i Property Address: _3 Owner: .4�c CT Telephone#: Contractor: l 9/--" � -� Telephone#•6u0o3 1— Contractor Address: � 2 G.7 T �X, f ? Fax#:�(/� ' �a c /(/) Z In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence ❑ Temp. ❑ New being done on this building ❑ Old El Commercial E3 Signs El Increase Prrrmit,numbbe building ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair vim/ -00c, Conductor Size: AMPS: COPPER ALSEl Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS 31 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf Ea._Sign MiscellaneousW i !� µ��vJ `rv� .;,,�„�v� ?C0 L 800 Seminole Road • Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us ERWIN INSURANCE Fax:904-354-0660 Jun 7 2005 11 :22 P.01 CERTIFICATE OF INSURANCE Date 6/7/zoos Producer This certificate is issued as a matter of information only and confers no rights Erwin InsUr_&tee Agency, Inc. ------ upon the certificate holder.This certificate does not amend,extend or sltcr the P.O.Box 40826 coverage afforded by the policies below. ,Jacksonville,FL 32203 COMPANIES AFFORDING COVERAGE Phone:904-354-3900 Company -- -'--"-.I Letter A NORTH POINTE INS. CO, Insured - any Comp -- - -- _ utter B C_ A-ONE ELECTRICAL SERVICE 167 67TH ST. WEST Company C Letter JACKSONVILLE,FL 32206 Company D Letter Company - Letter COVERAGES This is to certify that the policies of insurance listed below have been issued to the inaurcd named above for the policy period indicated Notwithstanding any requirement. term or condition of any contract or other document with respect to which this eertiftoate may be issued or may pertain,the Insurance afforded by the politics herein is subject w all the terms,exelusions and conditions of such policies. CO. Oenerltl Liability Policy Number Effective Datc Expiration Date L12biliry Limit In Thuuaands Ltr Each EAI (1 Comprchcnstve Corm 3094106475 9/9/2004! 9191 Occurrence Aggregate ❑ Premtses/Operationa Bodily Underground Explosion/Collapse Flazard lrtjury _J j Products/Completed Operations Property J Contractual Damage )ndependant Contractors --- (J Broad Form Property Damage gI+pp _ — UPcr�ria'Injury � Combine (1,000,000 1 ;1,000,000 Personal Property — Automobile Liability Bodily Injury (Per Person) J Any Auto Bodily Injury 7 All Owned Autos(Priv Pose) (Per Accident) U All Owned Autos(Other than Priv Pass) _ P I� e Hired Autos Property -- L Non-Owned Autos Damage ❑ Oaragc Liability BI+PO 7 Combined -- Excess Liability Umbrella Form til+PD L C l Other than Umbrella Form Combine Worker's Compensation (] and Statutory Employers'Liability (Each Accident) — -! (Disease-Policy Limit) Other (Disease-Each Employee) — J1 i C - Description of Operstions/Locauons/ychicice/Special Items � I CEftTIFICATE HOLDER CANCELLATION �CITY OF ATLANTIC BEACH BLDG DEPT. Should any of the above dFc cd policies be cancelled before the ex cation date Cher the issuing 1800 SEMINOLE RD. company will endeavor tolmai13 0 days written not to the ccdificu holder na to the IcR,but('allure to mail such notice shall impose no obligation or liability of It upon c c puny,its agents JACKSONVILLE, FL 32233 representatives. FAX-904-247-5845 Authorized Representative �.S►,rltyy. It S1 CITY OF ATLANTIC BEACH r � + l 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029540 Date 2/18/05 Property Address . . . . . . 342 11TH ST Tenant nbr, name . . . . . . + M BED/BATH 767RAD&SCHG Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 85000 Owner Contractor - ------------------------ ------ --- -------------- BECTON, PHIL & ELIZABETH D.L. DAVIS CONSTRUCTION CO. 342 11TH STREET 1908 FIRST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 465-2222 ---------------- - ---- ------ -- ----- - ------ ---- --- Permit . . . . . . PLUMBING PERMIT Additional desc 6 FIXTURES Sub Contractor BADCO PLUMBING & PIPING LLC Permit Fee . . . . 77 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited ----Due--- ----- ---------- -------- Permit Fee Total 77 . 00 77 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 77 . 00 77 . 00 . 00 . 00 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CO BUILDING OFFICIAL s= CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION �r Date: - -o Property Address: Owner:lk ,L -'_ <�_11 z& L L-4k t� �,�or/ Telephone#: Contractor: 'Q'2-g2 Nn"4_�; �� Telephone Contractor Address: S— jG i vx C Fax In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: ❑ Re-Pipe C._�— �� i S' to Number of Fixtures: / Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine r , Lavatory Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845• http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029540 Date 1/27/05 Property Address . . . . . . 342 11TH ST Tenant nbr, name . . . . . . + M BED/BATH 767RAD&SCHG Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 85000 Owner Contractor - ------------------------ ----------------------- BECTON, PHIL & ELIZABETH D.L. DAVIS CONSTRUCTION CO. 342 11TH STREET 1908 FIRST STREET NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 465-2222 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee . . . . 400 . 00 Plan Check Fee 200 . 00 Issue Date . . . . Valuation . . . . 85000 Expiration Date . . 6/26/05 ----------- -------- ------------------------- -------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 19 ST CONSTRUCTION SURCHARGE 3 .45 AB CONSTRUCTION SURCHARGE . 38 STATE RADON SURCHARGE 3 . 64 WATER IMPACT FEE 280 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due • ---------- ---------- ---------- ----------------- ---------- Permit Fee Total 400 . 00 400 . 00 . 00 . 00 Plan Check Total 200 . 00 200 . 00 . 00 . 00 Other Fee Total 322 . 66 322 . 66 . 00 . 00 Grand Total 922 . 66 922 . 66 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING COD I^K a BUILDING OFFICIAL ?iy>,yT4. CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT D. Ford 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 "rJlilt (904)247-5800 - (904)247-5845 Fax www.coab.us CITY OF ATLANTIC B`—ACH PLAN REVIEW COMMENTS ,JAN 14 2005 Permit Application # p5- 2f:15 c� BYE Property Address: 3`-C z 1`'-r1� Applicant: 'E)'Acf *=)V�S Project: &Dm This pe application has been: Approved 0 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: EIVED -ANTIC BEACH � 'ONING NOTICE OF COMMENCEMENT JAN 20 2005 State of Tax Folio No. 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 O/F/COMMENCEMENT. Legal description of propert being im roved: 1 `_ t � ) D- I j, "i�f ' I �>t O� l � �'1, Address of property being improved: f I est- y7 -(At General description of improvements: ek +"tj"i `>,Zrj 4-lb A � Owner: .A'-a-iu Address: y 54 HAUL) Owner's interest in site of the improvement: V+ Fee Simple Titleholder(if other than owner): Name: Address: Contractor: Address: t`0 3 S�` Lex �� 7~l ZZ�" Phone No: qbY - - 7 Z Z, Fax No: " e)—t " Z q Surety(if any): Amount of Bond$ Address: Phone No: Fax No: Name and address of any person making a loan for the construction of the improvements. Name: ( Address: Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Phone No: Fax No: In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in - Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option). Name: 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 specified): THIS SPACE FOR RECORDER'S USE ONLY Signe Date GS _- Before me this ►1 day of J in the County -----_ 4oa " t SSa a of orida,has p rs al y a eare Doc#2005021499,OR BK 17246 Page 2090, Number Pages:1 Public at ar a State of Florida,County of Duval. Filed&Recorded 01/18/2005 at 11:45 AM, g JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY My commission expires: RECORDING$10"00 Personally Known: or ��ll Produced Identification: Vfl- 103v l C7��V JENNIFER SCH ETER MY C�QMMISSI D 1211 ;�•," :o= X�IRES: ay ,2G06 I '. d Thto Not - �yLyr'JCITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET B11 Date: / '/ 9'O5 Address 3 C/2 1/ ST - DD/rl 4 Heated Square Footage -7 6 @ $ per sq ft= $ Garage / Shed @$ per sq ft= $ Carport/Porch @ $ per.sq ft= $ n $ Deck s@$ P Pper sq ft= D� Patio @ $ per sq ft = $ TOTAL VALUATION: $ YL�,060 J Total Valuation 1st $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: _ TOTAL BUILDING FEE $ ZONING: Vs== + %2 Filing Fee $ FLOOD ZONE: �_ ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: �b BUILDING PERMIT FEE $ WATER IMPACT FEE $ 1 S110 SEWER IMPACT FEE $ -(3 WATER METER/TAP $ -0 - CAPITAL 0 'CAPITAL IMPROVEMENT$ -o ' SEWER TAP $ -d C ('K?) RADON HRS .0050 $ SECTION H PAVING ( ) $ , -0 - CROSS CONNECTION $ 3 J'r ST(76?) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 WATER IMPACT FEE WORKSHEET L ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic dothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub (with or without overhead shower or whirlpool attachments) 2 L Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountair0cemaker Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment,domestic 2 Sink 2 Urinal 4 - a Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 TOTAL$ .2 r0 r rS�-L`li Jv ivJ TY SOF ATLANTIC BEACH CST7' UILDING PERMIT APPLICATION - � (Alterations & Additions) X13,, JAN 14 200 i Date: i Job Address: -- Owner of Property: Address: � � � �aiY- &15_o1 1 1I Telephone: Legal Description: Block Number: Lot Number: ¢, ', Zoning District: Contractor: A �A j i� State License Number: O ( D Contractor Address: Telephone: Z.3 7- 2,222. Fax: Describe proposed use and work to be done: C,�AS-Ql-bc l/J e. A44 sty tl`' -4er-L Present use of land or building(s): q' Valuation of proposed construction: y What are the dimensions of the added space: ra feet x /7 l feet Will the added area be heated and cooled? New electrical or increase in service? Add plumbing fixtures? Add firep ace? �t/J Add heating/air conditioning? P� Is approval of Homeowne s Association or other private entity required? _ If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? �*O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. Z.NO. Applicant certifies that no trees will be removed for this project. ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each mouth. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Page 2 Telephone: (904)247-5800 .Fax: (904)247-5845 •http://www.ei.atiantic-beach.fl.us Revised 8/04 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify th ation provi ed wit P icati n is correct. Signature of owner. Date. I hereby certify that I h ead 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 *peon e plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: l� f Address and contact info aeceive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this 4 h day of 1 _,2005. State of Florida,County of Duval Notary's Signature: gWAJ��,SUWAA_,W' ❑ Personally known 2—Produced identification L 221-q4 0 Type of identification produced AS TO CONTRACTOR: r Sworn to and subscribed before me this ty\ day of �. ,20 (DJ State of Florida,County of Duval Notary's Signature: ersonally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 8/04 Page 3 MAP SHOWING BOUNDARY SURVEY OF L07- 1? s EAST- P- of LOT 2/ BLOCK 13 AS SHOWN ON MAP OF SU 6 D)v l 5 1 o N "A" A-F-/y N-T I c- e-,i%,c- AS RECORDED IN PLAT BOOK 5' PAGES 69 OF THE CURREl-IT hUBL,IC OT- DUVA(_ co, F(A CERTIFIED TO: PNILIP UEC �,/ pt4N Iylor�'T��GE S��v�cE'S S �^ OF C f L� C A � 1 ELEVENTH S iw) X75.00' No cad N. 89° I ' 2 5.00' 'Z 15 So.oo' 8 , a C ° N - b 4 M Q J H Q V IZ Z � °N C. c zc H a — C 7.7' L Q o V gfo 12,1 — W J B RIcK/S N T-I.�t-D N K2 3yZ I Q ° FENCE FQAME h 78 S�RAGE I SI�. 1.Y' - ie.v• ' �^—A/L STMD J .. TAD , P �Vvooc, STooP , 1 Woo I ND 51'EP5 ' w 6 cc It • Y'WOol,, > U FEN C.-- V U L 0 w � � . u 3 W 0 N g ►� '3 8 Z o 0 I-5Torzy u ' N T 5rvcco V J N Gr1�PCE 5700 P I K I I � I } N N h r � 2 5"CNACNK 0 2�j.o0' 'Io.�' 2.S.o0' FENCe e.I•r `t L 0 T FENCE FD.i2'I.PS. 8 /V9 ! 1 J �I �A,1. �S-0�7 i "o CAP' V F 2'� I _ p6Vtf1 L o T 2 Z I L o T- 2- 0 I L o T' /8 l v P�RR�'T 14NI� A.S;�nCI14 T, W INC. 1614 ATLANTIC UN/VERSITyCIRCLE, JACKSONVILLE, FLORIDA, 32207 PHONE. (9041) 905-0030 FAX. (904) 805=9888 EN AI NOTE',-- P.C. POINT OF CURVATURE L GEND R RADIUS P.T. POINT OF TANGENCY C DELTA (INTERIOR ANGLE) )BEARINGS SHOWN HEREON ARE BASED ON P.R.C. POINT OF REVERSE CURVE A ARC LENGTH N B9.59'y S"E. FoR THE Se tiTH Fi(,i P•C.C. POINT OF COMPOUND CURVE r CHORD SNE of Q.6vENTN S7'K EE7- P.O.C. POINT ON CURVE CB CHORD BEARING B.R.L BUILDING RESTRICTION LME A/C AIR CONDITIONER (THIS PROPERTY HAS NOT BEEN ABSTRACTED [ CENTER LINE CONC. CONCRETE FOR EASEMENTS, COVENANTS, RESTRICTIONS I.P. IRON PIPE R/W P.GHT-CF-WAY FD. FOUND O.R.V. (K.MCIAL RECORDS VOLUME UNDERGROUND ENCROACHMENTS AND UTILITIES SERVING THIS PROPERTY HAVE NOT BEEN LOCATED OR SHOWN THIS PROPERTY APPEARS TO LIE WITHIN SCALE FLOOD ZONE ",N- AS SCALED FROM y,/3-Zoo l F.E.M.A. FLOOD INSURANCE RATE MAP, PANEL �d4-��7 IZoo75 - oo I D DATED y_ 17_8 DATE OF FIELD SURVEY NA TN £. aOERR£T, FLA. CERT. N0. 5732 CARL S. COURSON, FLA. CERT. NO. 3129 LB 'r 6715 22 o pC 7 3--7( Mor vAUD N1THUur TW JA6M nAW & "K oIPTWW IGVSW MU OF A nOffW ucomm MR ror r A 4-m ORDER NO. Z oo l-17 /8 ,fir`"CITY OF ATLANTIC BEACH � , CI tr BUILDING PERMIT APPLICATION �r (Alterations& Additions) JAN 14 2005 Date: Cs'> Job Address: - -- --- Owner of Property: I&A j l f Address: � _ `� �iIR+� i Telephone: 2-"I -1' `t'� Legal Description: Block Number: Lot Number: gt�IZ Zoning District: Contractor: n A sal A State License Number: Ka- (,0!2 (2&0 Contractor Address: 19 3 Q �r_ St SAS T.J-► �" �` �2Z�0 Telephone: 13 7- 7;L77-Z- Fax: Describe proposed use and work to be done: OC )) -ia/J U� /L44 S 6-t�j 1 � Present use of land or building(s): Valuation of proposed construction: s��0y What are the dimensions of the added space: ra feet x /7 feet Will the added area be heated and cooled? 2 New electrical or increase in service? Add plumbing fixtures? Add firep ace? /V J Add heating/air conditioning? Q� s Is a royal of Homeowne Association or other private entity required? �—If yes, please submit with this PP application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? , O. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. 0. Applicant certifies that no trees will be removed for this project ❑YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall,800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Revised 8/04 Page 2 1W In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works,a pre-construction topographical survey. 4. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify th ation provi ed wi ic&tinorrect. Signature of owner. Date. I hereby certify that I h ead 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 co ect an at the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: t� Address and contact info tion of p on to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Swom to and subscribed before me this h day of � 1 120 State of Florida,County of Duval Notary's Signature: ❑ Personally known [Produced identification Type of identification produced �� of - O AS TO CONTRACTOR: Sworn to and subscribed before me this fi*N day of ,20 V 5 State of Florida,County of Duval , Notary's Signature: personally known ❑ Produced identification Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://wwW.ei.atiantic-beach.fl.us Revised 8/04 Page 3 Duval County Property Appraiser - Parcel Summary Vila in x�® con#ac �■ eat net CNt+cxai c2j,it ft C q vt Ja<*wnw ,Fk i*U Property Appraiser Home > Departments > Property Appraiser> Duval County Database Search Parcel Information Printable Version Owner's Name: BECTON , ELIZABETH A Real Estate Number: 170077 0000 Secondary Name: Property Address: 342 11TH ST Mailing Address: 342 11TH ST City: ATLANTIC BEACH ATLANTIC BEACH , FL Zip: 32233 Zip: 32233-5532 Unit Number: 2005 Exempt Value: $25,000.00 PARCEL DESCRIPTION Property Use: 0100 SINGLE FAMILY ATransaction Date: 10/1/2002 Transaction price displayed is based on the actual amount of Legal Description: 5-69 16-2S-29E documentary stamps ATLANTIC BEACH LOT 19,E1/2 LOT 21 BLK 13 - Transaction Price: $100.00 paid at the time of recording.The current rate is 70 cents per $100. Neighborhood: 941602 ATLANTIC BEACH Section/Township/Range: 16-2S-29E No. Buildings: 1 �16 fficial Record Book and Page: 10952- Heated Area: 1407 36 Map Panel: 558 4 Exterior Wall: CB STUCCO VALUES AND TAXES FROM 2004 CERTIFIED TAX ROLL Land Value: $270,375.00 Taxing Authority: USD3 Class Value: $0.00 County Tax: $2,121.31 Improvements: $143,100.00 School Tax: $2,683.30 http://apps2.coj.net/pao/RENO.asp?RENUM=170077+0000 1/14/2005 Duval County Property Appraiser- Parcel Summary i ar,%, ` v, ` (Market Value: $413,475.00 IDistrict Tax: $1,007.86 Assessed Value: $356,599.00 Other Tax: $165.97 Exempt Value: $25,000.00 Voted Tax: $156.85 Taxable Value: $331,599.00 Sr. Exempt: $0.00 Sr. Taxable: $0.00 Total Tax: $6,135.29 Additional Links: Map This Property (MapIT) - Property Record Card (PRC) - Taxes - Yahoo Maps Map-It Feedback - Payment Feedback - Appraisal Feedback - Tax Estimator - Back to Search Page All values from 2004 Certified Tax Roll. Updates weekly. Maps and data are not updated as frequently as the Tax Roll data and may not reflect matching information. Mayor-City Council -Jobs- About Jax -I want to... - I am... - Services- Departments 630-CITY(2489) - Site Policies - Webmaster- � 2002 City of Jacksonville http://apps2.coj.net/pao/RENO.asp?RENUM=170077+0000 1/14/2005 11111 '�� CITY OF ATLANTIC BEACH �y r BUILDING / ZONING DEPARTMENT tf 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 R E C E I V E D I (904)247-5845 Fax CITY OFATLANTIC, BEACH www.coab.us I "" PLAN REVIEW COMMENTS JAN 14 2005 I � BY: Permit Application # �A Property Address: 3 2 l Applicant: �— L�- � 5 Ccs 21�Ct�l[S1--� Project: This permit application has been: ❑ Approved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: FORM 60OA-2001 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs JAN 2 0 2005 Residential Whole Building Performance Method A Project Name: Davis-Becton Builder: Dean Davis Address: 342 11th StreetPermitting Office: Atlantic Beach J City, State: Atlantic Beach, FL Permit Number: Owner: Becton Jurisdiction Number: Climate Zone: North I. New construction or existing Addition - 12. Cooling systems 1. Single family or multi-family Single family - a. Central Unit Cap:22.2 kBtu/hr - 3. Number of units,if multi-family 1 - SEER: 10.25 - 4. Number of Bedrooms 1 - b. N/A - 5. Is this a worst case? No - - 6. Conditioned floor area(ft') 767 ft2 c. N/A - 7. Glass area&type Single Pane Double Pane - - a. Clear glass,default U-factor 0.0 ft2 129.0 ft2 - 13. Heating systems b. Default tint 0.0 ft2 0.0 ft2 - a. Electric Heat Pump Cap:22.8 kBtu/hr - c. Labeled U or SHGC 0.0 ft2 0.0 ft2 HSPF:7.25 - 8. Floor types - b. N/A - a. Slab-On-Grade Edge Insulation R=0.0, 126.0(p)ft _ - b. N/A - c. N/A - c. N/A - 9. Wall types - 14. Hot water systems a. Frame,Wood,Exterior R=19.0,840.0 ft2 _ a. Electric Resistance Cap:40.0 gallons _ b. N/A - EF:0.92 - c. N/A - b. N/A - d. N/A - - e. N/A c. Conservation credits - 10. Ceiling types - (HR-Heat recovery,Solar a. Under Attic R=30.0,789.0 ft2 - DHP-Dedicated heat pump) b. N/A - 15. HVAC credits CF, - c. N/A (CF-Ceiling fan,CV-Cross ventilation, 11. Ducts - HF-Whole house fan, a. Sup:Unc. Ret:Unc. AH(Sealed):Interior Sup.R=6.0,25.0 ft - PT-Programmable Thermostat, b. N/A MZ-C-Multizone cooling, MZ-H-Multizone heating) Total as-built points: 9862 PASS Glass/Floor Area: 0.17 Total base points: 10913 1 that th ns and specifi ations covered Review of the plans and o4�xEST9rF by this calculation a pliance i t e FI rida specifications covered by this Energy Code. calculation indicates compliance with the Florida Energy Code. PREPARE BY: Ocean ate-Glenn Jones Before construction is completed DATE: �-- �r �� this building will be inspected for p 1 hereby certify that this buil � g, as sig ed, is in compliance with Section 553.908 +jl CoD WV, compliance with the Flori En g od Florida Statutes. OWNER/AG NT• BUILDING OFFICIAL: DATE: / .6 a DATE: - EnergyGauge®(Version: FLRCPB v3.30) FORM 600A-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 342 11th Street, Atlantic Beach, FL, 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 .18 767.0 20.04 2766.7 Double,Clear S 1.0 10.5 9.0 35.87 0.99 319.8 Double,Clear S 1.0 4.5 4.0 35.87 0.89 127.5 Double,Clear E 2.0 3.0 8.0 42.06 0.63 211.6 Double,Clear E 2.0 6.0 26.0 42.06 0.85 930.3 Double,Clear W 2.0 3.0 3.0 38.52 0.64 73.6 Double,Clear W 2.0 4.0 12.0 38.52 0.73 337.4 Double,Clear E 2.0 6.0 30.0 42.06 0.85 1073.5 Double,Clear E 2.0 7.0 22.0 42.06 0.88 816.7 Double,Clear W 2.0 4.0 9.0 38.52 0.73 253.1 Double,Clear W 2.0 4.0 6.0 38.52 0.73 168.7 As-Built Total: 129.0 4312.2 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 19.0 840.0 0.90 756.0 Exterior 840.0 1.70 1428.0 Base Total: 840.0 1428.0 As-Built Total: 840.0 756.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total: 0.0 0.0 As-Built Total: 0.0 0.0 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM X SCM = Points Under Attic 767.0 1.73 1326.9 Under Attic 30.0 789.0 1.73 X 1.00 1365.0 Base Total: 767.0 1326.9 As-Built Total: 789.0 1365.0 i FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 126.0(p) -37.0 -4662.0 Slab-On-Grade Edge Insulation 0.0 126.0(p -41.20 -5191.2 Raised 0.0 0.00 0.0 Base Total: -4662.0 As-Built Total: 126.0 -5191.2 INFILTRATION Area X BSPM = Points Area X SPM = Points 767.0 10.21 7831.1 767.0 10.21 7831.1 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 FORM 600,-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 342 11th Street, Atlantic Beach, FL, PERMIT#: BASE AS-BUILT Summer Base Points: 8690.7 Summer As-Built Points: 9073.1 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 9073.1 1.000 (1.090 x 1.147 x 0.86) 0.333 0.950 3102.0 8690.7 0.4266 3707.5 1 9073.1 1.00 1.081 0.333 0.950 3102.0 EnergyGaugeT""DCA Form 60OA-2001 EnergyGauge®/FIaRES2001 FLRCPB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 342 11th Street, Atlantic Beach, FL, 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 = Point .18 767.0 12.74 1758.9 Double,Clear S 1.0 10.5 9.0 13.30 0.99 119.0 Double,Clear S 1.0 4.5 4.0 13.30 1.08 57.5 Double,Clear E 2.0 3.0 8.0 18.79 1.18 177.9 Double,Clear E 2.0 6.0 26.0 18.79 1.06 517.7 Double,Clear W 2.0 3.0 3.0 20.73 1.12 69.7 Double,Clear W 2.0 4.0 12.0 20.73 1.08 269.6 Double,Clear E 2.0 6.0 30.0 18.79 1.06 597.3 Double,Clear E 2.0 7.0 22.0 18.79 1.05 432.8 Double,Clear W 2.0 4.0 9.0 20.73 1.08 202.2 Double,Clear W 2.0 4.0 6.0 20.73 1.08 134.8 As-Built Total: 129.0 2578.3 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adjacent 0.0 0.00 0.0 Frame,Wood, Exterior 19.0 840.0 2.20 1848.0 Exterior 840.0 3.70 3108.0 Base Total: 840.0 3108.0 As-Built Total: 840.0 1848.0 I DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior 0.0 0.00 0.0 Base Total: 0.0 0.0 As-Built Total: 0.0 0.0 CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 767.0 2.05 1572.3 Under Attic 30.0 789.0 2.05 X 1.00 1617.4 �; Base Total: 767.0 1572.3 As-Built Total: 789.0 1617.4 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 126.0(p) 8.9 1121.4 Slab-On-Grade Edge Insulation 0.0 126.0(p 18.80 2368.8 Raised 0.0 0.00 0.0 Base Total: 1121.4 As-Built Total: 126.0 2368.8 INFILTRATION Area X BWPM = Points Area X WPM = Points 767.0 -0.59 -452.5 767.0 0.59 452.5 EnergyGauge®DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 342 11th Street, Atlantic Beach, FL, PERMIT #: BASE AS-BUILT Winter Base Points: 7108.1 Winter As-Built Points: 7960.1 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 7960.1 1.000 (1.069 x 1.169 x 0.88) 0.470 1.000 4133.6 7108.1 0.6274 4459.6 7960.1 1.00 1.104 0.470 1.000 4133.6 EnergyGaugeT'DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.30 FORM 60OA-2001 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 342 11th Street, Atlantic Beach, FL, PERMIT #: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 1 2746.00 2746.0 40.0 0.92 1 1.00 2626.61 1.00 2626.6 As-Built Total: 2626.6 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 1 3707 4460 2746 10913 3102 4134 2627 9862 PASS oxIHE STg1� IV � 0iVl`I a n 1,YCOD EnergyGaugeTA9 DCA Form 60OA-2001 EnergyGauge®/FIaRES'2001 FLRCPB v3.30 FORM 600A-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 342 11th Street, Atlantic Beach, FL, PERMIT #: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfm/sq.ft.window area;.5 cfm/sq.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.1.2.2 Penetrations/openings>1/8"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.1.2.3 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 perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.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 space,tested. Multi-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infiltration reqts 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 COMP014ENTS SECTION REQUIREMENTS Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker(electric)or cutoff(gas)must be provided. External or built-in heat trap required. 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 gallons per 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. i EnergyGaugeTm DCA Form 60OA-2001 EnergyGauge®/FlaRES'2001 FLRCPB v3.30 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* = 84.8 The higher the score,the more efficient the home. Becton, 342 11 th Street, Atlantic Beach, FL, I. New construction or existing Addition _ 12. Cooling systems 2. Single family or multi-family Single family _ a. Central Unit Cap:22.2 kBtu/hr 3. Number of units,if multi-family 1 _ SEER: 10.25 4. Number of Bedrooms I _ b. N/A — 5. Is this a worst case? No 6: Conditioned floor area(ft2) 767 ft2 c. — 7. Glass area&type Single Pane Double Pane — a. Clear-single pane 0.0 ft2 129.0 ft2 — 13. Heating systems b. Clear-double pane 0.0 ft2 0.0 ft2 — a. Electric-Heat Pump Cap:22.8 IcBtu/hr — c. Tint/other SHGC-single pane 0.0 ft2 0.0 ft2 — HSPF:7.25 d.Tint/other SHGC-double pane b. N/A — 8. Floor types — a. Slab-On-Grade Edge Insulation R=0.0, 126.0(p)ft — c. N/A — b. N/A — c. N/A 14. Hot water systems 9. Wall types _ a. Electric Resistance Cap:40.0 gallons — R=19.0,840.0 ft2 EF:0.92 a. Frame,Wood.Exterior — b. N/A _ b.N/A — c. N/A — d. N/A — c. Conservation credits — e. N/A (HR-Heat recovery,Solar 10. Ceiling types — DHP-Dedicated heat pump) a. Under Attic R=30.0,789.0 ft2 — 15. HVAC credits CF, — b. NiA — (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts — PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. A H(Sealed):Interior Sup.R=6.0,25.0 ft — MZ-C-Multizone cooling, b.N/A 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) 04ItIE S7-4 in this home before final inspection.Otherwise,a new EPL Display Card will be completed based on installed Code compliant features. -`= Builder Signature: Date: - a° fl w Address of New Home: City/FL Zip: o0o WE *NOTE: The home's estimated energy performance score is only available through the FLA/RES computer program. This is not a Building Energy Rating.If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStarr"'designation), your home may qualify.for energy efficiency mortgage(EEM) incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www fsec.ucfedutor information and a list of certified Raters.For information.about Florida's Energy Efficiency Code For Building Construction, ty Affair > contact the Department of Communi �� ersion:FLRCPB v3.30) Becton Addition HVAC Load Calculations for Dean Davis 1901 1 st Street N. Jacksonville Beach, FL 32250 RHVACR8$IDICN"I"IAL WAC LOADS Prepared By: Glenn Jones Ocean State Heating and Air Conditioning 1476 Atlantic Blvd. Neptune Beach, FL 32266 (904)249-8251 Friday,January 14,2005 Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Becton Addition Ocean State Htg&A/C Page 2 Neptune Beach, FL 32266-1798 Project Report General Project Information Project Filename: C:\Elite\Rhvacw\Projects\Todd &Wally\Davis-Becton.rhv Project Title: Becton Addition Designed By: Ocean State Heating &Air Conditioning Project Date: 1-14-05 Client Name: Dean Davis Client Address: 1901 1st Street N. Client City: Jacksonville Beach, FL 32250 Client Phone: 237-2222 Client Fax: 247-6513 Company Name: Ocean State Heating and Air Conditioning Company Representative: Glenn Jones Company Address: 1476 Atlantic Blvd. Company City: Neptune Beach, FL 32266 Company Phone: (904)249-8251 Company Fax: (904) 249-8949 Company Comment: Design Data Reference City: Jacksonville, Florida Daily Temperature Range: Medium Latitude: 30 Degrees Elevation: 26 ft. Altitude Factor: 0.999 Elevation Sensible Adj. Factor: 1.000 Elevation Total Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Elevation Heating Adj. Factor: 1.000 Outdoor Outdoor Indoor Indoor Grains Dry Bulb Wet Bulb Rel.Hum Dry Bulb Difference 0 0 72 0 32 Winter: Summer: 94 77 50 75 48 Check Figures 0.952 Total Building Supply CFM: 731 (7.1 AC/hr) CFM Per Square 441 Square ft. of Room Area: 767 Square ft. Per Tonn:: Building Loads Total Heating Required With Outside Air: 17,954 Btuh 17.954 MBH Total Sensible Gain: 16,056 Btuh 90 % Total Latent Gain: 1,796 Btuh 10 % Total Cooling Required With Outside Air: 17,852 Btuh 1.49 Tons (Based On Sensible + Latent) 1.74 Tons (Based On 77%Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. Elite Software Development,Inc. Rhvac-Residential&Light Commercial HVAC Loads Becton Addition Ocean State Htg&A/C Page 3 Neptune Beach,FL 32266-1798 Total Building Summary L oads Area Sen Lat Sen Total Component Quan Loss Gain Gain Gain Description 98 2,842 0 5,996 5,996 3C Window Double Pane Clear Glass Metal Frame 31 935 0 1,872 1,872 91 French Door Double Clear Glass Metal Frame 840 2,015 0 1,139 1,139 12H Wall R-19+ 1/21, Gypsum Board(R-0.5) 789 1,042 0 1,120 1,120 16G Ceiling Under Vent. Attic- R-30 Insulation 126 4,083 0 0 0 22A Slab on Grade No Edge Insulation 10,917 0 10,127 10,127 Subtotals for structure: 2 460 600 1,060 People: 0 1,800 1,800 Equipment: 0 0 0 Lighting: 2,992 0 2,675 2,675 Ductwork: 4,045 1,336 854 2,190 Infiltration: Winter CFM: 92, Summer CFM:41 0 0 0 0 Ventilation: Winter CFM: 0, Summer CFM: 0 16,056 Sensible Gain Total: X 1.00 Temperature Swing Multiplier: 17,954 1,796 16,056 17,852 Total Building Load Totals: Check Figures 0.952 Total Building Supply CFM: 731 (7.1 AC/hr) CFM Per Square ft.:767 Square ft. Per Ton: 441 Square ft. of Room Area: Building Loads Total Heating Required With Outside Air: 17,954 Btuh 17.954 MBH Total Sensible Gain: 16,056 Btuh 90 % Total Latent Gain: 1,796 Btuh 10 % Total Cooling Required With Outside Air: 17,852 Btuh 1.49 Tons (Based On Sensible +1.74 Tons (Based On 77%Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. 1A Innr, 9•r-,9 PM Elite Software Development,Inc. Rhvac-Residential&Light Commercial HVAC Loads Becton Addition Ocean State Htg&A/C Page 4 Neptune Beach, FL 32266-1798 System I Summary Loads Area Sen Lat Sen Total Component Quan Loss Gain Gain Gain Description98 2842 0 5,996 5,996 , 3C Window Double Pane Clear Glass Metal Frame 31 935 0 1 872 1 872 91 French Door Double Clear Glass Metal Frame 840 2,015 0 1,139 1,139 12H Wall R-19+ 1/2" Gypsum Board(R-0.5) 789 1,042 0 1,120 1,120 16G Ceiling Under Vent. Attic- R-30 Insulation 126 4,083 0 0 0 22A Slab on Grade No Edge Insulation 10,917 0 10,127 10,127 Subtotals for structure: 2 460 600 1,060 People: 0 1,800 1,800 Equipment: 0 0 0 Lighting: 2,992 0 2,675 2,675 Ductwork: 4,045 1,336 854 2,190 Infiltration: Winter CFM: 92, Summer CFM: 41 0 0 0 0 Ventilation:Winter CFM: 0, Summer CFM: 0 16,056 Sensible Gain Total: X 1.00 Temperature Swing Multiplier: 17,954 .1,796 16,056 17,852 System 1 Load Totals: Check Figures 0.952 Supply CFM: 731 (7.1 AC/hr) CFM Per Square ft.: 441 Square ft. of Room Area: 767 Square ft. Per Ton: System Loads Total Heating Required With Outside Air: 17,954 Btuh 17.994MBH 0 Total Sensible Gain: 1 ,056 Btuh 1,796 Btuh 10 Total Latent Gain: 1.49 Tons (Based On Sensible+ Latent) Total Cooling Required With Outside Air: 17,852 Btuh 1.74 Tons (Based On 77%Sensible Capacity) Notes Calculations are based on 7th edition of ACCA Manual J. All computed results are estimates as building use and weather may vary. Be sure to select a unit that meets both sensible and latent loads. c.:. .... i.... ..,.,, in 7lVlr- 9•Gl PAA Elite Software Development,Inc. Rhvac-Residential&Light Commercial HVAC Loads Becton Addition Ocean State Htg&A/C Page 5 Neptune Beach, FL 32266-1798 System I Room Load Summary Htg Htg Run Run Clg Clg Clg Zone Clg Air Room Area Sens Nom Duct Duct Sens Lat Nom Adj Adj Sys No Name SF Btuh CFM Size Vel Btuh Btuh CFM Fact CFM CFM ---Zone 1--- 1 M. Bath 187 5,424 71 2-6 555 4,793 487 218 1.00 218 21 2 Her's 50 1,266 16 1-4 263 505 31 23 1.00 23 23 3 His 36 425 6 1-4 60 115 0 5 1.00 5 5 4 M. Bed 238 5,407 70 2-6 587 5,064 895 230 1.00 230 230 5 Studio 138 3,848 50 2-5 544 3,260 321 148 1.00 148 148 6 Guest Bath 40 1,027 13 1-4 341 655 62 30 1.00 30 30 7 Laindry/Mech 78 557 7 1-5 555 1,664 0 76 1.00 76 76 System 1 total 767 17,954 233 16,056 1,796 731 731 731 System 1 Main Trunk Size: 16 in. Velocity: 523 ft./min Loss per 100 ft.: 0.047 in.wg Cooling System Summary Latent Total Cooling Sensible/Latent Sensible Btuh Btuh Tons Split 1.49 90%/ 10% 16,056 1,796 17,852 Net Required: 77%/23% 16,056 4,796 20,852 Recommended: 1.74 Grirlw Irani inns 1A 9nns 9-r,9 PAA CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ;r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r�C -11>r Application Number . . . . . 05-00029971 Date 3/29/05 Property Address . . . . . . 342 11TH ST Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5900 Owner Contractor - ------------------------ ----------------------- BECTON, PHIL & ELIZABETH BRC HIGH TECH ROOF DIV. INC. 342 11TH STREET 6372-6 GREENLAND RD. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 288-0431 (904) 288-0431 --------------------------------- ----------- ---------------- ---- ------ ------ Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5900 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- - -------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL RECEIVED I CITY OF ATLANTIC BEACH �S MAR 2 8 2005 t CITY F ATLNTI BEACH ROOFIN P , PLICATION .:'4• ----.---- _-- -- - Date: Job Address: q { s Owner of Property: 1— Address: 4,a `' A Telephone: Contractor: t t -h State License Number: <' r C qS(3 7d Contractor's Address:(9 37z—G J GK� , /= 32 2 rd Telephone: 2$j-0q 31 Fax: ? .0 `/32- Scope of Work: Deck Slope: Z Greater than 2:12 X Less than 2:12 cs• Valuation of work: 5 q0o o ` , Product Name(Example:Timberline): Manufacturer(Example: GAF): ASTM Designations $ M"( 0 34 (.,z Required Inspectio s: S at 'ng and i Signature of Owner: Date: l M_ v� Signature of Contractor: C Date: /��Z .Z�l, AO o 4�/P2; AS TO OWNER: Sworn to and subscribed before me this day of�Q �) ,20 d 15. State of Florida,County of Duval Notary's Signature: .'t►"`:• MEMOPoE L.NOLAN :ia• �,_ ❑ Personally known MY COMMISSION#DD 122008 Produced identification Croom-' EXPIRES:JUIy 6,2006 , t �35•ZZ(�• a p 6ondedTh.No ,NtlicUndennllers Type of identification produced AS TO CONTRACTOR: h Sworn to and subscribed before me this _day of 20c>-5. State of Florida,County of Duval Notary's Signature: � ,, DAVID H.ADAMS g Notary Public.State of Florida ❑ personally known My comm.expires Nov.21,2005 [ produced identification No.DD1671#8 't� 1� ®' .>....- ,., Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 � (� ' Telephone: (904)247-5800 Fax: (904)247-5845 • http://www.ci.atlantic-beaus Page 1 Revised 221/03 CITY OF ATLANTIC BEACH Cc: J iso For ING / ZONING DEPARTMENT di nsBUILDHi 1 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Cg— 2q q I Property Address: 3L+-2— ( ) }'-- Applicant: �� `GI Y\ 'Fr-c-h 94nC)/)lel(a - Project: C"'" This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date- 3 1-21 Heated Square Footage @ $ f per sq ft= $ Garage/Shed @$ per sq ft= $ . Carport/Porch @$ per sq ft= $ Deck D @$ per sq ft= $ Patio @$ per sq ft= $ TOTAL VALUATION: $ Syo S $ 3� Total Valuation I' $ 1000 $ /t got Remaining Value $5-per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + '/z Filing Fee $ FLOOD ZONE: ( )Fireplaces @$35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ �L WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ OD GRAND TOTAL DUE: $ j 11`11J�� CITY OF ATLANTIC LEAH J ?z f 800 SEMINOLE ROA FLORIDA 32233 r ATLANTIC BEACOHNE LINE 247-5826 INSPECTION PH Date 3/21/05 05-00029540 Application Number 342 11TH ST BATH 767RAD&SCHG Property Address + M BED/ ALTER name RESIDENTIAL ADD/RENOVATE/ Tenant nbr, Application description TO BE UPDATED Property Zoning 85000 Application valuation Contractor ----- --- Owner -------------- ---D.L- D---- CONSTRUCTION CO- EET BECTON, PHIL & ELIZABETH 1908 FIRST STP NORTH 32250 JAY, BEACH 342 11TH STREET FL 32233 (904) 465-2222 -___--- ATLANTIC BEACH -------------------------------------------------- MECHANICAL PERMIT Permit REPLACE EXISTING HVAC 00 Additional desc OCEAN STATE HEAT & pian Check Fee 0 Sub Contractor 71 . 00 Valuation ' Permit Fee ' Issue Date Credited Due Charged Paid--- ---------- ---------- Fee summary -------- ------ . 00 . 00 ----------------- 71 . 00 71 . 00 .00 . 00 Permit Fee Total 00 . 00 00 . 00 Plan Check Total 71 . 00 71 . 00 Grand Total Y IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORA BUILDING PERMIT IS APPROVED ONL CODES. ' a :_. .. BUILDING OFFICIAL Mar 21 05 02: 19p Ocean State A/C 904-249-8949 P. 1 ■ CITY OF ATLANTIC BEACH MEC4ANICAL P +RM�.�, APPLICATION Property Address: Ownerw, _cTelephone#: •-- Contractor:Q�,Qn � � .._ Telephone #: •q Contractor Address: 14�i(D lel1L1I1 G � _ Fax ft:Enq.:7qq__ In urmsiderniun ul'{+c„ni ki.u, iw .IUiut the rtknce v+oik as dcscrit+c�1 in Nu above iwtcmcm-w C i tY thf AtltlnliC"BG o 11'Ai+i an,nd juinnucwith the utuichtd plan%andspeuirtutions which arca iron hereof wnl in ncwrdunuwill)theopt• ,rocticc listed ttterc;in. if uthcr wnstructinia is lx;ing dyne vn TypC Alf Heni ng l'uel: Cjr Mild,list the building pennil number' Electric Cl Cras _LP Nat. _Central Utility _txX)Z('i 54.0 ❑ Oil ❑ Ott)er-S)ecifv MF.CI�ANICAL EQUIPMENT TO BE INSTALLED NATURE Or WORK � Heat _Space _Recessed t'6entral _Floor � Ile.�idential Air Conditio►iing: _Room ✓'Central p Contmcrt ial Duct System: Material F-•j� 1'h iukn ess lvlaximurn capacity C n- efin ❑ New Nuilding ❑ Refrigeration �! ❑ Cooling Tower'.Capacity �., gpm )4•.. Existing Building ❑ Firr Sprinklers:Number oTHReads (Number) U Replacetttent of l'•xisting Sysleln Cl Elevator: _-- Manlift Escalator__, ,—(Number) ❑ Gasoline Fumps (Num bur) Ncw Installation G Tanks (Number) (No syslem previously ixtsatiled) 0 LPG Containers .__(Number) 13Unf fired Pressure Vessel ❑ Lxte41sion or Add-(xt to Existing System. ❑ Soilurs ❑ Gas Piping d Other Speci y ❑ Other- Specily LIST ALL E0 W" ENT "" APnrov ink AIR C`(NVitl'1'1f1NINC:.I2F.TR1(:F,RATtnN F.Ql11YMtiNl" COhU)H;1'1SOR'S Ton's AB�cy NuniberUnits Devoriptiotl Modelo MRput,cturcr C q r-- Cc Approving BEATING-Ft)RNACES.SOME R5,Flfi4:rt.A('.ES AIR HANDLER'S �).U.s Ayenuy Descri)tion Model M M"ruufrctumt Number Units1 _ Serial njjks ns Nominal Capicity Typc LiQuid Np. v t:tnrWinud M•lnuTacnn•cr Hmv msm• R•1•)imrn�inna -•-- _............._... _ r. 800 Scmiuolc Road•Atlantic[leach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http'/1www.ci.Atl2ntic-I)each•fl.us N � rs :J CITY OF ATLANTIC BEACH rr ELECTRICAL PERMIT APPLICATION Date: 3 z/ 0 Property Address: — Owner: 40 Vn � ? 1 Q �'` Telephone Contractor: Gt eC, She- T - Telephone #: 2 �3 Contractor Address: Z 1 q �(r(es bvvl� GL" Fax#(19 _Y2 41010_--q CU In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. If other construction is Building: B ilding Type: ❑ Trailer Service: being done on this budding El New Residence ❑ Temp. ❑ New Increase Or site,list the building Old ❑ Commercial ❑ Signs Permit u � y Re-wire Addition Sq.Ft. 13, Repair Conductor Size. AMPS: ' Ot, COPPER ALiJIVLINiTI\1 RACE //// Switch or VOLT Z�l r) WAYZt Z Breaker AMPS �00 PH W RACE Existing Service VOLT ZYJ WAY Z Size AMPS /S-0 PH W 3 Feeders: NO.I SIZE NO SIZE 0 SIZE Lighting Outlets � CONCEALED OPEN J S Receptacles CONCEALED OPEN Z 0 A MPS- 100 AMPS Switches S Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL TRANSFER. Appliance s Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditionin COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS LTNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH S} 800 SEMINOLE ROAD J _ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 !J131 Application Number . . . . . 04-00029417 Date 12/28/04 Property Address . . . . . . 342 11TH ST Tenant nbr, name . . . . . . 240 SQ FT POOL Application description . . . POOL Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 Owner Contractor - ------------------------ ----------------------- BECTON, BETSY KERRY MARTIN POOL BUILDERS INC 342 11TH STREET 9740 SAN JOSE BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 249-8042 (904) 262-2384 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . . Permit Fee 130 . 00 Plan Check Fee 65 . 00 Issue Date . . Valuation . . . . 20000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- - Permit Fee Total 130 . 00 130 . 00 . 00 . 00 Plan Check Total 65 . 00 65 . 00 . 00 . 00 Grand Total 195 . 00 195 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �4K BUILDING OFFICIAL 7TBy - C 'f��•`t IBEACH "�G CITY OF ATLANTIC BEACH POOL PERMIT APPLICATION 04 BY: Date: ;, Job Address: �� Owner: E i s '�cT'' Phone: .� Contractor e�-� !�=%' GGA �� Phone: Address: G/a ^� � f v/] Fag: City : `1 �G Ail/ State: - Zip Code: Valuation of Proposed Construction: d c oGC-, Gallons: .S C co *Impervious Surface Calculation: 5� 5-!1 Sr' �/G. 7 ":7c, • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. Is approval of Homeowner's Association or other private entity required? INS If yes, please submit with this application. In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits, please follow all steps and provide all ,I information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http://R,vvw.cLatiantic-beach.flus I hereby certify that 1 info on vid ,with this applic 'on is correct. ��` Signature of Owner: l�1/ Date: I hereby certify that I ve 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. Signature of Contractor: /'v►. --- Date: //- .23 AS TO OWNER: c f Sworn to and subscribed before me this day of 0 _4-y-V)-kA 20=-'--' State of Florida,County of Duval Notary's Signature: ANN W. PERTIERRA Personally known Notary Public, State of Florida produced Identification My comm. exp. Feb. 3, 2007 _ Comm. No, DD 182365 Type of Identification Produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of `'j " l.^�.rw ,20 Q �l State of Florida,County of Duval Notary's Signature: C�-��..Y�- � \�9•�- A N N W. P E R T I ER RAPersonally known Notary Public, State of Florida F] Produced Identification My comm. exp. Feb. 3, 2007 Comm. No. DD 182365 Type of Identification Produced 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http://vv%-w.cLatlantic-beach.fl.us NOTICIJ OT COMMENCEMENT Doc#2004389649,OR eK 12189 Page 2352, Number Pages: 1 Permit No. .raxr o110 NO __ riied;Rec::rded I2i1712004at 03.35 PM, JIM FULLER CLERK C!RCUiT COURT DUVAL COUNTY State Of Florida1 RECORDING$10.00 rOcd that The undersigned hereby Informs all cocin accordance wtth,section will be made to ccrtatn real es 'I'd(revised lo-1-96),the following 713-13 of the Florida Statutes information is stated, �� Owner's naluc Address Owner interest in properly f General description of improvement ,3/ � Legal description of property p�o� ' -�"— S �D i� y,. T� i3 �j Fee simple title holder(if otlicr than owiler): _ Name(print) Phonc(,� Address /.DefzS Z67--,F-7—7 3a z�� t' Contractor Name(print) Fax ✓��,�/� � _ Address Amount of Bond $ Surety(if any)(print) Address Plione( - Person or lender making a batt for construction of impt•ovcutcu ----- _- Fax (�� Name(print) Address _-- d h urvucr upon whom,notices or otlicr docunlen(s may be served as provided y Persons will1ln the State of Florida desigliatc y Statutes: _ Fax Name(print) I' I b Florida Statutes(fill In at Addreess er dcslgmales the following peraon Io receive u co,'of the Ilenor's no(lce as ,ruvlded In ticction 713.13(1)( -- In addition to himself,owo Pilone �----- —" owner's option): riot Fax -------- Name Addr , / . 3 _ t ate Signed State Of Owner's Signature Itt County 1,411Ined O ner's Name(print) POST A COPY OF RECORDED NO'CICE AT.1011 SI'Z'E. 200 STATE OF ---day of �-,<(�_ FLORIDA,T SAS ACKNOWLEDGE IZI;I'01i1 1\7l.'1'IIIS ____. -- THIS INSTItUME l � �L Or Identification_ KnownPersonally o INN W. PERTIERRA y,,,ary Public, State of Florida C.Type of Identification Z� _ Feb. 3, 2007 Notaryrnhlle �.�� r�c�.mm..».n�',.1��182365-,; 1 K�t�'1 �t v�c� ._ -- ri rL�l J J, CC: CITY OF ATLANTIC BEACH ord .Higgins BUILDING / ZONING DEPARTMENT i 800 SEMINOLE ROAD „r ATLANTIC BEACH,FLORIDA 32233-5445 ry` TELEPHONE:(904)247-5800 w T FAX:(904)247-5845 ry 01 1 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# () + - 2 9 A 17 Property Address: 3,q,2 11'P N S 1 R E T Applicant: K fqB MA RJ)N P401. �XAILUR� INC. Project: 2-40 50 U P401, This permit application has been: proved ❑ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by: V,�,� Date: l Z[;z 0 to �� CITY OF ATLANTIC BEACH POOL PERMIT APPLICATION OEC. 7 o 2004 i u J Date: Job Address: Owner: - moi ��_T�' Phone: Contractor: ��-f° f'? 'i'-^' "� '+'�rJ c.mss Phone: G y Address: �'�G ^� o s l�.'�� Fax: City . State: - Zip Code: Valuation of Proposed Construction: Gallons: S t cc? 1 *Impervious Surface Calculation: 5,,25- ,,25 S r yte. '7 `'R • Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rainwater, however, decking around a pool may be considered impervious depending upon materials used. Is approval of Homeowner's Association or other private entity required? F/fi If yes, please submit with this application. In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Procedure: In order to expedite issuance of permits,please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Recent Survey 2. Two(2)complete sets of plans. One(1)copy must be a raised seal engineering drawing. 3. Recorded Notice of Commencement. 4. Tree Removal Application if trees are to be removed or relocated. Scheduled Inspections: Requests for inspections are taken from 8:00 a.m. to 5:00 p.m. Monday through Friday at 247-5826. Requests can be scheduled after hours by leaving a message on the voice mail system. Inspections are made the following workday; please specify a.m. or p.m. inspection. When calling in an inspection please have the permit number,job location and type of inspection needed. Inspections are scheduled as follows: 1. Steel 2. Pool Electric 3. Final BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE. A fee of$35.00 is charged for all re-inspections. 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://www.cLatiantk-beach.fl.us CC: CITY CITY OF ATLANTIC BEACH D.Ford .`� s BUILDING /ZONING DEPARTMENT Hig ins r f 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 .,. TELEPHONE:(904)247-5800 '-_ FAX:(904)247-5845 JF31>'� http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application# p q- 2 91417 Property Address: 342- 11 N S T R'G�T Applicant: K rRRI► N�AR11N POOL 13\A1VPTM JNC Project: 2 40 5 0 ' T ?00L This pe it application has been: Approved ❑ Reviewed and the following items need attention: Please re-submit your application when/ se items have been completed. Reviewed by: Date b 4T woo Pj rb woo cm orzC-1 xj C=3 C=D r) 0 m M CF :�o C—D -71 cz Q,tg;:5<1 Ax. Ct N 0 u! T OC -4- 0IRA ---- /p i O G n .. N -A v w c --Om Qo i 11/29/2004 10:29 9042498068 PHIL BECTON - CEAP_ _ PAGE-02— MAP Sf 10W11UG BOUNDARY SURVEY OF EAST /z or L oT 21 BLOCK �-AS SHOWN ON MAP OF u8r_m vl5 r o" •,A,, ��c .�►x.11`-i,cjE�, �� AS RECOIWEO /N PLAT SOUK s PAGES G9 OF )-HE CuRFE"T FURLIc j2eCAwbS olt DuyAr- co! F:(A CMF/E0 7-p: pHeL 41IzAE-Er ( r9 3ECRat�t J�rrN NI��G E �I�vrc�� (`S`d' Rrw1 �•yR NO CA !�(. �c�o59� 7�J'��. 75,00' b_Y-z"I.R Z5.go' 50.CPO NF7 } T V . N � - ti ti m m o r- a N (� o- f h 4 p 10, I r5r4P5 Pao RGH (� J V 4 7.7' n' L N MR 3y7- TP-PEA" I fl.i' 14.t x Fla 'StOar W"t>s-rooP r ' Woob ANDS TTEPS - 1 w r b6C rC -• Y'waoA � X ./ FpJc� L y lP Vi r, 0 w ztL 9 N N 70, o Srvcco V I ' k' q/NL1NK s.Y' t �5 00' ger. 5.no' _ T S _ 6r•WeaD` p.4` �N.op ../ epi' � / C •� Fp.'/3•'LP. FCT1G8 I�O.�!'r ' !"]�~ �� 7 • M J ,I /�7_�� I /Yo CAP' y LQT .• . —P. 11/29/2004 10:29 9042498066 PHIL BECTON - CEAP_ PAGE-02 MAP SHOWING BOUNDARY SURVEY OF L o-r 19 CA'---r /4 or Lo7- 21 BLOCK –1-23—AS SHOWN ON MAP OF f—s r O AS RECORDED /N PUT gooK PAGES G'l OF ME CURIeCT�JY FliDtIc i�izbS OF UUvr4(- c01 F(A CERTIFIED TtJ: PNl L/P Nl o t-- r,6-G-L a C' CFA f - ln7S.dC? NoC� f�_ 8 J� 59r q/5 'e. 75 Sd.oa' h a 1> _ I V N N � - a Q h I .y-sr c r5 c � -� r t3RIC105TLXCO N NR 3y 7- U {"l'4ME n S'nRAGb 1 7Ma er-� �1�1 OOP's hK lets! land .,es*M constitute Y ajc iss nb. Compliance wA� ; `"`" all other applicable sans ~Wvcb s,vor' � _..itdln . ?4 t. ng P5 ,i" and Ft: rm*ecrity uirements Woo° y of of Atlantic ' o6c,e r.Ap t,eken d b ndth Build 9 J* issue of a v N nyeermiL�ved By: Cmunit ire or: L ,v 3 _ y f 3 r IL 0 7Z?-0' - 1 � 00 41 Al I N N h ��- � _^ �, �VnaD_ p.4' 'ZN.o' ../ ,i' Fp.'/3•'I.f. � r�rrce Fh.�x'+,P X34• �, 9' L4 5 1tif. -7'y. L P T i-L' 16�C LL' ! tl Y1J fw 7 7 oCyJ 1 "00 1-0030 ll y FAx: (90� eas=9d4d fMF4 AMANUC UNIVERSITYCIRCLE, lAGKSONVILLE, FLORIDA, 51707 J RAOIUS P.C. MtANT WT a CURVAT�� j LEND A ,rL'IA "n+e� ) (if11ER�1 IIDfE9 : P.T. POF TNxa+CY PR.0 POINT Of RCN"OU �VL r, Cri(fV T)BEARINGS SHOWN HEREON ARE BASED ON P.GC. RANT OF C4YPDUND CURVE de cHrm aumwc 14-8'Y-f9'YY1E- 1�-R 7P ,E P✓w P.p.a PCINT ON GJRYEAIR C34NTCHM � LJNE RF �`i�(.tTN S T 1e-�X7- 0,R.L �ifR IR E TRICI" LMAE 1- �� rfAY 2)THIS PROPERTY HAS HQT gkEH A"TVt*ITEO I.P. "RON PIPE o.p.Y. 0"X AL RECORD$ YDLU" FOR EASO-OWM, COVENANTS, RESTRICTIONS Fp. FOUND S)VMKRGRo mD ENCROACHMENTS AND UTIUTIE3 SERVIWO THIS PROPERTY "AYE NOT DEEM LOCATED OR SHOWN ♦)THIS "OPERTT APPEARS TO UE WITHIN FLDOOD ZONE 'X" AS SCALED FROM 4THP£RA'£f, FU, CERT. NO. 0732 F.E.H.A, ROOD INSURANCE ft D MAP,�PANEUQ`t DViTE Of ftE1D S ► I 4p li _ Oa 1 D CARL S. COURSON FL/l. CERT, NO. 3f 29 l.Q ^' s7Ib 71--7� sru df A IZON=4 D sun'rcma s "4"" 00"o Mo- = �. 2-20 p� I.�T YAtn piltx'iUf• !TA[' —nm R ng nrea�Lll A,uitD' W E 7✓�i �u S ?�„ � � 16E� �� 0\ N �. /'�- zS CITY OF t4&4"4'0 Beac.4- Office Of Building Official REQUEST FOR INSPECTION 7 Y -2 -2- Date Date Time Permit No. 7 , Z_ ReceivedA.M. :3-41 Job Ad Ss Owner's / Locality Name CX�� ILDI Contract CONCRETE LECT Framing Footing 17ING MECHANICAL Re Roofing Rou Slab ou9 firing � Roug Insulation ❑Lintel Temp Pole 11 Top Out ❑/ Air Cond. & ❑ ❑ Final iC Heating Sewer / ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. �tl�_✓ Friday Inspection M -- �"`�� P A.M. PM Inspector P.M. Final Inspection G Certificate Of Occupancy ❑ Date PSR-38" 17611 DEPARTMENT OF BUILDING PERMIT TNFORMAT 10N CITY OF ATLANTIC BEACH NunZef : 1 1 53:1 34.. NTH STREET Permit ",'vpe:ELECTRICAL ATLANTIC BEACH , FLORIDA 3223-, pass Of Work: ALTERATION 7------ LEGAL DESCRIPTION -lonstr , Type:WOOD FRAME B1ock: 13 Lot : 19 . PT "I. Twr , Use : SINGLE FAMILY Sec*?n: 0 Subd: 69 fznq : Dwellings : 0 Subdivib9GRTA9EAA*f@R)A#W�,qN Est . Value: 0 , 00 Improv , Cost : 0 .00 Total Fees : 215 . 00 Amount Paid : 25 -00 Date Paid , 1/05/1999 7esc ,wl --t-010DELING ------- - APPLICATION FEES Dwv T!r ;4 94 CA AN k,M 77 A T L ANfl&Z' R I DA 2 3'1 hone 01 IIFftMATION Ame, 13 Mac;ff : ddr - 4 2_N RRET Q ST A L N 19-1%CH')%1DRIPA 1 233 Lic , ERC10C)8S75, Exy- vpe-�- 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 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. $25.00 14 Date; 1/05191 01 Receipt: 0823744 CHECKS 11314 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- 19� 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 ACCORDA CE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. "\ ELECTRICAL FIRM: MASTERECTR1I/CrIA� SIGNATURE JOURNEYMAN NAME i� ADDRESS:- � CJ- I ( C" _ RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES'<) APT. ( ) COMM. ( ► PUBLIC ( ► INDUS. ( ) NEW ( ! OLD ( 1 REW/0- ADDITION (( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ► ALUM. ( ► SWITCH OR BREAKER (( AMPS PH W ((��V,,OLT ' RACEWAY EXIST.SERV.SIZE l�� AMPS PH W -HOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 AMPS. 31•100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS ICEILHEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCE LANEOUS �. V' G v ti TRANSFORMERS: UNDER 600 V. Ill OVER 600 V. NO. I KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. I MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S =TOTALFEES PSR-3844 17592 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION ------- -.mit Number: 175912 Aress . 342 ELEVENTH STREET Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 3223' ass of Work :ALTERATION --------- LEGAL DESCRIPTION --- ---- , .)nstr , Type:W(-)OD FRAME Block: 13 Lot ,, 19 . PT 21 Twp roposed Use: SINGLE FAMILY Section, 0 Subd: 69 Rng: 0 Dwellings : 0 q..ubdivision!ATLANTIC BEACH Est . Value * 0 --001 mprov .. Cost : 0 .0Q Total Fees: 29 . 00 Aimou I?atF,ai T NSTALL PLU 'ING APPLICATION FEES V'JTF' T,411!—;PMATlb-N ,R�j T -ime ' SH", N BRYAN -1 d r- 3A FLORIDA 32233 INFORMAT I ON VENTIE SOUTH E BEACH . FL 32250 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 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. $29.00 14 a e: Receipt: 002243T— CHECKS 1591 ATLANTIC BEACH BUILDING DEPARTMENT 60100003221000 By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION. OWNER OF PROPERTY: Vl, M '(2,,r unit TELEPHONE NO. PLUMBING CONTRACTOR (.k)L(I i#VW S b c�O y Lxk(J • �WC " CONTRACTOR' S ADDRESS: S!� r_(_ A-UC' Sf"' f G1 STATE LICENSE NUMBER:VY o0 L26e?03 -TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS J URINALS DISPOSALS l CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES:- x $3 . 50 + $15 . 00 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 PSR-3844 17472 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ LOCATION INFORMATION .�rmit Number: 17472 ..-ldress 342 ELEVENTH STREET Permit Type:REMODELING ATLANTIC BEACH , FLORIDA 32233 'lass of Work :REMODEL --------- LEGAL DESCRIPTION --- ------ - lonstr . T6pe:WOOD FRAME Block: 13 Lot : 19. FT 21 Twp, Proposedse: SINGLE FAMILY Section: 0 Subd: 69 Rnq : Dwellings : 0 Subdivision:ATLANTIC BEACH Est . Value - 0 . 00 Tmprov . Cost : 31 , 500 .00 Total Fees : 375 .00 Amount Paid. 375 .00 Date Paid. 11/20/1928 Work Jr-,lezc- gKFMO DEL FZR PLANS ------ OWNER INFORMATION APPLICATION FEES Pame: SHELDON AND ERIN BRYAN 'EFMTT 255 ,00 Addr . 14-', 111TH STREET 'TATER IMPACT FEE 120 .00 AT14ANTI-7 1_EA-11 FLORIDA 32233 Jhone: (904 )2773.-594`, CONTRAit!TOR, INFORMATION ame* COASTAL CRAFTSMtg , INC . ,jdr—,,P.,.- O. BOX 50676 - JACKSONVILLE: BEACH , FL -32250 Lic: CBC.0S*0,70 Exp , NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION C-0 B6L*G MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE *AMD UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN T* PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." isEw9b ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VI ION OF APPLICABLE PROVISIONS OF LAW. $255.0014 ---I�Fc-eipt: 601n16 Date: ll/E3/98 R CHECKS 1230 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: f il'j CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address t-1 2 z 2 ro A 5-/'10QF � Date 1(- 20 - 2p Heated Sauare Footage @ $ per sa it = 5 l� Garage/ShedIlk A per sa Carport/Porch per sq =t = S Decry ©N @ S per sa ft = a Patio � C - - tlo � per =a TOTAL VALUATION : S 3 l 10 0 00 Total aluation 1st $loe)j/) �o� A s� Remaining Value per thousand or portion thereof TOTAL BUILDING FEE a 120- + 1,`i Filing Fee S 8 ( 1 Fireplaces @ $15 . 00 BUILDING PERMIT FEE S WATER IMPACT FEE $` / 20• oa SEWER IMPACT FEE S 17 WATER METER; TA? S CAPITAL IMPROVEMENT a SEWER TAP S RADON (HRS ) CCS'- S SECTION H PAVING i S HYDRAULIC SHARES S CROSS CONNECTION S ( J SURCHARGE . 0050 S OTHER S GRAND TOTAL DUE $ S 75.00 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimminaPool Septic Tank Well Sign Finish Floor Elevation Survev Other CALCULATIONS and/ or NOTES : CITY OF ATLANTIC BEACH RECEIVED PERMIT APPLICATION RFWDEL, ADDITIONS, OR ALTERATIONsug MOVING,DEMOLITIONS City of Atlantic Beach Building and Zoning Owner(s): Sheldon C and Erin H. Bryan Job Andress: 342 11th St. Phone: 273--5945 Lot # Block or Unit # Subdivision: Contractor: Coastal, Craftsmen, Inc. state License #CB C053070 Address: P.o. Box 50676 Jax Bch Phone No: 246-9376 city_ Jacksonville Beach State Fr, _ zip Code32250 Describe work to be done: Add bathroom (MBA) remove 2 non load bearing partitions, paint interior, shingle exterior, replace kitchen cabinets tile kitchen floor. Present use of building: residence ( residential) Valuation of Proposed Construction: $31 , 500 . 00 Proposed use: residence ( residential ) Is this an addition? No 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 TMMr (CC719a'RCZ Z) MO (RESZDENTZAL) CC&WLETE SETS OF PLANS, ZNCLUDZ= SITE PLSN, SURVEY, II+7ERGY com mars, NaTZCE or ccoefinrczxwT, AND o*mcR/covTRAcTOR AH7TnaVZT, zr Oi12PER I9 CONTRACTOR. ASignature OWN - Date Signature CONTRA Date: AS TO OWNER: j� Sworn to and subscrime this day of , 29('�iJ wssia ? .;��Vo�Qmberp�fog,• NOT Y PUBLIC/ AS TO CONTRACTO_9*. _ N N. sworn to and su p � 7t4tor �,� e this day of (- ,19 U �A :��urancc�9: 6QQ, NOT Y PUBLIC/ PSR 38:1 16090 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ____... .______ _ 1,r•„,ATIG1v ? Vr�itiMATIC'1� _ .. _. . `ermit Number: 15090 ?ddress : 342 ELEVENTH STREET Permit TvPe: PLUMBING ATLANTIC BEACH FLORIDA 3221'-4 'lass of Work:ALTEP.ATION _ ____. ___ LEG=AL PESCRT_PTanty __.__......,..___ Constr . Tvre:WOOD Block : 1 Lot - 21- Twp*, Proposed Use: Section: 0 Subd : ^ Rna: Dwellinas : 1 Subdivision:ATLANTIC BEA!'H Est . Value : 0 - 0 Tmrr`v . Cost n nn Total Fees : 25 . 0- Amount Paid ' 2�, Date Paid: / 11, 19�c. LINE MER NFCRMATrf�N _._ _ _. . _ _ _ ..__.__ _ i�rRL . r%'r i �N FEES EETTY LES NE PEFI�ir 2 i,. . 7 �2 ELEVENTH STREET r: x. F< dTI{ry r...EACH , FLORIDA 4 ; 241 151 _ONTFe,""'�R INFORMATION T L A N T 1 C r ST PLUMB 1 NC1 S T nA 1: , 2 a OTH AVENUE NORTH � ._K`� 'PdSISLLE BEACH . FL 32215n 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 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. 125 f4R 14 1 Date: 3/11/58 01 Receipt: 0035513 CHECKS 20778 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBIN,,G PERMIT JOB LOCATION : y� OWNER OF PROPERTY : PLUMBING CONTRACTORC r CONTRACTOR' S ADDRESS: L3 / / v _C IA-K ' l L `3 -2Z S Q STATE LICENSE NUMBER: tC�d S4 S TELEPHONE: HOW MANY OF THE FOLLOWING FIX:'URES INSTALLED SINKS _ SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER �j TOTAL FIXTURES: x $3 . 50 + $15 . 00 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 ' CITY OF / Office of Building Official REQUEST FOR INSPECTION Date �� ( Permit No. Time A.M. Received P.M. 3 q2 Job Address Locality Owner's Name Contractor IflING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ e oo hrzJ----B-Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel E. Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A. Mon. Tues. Wed. Thurs. Friday P. C A.M. Inspection Made A.M Inspector M- Final Inspection ❑ Certificate of Occupancy ❑ Date � a � r R DATE: PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN BADE AND ARE SATISFACTORY: �z- -----LA----------------------- ---------------------------------------------- ------------------------------------------------ ------------------------------------------------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, _ , ,/' BUILDING INSPECTION DIVISION cc:FILE CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 , 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. zilfl"1 zi C G CD L �f ELECTRICAL FIRM: MASTER ELECfklCIAN SIGNATUjRE -� JOURNEYMAN NAME�1)4ckl/U �y�� ADDRESS:_ �/ /� RFD BOX BLDG.SIZE BETWEEN: RES. ( ) APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR ( ) 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 O"30 AMPS-. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS DG TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. IKVA NO.NEON TRANSF. NO, VA, A. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES //CITY OF Office of Building Official REQUEST FOR INSPECTION 9 Date 7/ Permit No. 9�r Time , T U A.M. Receive y— P.M. / Ir" 3 11- Job Ad reocality , Owner's Name Contractor BUILDING CONCRETE LEGTRiCAL� PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel Cl Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A:M Mon. Tues. Wed. Thurs. riday p y A.M. Inspection Made J/ P.M. Ins ector Final Inspection P ^-� Certificate of Occupancy ❑ �ea:ZL 5"-L4" —�1A 'e w�4 s V� Date PSR-3844 7760 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------- LOCATION INFORMATION ---- Permit Number: 77(-,() 'Address ; 369 TWELFTH STREET Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233 -lass of Work : ALTERATIC*N ---------- LEGAL DESCRIPTION ---- Constr. Type: WOOD FRAME Block : Section: Proposed Use; SINGLE FAMIL Township: RNG* 0 Dwellings - 1 Code 0 F.stimated ValAe : Trip rov . i."oSt : Total F` Vs : S25 -010 !NFORMATION APPLICATION FEES ----- REIDENEA-1.1 PERMTT 525 . 0 1*,#,,,TW19'L,PTH STREET WAT�;Rc- !MPACT -FEE S0 .00 FLORIDA SEW`W--kjMFP*-CT- FEE $0-.00 35`7-0 911, RADON GAS-H .R. S. 50 , 00 TNFORMATTON RADON GAS - 5% SO 1 001 CAPITAL IMPROVE, SO . 0 SEWER TAP so , ocl HYDRAULIC SHARE 50 .00 CROSS CONNECTION SE" .H IMPACT FEE SC '--'OTHER- NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." A I E) 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 CITY OF ATLANTIC BCH. By: @Pef atrar; LKY61RL Data: PSR-3844 7 9 2 2 DEPARTMENT OF BUILDING / VVVV CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ------ -------- LOCATION INFORMATION ---- Permit Number: 7922 Address : 342 ELEVENTH STREET Permit Type : BUILDING ATLANTIC BEACH , FLORIDA 32233 'lass of Work: ADDITION ---------- LEGAL DESCRIPTION ------- Constr. Type: WOOD FRAME Lot : 21- Block: 13 Section: Proposed Use: SINGLE FAMILY Township : RNG : 0 '--Iwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $10000 . 00 Improv. Cost : $0 .00 Total Fee: : $90 . 00 Amoun+- 7—i-1 : $90 . 00 + 2/23/94 ?'1717—TON , MISCELLANEOUS REPAIRS PER PLANS ------- OWNER INFORMATION -------- ---- APPLICATION FEES ----- Name: JIM & BETTY LESANE PERMIT $90 . 00 Address , 342 ELEVENTH STREET WATER IMPACT FEE $0 . 00 ATLANTI ' BEACH . FLORIDA 3223. SEWER IMPACT FEE $0 .00 Phone : r904 '. WATER METER/TAP $0 .00 RADON GAS-H .R . S . $0 .90 ------- CONTRACTOR INFORMATION ------ RADON CAB 5% $0 . 00 Name : LUCK.IN -ONSTRUCTION CAPITAL IMPROVE. $0 .00 Address : 241 ATLANTIC BLVD . SEWER TAP $0 .00 ATLANTIC BRACH , FLORIDA 3223 HYDRAULIC SHARE $0 . 00 License , CFC04 4823 Type : 7 CROSS CONNECTION $0 .00 SEC .H IMPACT FEE $0 .00 CONST. SURCHARGE $0 .00 NOTES: PAID FEB 2 S 1994 CItY of Atlantic Bchi NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT operator: CRYSTAL Date: 2/25/94 00 Receipt: 0033613 Total Payment $90.00 By: F E B 221994 CITY OF' ATLAN`PIC BEACH Building and Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): Address : Phone : 241 (0 Lot # BIZ "+ 2IB1 ock or Unit # --LS— Subdivision: _A e: Contractor :_ Lu cK– f ij ((p N �)CT)O b,,j 2 ` Address : 4 1 A+ . e L V � Phone No: � �p Describe work to be done : -- POP- C-A 1�7 D m c� ; �-Vt S C Present use of building:_ F. _ Valuation of Proposed Construction: � 00 00 Proposed use: Is this 4n addition? I (t'S_ If yes , what are the dimensions of the added space: ft . X 2 ft . Will the added area be heated and cooled? (�-3 u New electrical (or increase)? G New plumbing fixtures? d"UNew fireplace?_L New Heat/AC? U_� SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOP, AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER :_ Date Signature CONTRACTOR : Date :122Id -v CITY OF ATLANTIC INCH PMRXIT CALCULATION SHEET �� C Address2 , , S- Date ,9- Z — 7y a Heated Square Footage A @ $ er sq ft = $ Garage/Shed @ $ er sq ft = $ Carport/Porch � �� @ $ per sq ft = $ Deck 5C� �' @ $ per sq ft = $ Patio v O� @ S per sq ft = $ TOTAL VALUATION: $,�� CIO,W U Sym.. S j`AD Toto Valuation lst $, 40O Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE S ° — + 1/2 Filing Fee $ �O ( ) Fireplaces @ $15 .00 $ ° BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0045 $ ( ) RADON (CAB) .0005 $ SECTION H PAVING ( } $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ c ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey ; other CALCULATIONS and/or NOTES: s.713.13 F.S. V RECORDERS SPACE ONLY Rev.1.1-92 NOTICE 01F COMMENCEMENT `E (PREPARE IN DUPLICATE) I 1 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713-13 of the Florida Statutes (Revised 1-1-92),the following information is stated: APPLICANT LEAVE THIS VOID C �^ 2 i Legal Description of the Property: Ile r e © t 0 4 el General Description of Improvements: Ir G ( Owner's Name (printed): Address: ''7 Z Owner's interest in Property:. 0 U _ Fee Simple Title Holder (if other than Owner) Name (printed): Address: ' Contractor (printed): 10 0 A)V1 S+yyr Q Address: 1 Surety (if any) (printed): Amount of bond $ Address: Person or Lender making a loan for construction of the improvements described above: Name (printed): Address: 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 any Lienor's Notice as provided in Section 713.06 (2) (B), Florida Statutes (Fill in 2 lines below at Owner's option). Name (printed): Address: Owner's Signature Date Signed Owner's Name (printed) In County Named Of State -----------------------------------------------------------------------------Notary Public, State ofFl- orida. --------......-- I am a Notary Public of the State of Florida, and my Commission expires:My Commission Expires Dec. 9, 19'94 Bonded Thru Trov Fain-Insurance Inc. � �I THE FOREGOING INSTRUMENT was acknowledged before me on. Z-- 19 by _ who is ersowhoi own to me or who has produced as identification and tdid nottake an oath. Notary Seal Notaryublic, Signature Notary Public, Name Printed d d Olo FOR OFFICE USE ONLY Date.--- --------_.19 Permit #--- -- --Z.3-----Fee$---3••/------ CITY OF ATLANTIC BEACHValuation $.......5 C" -------- - ----------- FLORIDA House #.-_.-. --------------..-^'-- ....... ----------------........................................................... APPLICATION FOR BUILDING PERMIT .............. ............................................................................ Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors ubmitted to this office so that licenses can be verified. lu.bmitted Date.......... C------- -------------------------- ---------- --- 19 o-ArcOwner------ -1------- ..... .............. A --------------------------------- --------Address--------------------------------- ------------------------Telephone No. Architect hitect------ ------------------ ---------------------------------------------Address----------------------------------------------------------Telephone No.---.---------- -------- Address-----------------------------------------------------------Telephone No. - -------- Contractor Builder---------�J_z-----4---------------------------------------------------- Lot No.---/---f------•--f o._/---f---------a---V---------Block No.--------1---,3-------------Sub Division-...---------------------------------------------------------------------------Zone----------------- Street . .... ----------------Side Between----------------------------------------------------and-----------_---------------------------------------Sts. -J A ----------- ---------- &V ca_4 Valuation $---- For what purpose will building be used of construction-- v-�._'d –L 7–0' ----------- D_.---Size of Footings---------------------------------- Dimensions of Building.;;�n* ------------9."--Dimensions of Lot. -- .7 r- ---------—--------------Greatest Sill Span in ft.--------------------------Type Roof--------------------_---------- Size of Piers--- ----------Size of Sills.. ------- How will Building be Heated?_______ ---------------------Will Building b Solid or Filled Ground?_____._.-._._____--._.__._..___. Size of Ceiling Joists-'c7q.x---41tc�—� Distance on Centers----------------��------ Greatest Span.----------------------------------- Size of Floor Joists-._ --------------------- - i---------------I Distance on Centers-_...__ -—--------------------------- Greatest Span____._..__.________-----------. Size of Rafters-----------_--- ------------------- Distance on Centers....... ----- ------------------------- Greatest Span--------------- .......... This rectangle is to represen, Locate the building or buildin, right position. Give distaipee in all lot-lines and existing Ifuildir REA LINE; Two copies of plans and specifications shall • be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT In consideration of permit given for doing the work as described in the above statement, we hereby i work in accordance with the attached plans and specifications, which-are a part hereof, and in accorda regulations of the City of Atlantic Beach. Signature of Builder- ........................................................................... Address--------_--------------I................ ......... a.w ............. Signature of Owner... .................................................. JOB ADDRESS PROPERTY OWNE , PERMIT NUMBER / 7 `t' �-- DATE INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILINGISHEA THING FRAMING/COVER UP INSULATION FINAL BUILDINGLC� CERTIFICATE OF OCCUPAN ELECTRICAL PERMIT# '7 1 /�T r`' FSS INSPECTIONS ROUGH FINAL Tv MECHANICAL PERMIT# INSPECTIONS ROUGH •% FINAL PL UMBING PERMIT# / -7 5- ` 2— INSPECTIONS ROUGHIUNDER SLAB TOPOUT l ' s"9 WATERISEWER — FINAL — NOTES: 3 7 3_�(o - D�o7CL.�'f�✓�`�i�j'Ccic.Q — �J Grc.�r/ �o�v �