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140 16th St (vault) =:�PERMIT WORKSHEET Certificate of Occupancy Job Address: � �' Type Work: Property Owner: / Phone # Phone # Contractor: c23 -7 _ aaa o� � G . �'qV� S Permit#: n /_ . � Date Issued: 12 , O le gDemol5ition # a - _31f2 3 Permit# Permit# -7 z BUILDING ELECTRIC MECHANICAL PLUMBING O6 290 -� °se p(r 33550 : Zyl.0 6 Temp.Power# Footing JEA Release Z� Date Temp. Power Underslab Slab Letter Rec'd. :d Z' Tie Beam Temp Pole# u- (� i Lintel 0 `Y JEA Release Gas Piping Date Water/ Nailing/ Sewer Sheathing pb `4 Rough/ a �a.Obl Framing Rough q Rough Topout A' Insulation JEA Release Date Electric Mechanical Plumbing Building Final Final Final Final IO D JEA Release Date Drainage Inspection: Pool Permit# Final Inspections: Steel Roo,,. Elec./Grounding Final u Final -� Fire Inspection: Inspect: Nailing/Sheathing Failed Inspectials: Date Paid: CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 06-00032568 Date 4/12/06 Application Number 140 16TH ST Property Address . - Tenant nbr, name . . . . . . NEW SINGLE FAMILY RES Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 450000 Contractor Owner ------------------ D.L. DAVIS CONSTRUCTION CO. RIDER, GREGORY P. 1903 N. 3RD STREET 140 16TH ST FL 32250 JAX BEACH ATLANTIC BEACH FL 32233 (904) 237-2222 -------- -----Permit BUILDING PERMIT Additional desc • Plan Check Fee 772 . 50 Permit Fee . . . . 1545 . 00 450000 Issue Date Valuation _____ ------------- ---------------------- ----- .41 Other Fees CITY RADON SURCHARGE • ST CONSTRUCTION SURCHARGE 13 . 59 AB CONSTRUCTION SURCHARGE 1 . 51 STATE RADON SURCHARGE 7 . 94 WATER IMPACT FEE 420 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due . 00_ ---------- ---------- Permit ---------- - . 00 Permit Fee Total 1545 . 00 1545 . 00 00 . 00 Plan Check Total 772 . 50 772 ' 50 . 00 478 .45 478 .45 . 00 Other Fee Total Grand Total 2795 . 95 2795 . 95 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. f. BUILD OFFICIAL CITY OF AT BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 C) INSPECTION EMAIL REQUEST: Building-deptncoab.us Application Number 07-00000262 Date 3/12/07 Property Address . . . . . . 140 16TH ST Application type description ELECTRIC ONLY Property Zonin . . . TO BE UPDATED _.. p y g,,�� 0 Application valuation, :- •- --------------- Application 4esc early power '\permit # 06 33541 ------------ Owner Contractor ------------------- ------------------------ BEACHES BEACHES ELECTRIC SERVICES INC. 214 COKESBURY CT. GREEN COVE SPRINGS FL 32043 (904) 629-3182 ----------- ---------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 300 . 00 0 Issue Date Valuation Expiration Date . . 9/08/07 Fee summary Charged Paid Credited Due ------- ---------- - - --- . 00 Permit Fee Total 300 . 00 300 : 000 00 . 00 Plan Check Total • 00 0 . 00 Grand Total 300 . 00 300 . 00 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. L\1-rJ« CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } ATLANTIC BEACH,FL 32233 ~� INSPECTION PHONE LINE 247-5826 Application Number 06-00033541 Date 7/20/06 Property Address . . . . . . 140 16TH ST Tenant nbr, name . . . . . . NEW SERVICE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---- ----------- ------------- -------------------- RIDER, GREGORY P . BEACHES ELECTRIC SERVICES INC. 140 16TH ST 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE O E3SPRINGS FL 32043 --------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . • Plan Check Fee . 00 Permit Fee . . . . 105 . 00 0 Issue Date . . . Valuation Expiration Date 1/20/07 Fee summary Charged Paid Credited -------- -- Permit Fee Total 105 . 00 105 . 0000 00 . 00 00 . 00 Plan Check Total • 00 00 . 00 Grand Total 105 . 00 105 . 00 pfjtNIIT IS APPROVED ONLY IN ACCORDAWE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BfJILDING CODES. F ! + ITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ;t v INSPECTION PHONE LINE 247-5826 06-00033550 Date 7/24/06 Application Number 140 16TH ST Property Address . . . . Tenant nbr, name . . INSTALL 2 CU & 2 AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Contractor Owner ------------------ RIDER, GREGORY P. COOL CLIMATE HEATING & A/C------ 140 16TH ST 3653 REGENT BLVD EAST PARK ATLANTIC BEACH FL 32233 UNIT 307 JACKSONVILLE FL 32246 (904) 509-3062 ---------- -----Permit • MECHANICAL PERMIT Additional desc . - plan Check Fee . 00 Permit Fee . . . . 123 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited Due _ _ ---- ---------- ---------- - - - Permit Fee Total 123 . 00 123 . 00 . 00 . 00 Plan Check Total . 00 00 . 00. 00 Grand Total 123 . 00 123 . 00 . 00 INACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA PERMIT IS APPROVED ONLY BUILDING CODES. CITY OF ATLANTIC BEACH s 800 sEmmoLE ROAD rl ATLANTIC BEACH,FL 322336 INSPECTION PHONE LINE 247-582 06-00032884 Date 4/28/06 Application Number 140 16TH ST Property Address • • • • • • TEMP POLE Tenant nbr, name ELECTRIC ONLY Application description TO BE UPDATED Property Zoning 0 Application valuation Contractor Owner ------------------- ----------------- ----- RIDER, GREGORY P . BEACHES ELECTRIC SERVICES INC. 140 ,16TH ST 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 ---- --------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc Plan Check Fee .00 Permit Fee 70 . 00 p Valuation Issue Date d Paid - Credited Fee summary Charge ------- - _- -_--- -----ue--- ----------------- ---------- 70 . 00 70 . 00 . 00 . 00 Permit Fee Total 00 00 - 00 Plan Check Total • 00 . 00 . 00 Grand Total 70 . 00 70 . 00 1 - 60 LC1 PERMIT IS APPROVED ONLY IN ACCORDANCE WrM ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. �Y BMDING OFFICIAL J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 = INSPECTION PHONE LINE 247-5826 rw ,_. Application Number . . . . . 06-00032906 Date 5/02/06 Property Address . . . . . . 140 16TH ST Tenant nbr, name . . . . . . 22 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --- -------- ----- -- --- - - - ---- -------------- RIDER, GREGORY P . PLUMB-PAL, INC . 140 16TH ST 1728 SABLE PALM LANE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-8856 -- ------------------------------------------ ------------------------------- Permit PLUMBING PERMIT Additional desc Plan Check Fee . 00 Permit Fee . . . . 189 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited ----Due ----------------- ---------- ------ Permit Fee Total 189 . 00 189 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 189 . 00 189 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ES. BUII,DING OFFICIAL 4 CITY OF Need 96Vu& 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5435 TELEPHONE(904)247--5800 FAX(904)247-5805 March 26, 1993 Ms . Ann Balchowsky 140 16th Street Atlantic. Beach, FL 32-233 Dear Ms . Balchowsky: Our records indicate that you are the owner of the following y property in the City of Atlantic Beach, Florida: Lot 13, Block 63, M ala a/k/ RE#171878-0000-3 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Section 12--1-(6) in that the garage to the rear of your property has deteriorated to a point that it is now an unsafe structure. If the structure is not brought into compliance with the Southern Building Code , condemnation proceedings can occur . - You are hereby notified that unless the condition above described, is remedied within fifteen (15) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board . Under Florida Statute 162 .09 , the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 . 00 per day for a repeat violation. Sincerely , Don C. Ford Building Official DCF/pah cc : City Manager CITY OF >�t��cuctic �eacl - �wtCda 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-580.5 March 26, 1993 Ms . Ann Balchowsky 140 16th Street Atlantic Beach, FL 32233 -- Dear Ms . Balchowsky : Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Lot 13, Block 63, Mandalay a/k/a 140 16th Street RE#171878-0000-3 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Section 12-1-(6) in that the garage to the rear of your property has deteriorated to a point that it is now an unsafe structure . If the structure is not brought into compliance with the Southern Building Code, condemnation proceedings can occur. You are hereby notified that unless the condition abaje described is remedied within fifteen (15) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 . 09 , the Code Enforcement Board may impose fines of up to $250 . 00 per day for a first violation and $500 . 00 per day for a repeat violation. Sincerely, Q Don C. Ford Building Official DCF/pah cc : City Manager l I CERTIFIED MAIL RETURN RECEIPT REQUESTED a"i h m 1661 aunr '008C woo j S CITY OF ALTANTIC BEACH COMPLAINT MANAGEMENT SYSTEM TAKEN (date/time) : COMPLAINANT: 1> Last Name First Name MI ADDRESS: CITY/STATE/ZIP: , TELEPHONE: ( ) COMPLAINT: LOCATION: PROPERTY OWNERS PHONE: ( ) = PROPERTY OWNERS NAME: ` A tip- -Z—+A DEPARTMENT FORWARDED TO: �- COMPLAINT TAKEN BY: DATE/TIME: OFFICE USE ONLY INVESTIGATED: (date/time) 2Z ASSIGNED DEPT. /-DIVISION: PRIORITY: INVESTIGATOR: CONDITIONS FOUND: ACTION TAKEN: COMPLIANCE: NOTES: l ez—13 611? — R A\k U AINC- ER MATT VY E*CTRTC, IC. ER 00 13235 P. O.Boz 56214 Jacksonville,Florida 32241-6214 (904)260-8882&(904)396-1666 May 10, 1999 Building and Zoning Inspection Division City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 Asper our telephone conversation on Friday, May 7, 1999, please cancel Permit No. 17928 for Anne Balekswsky, 140 16th Street, Atlantic Beach, Florida 32233. She changed her mind about wanting this wo one. Thank you. Va Matthew Van Vu, President Matt Vu Electric, Inc. / Q'�) yd�o SffZ CITY OF ATLANTIC BEACH, FLORIDA J"fes 06S3' Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-,2 �1 19vq 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 SPEC TIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES A CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MAS ER ELECTRICIAN SIGNATURE JOURNEYMAN NAME _ t,,'-Ks11J4RESS:I`I ' I6'+h S RFD BOX BLDG.SIZE BETWEEN: RES. (x) APT. ( 1 comm. ( 1 PUBLIC ( ► INDUS. ( 1 NEW ( ) OLD ( 1 REW. l ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ► INCREASE t4II,� REPAIR ( ) FEE CONDUCTOR SIZE AMPSo)-C� COPPER ( ) ALUM. SWITCH OR BREAKER AMPS PH W 2 DVOLT 6ab -C ACEWAY EXIST.SERV.SIZE l O AMPS PH W ;�V0 VOLT [C—RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS, OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA JKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGH! FORWARDED TOTAL FEES _ �2�r-✓ J ¢ G�iZf�" CITY OF nn Office of Building Official ry 1REQUEST FOR INSPECTION / Z ' _g 9 Permit No. Date f A.M. Time 7. Received Locality Jo Address Owner's pLUMBING MECHANICAL Name ELECTRICAL ❑ Air Cond. a CONCRE Wiring C Rough ❑ Heating BUILDING Rough C Top Out Fire Place Footing C Temp Pole C SewerPre Fab Final Lintel 1 Framing C Slab / Re Roofing r � Insulation READY OR INSPECTION Friday Wed. 0,ro Thurs. Mon. 2 inal Inspectio Inspec. Ma Certificate of ccupancy -- Ins ector Date DATE : A ----- -- --- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 2331 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS ) HAVE. BEEN MADE AND AI:E ,SATISFACTORY : �, �7 ► ------------------- i ------ --------------------- ---------------------------- i ------- ------ ------------------------------- i -------- ------ --------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc : FILE Karl: This woman came into the Publi'tt, Works office today after receiving a citation from you for placing her recycling bins and bags of plastic for pickup. I had talked with her earlier in the day, contacted Waste Management to pick up this MISS which had occurred on Monday. They said they would get it Thursday, date of your ticket and/or Friday. In other words, the violation needs to be deleted from your files and she feels persecuted not only by her neighbor who probably called it in but also the City. I apologized for all of us and will make sure the bags are picked up. Thanks - Christy p�U1NTiC r R1 I CITY OF ATLANTIC BEACH CODE ENFORCEMENT DIVISION 800 Seminole Road Atlantic Beach, Florida 32233 PHONE: 247-5855 COURTESY NOTICE OF VIOLATION DATE X0--/4�� TIME OWNER/OCCUPANT ADDRESS THE INSPECTION MADE OF THE ABOVE PREMISES THIS DATE DISCLOSED YOU WERE IN VIOLATION OF ORDINANCCE: OF THE CODE OF THE CITY OF ATLANTIC BEACH, FLORIDA. YOU CAN COMPLY BY s`i v/y ��/)S N w-7s so FRS WITHIN DAYS OF THIS NOTICE THIS IS A COURTESY NOTICE IN ORDER TO MAKE YOU AWARE OF A VIOLATION OF THE CITY CODE OF ATLANTIC BEACH. IF YOU HAVE ANY QUESTIONS OR WOULD LIKE ADDITIONAL INFORMATION PERTAINING TO THIS NOTICE, PLEASE CALL ATLANTIC BEACH CODE ENFORCEMENT OFFICE. 11�_-e-u,_ y7s� CODE ENFORCE NT OFFICER j i RECEIVED BY 1 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: t ' 22 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. &45� ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME ADDRESS: ��` -- r"` ` RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES. (i.� APT, ( ) comm. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( ! OLD (-, / REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUMJ ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE � AMPS (/ PH W 2V6) VOLT 5F 4 RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT &M. V. -- FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Cti+ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA N0. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES __ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING j 800 Seminole Road - Atlantic Beach. FL 32233 - Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION I LOCATIONINFORMATION j Permit Number: 17928 Address: 140 SIXTEENTH STREET j j Permit Type: ELECTRICAL ATLANTIC BEACH. FLORIDA 32233 j j Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: I j Square Feet: Subdivision: Est. Value: ! Parcel Number: _ Improv. Cost: OWNER INFORMATION j j Date Issued: 3/19/1999 Name: BALEKSWSKY, ANNE j Total Fees: 25.00 Address: 140 16TH STREET j Amount Paid: ATLANTIC BEACH, FL 32233 j Date Paid: 3/19/1999 Phone: (000)000-0000 Work Desc: REPLACE LIGHTS, FIXTURES AND CIRCUITS CONTRACTOR(S) _ _' _ APPLICATION FEES - 25.00 f MATT VU ELECTRIC, INC. PERMIT I li i i i Inspections Required ROUGH ELECTRIC FINAL ELECTRIC j I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER -- - --- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS VVHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _ - _---_-- - ATLANTIC $EACH B ILDING t CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- J _ 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 Cl ATLANTIC BEACH ORDINANCES. -5882 ELECTRICAL FIRM: -Vu 1✓L STER ELECTRICIAN SIGNATURE NAME-_Slatc-f.DGc) 5/, ADDRESS: / ,C/o o f . - - RFD BOX BLDG.SIZE 150c) 5 1' BETWEEN: RES.YA APT. ( ) COMM. ( I PUBLIC ( I INDUS. ( ) NEW ( I OLD (() REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS 1 ) SQ. FT. SERVICE: NEW ( } INCREASE ( } REPAIR 0<1 FEE CONDUCTOR SIZE AMPS COPPER ( I ALUM. ( 1 SWITCH OR BREAKER AMPS / PH p W VOLT RACEWAY _ EXIST.SERV.SIZE AMPS I PH J W Z 7VOLT G-'h l-- RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER APPLIANCES _j BELL TRANS F. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS C��• °h ��` TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN -7 FORWARDED TOTAL FEES FORM 60OA-2004 EnergyGauge® 4.0 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Davis-Rider Builder: Dean Davis Address: 140 16th Street Permitting Office: Atlantic beach City, State: Atlantic Beach, FL 32233- Permit Number: Owner: Rider Residence Jurisdiction Number: Climate Zone: North I. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Single family - ! a. Central Unit Cap:27.6 kBtu/hr - 3. Number of units,if multi-family 2 - SEER: 13.00 - 4. Number of Bedrooms 3 - b. Central Unit Cap:32.2 kBtu/hr - 5. Is this a worst case? Yes - SEER: 13.00 - 6. Conditioned floor area(ftZ) 3010 ft' - c. N/A - 7. Glass type and area:(Label regd.by 13-104.4.5 if not default) a. - U-factor: Description Area 13. Heating systems - -- -- 9 (or Single or Double DEFAULT) 7a.(Dble Default)646.0 ft' a. Electric Heat Pump p Ca p:2 .0 kBtu/hr - b. SHGC: HSPF:7.80 - (or Clear or Tint DEFAULT) 7b. (Clear)646.0 ft' - b. Electric Heat Pump Cap:35.8 kBtu/hr - 8. Floor types HSPF:8.35 - a. Slab-On-Grade Edge Insulation R=0.0, 160.0(p)ft - c. N/A - b. Raised Wood,Stem Wall R=19.0,210.Oft2 - - c. N/A - 14. Hot water systems 9. Wall types a. Electric Resistance Cap:50.0 gallons - a. Frame.Wood,Exterior R=19.0,2546.0 ft2 - EF:0.92 - b. N/A - b. N/A - r 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, 1528.0 ft2 15. HVAC credits - b. N/A - (CF-Ceiling fan,CV-Cross ventilation, c. N/A - HF-Whole house fan, 1 I. Ducts - PT-Programmable Thermostat, a. Sup:Con. Ret:Con. AH(Sealed):Interior Sup.R=6.01 25.0 ft MZ-C-Multizone cooling, b. Sup:Con. Ret:Con. AH(Sealed):Garage Sup.R=6.0,25.0 ft - MZ-H-Multizone heating) Total as-built points: 32737 PASS Glass/Floor Area: 0.21 Total base points: 38346 I hereby certify that the plan specifications covered by Review of the plans and ��CHE ST 9T6 this calculation are in co nergy specifications covered by this IV _ = p Code. - calculation indicates compliance PREPARE Y: 1Gv1't.b'f'SS with the Florida Energy Code. DATE: O I Before construction is completed"q v this building will be inspected for I hereby c rtify that this building, s designe compliance compliance with Section 553.908 fti 5� with the Flo• a Energy Code. I � Florida Statutes. oD W-E� OWNER/AGENT' BUILDING OFFICIAL: DATE: '� DATE: L4- ! 2 - b 10 1 Predominant gla s type.For actual glass type and areas,see Summer&Winter Glass output on pages 2&4. EnergyGauge®(Version: FLRCSB v4.0) FORM 60OA-2004 EnergyGauge® 4.0 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 140 16th Street, Atlantic Beach, FL, 32233- 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 3010.0 20.04 10857.7 Double,Clear W 2.0 4.0 18.0 38.52 0.73 506.2 Double,Clear S 10.0 7.0 72.0 35.87 0.48 1233.7 Double,Clear S 10.0 9.0 48.0 35.87 0.50 869.2 Double,Clear S 10.0 9.0 48.0 35.87 0.50 869.2 Double,Clear E 2.0 7.0 36.0 42.06 0.88 1336.3 Double,Clear W 2.0 9.0 24.0 38.52 0.93 864.3 Double,Clear N 2.0 9.0 48.0 19.20 0.95 877.7 Double,Clear E 2.0 7.0 36.0 42.06 0.88 1336.3 Double,Clear E 2.0 5.0 12.0 42.06 0.80 402.2 Double,Clear S 2.0 3.0 16.0 35.87 0.59 338.0 Double,Clear E 2.0 4.0 6.0 42.06 0.73 183.1 Double,Clear S 2.0 7.0 24.0 35.87 0.82 702.6 Double,Clear S 2.0 9.0 48.0 35.87 0.89 1529.5 Double,Clear S 2.0 9.0 24.0 35.87 0.89 764.7 Double,Clear W 2.0 3.0 10.0 38.52 0.64 245.4 Double,Clear W 2.0 3.0 4.0 38.52 0.64 98.1 Double,Clear W 2.0 7.0 18.0 38.52 0.88 612.6 Double,Clear E 2.0 7.0 36.0 42.06 0.88 1336.3 Double,Clear N 2.0 9.0 48.0 19.20 0.95 877.7 Double,Clear E 2.0 3.0 8.0 42.06 0.63 211.6 Double,Clear N 2.0 4.0 6.0 19.20 0.83 95.8 Double,Clear N 2.0 9.0 48.0 19.20 0.95 877.7 Double,Clear W 2.0 3.0 8.0 38.52 0.64 196.3 As-Built Total: 646.0 16364.6 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 2546.0 0.90 2291.4 Exterior 2546.0 1.70 4328.2 Base Total: 2546.0 4328.2 As-Built Total: 2546.0 2291.4 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 48.0 6.10 292.8 Exterior 48.0 6.10 292.8 Base Total: 48.0 292.8 1 As-Built Total: 48.0 292.8 EnergyGauge®DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.0 FORM 600A-2004 EnergyGauge® 4.0 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 140 16th Street, Atlantic Beach, FL, 32233- PERMIT #: BASE AS-BUILT CEILING TYPES Area X BSPM = Points Type R-Value Area XSPM XSCM = Points Under Attic 1528.0 1.73 2643.4 Under Attic 30.0 1528.0 1.73 X 1.00 2643.4 Base Total: 1528.0 2643.4 As-Built Total: 1528.0 2643.4 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 160.0(p) 37.0 -5920.0 Slab-On-Grade Edge Insulation 0.0 160.0(p -41.20 -6592.0 Raised 210.0 -3.99 -837.9 Raised Wood,Stem Wall 19.0 210.0 -1.50 -315.0 Base Total: -6757.9 As-Built Total: 370.0 -6907.0 FINFILTRATI,ON Area X BSPM = Points Area X SPM = Points 3010.0 10.21 30732.1 3010.0 10.21 30732.1 ase Points: 42096.3 Summer As-Built Points: 45417.3 er X System = Cooling Total X Cap X Duct X System X Credit = Cooling Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1:Central Unit 27600 btuh,SEER/EFF(l3.0)Ducts:Con(S),Con(R),Int(AH),R6.0(INS) 45417 0.46 (1.00 x 1.147 x 0.86) 0.263 1.000 5726.8 (sys 2:Central Unit 32200 btuh,SEE R/EFF(13.0)Ducts:Con(S),Con(R),Gar(AH),R6.0(INS) 45417 0.54 (1.00 x 1.147 x 0.95) 0.263 1.000 6681.3 42096.3 0.4266 17958.3 45417.3 1.00 1.041 0.263 1.000 12408.1 EnergyGaugeTm DCA Form 60OA-2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 140 16th Street, Atlantic Beach, FL, 32233- 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 3010.0 12.74 6902.5 Double,Clear W 2.0 4.0 18.0 20.73 1.08 404.3 Double,Clear S 10.0 7.0 72.0 13.30 3.22 3085.1 Double,Clear S 10.0 9.0 48.0 13.30 2.91 1857.9 Double,Clear S 10.0 9.0 48.0 13.30 2.91 1857.9 Double,Clear E 2.0 7.0 36.0 18.79 1.05 708.2 Double,Clear W 2.0 9.0 24.0 20.73 1.02 506.2 Double,Clear N 2.0 9.0 48.0 24.58 1.00 1181.7 Double,Clear E 2.0 7.0 36.0 18.79 1.05 708.2 Double,Clear E 2.0 5.0 12.0 18.79 1.08 244.3 Double,Clear S 2.0 3.0 16.0 13.30 2.07 441.1 Double,Clear E 2.0 4.0 6.0 18.79 1.12 126.3 Double,Clear S 2.0 7.0 24.0 13.30 1.18 376.2 Double,Clear S 2.0 9.0 48.0 13.30 1.08 689.9 Double,Clear S 2.0 9.0 24.0 13.30 1.08 344.9 Double,Clear W 2.0 3.0 10.0 20.73 1.12 232.2 Double,Clear W 2.0 3.0 4.0 20.73 1.12 92.9 Double,Clear W 2.0 7.0 18.0 20.73 1.03 385.1 Double,Clear E 2.0 7.0 36.0 18.79 1.05 708.2 Double,Clear N 2.0 9.0 48.0 24.58 1.00 1181.7 Double,Clear E 2.0 3.0 8.0 18.79 1.18 177.9 Double,Clear N 2.0 4.0 6.0 24.58 1.01 148.8 Double,Clear N 2.0 9.0 48.0 24.58 1.00 1181.7 Double,Clear W 2.0 3.0 8.0 20.73 1.12 185.8 As-Built Total: 646.0 16826.6 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 2546.0 2.20 5601.2 Exterior 2546.0 3.70 9420.2 Base Total: 2546.0 9420.2 As-Built Total: 2546.0 5601.2 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 48.0 12.30 590.4 Exterior 48.0 12.30 590.4 Base Total: 48.0 590.4 1 As-Built Total: 48.0 590.4 EnergyGauge®DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGauge® 4.0 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 140 16th Street, Atlantic Beach, FL, 32233- PERMIT #: BASE AS-BUILT CEILING TYPES Area X BWPM = Points Type R-Value Area X WPM X WCM = Points Under Attic 1528.0 2.05 3132.4 Under Attic 30.0 1528.0 2.05 X 1.00 3132.4 Base Total: 1528.0 3132.4 As-Built Total: 1528.0 3132.4 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 160.0(p) 8.9 1424.0 Slab-On-Grade Edge Insulation 0.0 160.0(p 18.80 3008.0 Raised 210.0 0.96 201.6 Raised Wood, Stem Wall 19.0 210.0 0.80 168.0 Base Total: 1625.6 As-Built Total: 370.0 3176.0 INFILTRATION Area X BWPM = Points Area X WPM = Points 3010.0 -0.59 -1775.9 3010.0 0.59 1775.9 Winter Base Points: 19895.2 Winter As-Built Points: 27550.7 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (System - Points) (DM x DSM x AHU) (sys 1: Electric Heat Pump 29000 btuh,EFF(7.8) Ducts:Con(S),Con(R),Int(AH),R6.0 27550.7 0.448 (1.000 x 1.169 x 0.88) 0.437 1.000 5776.7 (sys 2:Electric Heat Pump 35800 btuh,EFF(8.4) Ducts:Con(S),Con(R),Gar(AH),R6.0 27550.7 0.552 (1.000 x 1.169 x 0.95) 0.408 1.000 6661.5 19895.2 0.6274 12482.3 27550.7 1.00 1.072 0.421 1.000 12424.0 EnergyGaugeTm DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGauge® 4.0 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 14016th Street, Atlantic Beach, FL, 32233- 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 3 2635.00 7905.0 50.0 0.92 3 1.00 2635.00 1.00 7905.0 As-Built Total: 7905.0 CODE COMPLIANCE STATUS P7- BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 17958 12482 7905 38346 12408 12424 7905 32737 PASS -mommon� OF-V 11E STA�� nw r 0D EnergyGaugeTm DCA Form 60OA-2004 EnergyGauge®/FIaRES'2004 FLRCSB v4.0 FORM 60OA-2004 EnergyGauge® 4.0 Code Compliance Checklist Residential Whole Building Performance Method A - Details [ADDRESS: 140 16th Street, Atlantic Beach, FL, 32233- 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.) COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 612.1.ABC.3.2.Switch or clearly marked cir 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. EnergyGaugeTm DCA Form 60OA-2004 EnergyGauge®/FlaRES'2004 FLRCSB v4.0 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE*= 85.7 The higher the score,the more efficient the home. Rider Residence, 140 16th Street, Atlantic Beach, FL, 32233- 1. New construction or existing New - 12. Cooling systems Single family a. Central Unit Cap:27.6 kBtu/hr - 2. Single family or multi-family g y - SEER: 13.00 _ 3. Number of units,if multi-family 2 - 3 - b. Central Unit Cap:32.2 kBtu/hr - 4. Number of Bedrooms SEER: 13.00 5. Is this a worst case? Yes - - 6. Conditioned floor area(ft') 3010 ftz - c. N/A - 7. Glass type and area:(Label reqd.by 13-104.4.5 if not default) - a. U-factor: Description Area 13. Heating systems _.-tea- "'29:0kBtu�Fir _-- ----- ------- -- z _ -- a.-'Elictnc Heat Puiitp P� (or Single or Double DEFAULT) 7a.(Dble Default)646.0 ft HSPF:7.80 - b. SHGC: Ca 35.8 kBtu/hr (or Clear or Tint DEFAULT) 7b. (Clear)646.0 ftz - b. Electric Heat Pump P = HSPF:8.35 8. Floor types - a. Slab-On-Grade Edge Insulation R=0.0,160.0(p)ft - c. N/A b. Raised Wood,Stem Wall R=19.0,210.Oftz - - c. N/A - 14. Hot water systems a. Electric Resistance Cap:50.0 gallons - 9. Wall types EF:0.92 - a. Frame,Wood,Exterior R=19.0,2546.0 ftz - b.N/A - b. N/A c. N/A - d. N/A - c. Conservation credits e. N/A - (HR-Heat recovery,Solar DHP-Dedicated heat pump) 10. Ceiling types - a. Under Attic R=30.0, 1528.0 ftHVAC credits R2 - 15. b.NIA - (CF-Ceiling fan,CV-Cross ventilation, HF-Whole house fan, c. N/A - PT-Programmable Thermostat, 11. Ducts a. Sup:Con. Ret:Con. AH(Sealed):Interior Sup.R=6.0,25.0 R - MZ-C-Multizone cooling, b. Sup:Con. Ret:Con. AH(Sealed):Garage Sup.R=6.0,25.0 ft - MZ-H-Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building -4.sT-4. Construction through the above energy saving features which will be installed(or exceeded) in this home before finalE on.Othe se,a new EPL Display Card will be completed based on installed Codea esDate: Z° LBuilder Signature: yy��Address of New Home. t ��. City/FL Zip: / A-yhc. /XA, f�Yc0D 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 qual fy for energy eff ciency 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.ucfedu for information and a list of certified Raters.For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 8501487-1824. dominant I Predominant glass type.For actual glass type and areas E,ne g °yGauge®(Version� ut on P FLR 'SB v4 0) Rider Residence HVAC Load Calculations for Dean Davis 1901 1 st Street North Jacksonville Beach, FL 32250 M"VACResID9NnAL . HVAC LOADS d By: (IFebruary g a d Air Conditioning lant Blvd. ac , FL 32266 9-8251 17, 2006 Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Ocean State Htg&A/C Rider Residence Neptune Beach, FL 32266-1798 Page 2 Project Report General Project Information Project Filename: C:\Elite\Rhvacw\Projects\Owner-Builders\Davis-Rider.rhv Project Title: Rider Residence Designed By: Ocean State Heating &Air Conditioning Project Date: Friday, February 17, 2006 Client Name: Dean Davis Client Address: 1901 1st Street North 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 Winter: 32 0 0 72 0 Summer: 94 77 50 75 48 Check Figures _ - -- Total Building Supply CFM: 1,904 (3.8 AC/hr) CFM Per Square ft.: 0.632 Square ft. of Room Area: 3,010 Square ft. Per Ton: 665 Building Loads Total Heating Required With Outside Air: 56,898 Btuh 56.898 MBH Total Sensible Gain: 41,838 Btuh 84 % Total Latent Gain: 7,928 Btuh 16 Total Cooling Required With Outside Air: 49,766 Btuh 4.15 Tons (Based On Sensible + Latent) 4.53 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 Rider Residence Ocean State Htg&A/C Page 3 Neptune Beach,FL 32266-1798 Load Preview Report Sens Lat Net Sens Win Sum Adj Sys Duct Scope Area Gain Gain Gain Loss CFM CFM CFM CFM Size Building: 4.15 Net Tons, 4.53 Recommended Tons, 665 ft.2/Ton, 56.90 MBH Heating Building 3,010 41,838 7,928 49,766 56,898 740 1,904 1,904 System 1: 1.87 Net Tons, 2.11 Recommended Tons, 637 ft.2/Ton, 27.72 MBH Heating System 1 1,346 19,518 2,927 22,445 27,718 360 888 888 18 Zone 1 1,346 19,518 2,927 22,445 27,718 360 888 888 1-Great Room 357 5,278 1,036 6,314 8,991 117 240 240 240 2-6 2-Kitchen 221 2,484 360 2,844 3,855 50 113 113 113 1-6 3-Dining 198 2,908 270 3,178 2,458 32 132 165 132 2-5 4-Mud Room 192 2,643 360 3,003 3,615 47 120 120 120 1-6 5-Library 138 4,462 631 5,093 5,247 68 203 274 203 3-6 6-Foyer 119 710 180 890 2,338 30 32 32 32 1-4 7-Bath 1 121 1,033 90 1,123 1,214 16 47 59 47 1-4 System 2: 2.28 Net Tons, 2.42 Recommended Tons, 689 ft.2/Ton, 29.18 MBH Heating System 2 1,664 22,320 5,001 27,321 29,180 379 1,015 1,015 18 Zone 1 - 1,664 - 22,320 5,001 27,321 29,180 379 1,015 1,015_ -- 8-Master Bath 266 1,844 262 2,106 2,624 34 84 84 84 1-5 9-Master Bedroom 255 3,876 1,318 5,194 5,756 75 176 176 176 2-5 10-Hall 85 2,074 405 2,479 3,091 40 94 94 94 1-6 11-Laundry 221 2,756 262 3,018 2,495 32 125 125 125 2-5 12-Storage/Hall 136 0 0 0 0 0 0 0 0 0-0 13-Study 169 3,630 429 4,059 3,350 44 165 206 165 2-6 14-Bedroom 2 238 3,886 1,127 5,013 5,483 71 177 239 177 2-6 15-Bath 2/3 84 449 71 520 758 10 20 23 20 1-4 16-Bedroom 3 210 3,805 1,127 4,932 5,623 73 173 234 173 2-6 17 onnCZ 11•!18 AKA Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Rider Residence Ocean State Htg&A/C Page 4 Neptune Beach, FL 32266-1798 Total Building Summary Loads Component Area Sen Lat Sen Total Description Quan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 406 11,774 0 17,065 17,065 9G French Door Double Clear Glass Wood Frame 240 5,010 0 6,503 6,503 10D Door Wood Solid Core 48 884 0 500 500 12H Wall R-19+ 1/2" Gypsum Board(R-0.5) 2546 6,113 0 3,453 3,453 16G Ceiling Under Vent. Attic- R-30 Insulation 1528 2,017 0 2,169 2,169 191 Floor Over Basement/Encl Crawl Carpet+ R-19 210 202 0 0 0 22A Slab on Grade No Edge Insulation 160 5,184 0 0 0 Subtotals for structure: 31,184 0 29,690 29,690 People: 6 1,380 1,800 3,180 0 800 800 Equipment: 0 0 0 Lighting: 5,870 0 5,356 5,356 Ductwork: infiltration: Winter CFM: 451, Summer CFM: 201 19,844 6,548 4,192 10,740 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 41,838 Sensible Gain Total Temperature Swing Multiplier: X 1.00 Total Building Load Totals: 56,898 7,928 41,838 49,766 Check Figures - Total Building Supply CFM: 1,904 (3.8 AC/hr) CFM Per Square ft.: 0.632 Square ft. of Room Area: 3,010 Square ft. Per Ton: 665 Building Loads Total Heating Required With Outside Air: 56,898 Btuh 56.898 MBH Total Sensible Gain: 41,838 Btuh 84 % Total Latent Gain: 7,928 Btuh 16 % Total Cooling Required With Outside Air: 49,766 Btuh 4.15 Tons (Based On Sensible +4.53 Tons (Based On 77% SensibleCapacity) 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. 1-7 7r%rNC 11.rNC ARA Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Rider Residence Ocean State Htg&A/C Page 5 Neptune Beach,FL 32266-1798 System I Summary Loads Component Area Sen Lat Sen Total Ouan Loss Gain Gain Gain Description 3C Window Double Pane Clear Glass Metal Frame 174 5,046 0 8,252 8,252 9G French Door Double Clear Glass Wood Frame 168 3,507 0 4,876 4,876 10D Door Wood Solid Core 48 884 0 500 12H Wall R-19+ 1/2" Gypsum Board(R-0.5) 1210 2,905 0 1,664141 1,641 22A Slab on Grade No Edge Insulation 160 5,184 0 0 0 Subtotals for structure: 17,526 0 15,269 15,269 0 0 0 0 People: 0 600 600 Equipment: 0 0 Lighting: 0 1,320 0 1,775 1,775 Ductwork: Infiltration:Winter CFM: 202, Summer CFM: 90 8,872 2,927 1,874 4,801 Ventilation: Winter CFM: 0, Summer CFM: 0 0 0 0 0 Sensible Gain Total: 19'518 X 1.00 Temperature Swing Multiplier: 27,718 2,927 19,518 22,445 System 1 Load Totals: Check Figures Supply CFM: 888 (4.0 AC/hr) CFM Per Square ft.: 0.660 Square ft. of Room Area: 1,346 Square ft. Per Ton: 637 System Loads _ Total Heating Required With Outside Air: 27,718 Btuh 27.718 MBH Total Sensible Gain: 19,518 Btuh 87 % Total Latent Gain: 2,927 Btuh 13 % Total Cooling Required With Outside Air: 22,445 Btuh 1.87 Tons (Based On Sensible + Latent) 2.11 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. CrirJo„ Co4.. or„ 17 90nF 11•nF AhA Elite Software Development,Inc. Rhvac-Residential&Light Commercial HVAC Loads Rider Residence Ocean State Htg&A/C Page 6 Neptune Beach, FL 32266-1798 System 2 Summary Loads Component Area Sen Lat Sen Total Description Ouan Loss Gain Gain Gain 3C Window Double Pane Clear Glass Metal Frame 232 6,728 0 8,813 8,813 9G French Door Double Clear Glass Wood Frame 72 1,503 0 1,627 1,627 12H Wall R-19+ 1/2" Gypsum Board(R-0.5) 1336 3,208 0 1,812 1,812 16G Ceiling Under Vent. Attic-R-30 Insulation 1528 2,017 0 2,169 2,169 191 Floor Over Basement/Encl Crawl Carpet+ R-19 210 202 0 0 0 Subtotals for structure: 13,658 0 14,421 14,421 People: 1,380 1,800 3,180 Peo P 6 0 200 200 Equipment: 0 0 0 Lighting: 4,550 0 3,581 3,581 Ductwork: 72 3,621 2,318 5,939 Infiltration: Winter CFM: 250, Summer CFM: 111 010,9 0 0 0 Ventilation: Winter CFM: 0, Summer CFM: 0 22,320 Sensible Gain Total: X 1.00 Temperature Swing Multiplier: 29,180 5,001 . 22,320_ 27,321 System 2 Load Totals; . _._. Check Figures .610 Supply CFM: 1,015 (3.7 AC/hr) CFM Per Square 0 689 Square ft. of Room Area: 1,664 Square ft. Per Ton: System Loads Total Heating Required With Outside Air: 29,180 Btuh 29.180 MBH Total Sensible Gain: 22,320 Btuh 82 Total Latent Gain: 5,001 Btuh 18 Total Cooling Required With Outside Air: 27,321 Btuh 2.42 Tons (Based On 77%Sensible.28 Tons (Based On 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. - - ---- - - i i.nG ASA Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development, Inc. Ocean State Htg&A/C Rider Residence Neptune Beach,FL 32266-1798 Page 7 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 Great Room 357 8,991 117 2-6 612 5,278 1,036 240 1.00 240 240 2 Kitchen 221 3,855 50 1-6 576 2,484 360 113 1.00 113 113 3 Dining 198 2,458 32 2-5 606 2,908 270 132 1.25 165 132 4 Mud Room 192 3,615 47 1-6 612 2,643 360 120 1.00 120 120 5 Library 138 5,247 68 3-6 465 4,462 631 203 1.35 274 203 6 Foyer 119 2,338 30 1-4 370 710 180 32 1.00 32 32 7 Bath 1 121 1,214 16 1-4 673 1,033 90 47 1.25 59 47 System 1 total 1,346 27,718 360 19,518 2,927 888 1,004 888 System 1 Main Trunk Size: 18 in. Velocity: 503 ft./min Loss per 100 ft.: 0.037 in.wg Cooling System Summary - - - Cooling Sensible/Latent Sensible Latent Total Tons Split Btuh Btuh Btuh Net Required: 1.87 87%/ 13% 19,518 2,927 22,445 Recommended: 2.11 77%/23% 19,518 5,830 25,348 17 ')nna 1 i•nr- Ann Rhvac-Residential&Light Commercial HVAC Loads Elite Software Development,Inc. Rider Residence Ocean State Htg&A/C Page 8 Neptune Beach,FL 32266-1798 System 2 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--- 8 Master Bath 266 2,624 34 1-5 615 1,844 262 84 1.00 84 84 9 Master Bedroom 255 5,756 75 2-5 647 3,876 1,318 176 1.00 176 176 10 Hall 85 3,091 40 1-6 481 2,074 405 94 1.00 94 94 11 Laundry 221 2,495 32 2-5 460 2,756 262 125 1.00 125 125 12 Storage/Hall 136 0 0 0-0 0 0 0 0 1.00 0 0 13 Study 169 3,350 44 2-6 526 3,630 429 165 1.25 206 165 14 Bedroom 2 238 5,483 71 2-6 608 3,886 1,127 177 1.35 239 177 15 Bath 2/3 84 758 10 1-4 269 449 71 20 1.15 23 20 16 Bedroom 3 210 5,623 73 2-6 595 3,805 1,127 173 1.35 234 173 System 2 total 1,664 29,180 379 22,320 5,001 1,015 1,182 1,015 System 2 Main Trunk Size: 18 in. Velocity: 575 ft./min Loss per 100 ft.: -_ _ 0.048 in.wg Cooling System Summary - Cooling Sensible/Latent Sensible Latent Tota Tons Split Btuh Btuh Btuh Net Required: 2.28 82%/ 18% 22,320 5,001 27,321 Recommended: 2.42 77%/23% 22,320 6,667 28,987 17 7nna 1 i•nQ AAA MAP SHOWING BOUNDARY SURVEY OF LOT 13, BLOCK 63, ACCORDING TO THE PLAT OF "MANDALAY" AS RECORDED TN PLAr ROOK 10 PANE Ii OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA, CERTIFIED TO: GREGORY RIDER, KATHERINE RIDER, OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY, GIBRALTAR TITLE SERVICES AND MERRILL LYNCH CREDIT CORPORATION. �4� .e%vJ /✓\ i L�� / +�f -5-7-A2 z--_ -7:5-7-/----6 i B Y -Z-47r) oovV A-fl' /a4r ol-A -rfcJT T5 brd /30(Q� /5d.oo�H� �' 0'�s R 'h .• . /�.vAUArULF \IR /'/..i.P 5r�'�7 io o e) a G' 8 . e.r•' (![y Q/w LnvE a. ivm�b'Fiu ('Oto <AP)--sant. r1> A, C. o�H� Jlf.r f etf 0.3 a L 07' i-:3 14 `C SET o,. ..t.S.5488 V 4ssec.5✓z�:' ,.s' Tar c��c. �p N;- ��Es�� 11 eV D •' �� LAH/P.01-51r I u In o 10 .a J � � ear • l` S\ .'�.. 23.7' 1.8 W eF 13[mc�C . (9A OF 1 �3. w.tct5 •.•�- w�18•' V f-lETi1L � •Q 1'� v ffl .E,Q!/,E$ O rkf W W y� 9� N .ceo,e yj ? . pal � oto.. _ •. h /Z.9' Q /5 od (.vo �'eF') So.07`i�-�J (rcce6rfJce CAP Z o T 9 I Z-0-7- /O z- d C /<--, 3 .Lltr7�S: dLL Fr�ICES S+�JO(n/�/ deE qA AjZ/.VK F-xieep-rWkE2,- /vD/w7eD Q7k42w/S� . 2) F�C� TiE$ Ae� FeoC-/Fz�fE of F�_.tlfE . .3) ,fLL 'r�ES S�orr/,�/.4,� io PRaPEP_T`/ L/,LIES uc/L ESS iv1�/cre-rL`t� a7tr�1ewi5�. V E Y O GErERAL l TES 1" BEARIN6S ARE 13A �c�s AeG ow C! FrxL 7.iis Su¢v,�Y. 2.STRUCTURE NO. /4o SHOWN HEREON LIES WITHIN FLOOD ZONE X AS BEST SSOCI�TED SURVEYORS INC. DETERMINED FROM F.E.M.A. FLOOD MAPS PANEL NO. / DATED 0-d-/7-B9. 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS, LAND k ENGINEERING SURVEYS PIPES AND UTILITIES, IF ANY, NOT DETERMINED. 4.JURISDICTIONAL AND/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT 3846 BLANDING BOULEVARD LOCATED BY THIS SURVEY. Q S JACKSONVILLE, FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC ? 904-771-6468 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS, v TITLE, COVENANTS, RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC. O S S V CERTIFICATE OF AUTHORIZATION NO. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL. §.UNLESS OTHERWISE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION. t I HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEGEND/A8111REVIATIONS DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL 4I SET IRON PIPE OR REBAR P.C. - POINT OF CURVE BTN. = BETWEEN STANDARDS FOR 1 AND S'jRVEYING PURSUANT TO CHAPTER J-ASSOC.SURVEY- OR L.B.5488 P.T. = POINT OF TANGENCY (CHO) = CHORD 61 G i 7-6�L 10A ADMINISTRATION CODE, CHA TE 472, F.S. e I FOUND IRON PIN OR PIPE (IP P.R.C. = POINT OF REVERSE CURVE I�, FOUND CONCRETE MONUMENT (C.M.� P.C.C. = POINT OF COMPOUND CURVE BY: X CROSS CUT OR DRILL HOLE C/L - CENTER LINE R/W- RIGHT OF WAY ZL 1=� (R) = RECORD L = ARC LENGTH CONC. = CONCRETE B.T.- BUILDING TIE CHARLES B. 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U `�9` 0 ,,nn oo�a v1 0 �T �E U E 00.x, U.per mm N 0 03 Z USS 7 0 9°-gym SHOP DRAWING REVIEW DISPOSITION _ v ATTENTION Review of shop drawings is only for conformance with the design concept of the project and does not relieve the contractor Z �OmU of responsibility for any deviation from the requirements of the shop drawings Contractor shall determine and verify all field measurements. APPR0k,ZD ❑ RETURNED FOR CORRECTION °o pc3m ❑ APPROVED AS NOTED ❑ RETURNED WITHOUT ACTION ❑ SEE TRAN❑ NOT APPROVED SMITTAL LETTER 9 o v COMMENTS o T o u � q� �� //DATE Z�20 ab 9 FL CERT.25346 soQ LAJ m�US 1 W E m I r r 2 Tr CJ2 EJI6 GJ2 GJI _ CJI9 �, 18- JOB:51413B CJI LOC:140 16th 5T. AI5 2PL PLAKRIDER DESIGNER:MILES BENZIGE AI4 ALL TRU55 PLATES ARE A ala APPROVAL'M31-3 Al2 ENGINEER OF RECORD Tc All ALL BEAM AND TRUSS D Alo AND SIZE HEADERS,COL CAPS WHERE NECESSAR` 24"O.C. WILL NOT BE RE5PON515I REPAIRS RESULTING FRO BEAM BEING INADEQUATI A m 24"O-C. AI0 All Ail AI3 A14 A15 2PLY GJI 18 ff CJI JI9 EJ16 CJ2 2m 11 it u u u „8 I SUPPORT IZEPORT JOB DESCRIPTION: 57413B WIND CODE: ASCE 7-02 WIND MPH: 120 BLDG TYPE: CLOSED ----------------------------------------------- TRUSS TRUSS SUPPORT SUPPORT BEARING BEARING REACT. REACT. MAX WIND DESC SPAN-ft SIZE-in. TYPE XLOC-ft . YLOC-ft . MAX. +# MAX. -# UPLFT. -# ---------------------------------------------- A9 34 .667 9 . 250 WALL 0 . 000 21 . 583 1572 -962 A9 34 . 667 9 . 250 WALL 33 . 896 21 . 583 1572 -962 --------------------- ---------------------------------------------------------- A10 34 .667 9 . 250 WALL 0 . 000 21 . 583 1572 -944 A10 34 . 667 9 . 250 WALL 33 . 896 21 . 583 1572 -944 --------------------- ---------------------------------------------------------- All 34 .667 9 .250 WALL 0 . 000 21 . 583 1572 -945 All 34 . 667 9 .250 WALL 33 . 896 21 . 583 1572 -945 ------------------------------- ------------------------------------------------ Al2 34 . 667 9 .250 WALL 0 . 000 21 . 583 1572 -931 Al2 34 . 667 9 . 250 WALL 33 . 896 21 . 583 1572 -931 ------------------------------------------------------------------------------- A13 34 .667 9 .250 WALL 0 . 000 21 . 583 1572 -917 A13 34 . 667 9 . 250 WALL 33 . 896 21 . 583 1572 -917 ----------------------------------------------------------------------------- A14 34 . 667 9 .250 WALL 0 . 000 21 . 583 1567 -900 A14 34 . 667 3 . 500 WALL 34 . 125 21 . 583 1577 -906 ---------------------------------------------------------------------------- A15 2PLY 34 .667 9 . 250 WALL 0 . 000 21 . 583 3082 -1664 A15 2PLY 34 . 667 9 .250 WALL 33 . 896 21 . 583 3082 -1664 ----------------------------------------------------------------------- EJ16 7 . 000 9 .250 WALL 0 . 000 21 . 583 405 -208 EJ16 7 . 000 1 . 500 NAILED 7 . 000 21 . 583 110 -180 EJ16 7 . 000 1 . 500 NAILED 7 . 000 25 . 141 172 -213 ----------------------------------------------------------------------- HJ17 D4 9 . 899 13 . 081 WALL 0 . 000 21 . 583 469 -316 HJ17 D4 9 . 899 1 . 500 NAILED 9 . 899 21 . 583 432 -180 HJ17 D4 9 . 899 1 . 500 NAILED 9 . 899 25 . 118 215 -234 ------------------------------------------------------------------ CJ18 4R 5 . 037 9 . 250 WALL 0 . 000 21 . 583 326 -180 CJ18 4R 5 . 037 1 . 500 NAILED 5 . 037 21 . 583 75 -180 CJ18 4R 5 . 037 1 . 500 NAILED 5 . 037 24 . 159 118 -180 ------------------------------------------------------------------ CJ19 4R 3 . 037 9 .250 WALL 0 . 000 21 . 583 252 -180 CJ19 4R 3 . 037 1 . 500 NAILED 3 . 037 21 . 583 37 -180 CJ19 4R 3 . 037 1 . 500 NAILED 3 . 037 23 . 159 58 -180 --------------------------------------------------------------- CJ20 4R 1 . 037 9 . 250 WALL 0 . 000 21 . 583 230 -180 CJ20 4R 1 . 037 1 . 500 NAILED 1 . 037 21 . 583 28 -9 -180 CJ20 4R 1 . 037 1 . 500 NAILED 1 . 037 22 . 159 71 -45 -180 --------------------------------------------------------------- Alpine Engineered Products, Inc. 1950 Marley Drive Haines City,FL 33844 Florida Engineering Certificate of Authorization Number:567 s Florida Certificate of Product Approval#FL 1999 Page 1 of 1 Document ID:1SU5235-ZO624153625 Truss Fabricator: Lumber unlimited Job Identification: 574138-D.L. DAVIS DUVAL COUNTY -- 140 16TH ST. (57413BI -D.L. DAVIS DUVAL CO Y-140 16TH Truss Count: 12 Model Code: Florida Building Code 2004 Truss Criteria: ANSI/TPI-2002(STD)/FBC Engineering Software: Alpine Software,Version 7.22. Structural Engineer of Record or See Below: ti Address: Minimum Design Loads: Roof 42.0 PSF @ 1.25 Duration Floor N/A Wind 120 MPH ASCE 7-02 -Closed Seal Date:C 1i24/2006 Notes: 1. Determination as to the suitability of these truss components for the _Truss Design Engineer- structure is the responsibility of the building designer/engineer of Engineer- record, as defined in ANSI/TPI 1 James F.Collins Jr. Florida License Number:52212 2. The drawing date shown on this index sheet must match the date shown 1950 Marley Drive on the individual truss component drawing. Haines City,FL 33844 3. The loads indicated on all referenced girder trusses are consistent with the truss layout provided by Lumber Unlimited for the above referenced job identification. Loads applied by non-truss elements and basic load parameters are to be reviewed and approved by the EOR/building designer. 4. As shown on attached drawings; the drawing number is preceded by: HCUSR235 Details: - Ref . Description DrawingiDate 1 32310--A9 06024229 01/24/06 ' 2 32311--A10 06024230 01/24/06 3 32312--All 06024231 01/24/06 4 32313-412 06024232 01/24/06 5 32314--A13 06024233 01/24/06 6 32315-414 06024234 01/24/06 7 32316-415 2PLY 06024235 01/24/06 8 32317--EJ16 06024236 01/24/06 9 32318--HJ17 D45 06024237 01/24/06 10 32319--CJ18 4R 4L 06024238 01/24/06 11 32320--CJ19 4R 4L 06024239 01/24/06 12 32321--CJ20 4R 4L 06024240 01/24/06 ENGINEER OF RECORD HULSBERG ENGINEERING, INC. FL CERT. 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NEW SINGLE FAMILY RES Application description . . . SINGLE FAMILY RESIDENCE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 450000 Owner Contractor - ------------------------ ----------------------- RIDER, GREGORY P. D.L. DAVIS CONSTRUCTION CO. 140 16TH ST 1903 N. 3RD STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 237-2222 ---------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 1545 . 00 Plan Check Fee 772 .50 Issue Date . . . . Valuation . . . . 450000 ------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE .41 ST CONSTRUCTION SURCHARGE 13 .59 AB CONSTRUCTION SURCHARGE 1 . 51 STATE RADON SURCHARGE 7 . 94 WATER IMPACT FEE 420 . 00 WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---- Permit Fee Total 1545 . 00 1545 . 00 . 00 . 00 Plan Check Total 772 . 50 772 . 50 . 00 . 00 Other Fee Total 478 .45 478 .45 . 00 . 00 Grand Total 2795 . 95 2795 . 95 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. - i \ BUILD OFFICIAL CITY OF ATLANTIC BEACH `'' BUILDING PERMIT APPLICATION r f (New/ Residential & Commercial) �J,3 pr Date: /Zwk Job Address: /41�O S� D<Owner's Name: &*:r 'Address: d g7_;7-_33 Phone: 5-7 Legal Description: Block Number: Lot Number: __Zoning District: Contractor: a_A l State License Number: C(`��O 66LI 0 Address: Ick)3 ti 3 �� Phone: Ci ,: � r �Z� X- ��.,. State: t'�. Zip: Fax: Ofeoq_ i • ��?-��13 Describe proposed use and work to be done: A 11 't&1 FA 's 1 Q lAa•kaa Present use of land or building(s): Valuation of proposed construction�� p U 0 Is approval of Homeowner's Association or other private entity required?O'�) If yes,please submit with this application. Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original impervious area or the removal of any trees? F:240. Applicant certifies that no change in site grade, impervious area or rill 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. ❑NO. Applicant certifies that no trees will be removed for this project. OYES., 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. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 2 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. 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. Provide drainage plans. 7. Provide erosion and sediment control plan. 8. Any other documents requested by Building Dept.,Planning Dept.,Public Works and Public Utilities. Address and contact information of person to receive all correspondence regarding this application(please print). Name: o'er �r lU1J _/ Mailing Address: 19 b3 �J = S�' ► ��X ��` ( Zz Telephone: 7J r Z Z 2 Z Fax: �y 7— �o S E-Mail: I hereby certify that I have read and examined this application and attached documentation 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 info n being true d correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: Date: �6 AS TO OWNER: '�f Sworn to and subscribed before me this 5J day of20.V• State of Florida,County of Duval Notary's Signa .•'`'"Y Ndwy Public-SW d FRWW � ❑ ersonally7own • Ap Conrni wn E�Fab 2 pt0 [Produced identification r-L-�L.d CO1"By Ne OD 5238 Type of identification produced��(D8� gores NNionM N Signature of Contractor: Date: Z� d AS TO CONTRACTOR: � �y �' l Sworn to and subscribed before me thisy-�, day of 1 1 1 LJU (iY�' ,20�Q(p State of Florida,County of Duval Notary's Signa 4 YP,,, K. CUNNINGHAM No"Pubk'SIM d FWW Personally known ,y Comn�eeion Feb 26.20 ❑ Produced identification Conrnbtion*DO 523636 � � „••' 9w �N oWy Awn Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 3 Revised 8/04 HP OfficejOt 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Jul 07 2006 3:34PM Last Transaction Date Time Type Identification Duration Pages Result Jul 7 3:33PM Fax Sent 918882511762 1:19 4 OK ■ ■ J3s- 'r ' CITY OF ATLANTIC BEACH IS, 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 Telephone: (904)247-5826 Fax: (904)247-5845 ■ Email: sgraham@coab.us FAX To: n Fax # 4 d a 7& Z- From: bl0 /k eo_ Date: 7 0 Pages: `/ Re: l yo jz-,e E E r ❑ Urgent For Review ❑ Please Reply Notes: IL -DAViS Consre U07_16111 UP��'14t�a��e Beech P'ennit riarti�ra To: JEA Electric Order Fulfillment, (Fax No.: 665-7372) Attention: Carol Sehweizer/Lorie Craven, 21 West Church St T-4 (665-6521) Subject: City of Atlantic Beach Permit# o � � 335i/ Date: Service Address: Owner: Owner Phone: Electrician: �Gf1 C/i CS G�l G Electrician Phone: �04 - 42-.q ' .342- Type 342- Type of Work: New Service L�_T M-Home Subfeed [_] Increase Service Heat & AC [_] Repair Service [_] Other [_] Rewire [`] Other Description: Temp Pole [_] 6 'tlQ W i e— If Service Type: "Overhead (Repair/Replace) [Underground (New Services) Building Use: [jjitesidential {]Church "Environmental [_]M-Home "Commercial "Other Other Use Description: Service Size: New Service: Amps: 6F 6 ® Volts: c�`/0 Phase: � Existing Service:Amps: Volts: Phase: E-mail:cravli Rwieqxom or schwcmajea.com or resomniea.co n 11 SS CITY OF ATLANTIC BEACH y } 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 v INSPECTION PHONE LINE 247-5826 JFjI>* Application Number . . . . . 06-00033541 Date 7/20/06 Property Address . . . . . . 140 16TH ST Tenant nbr, name . . . . . . NEW SERVICE Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor -- -------- ---------- RIDER, GREGORY P . BEACHES ELECTRIC SERVICES INC. 140 16TH ST 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 ------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/20/07 Fee summary Charged Paid Credited Due ----------------- ---------- -------- -- ---- - Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PF,IiMI'f IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BVItDING CODES. ' S yLyr EARLY POWER AGREEMENT & RELEASE CITY OF ATLANTIC BEACH Electric power is requested now under the conditions and terms of this fully executed Agreement&Release Job Address: I LiD ,� S 51t--- 0(0,00a 33 ' Service Type(Circle One): Overhead nderground Permit No. We,the undersigned General Contractor and Electrician,understand and agree: 1. "Early Power" is purely for our construction convenience, it is not required by Codes and does not substitute u sti sucfor h is incl discretionct of tthe he Building C/OC ti fi at of OccupancyTftiat must be issued before occupancy, 2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough inspections must have prior Approval,including meter base connections. 3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early Olein service. Such action is Agreement shalllresultaand arequ request forprompt reThe m al of electric service Ordinances. A violation of this Agr after a twenty-four hour notice. 4. "Early Power"release authority is the Electrician and/or the Contractor and must not occur before: a. Equipment,devices and fixtures are installed(or blanked off)safely. b. Panel is complete with breakers and cover,and(labeling required at final inspection). c. Service connection and grounding is complete. d. The electric system has safely passed through electrical check. e. Meter can is permanently marked with address. f. Temporary address numbers displayed(Permanent numbers are required for C/O). 5. Pay$300. administration fee, any reinspection fees and any outstanding requirements must be satisfied prior to release. 6. This fully completed form is to be submitted to the Building Department by hand,mail or fax. 7. Future such Agreements will not be accepted from those who violate any one of the above items. /� 3 07 CONTRACTOR ' DATE PRINT NAME e-A`� l > ✓/ DATE ELECTRICIAN --4N� PRINT NAME 800 Seminole Road,Atlantic Beach FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 http'/hvww.coab.us revised 11.29.06 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD r} ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptncoab.us Application Number . . . . . 07-00000262 Date 3/12/07 Property Address . . . . . . 140 16TH ST Application type description ELECTRIC ONLY Property Zoning,. . . . TO BE UPDATED Application valuation ------------------------------ Application �esc early power `�ermit # 06 33541 ------------------ ------------------- ------------------------------------- ----------------- ------------------------------------- Owner Contractor ------------------------ ------------------------ BEACHES ELECTRIC SERVICES INC. 214 COKESBURY CT. GREEN COVE SPRINGS FL 32043 (904) 629-3182 -------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 300 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/08/07 ------------------------------------------------ Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- -- Permit Fee Total 300 . 00 300 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 300 . 00 300 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Mar 12 2007 10:23AM Last Transaction Date Time Type Identification Duration Pages Result Mar 12 10:22AM Fax Sent 96657372 1:17 3 OK CITY OF ATLANTIC BEACH �r ELECTRICAL PERMIT APPLICATION "Lur,i�r � Lc7 6 �o Date: Property Address• 1 Ll 0 (o s Own er• ��` Telephone#• II • • - SOr Telephone Contractor .�� y� r ( � Contractor Address: 2 ` Fax#• � Contractor Signature: In consideration of permit given for doing a 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: Building Type: ❑ Trailer Service: being done on this building New Residence L3 Temp. t New Or site,list the building Old ❑ Commercial La Signs ❑ Increase Permit number: L3 Re-wire ❑ Addition Sq.Ft. (3 Repair Conductor Size: AMPS: 2 to V COPPER M ALUMINUM (` RACE Switch or W VOLT Z 7 WAY Breaker AMPS OLD PH Q RACE Existing Service W VOLT WAY Size AMPS PH Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets OPEN CONCEALED Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. MPBELL Fixed 0.100 AS OVER TRANSFER A fiances CEILING KW-HEAT Air H.P.RATING H.P.RATING HEAT Conditionin COMP.MOTOR OTHER MOTORS AMPS Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS IJNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http //www ci.atlantic-beach.t7.us Revised 1/04 WTY OF ATLANTIC BEACH iso 800 SENIINOLE ROAD ;? ATLANTIC BEACH,FL 32233 v INSPECTION PHONE LINE 247-5826 ��f1 �1Jr Application Number . . . . . 06-00033550 Date 7/24/06 Property Address . . . . . . 140 16TH ST Tenant nbr, name . . . . INSTALL 2 CU & 2 AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ RIDER, GREGORY P. COOL CLIMATE HEATING & A/C 140 16TH ST 3653 REGENT BLVD EAST PARK ATLANTIC BEACH FL 32233 UNIT 307 ACKSONVILLE FL 32246 (904) 509-3062 -- ------------------------------------------------------------ ------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . plan Check Fee . 00 Permit Fee . . . . 123 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited ----Due--- ----------------- ---------- --- ---------- Permit Fee Total 123 . 00 123 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 123 . 00 123 . 00 . 00 . 00 PERMIS APPROVED ONLY IN ACCORDANCE 'WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA Pf BUMI)ING CODES. CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: o r4-- S� Property Address: J Owner: Pt G' r . Telephone Contractor: _�c� ` M� Telephone#: Contractor Address: ��3 e 2 Contractor Signature: „ In consideration ofmgiven for doing the�work as described in the ab 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 ❑ Gas: LP _Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _ cLI_Recessed central —Floor Residential LlAir Conditioning: Room -'Central Q Duct System: Material -c t I , Thickness ,, ❑ Commercial Maximum capacity cfin ❑ New Building ❑ Refrigeration ❑ Cooling Tower: Capacity hpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads L3 Elevator: __ Manlift Escalator (Number) Ll Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation (No system previously installed) El LPG Containers (Number) ❑ 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 Ul y T ate d rZ v L / G HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving BTU's Agency Number Units Description Model# Manufacturer L.-L Type Liquid Serial Approving TANKS Nominal Capacity yP 9 No. A ency How Many &Dimensions Contained Manufacturer 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http•//www ci atlantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH • � J 800 SENIINOLE ROAD V ATLANTIC BEACH,FL 32233 '-� INSPECTION PHONE LINE 247-5826 06-00032884 Date 4/28/06 Application Number � 140 16TH ST Property Address • • • • ' ' TEMP POLE Tenant nbr, name * ELECTRIC ONLY Application description • ' • TO BE UPDATED Property Zoning . . . . . . . 0 Application valuation . . . . Owner Contractor --- ------------------ _____ ---------- RIDER, GREGORY P. BEACHES ELECTRIC SERVICES I 140 16TH ST 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043 (904) 629-3182 ------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Plan Check Fee .00 Permit Fee . . . . 70 . 00 0 Issue Date . . . Valuation Fee summary Charged Paid Credited ------ -- ---------- ---------- Due--- ----------------- . 00 Permit Fee Total 70 . 00 70 ' 00 . 00 . 00 Plan Check Total • 00 . 00 Grand Total 70 . 00 70 . 00 . 00 Q PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIS FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: jsn) w Property Address: `7 Owner: �-i � Telephone#• Contractor: 1�{� e c x� R `( �( t C- Sur— 11-c- p Tele hone#: - U#0?) Contractor Address: Z) � ! X106 _- qm Contractor signature: --�� In consideration of permit given for doing the wor as in�theabove �herebyagree 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 B ilding: Building Type: ❑ Trailer Service: being done on this building New ❑ Residence ❑ Temp. New Or site,list the building Old ❑ Commercial ❑ Signs t Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair ------------------- Conductor Size: AMPS: 7CPER AT-UMINUM RACE Switch or _ Breaker AMPS U W VOLT WAY RACE Existing Service VOLT WAY Size AMPS H W Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches TAMPS— Incandescent Fluorescent & M.V. s OVER BELL Fixed o.10o AIvIP TRANSFER. Appliances CEILING KW-HEAT Air H.P.RATING H.P.RATING HEAT ConditioningCOMP.MOTOR OTHER MOTORS AMPS Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS IJNDER600V 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 Revised 1/04 Graham Shirley From: Graham Shirley Sent: Tuesday, May 16, 2006 10:00 AM To: 'CRAVLJ@JEA.COM' Subject: Inspections Atlantic Beach Lori , 140 16th St passed temp pole inspection 06 32884 5/9/06. Thanks Shirley i HP dfficejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 May 16 2006 9:06AM Last Transaction Date Time Type Identification Duration Pages Result May 16 9:04AM Fax Sent 96654470 1:08 2 OK tF ar1,{�V r' NOTI Log for Information Systems r` 904-247-5845 o w OF FpA RT�� May 24 2006 2:14PM ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE U L Ok S l . 61 t I O b Duration THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made 1:23 2 OK before the job will be accepted. 0efZ_ MAY 0 0) 2006 E4435.00 REINSPECT FEE 0 NO CHARGE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover to cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have BLDG been made contact the Building Dept. ELEC at 247-5826 for an inspection. Office MECH hours are Monday through Friday PLMG 8:00 a.m.to 5:00 p.m. Graham Shirley-- From: Graham Shirley Sent: Wednesday, May 24, 2006 2:11 PM To: 'Craven, Lorie J.' Subject: Atlantic Beach Inspections 140 16th st Permit#06 32884 passed inspection 5.9.06 Temp Pole. i ,5 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00032906 Date 5/02/06 Property Address . . . . . . 140 16TH ST Tenant nbr, name . . . . . . 22 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - --- --- ----- ------------- - ---------------------- RIDER, GREGORY P . PLUMB-PAL, INC. 140 16TH ST 1728 SABLE PALM LANE ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-8856 --------------------------------------------- ---------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . 189 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ---------------- - -------- -- ------- --- ---------- ---- Permit Fee Total 189 . 00 189 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 189 . 00 189 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING Q01QES. BUILDING OFFICIAL i=-^�'i;y, CITY OF ATLANTIC BEACH j PLUMBING PERMIT APPLICATION yr Date: 7 Property Address: % VC) f S Owner: , {n Telephone#: Contractor: -� - n- — u^� Fr p� r—f- Telephone#: z`� ' 3 B s Contractor Address: t 2 2 Sid C F 62t, t - Fax#: 2 Y Z 6 o 1< 3,C-,.<< Fc. 3 zi 5' Contractor Signature: In consideration of permit given for doing the work as described in the above stat6ment,we hereb gree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accord e ' 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, 2---New list the building permit number: ❑ Re-Pipe -3 s Number of Fixtures: 2 Bath Tubs Z Showers 3 Closets Shower Pans Dishwashers 2 Sinks Disposals Urinals Floor Drains r Washing Machine Lavatory r Water Sewer Water Heaters C) _ Sprinkler System 0 Other Fees Permit Issuing Fee: $35.00 Total Fixtures: JA- X$7.00 + $35.00= 800 Seminole Road•Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845. http://www.ci.atlantic-beach.fl.us Revised 1/04 �J0VVe ; /J0 p/a•7-C w ava.,'/,LL/c 041' -fie hoAts'-e o� gas 1W. Ce was a- �� SGa�� hO/tS' Z CAae-jee �✓�v! s�i1� oL !fie /Jew hou,SeJ �/us /fie PaG�'o sin/c . // WATER IMPACT FEE WORKSHEET p ADDRESS: D RAI NAG E FIXTURE UNIT Fl,URE TYPE VALUE AS LOAD FIXTURES UNITSS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 1 Bathroom group consisting of water closet, lavatory. Bidet, and bathtub or shower 6 Bathtub (with or without overhead shower or whirlpool I , attachments)F2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountairiAcemaker 'Y Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower com artment domestic 2 Sink 2 Urinal 4 a Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 W ater closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPLIED X 20 I TOTAL$ o ° r zz . 0^ o g 5b ° .S.M. ps ^ z S qab to re �" 5 Eo 5 fi b y P.'0 v •J v v 'o•0 5 w o r o o• o ^ [V y `Y 0.v v cv v `3 n 0 •o � o o.�P n ^ O Cs1 vo -� vv vv �[jw w ti� F m c.inor'v.o`o° o m� �•e 'y^.o� L Z C A n ^ :,y�*]m n �^ ^ ac � m .7 o UFFg •J ma J D.d d � y^p 'J� q �� T A "� Fm Z tie m n c g `° e•m o ° 0 0 0 ° CA � ��aF'� C7 m c oa�°o ° " ° ° "WI5 5 -jtrit�vcF. o 6 a a .1 IM $5 w o ^ 000a � g bZOO 0 0 n o o c o o ° OL o° m o y S-J£i P P'•J m S'J S•J ^ p O CTI rn _= a ITI ^' P .J Cyryl r zzzzzz z`Z`z\ zzz` x\ x z zzz%Z`z\ z z z z z`z n' z t, 0 0 0 0 0 0 0 0 0 0 0 0 0 o O o 0 0 0 0 0 0 0 0 0 0 0 (V 1 zzz zzz zzz zzzz z z z zzzzz zzzz aaa aaa aa'a,_ aaa> a aaa'aa as Oo J O.to A W N...• �O Do J T to A W N r 0 J D\U A W N r I17 O O P m nma�r^ svg ro o o m 5 5 "q 5' �.cr'0.°p.' 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N y S J x S a O Q f0 07 C)Ctl by G7 W b7 Ctl •J �, nn nnn n C) nE on. o oow� o2 m www www pop f �a$N y•'o v'nMw " iJrr r� nq� a» A 0 W n A �GZz o00ozzzZ �^�r^i. wymwC` m y\` a^i �Mr^ w .o wy w w w o z zzz zzzzzzza az azaz'zazazazz>azzz zzazzz»>zz zasz aaa aazz'z zazz z a CITY OF ATLANTIC BEACH PUBLIC WORKS DEPARTMENT 1200 Sandpiper Lane J Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVffEW COMMENTS 1Pe>rMit Application # Property Address: _14b .. 0 Applicant: Project: ' Your application is approved as noted by the Public Works Department. Mnal application approval must co ue frow the ]Sa HdinngDepairtmrmemmt. o' ,Your permit application has been reviewed by the Public Works Department and the following items need attention: 4Need to provide drainage plans showing how the pro ll be graded to the rention areas (flow arrows) . ovide erosion and sediment control plans with details ovide impervious calculations (pre and post development) document percentages used for on-site storage lculations. ainage and site plan show lot on nort��side of 16th reet. Survey and street numbers say �Outh side oreet. merock for retention pipe bedding ill lose capacity over time. Use harder stone (57 stone) . / 61W�V,t/ Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. if you have any questions,please call (904) 2475834. Reviewed b R' _ er, P.E., Public Works Director / Date Signature Contractor Notified Date 02 y 7-(1,251 iI, -11,x,* C CITY OF ATLANTIC BEACH sit DFoa BUILDING I ZONING DEPARTMENT . S 800 Seminole Road S. Doerr J Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us MAR 2 2006 PLAN REVIEW COMMENTS gg Permit Application # i3y ---s / Property Address: Applicant: 1 ��V l`�' -D 0-2, U-Li 01 Project: l C This p:Approved it application has been: 0 Reviewed and the following items need attention: Please re-submit y ur plication when these items have been completed. Reviewed By: _ `-ter- Date: lJ 3 Date Contractor Notified: S A W N r 0 P W.4 a U A W N O N r C b O wv e "gym O .= "'CCC .CCN C CtCp� `?y o y� �c c.��d n p o N 0 y^,y a y t"w n> r y e w as r y w N, °° 0�•a m .. moo...prR o m ."m- 0 o m o005'o o n w 7n_. c°i E w cwt c , .°„ tio °o. ..o O a�ao '�z4� g L1 �m 7 y c -°i »� y m 00 0^ 0.00 5 o Qg o ty m 'v m o io o E pp 5 E 0 5 w G 2 L 7 o o p c J S o y G7 m 5 'm -• 7 y j m m 0 0 0 y m 7 7 N n m y F m .d n r C] CJ o n°.'2 (")5 <o er n�', 0 a 0•$ o o z_— ° M o c m 3 " n o'O o o tr,o pop 3. a pp�.g y o c n gog m^T""o� Popo. o 'Jo°�zr 5• N. � 7�m'm0 °< Wi°n�o ° Swo pT�cB o ° o C�c�Q 00 p Oy p n o v ...S ° 0 o S 8 0 -Oi O' 7 7 O N A O p 7 O N ^ Q£ 7 �H O ° W 4 �0 ,a yOm O O- C r A 0 N W61^„�� p A�y C3 mN 7 r•W= ,°,� N N V 800 R 9 O N N m p ►m7 ,uN1 O O O 00 N N N v O v0� 5. m m 50 o E o N �. m p -o: m R y m O O O ct a w pp m 0 0. o w 5 N � R R N 1 � n o o rn rn coo 0 o ry o two o ry o o n nnnnhi o.o 0 0 0 0.m m m . . m m m m mm m m m m m . m CoOCCO\X%z`` Nl\ oOo`o `z o`O�:zoz,`\ onm nm%nm`oI\ OzO O O Zz ZZ z zzzzzzzzzzz zzzz zz zzzz zz zz zzzzzzzzz zzzzzz zz a >'a>aaa'aaaa>�>'a>'a » >a'aa a> a'a a'aaa>aa>a >aaa'aa a> S S O 4D�DU7a4DC0at.�(�,4rz oP!v> p.1 N o o,`-o.-.? 5' o o o o •o+ rn rn n °7 o y 5'o 0 0. O N FnY'OO OD O N .m..A'7 `q W C O 6 5.7 T]p' y 0 0 — 5 o g m m 5 0 m �•=^° �° o n n 5. 5'o' o 2'O q °o c o m p rn N '••)d O.-. `"d m m y o 7 N A 5 N � m CL r" N C O C ? �r O N Sp R -w.7..O o vi w C O 3 x'000. c a : 00.x • 'fl 5 a 9 9 -°i o '" 4• y c. 0'� o- ? n o.v'a nv,45'y�e $ o ego 7 �5 m m � 0 0 5 0 n o^ 5'o Q 00 0 w m p x y ° 0 0 m � a 3 g3 0 °o a o'o_ �o y' o:m -' c.n' w c 0 0 cy N m�05^p co0n 55�7c m6G'"''pE. eyo0�o.50�'J.0N'mm o nn.Nm.'N_°,°nR,o5vd m5ca.'m63E�jppa70qi•�Ero 'J pm�E tiy c`•O o y '.wN�N OE• v�0°<Gm0 yopnmF. 5rn°mo, .o 0 No Tf a c oO 0 oop oa R o' mnz " •c F.o U0'�G°��° ,. no97 o' °w y mIr N ° 'n ? 00 m N d a n o 0. o $. o 0.0 5' ° TI. O N O C N ? G p N m R �y� R ,y w �• tv R J �C• n A m(\\o bp1yvi\ (wcWvAi vA[i�w`ya (a m !°a tie vii zz zzzzyyyzozzzzzfAi�Czm ywC�m\ o O oo O Ot�I+ 0 o Z z iz z z z z z . z z z zz zzzzz zz zzzzzzzz z z z z z a > a a > a > > » aaa> as aa`>a>a> > a > > CITY OF ATLANTIC BEACH PUBLIC UTILITIES DEPARTMENT rJ r� 1200 Sandpiper Lane Atlantic Beach,Florida 32233 (904)247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Property Address: 1 -to Applicant: �-- �Qy �' I r l� If yl Project: r ` W T-1 Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ❑ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions,please call (904) 247-5834. Reviewed by onna Kaluzniak, Public Utilities Director Date 3 0 Signature Contractor Notified Date fa-,,,( 3/3)/oL CITY OF ATLANTIC BEACH l�A.V_Irm P", 800 SEMINOLE ROAD \9 "' l ATLANTIC BEACH, FL 32233 r INSPECTION PHONE LINE 247-5826 3 Vii' Application Number . . . . . 05-00031823 Date 12/16/05 Property Address . . . . . . 140 16TH ST Tenant nbr, name . . . . . TREE REMOVAL Application description . . . TREE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ----------------- - ------ ----------------------- RIDER, GREGORY P . OWNER 140 16TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ------------------------------------------------------------ ---------------- Permit . . . . . . TREE PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee .00 Issue Date . . . . 12/16/05 Valuation . . . . 0 Expiration Date . . 6/15/06 ------------------------------ ------------------------------------------ Special Notes and Comments EXTERIOR ZONE REMOVE 4-10" CHERRY LAUREL, 2-6" CHINESE BERRY Fee summary Charged Paid Credited Due ------------ ----- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total . 00 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH `( b TREE REMOVAL APPLICATION l / 1 All applications must be submitted with seven k?7 -copies and received by 5:00 p.m.on the Friday ten(10)days prior to the scheduled meeting in order to be placed on the agenda. INCOMPLETE APPLICATIONS OR INACCURATELY MARKED SITES WILL NOT BE PROCESSED. APPLICANT NAME ADDRESS TELEPHONE 2. ADDRESS OFt LEGAL DESCRIPTION OF TREE REMOVAL SITE (IF LEGAL DESCRIPTION,LIST CLOSEST CROSS STREET) 3. REASON FOR PROPOSED TREE REMOVAL: rL �T 14-e-S �o (,Q- 4. HAS THIS SITE BEEN TO THE TREE BOARD BEFORE? YES NONOT 5. SITE PLAN/TREE SURVEY indicating: a. Existing and proposed structures. b. Location of utilites and easements as applicable. c. Location,species and size of all trees with Diameter at Breast Height(D.B.H.)of six inches or more. d. Location,species and size of all trees to be removed should be clearty marked with an"X". e. Location,species and size of all trees to be perserved on-site for replacement must be marked with brackets"(}". f. Location,species and size of any proposed new replacement trees marked with a circle"0". g. Location,species and size of all trees to be preserved on-site with barricading at tree drip line noted. 6. ON-SITE REQUIREMENTS: a. Barricading at tree drip line of all trees to be preserved. b. Address/legal description must be posted in a conspicuous manner on site. c. The property comers must be marked by stakes or paint indicating the lot. d. All trees identified for removal MUST by marked on-site by RED/ORANGE flagging,paint ortape. e. All trees to be preserved on-site for mitigation MUST be marked with BLUEIGREEN flagging,paint or tape. 800 Seminole Road,Atlantic Beach,Florida 32233 Telephone(904)247-5800 Fax(904)247-5845 1 of 4 8.LIST TREES PROPOSED FOR REMOVAL: DIAMETER` OF TREES SPECIES INTERIOR ZONE" EXTERIOR ZONE" APPLICANTS COMMENTS OFFICE USE ONLY Ick} J 9.CHOICES FOR REPLACEMENT: Pick one or a combination to compensate for trees removed: 1. Plant new trees on site 2. Pay money into the Tree Fund at$117 per inch 3. Protect(save)other trees that qualify and mark trees to be protected on site List,by inches,each Vee in the appropriate column in the form provided below: SPECIES DIAMETER OF TREE PLANT NEW TREES PAY INTO TREE FUND PROTECT I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23,ARTICLE II,TREE PROTECTION,AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF ATLANTIC BEACH. ;e, tSigt.,e�Z Date Date Tree Conservation Board Chair Date 'Diameter at Breast Height(D.B.H.),n measured at 4.5 feet above grade.To accuratey determine diameter,measure the trunk circumference and divide by 1.14.Diameter of mutti4runked trees is determined by adding together the diameter of each trunk as measured immediatey above the forks. "Intenor Zone: outside the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous per) 4 of 4 "Exterior Zone:within the 20 foot front/rear setbacks and the 7.5 feet side setbacks(see diagram on previous page). MAP SHOWING BOUNDARY SURVEY OF LAT 13, BLACK 63, ACCORDING TO THE PLAT OF "MANDAL.AY" AS RECORDED IN PUT BOOK 10, PACE 11, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. CERTIFIED TO: GREGORY RIDER, KATHERINE RIDER, OLD REPUBLIC NATIONAL TITLE INSURANCE COMPANY. GIBRALTAR TITLE SERVICES AND MERRILL LYNCH CREDIT CORPORATION. i (7f 5.71¢/c�T sY Pta 1- A:I� V ,�LWaaY'/wrfr-nF+/+^ t-S pf �01 /se(a) isa.oe(.�)�� i�:..ir'F w •. nr��ww.� IR /'.j."/./ 60',¢.7 ieo C?) aT' .PA` .r• ,e!'tv R/W[.vE a., .' �� i e.eo �o L l' •z.e.sfwe" � 8[ocJ�C �3 ej ; ..J• ••fs-siee 2 .;tGJ.c.S..,e✓:' � 9O r.f 'w arunw`'�.�r �`o tr•• t.�asrw in 1 0 71 ..?} N crwJJ4 .'4••• -,rno�F w s.r' ///8-- vl 8. �s •.v 1- Q �,.ro uvEs b J •.,i .8 • is' a� C/ lvv Ca J /,yn/CaV) S� �/ So.�7�H, !K«6il)te Cap 1 [oT 9 • B L c A G 3 ,vcrcS: /) dLL Fft/CES',SJOWA/SCG GH.dr/J LK/K EXCfP'�W[rEP.� /.,lDKw7crD ��`�W Z) FE.a/CG TIES ACC QMd`e F,alE OF FgR(CG. �) ,ALL TIES SKON.a/ARG To PR_",5a `C Lr1/ES">uL ESS MlOiGs'>•G[7 pTN6><w/SC- E Y GENERAL NpTE•� �c..s svcvc✓ P V O9 1. N66-ME91l�.gF' A"raccs efr o.•.�i J S 2.STRUCTURE N I /4o 910M1 HEREON UES o1TF11N FIODD ZONE��A�BEST 5 DETER .FROM F.E.M.A FLOOD YAPS PANEL N0. ASSOCIATED SURVEYORS INC. 3.pis AND �+��T D»THE E ET�U a�FOOTINGS - PIPES t ENGINEERING SURVEYS 4 JURISDICTIONAL AND OR ENVIRONMENTALLY SENSITIVE AREAS F ANY,NOT w ` 3846 BLANDING BOULEVARD LOCATED BY TMS Y. t JACKSONVILLE. FLORIDA 32210 5.THIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PUBLIC .t 904-771-5468 RECORDS WERE NOT SEARCHED BY THIS SURVEYOR FOR EASEMENTS. TITLE.COVENANT.RESTRICTIONS.CLOSURES,THONGS OR ORDINANCES.ETC. /J O S S y cERTIFTCATE OF AUTHORIZATION NO. LB 0005488 THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL. 6.UNLESS OTHERMSE STATED ALL IRON PIPES FDUNO HAVE NO IDENTIFICATION. HEREBY CERTIFY THIS SURVEY WAS DONE UNDER MY LEGEND/AORIEVIATIOM• DIRECT SUPERVISION AND MEF_-TS THE MINIMUM TECHNICAL C SET IRON piPE OR REBAR P.C.-POINT OF CURVE BTN.-BETWEEN STANDARDS FOR ',FWD S:JNVEYING PURSUANT TO CHAPTER ••ASSOC.SURVEV' oR R.Bs488 P.T.-POwr OF 1ANCREVERSOW.Y (CHO)-CHORD 61G17-6, 1011 ApI:INI5TRA110N CODEp 2, F.S. : F�IRON W. N O�a�E�c�.) P.C.C.-PPOOINT INT OF COMPOUNEOE CURVE X CROSS CUT OR DRILL HOLE C/L -CENTER LINE R/'W-RIGHT OF WAY BY: DING TIE (R) RECORD L - ARC LENGTH GONG.-CONCRETE B.E.T. LEAVE TIE R -RAOIUS (M) - MEASURED ASC -Nft CONORgNFR ( ) - CHARLES B. HATCHER FLORIDA CE .3771 _ yVM -WATER METER UP=`�A IIOR CHARLES L. STARLING FLORIDA CE .4579 pAv.-pFFrAkL REOCOVENANTS kORREStREC11ER5 p.EO. -P00.EOI1PWERR RAYMOND J. SCHAEFER FLORIDA CE .6132 PRM-PEIa1JWENT"GURWE wommM -o.u.-LINE -OVER HEAD UMJTIES JOB No. •1707/ -_ DATE 7G✓✓c.,Z0o3 EJ ELECTRIC- �ELECTTRIIC-TRRNlSFORMERN&PAD VJ-W W.RE�fENCE NE.BO-ELECTRIC BOX s7 fF REF.COR.-REFERENCE LDIRNER SCALE: /"=?o' GRAFTER J.Ea. - E�Crtat JU010� NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA UCENSEO SURVEYOR AND MAPPER P kk Predevelopment calculations/measurements Concrete: A: (measured rectangle) (3. 5X�� B: (measured rectangle) �� 3��3�'S)' C: ) ( 9 rectan le �/J'�>Cy1,0> ��9•� D: (measured trapezoid)�6.g 6 3•a� + Z E: (measured rectangle) O-vo.0> `9 0 F: (measured triangle) �2 �X = 7.0 G: (measured trapezoid) (7. 7-1)(2-q• Z H: (rectangle) �/. yJ'�3•S) Structure: 2 a: (rectangle) (/0• b: (rectangle) sg�C' ».7� - la-3. 9q;. � C . c: (rectangle)(,2 .N) C' 3•>> = 57 _'� d: (rectangle) (x 1. 2.� /7 '7 t�/•S� = 6 P9.0 3 6 3.3 yff 6000 7�t CITY OF ATLANTIC BEACH tD. Fo f BUILDING 1 ZONING DEPARTMENT �-, s� 800 Seminole Road S. Doerr ' Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # hco r Property Address: Applicant: D L T�>-Vl V 1 -:5-- n v Project: P V 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: 471'-(2 6 Date Contractor Notified: Containment Requirement Calculations: Vpre= ro osed= L. 'fig (Soon V P p 17- 7/_t Z3/_t Vproposed-Vpre= Got Pro xfrltration System consists of four:12" perforated HDPE pi es el 6" apart suspended wi me rock bed er the pipes) bound by non-woven fabric cont ' ' an e n measuring 20'X6'X2' installed so that t e uppermost ry is no less than 1' below grade a lower boundary ' be ow grade. (see drawing) System Calculations: Pipe internal volume= Pipe external volume= Free space within gravel bed= Total free space within system= Proposed Retention Area consists of a 15'X5'X6" dry retention excavation, soded, located adjacent east to the proposed driveway. (see drawing) Retention Calculations: Retention volume= S' X/ = 7 Total Containment= 77 -Jill- � CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Date 3U c�{ Permit Number / � 3 Address �/ �� 1/ Contact Name cel— Phone ??ZZZ Heated Square Footage @ $ per sq ft=$ Garage/Shed @ $ per sq ft=$ Carport/Porch @ $ per sq ft=$ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total Valuation 1 sc $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: + '/2 Filing Fee $ FLOOD ZONE: ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: AB CONSTRUCTION SURCHARGE $ CAPITAL IMPROVEMENT $ CITY RADON SURCHARGE $ SECTION H IMPACT FEE $ SEWER UAPACT FEES $ Al A SEWER TAP FEES $ Az.--A ST CONSTRUCTION SURCHARGE $ STATE RADON SURCHARGE • $ WATER CONNECT/M.ETER ONLY $ WATER CONNECT/TAP&METER $ Al EE WATER CROSS CONNECTION $ -, WATER MACT FEE $ YWO OTHER $ GRAND TOTAL DUE: $ 1/13/03 SS CITY OF ATLANTIC BEACH r . s:J yr PERMIT CALCULATION SHEET Date y" l0 ' G Permit Number Address i sig /4, `L ST� -U(F i°G�4CE �,r� Fie, Contact Name J )r A&) hok u( S Phone a 3 7 1 2- Heated Heated Square Footage 0 2 @ $ per sq ft=$ Gara a Shed 335 @ $__�Per sq ft=$ J ' Carport/ orch z/0 Z @ $ j(L -Per sq ft=$ Deck qo # $ Per sq ft=$ a Patio @ $ per sq ft=$ TOTAL VALUATION: $ YJ-6 Q 0 0 y �0 d00 $ Total Val tion I Sl $ Remaining Value $ per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING:O +1/2 Filing Fee $ _ FLOOD Z NE: — -- (1)Fireplaces @$35.00 $ 3 MERVIOUS SURFACE: S-0 7L AB CONSTRUCTION SURCHARGE 3o t $ CAPITAL IMPROVEMENT $ - 0 CITY RADON SURCHARGE 16 72 $ _ SECTION H IMPACT FEE $ SEWER IWACT FEES $ _- SEWER TAP FEES $ --Q ST CONSTRUCTION SURCHARGE A6 $ STATE RADON SURCHARGE J-7 3- $ - WATER CONNECT/METER ONLY $ �© WATER CONNECT/TAP&METER $ © '- WATER CROSS CONNECTION $ 3s-o WATER MACT FEE $ `�;-0 .0 d OTHER $ GRAND TOTAL DUE: $ 1/13/03 CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FL 32233 Zf INSPECTION PHONE LINE 247-5826 Application Number t06-00033685 Date 8/14/06 Property Address 146 16TH ST Application type description4ECHANICAL ONLY Property Zoning . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------------- Application desc INSTALL LP TANK -------------------------------------- Owner Contractor ------------------ ----- FLORIDA PROPANE PARTNERS DBA GRIFFIS GAS & MACK GAS 5350 BATLEY ROAD JACKSONVILLE FL 32210 (904) 771-4365 -- ------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 139 . 00 0 Issue Date Valuation Expiration Date . . 2/10/07 ----------------------------------------- Fee summary Charged Paid Credited Due --- ----------------- ---------- ---------- - Permit Fee Total 139 . 00 139 . 00 . 00 .00 Plan Check Total . 00 . 00 . 00 .00 Grand Total 139 . 00 139 . 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 j t =' MECHANICAL PERMIT APPLICATION Date: Property Address: Owner: Telephone#• Contractor: Telephone#:7S N:-7z' SC, 6 Contractor Address: FaxS< - Contractor Signatu In consideration of permit given for doing the wo 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. If other construction is being done on this building Type of Heating Fuel: or site,list the building permit number: ❑ Electric a--6as: LP _Natural Central Utility Q ❑ Oil ❑ Other–S ci MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central —Floor Residential L3Air Conditioning: _Room _Central L] Commercial Ll Duct System: Material Thickness Maximum capacity cfm U/gew Building ❑ Refrigeration ❑ Cooling Tower:Capacity fpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalatorbe=) Pf❑ Replacement of Existing System Ll Gasoline Pumps (Number) ,,l ew Installation ❑ Tanks (Number) (No system previously installed) G Containers ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ ers ❑ Other-Specify Gas Piping ❑ Other–Specify LIST ALL EQUIPMENT Approving AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Ton's Agency Number Units Description Model# Manufacturer Approving HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S BTU's Agency Number Units Description Model# Manufacturer Serial Approving TANKS Nominal Capacity Type Liquid No Agency Contained Manufacturer How Many &Dimensions ' 0—v r} �' h 800 Seminole Road•Atlantic Beac ,Florida 233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http //www ci.atlantic-beach.fl.us Revised 1/04