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160 15th St (vault) .roB ADDRESS I to� F, TYPE woRg � �<> COYCt i o PROPERTY o wNER YY16�r a res- TEI.EMONE coNrRACTOR M.F.PHONE PERMIT MYMBER DATE INSPECTIONS: FOOTBVG SLAB TIE BEAM LEVY EL N,gILING�SHEAT�VG FRAMVVVG11COVER ITP INSULATION FINAL BUILDING -1- �- C RTMCATE OF OCCUPANCY L z l ELECTRICAL PERMlI#_ 'l'� O f INSPECTIONS ROUGH FINALLA MECHANICAL PERWn c INSPECTIONS ROUGH Z_ FINAL PLUMBING PF UjM ETSPECTIONS ROUGW/DNDER SLAB TOPOITT TVA FINAL �- NOTES: CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD r} ATLANTIC BEACH,FL 32233 J V INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000713 Date 6/29/09 Property Address . . . . . . 160 15TH ST Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 38200 ------------------------------------ Application desc NEW POOL ------------------------------------- Owner Contractor ----------- ------------------------ BLUE HAVEN POOLS & SPAS MOSS, COL. D. R. 12041 BEACH BLVD 160 15TH STREET ATLANTIC BEACH FL 32233 STE. 20 JACKSONVILLE FL 32246 (904) 620-0090 -- ------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc Plan Check Fee . 00 Permit Fee 70 . 00 . Valuation . . . . 0 Issue Date . . . . Expiration Date . . 12/26/09 ----------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. REQUIRED INSPECTIONS: *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) Pool -- Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . Roll off container company must be on City approved list and cannot be placed on City right-of-way. --------------- -_-------- ----------------------------------------- ------ _______ -- Fee summary Charged Paid Credited ----Due--- ---- -- Permit Fee Total 70 . 00 70 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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 08-I I ,a 800 SEMINOLE ROAD;ATLANTIC BEACH,FL 32233 l OFFICE:(904)247-5826*FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY I'2.,IS THIS SUB PER ONO YES PERMIT#: O CO /� Q OPERTY OWNER 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: L--- 200 - 121 8 ECTRICA•`f: �` 7.NAME OF COMPANY: /n� 8.ADDRESS.: �f v FAX NO.:r 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11. 2 Gc 0 12.EMAIL ADDRESS: HONE: 14. 13.OFFIC P 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not com nced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at me after work is raced. 3 CONTRACTORS SIGNATURE: ETE tt SS OF W01 ESIDENTIAL ❑MULTI FAMILY-#OF UNITS: ,SINGLE FAMILY ❑TEMP SERVICE [ICOMMERCIAL ❑ADDITION ❑TRAILOR .9 M m,.. '., " a..��, ❑ALTERATION ❑SIGN LD ❑NEW [3'05 NATIONAL ELECTRICAL CODE ❑REPAIR 0 POOL/SPA ❑REWIRE 0 OTHER: 20.TYPE OF SERVICE: 0 OVERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: #OF AMPS: 25.FEEDERS: #OF AMPS: #OF 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI LY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: SWITCHES: 0-30 AMPS:--- 31. 31-100 AMPS: OVER 100 AMPS: mom #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING AMPS: HEAT KW . MM 3 MPTORS ?a " NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: DESCRIBE IN DETAIL: ►,V1 IAV► � � V J COAB FORM BLOG02:REVISED:1/10/2008 HP Officejet 7410 Log for Personal Printer/Fax/Copier/Scanner Information SystemsCITY O 904-247-5845 Jun 29 2009 9:15AM Last Transaction Date Time Type Identification Duration Pages Result Jun 29 9:14AM Fax Sent 98219778 0:25 1 OK CITY OF ATLANTIC BEACH s} ` 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000713 Date 6/01/09 Property Address . . . . . . 160 15TH ST Application type description SWIMMING POOL/SPA Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 38200 ------------------------------------------ Application desc NEW POOL ----------------------------------------- Owner Contractor ----------- ------------------------ BLUE HAVEN POOLS & SPAS MOSS, COL. D. R. 12041 BEACH BLVD 160 15TH STREET ATLANTIC BEACH FL 32233 STE. 20 JACKSONVILLE FL 32246 (904) 620-0090 ---------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 225 . 00 Plan Check Fee 112 . 50 Issue Date . . . Valuation 38200 Expiration Date . . 11/28/09 ---------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. REQUIRED INSPECTIONS : *POOL STEEL *ELECTRICAL GROUNDING AND BONDING *FINAL (PUMPS MUST BE RUNNING FOR FINAL) Pool -- Wellpoint (if used) must discharge into vegetated area 10 ' minimum from street or drainage feature (swale, structure or lagoon) . Roll off container company must be on City approved list and cannot be placed on City right-of-way. _____ _ _ ----------- Other Fees DEV REVIEW-SINGLE & 2-FAM 50 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- - Permit Fee Total 225 . 00 225 . 00 . 00 . 00 Plan Check Total 112 . 50 112 . 50 . 00 . 00 Other Fee Total 50 . 00 50 . 00 . 00 . 00 Grand Total 387 . 50 387 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Ll BUILDING PERMIT APPLICATION F�- Ozl Y kJTY OF ATLANTIC BEACH 800 Seminole Roadr ,Atlantic Beach FL 32233 vcon ,';St � Office: (904)247-5826 • Fax: (904)247-5845 r U R Ao ob Address: f( � / � s�rc,e Permit Number t C•r7 v A ,egal Description 14 /3 B lw-k 60 m et w&&,c' ®'8 /D Z&// I Lai 4 0 Valuation of Work(Replacement Cost) $ 0,7, Zoe Law G4 W • Class of Work((Circle one): New Addition Alteration Repair A C ■ Use of existinglproposed structures) Circle one): Commercial 'dentia y "'" '°" ■ If an existing structure, is a fire sprier system installed?(Circle one): Yes o N/A ■ Is approval of homeowner's association or other private entity required?(Circle one). Yes No )escribe in detail Dthe type of/work to be performed: (�! /"DUrI�( C�Un iTG Jw�`h�.rrrA00 'roperty Owner Information//// lame: ,FOCI i? Tr/-,5`i �D&0 tea- Address: 14100 16')" S-IrC-r-� :ity f a i G State FLZip 3223 3 Phone 71,10 - 02,0? o r Z,00 -12-?o ontractor Information: / lame of Company: 84 a� Aa,✓e Q�ls ����s Qualifying Agent: j� n4 e,�k M. 0 AIK / address: /zo l{/ t3 ea cls- I3/vid #Za f—City 5 ✓i Ile-State FL Zip J u 6 b )ffice Phone 070 c/- (o Zd-o 04D Job Site/Contact Number /36b 'tate Certification/Registration# -1 j(5 4 7(P5 Office Fax# krehitect Name &Phone# ?ngineer's Name&Phone# Ipplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or 'nstallation has commencedprior to the issuance ofa ermit and that all workwill be erformed to meet the standards of all aws regulating d of six (6) months at any after work is construction in this jurisdiction. This permit becomes null and void work is not commenced within six(6) nonths, or if construction or work is suspended or abandoned for a perio 'orrcmenced. I understand that separate permits must be secured for Electriccad Work, Plumbing, Signs, yells, Pools, furnaces,Boiders,Heaters, Tanks and Aar Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM N4ENCEMENT MAY ?ESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 3EFORE RECORDING YOUR NOTICE OF COMMENCEMENT. hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of 'aws and ordinances governing this!ge of work will be complied with whether specified herein or not. The granting of a 2ermit vii iivt pre."iume to give aut,.ority to violate or cancel the provisions o✓fRny ether federal, ,State, Or lOCa law ,egulating construction or the performance of construction. 'ignature of Property Owner: Signature of Contractor: ,/�/ , 'worn to and subscribed before me J Sworn to and subscribed before me his +- Day of 1144V Z o o 13 = this � Day of M,4 Lc o gotary Public:` Notary Publi sp;;� •,, KENNETH M. Notary Public State of Rorida' �;= Commission DD 723 •: _* Commission#DD 612087 Expires January 26,2!0812 ��. �' My Commission ExplresNov.6,2010 REVISED 03.05.07 �OF°c�`BondedThruPichardinsurance %'l;'•rf•�y!•`� Wded Thru Troy Fein Insurance 65�7019 This Space Reserved for Cleric's Recording NOTICE OF COMMENCEMENT This Instrument Prepared by: Name: North Florida Pools,Inc.DBA Blue Haven Pools& Spas Address: 12041 Beach Blvd.,Suite 20,Jacksonville,FL 32246 Telephone: 904-420-0090 Fax No: 904-620-0206 STATE OF FLORIDA COUNTY OF 01)V&/ Permit Number Tax Folio Number /7/ 66 —D000 The Undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. Legal Description of property being improved: Lot /3 04K/04 Subdivision !! Plat Book D Page // County Dv✓L Street Address City, State,Zip �'1, �iG Sec c4- 32L33 2. General Description of improvements: In-Around Concrete Swimming Pool 3. Owner information: Name(s) Den jifTRiS0 11v4.Goew Mailing Address_ I&C? 16'Y-A- City, State,Zip V104i C-A%&c-A 32-2,33 Interest in Property: Fee Sim lie Name and address of fee simple titleholder(if other than Owner):N/A 4. Contractor: Name: North Florida Pools,Inc.DBA Blue Haven Pools& Spas Address: 12041 Beach Blvd., Suite 20,Jacksonville,FL 32246 Telephone: 904-420-0090 Fax No: 904-620-0206 5. Surety: Name and address: None Amount of bond: None 6. Lender: Name Mailing Address: 7. Person(s)within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7,Florida Statutes: Name,Address&Phone# 8. In addition to himself or herself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes:Name,Address&Phone 9. Expiration of Notice of Commencement. (One(1)year from the date of recording unless a different date is specified) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. X — — Og Signature of Owner or Ow er's Authorized Officer/Director/Partner/Manager Date Signatory's Title/Office: Owner The forgoing instrument was acknowledged before me this `- day of IV/f V y00 9 By VA A/ l4 o t-L o WA y as Owner Name of Person Officer/Trustee/Attorney in Fact For N/A Name of Party on Behalf of Whom Instrument was Executed Known Personally or Identification was provided Type of Identification KENNETH M.QUINTAL Notary Public Signature ,,; Commission DD 7237782 ,tZAII NETh' 11f. Q cl an!rif L- ;• Expires January 26, d u.-To Fain kwumm Notary Public Printed Name Commissi VERIFICATION PURSUANT TO SECTION 92.525,FLORIDA STATUTES. UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. X �h 4j--� - Signature of Person Signing bove Doc#2009122020,OR BK 14883 Page 1710, Number Pages:'I Recorded 05/22/2009 at 01:01 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 MAP SHOWING SURVEY OF: LOT 13, BLOCK 60, MANDALAY AS RECORDED IN. PLAT•.BOOK 10,. PAGE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 0 N II FIFTEENTH (15TH ) STREET w 40' RIGHT-OF-WAY Q 0 V) (47. 2FIELD) FOUND-'X" CUT FOUND 1/2' IRON C- ONCRETE WALK49.00 1 IIN CONCRETE 142.90' BY PLAT PIPE (I.D. ILLEGIBLE) FOUND 1/2" IRON 0.3' (141.96' FIELD) PIPE (LB 3848) ,7 9• Fe WATER METER -J OUND 3/8" IRON w C5 S0, �, a OD (NO CAP) L� �� 3 1.2' SOUTH or co 0 � U G7 O U BRICK PLANTERLd 7.4' 4.4' 14.s 7.2' 0 a Q ~ 0.3' o rL X o N a N ❑ O �i z U d i w O \ 14.0' O !�j O ONE STORY BRICK N (D W O & FRAME p- m p0 RESIDENCE �o LOT 12, BLOCK 60 LOT 14, BLOCK 60 0 NUMBER 160 `—� 1.0' 6' WOOD FENC Poo . '& iPn rNr 7.5' 33.2'1 7.2' EI0.1' SArr'o ST tin 0.g' PA V.9 4 CK J SPA a /96'• r 0.8'Ld � llaa11 Q w Po 01-- _ U 0 6' g 3 Q� 1.0'"q cp 0.1' 0.1 4' CHAIN LINK FENCE6' WOOD FENCE FOUND 1/2" IRON �i 1oo� 1.2' FpUND 1/2" IRON PIPE (NO CAP) ` 8 PIPE (NO CAP) L o r s iz 6 (47.89' FIELD) HovsE 0 CAxpaA'r % 66 7 sv FT LOT 8, BLOCK 60 LOT 9, BLOCK 60 A Cr�NC2ETt-. Of R/V9S sq Fr ' S ArJL SFT P-q�E r� /BOOL DFI-" �Tv Sl FT I 7o rr}L IntpER Vr�JS q,"A 2, 30,5 5q Fr 2305 s� Fr = 48 +97 nor cove,e��f NOTES: 1. THIS IS A BOUNDARY SURVEY. 2. ANGLES ARE AS PER FIELD SURVEY. '3. THE NORTH ARROW WAS PROTRACTED FROM THE PLAT. THIS SURVEY WAS MADE FOR THE BENEFIT OF 4. THERE ARE NO BUILDING RESTRICTION LINES AS PER PLAT. DANIEL M. AND PATRICIA S. HOLLOWAY, AND IS IN COMPLIANCE WITH. THE MINIMUM TECHNICAL THE PROPERTY SHOWN HEREON LIES IN FLOOD STANDARDS SET FORTH IN CHAPTER 61G17-6 ZONE "X" (AREA OUTSIDE 500 YEAR FLOOD OF THE FLORIDA ADMINISTRATIVE CODE. PLAIN) AS DETERMINED FROM THE FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989 FOR ATLANTIC BEACH, FLORIDA. "NOT VALID STHE SIGNATURE AND THE ORIGINAL RAISEDED SE DONN W. BOATWRIGHT, P.S.M. SEAL OF A FLORIDA LICENSED FLA. LIC. SURVEYOR AND MAPPER No. LS 3295 SURVEYOR AND MAPPER.- FLA. LIC. SURVEYING & MAPPING BUSINESS No. LB 3672 CHECKED BY: 1WC BOATWRIGHT LAND SURVEYORS, INC. DATE' MARCH 12, 2002 DRAWN BY. JCJ 1711 5th STREET SOUTH FILE : 2002-309 JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF 1 ANSI/APSP-7 2006 Specifies three methods for determining the maximum system flow rate. The following Entry Fields Simplified Total Dynamic Head (TDH) Calculation Worksheet Determine Maximum System Flow Rate Pool Volume: 275 x 4.25 x 7.48 = 8,742 Surf Area Avg Depth Gal/Cub Ft Vol.in Gal Pref Turnover 2 x 60 = 120 Hours Min/hr Turnover in Min Max Flow Rate 8,742 / 120 = 72.85 + 15 = 87.85 Vol in Gal Turnover in Min Pool Flow rate Feat Flow Rate Sys Flow Rate Use the greater of these two for system fiow rate Cannot be greater than the main drain cover rate(Waterway=100) Spa Jets 6 x 17 = 102 (Hayward=1; No.Jets Flow Rate Total Jet Flow Rate PSI CONVERSION FACTOR=2.31 Determine Pipe Sizes FLOW&FRICTION LOSS PER FOOT Branch Pipe 3 136 gpm Max System Flow Rate Velocity-Feet Per Second to keep velocity @ 6fps max at BRANCH TRUNK(Suet) RETURN Trunk Pipe 2.5 117 gpm Max System Flow Rate Pipe Size 6 FPS 8 FPS 10 FPS to keep velocity @ 8 fps max at M4e" 234 .014' 21 gpm .023' 26 gpm .35' .08' 50 gpm .14' 62 gpm .21' Return Pipe 2 " 103 gpm Max System Flow Rate .06' 82 gpm .10' 103 gpm .16' to keep velocity @ 10fps max at .05' 117 gpm .09' 146 gpm .13' 04' 181 gpm .07' 227 gpm .10'Determine Simplified TDH .03' 313 gpm .05' 392 gpm .07' Distance from pool to pump in feet: 15 6" 534 gpm .02' 712 gpm .03' Suction Pipe Friction loss in 2.5 " pipe per 1'@ 117 = 0.09 pipeflow/friction loss gpm Return Pipe Friction loss in 2 " pipe per 1' @ 103 = 0.16 pipeflow/friction loss gpm Suction TDH 15 x 0.09 = 1.35 Length Ft of head per 1' TDH Return TDH 15 x 0.16 = 2.40 Length Ft of head per 1' TDH = TDH in Piping 3.75 Filter loss in TDH 26.57 + Heater loss in TDH 14.44 + Total all other loss 15.06 + Total Simplified TDH 59.82 = Selected Pump and Main drain Cover: Pump Hayward SP3215X20 2 HP using pump curve for TDH &System Flow Rate MD Cover Hayward WG1048E (System flow rate must not exceed approved cover flow rates) Waterway= 100 Hayward= 125 Determine the number and type of required in-flor suction outlets: 2 Hayward WG1154AV suction outlets @ 120 gpm max.flow (100%of one drain) Two drains suction outlets @ gpm max.flow(66%of all 3 drains) Three drains 3 Channel drain 1 Chanel drain @ gpm W/ ports I ANSI/APSP-7 2006 Specifies three methods for determining the maximum system flow rate. The following simplified TDH calculation is one of the methods specified. Sim,olified Total Dynamic Head (TDH) Calculation Worksheet Determine Maximum System Flow Rate: Minimum Flow Rate Required: 35 gpm Per Skimmer (Required: 1 skimmer per 800 sf of surf. area) 1. Calculate Pool Volume: 2--7-J5 x 4.25 x 7.48 (gal./cubic foot) _ E742- (Surf. Area) (Avg. Depth) (Vol. in gal.) 2. Determine preferred Turnover Time in hours: x 60 (min. / hr.) _ 2 (Hours) (Turnover in Min.) 3. Determine Max Flow Rate: S -7412-1 120 = 72.E +_/5 _= 77,2,5 (Vol. in gal.) (Turnover Mins.) (Pool Flow Rate) (Feature now Rate) (System now Rate) 4. Spa Jets: �O x /-7—gpm per jet = 102-- flow rate. (No. of Jets) (Jet Flow) (Total Jet Flow Rate) (For single pump pool/spa combo, use the higher of No. 3 or No. 4 in the following calculations for the pool & spa) Determine Pips Sizes: Branch Piping to be 3 inch to keep velocity 0 6 fps max. at 36 gpm Maximum System Flow Rate. Trunk Piping to be 2 inch to keep velocity 0 8 fps max. at / gpm Maximum System Flow Rate. Return Piping to be inch to keep velocity 0 10 fps max. at gpm Maximum System Flow Rate. 4 Determine Simplified TDH: 5 1. Distance from pool to pump in feet: 2. Friction loss (in suction pipe) in 2 5 inch pipe per 1 ft. 0 gpm = . 0// (from pipe flow/friction loss chart) 6 3. Friction loss (in return pipe) in2 L�/ inch pipe per 1 ft. 0 3 gpm = /61 (from pipe flow/friction loss chart) 4. / 5 ' X r 0 = / 36 (Lenge of duct. Pipe) (Ft of head/1 ft of Pipe) (TDH Suct. Pipe) 5 5 x (Length of Return Pipe) (Ft of head/l ft of Pipe) (TDH Return Pipe) TDH in Piping: ), �]J 12.5 Filter loss in TDH (from filter data sheet): 7-oi> Heater loss in TDH (from heater data sheet): 3. d Total all other loss: �-Selected Pump and Main Drain Cover Total Dynamic Head (TDH): Z 3 5 Pum selection ��-� P 32 D x /d using pump curve for TDH & System Flow Rate (Make and Model) Main Drain Cover /77¢V 4U �0 41 1? (System Flow Rate must not exceed approved cover flow rates) (Make and Model) Notes: Minimum system flow based on min. flow per skimmer of 35 gpm. Determine the Number and Type of Reqs* dl n floor Suction Outlets Check all that apply. 3'-0" 0 2 Gv �� 4.A V ,suZon outlets ® /Z Zj gpm max. flow (see note 2). 3 suction outlets 0��gpm max. flow (see note 3). E:=0 channel drain 0 =gpm w/ports (see note 4). BUILDING PERMIT APPLICATION = y CITY OF ATLANTIC BEACH ti 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: ��� l s�_rCe4_ Permit Number: Legal Description L o+ /3 13lk-k 60 Met w&la-4 e /0 Z&// Valuation of Work(Replacement Cost) $ J?.j 200 ■ Class of Work(Circle one): New Addition Alteration Repair ■ Use of existing/proposed structure(s)(Circle one): Commercial dentia ■ If an existing structure, is a fire sprinkler system installed? (Circle one): Yes o N/A ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes No Describe in detail the type of/work to be performed: In /•ounc C un ;le- Property T� �wi rx.w; 00 Property Owner Information// Name: ba h i 5A Tr ,A &avl Address: /jno /5'4' S7�-t:LV_ City 6L i G State/dip 3 Z -3 3 Phone 710' -02-01' o r Zoo Contractor Information: Name of Company: 34 14"e.-I Q0015 4�_5i994 Qualifying Agent: Gk Address: 17-0 48 / ea cam- I3/vc� 0 z-0City s ✓i//e_-State FL Zip 3 u 6 b Office Phone�Oy zo'o oyD Job Site/Contact Number �� �'�-'� Z,(q✓�� ` State Certification/Registration# —l y5 tce 705 Office Fax# Qo Architect Name &Phone# Engineer's Name &Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void i1work is not commenced within six(6) months, or i construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN 0 IULTWIOUR LENDER OR AN ATTORNEY BEFORE RECORDING OFCOMMENCEMENT. i hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this ty�e of work will be complied with whether specified herein or not. The granting of a per iisit dCca not presume t3 give a2.'t..^.ri y' t^. violate or cancel the provisions of Rny other federal; state; or local taw regulating construction or the performance of construction. Si of Property Owner: Signature of Contractor: Signature p rty Sworn to and subscribed before me Swom to and subscribed before me this I- Day of 114,41 Z o p q this + Day of M11 y Lo o q Notary Public: Notary Publi KENNETH e;= Notary Public State of Rorida ..'V= Commission DD 723778 commission#DD 612067 " E ry 26,2012 my commission Expires Nov.6,2010 .; Expires Janua �?. '-;r „•' OWodT. T yr�i, 8* 7019 •9'�`' BondedThruPichardlnsuranca REVISED 03.05.07 MAP SHOWING SURVEY OF: LOT 13, BLOCK 60, MANDALAY AS RECORDED IN. PLAT. BOOK 10,. PAGE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA N II FIFTEENTH (15TH ) STREET w 40' RIGHT—OF—WAY (47. 2' FIELD) FOUND-"X" CUT FOUND 1/2" IRON CONCRETE WALK ^_ 110 CONCRETE 142.90' BY PLAT PIPE (I.D. ILLEGIBLE) FOUND 1/2- IRON � T 0.3' (141.96' FIELD) PIPE (t.B 3848) 7 9. R WATER METER ,�-,J OUND 3/8- IRON w 0 3 S6,, 0 Or� 3 OD (NO CAP) Wt.2' SOUTH Ij- O Uj it 0 CO U Z U aj o 0 BTER RICK PLAN06 W � I \ lL 7.4' 4.4' \ 14.9 7.2' I / j F\ 3 0.1 0 0.3' o ax w o ❑ N U N = o Z moi_ d / w U raw 0 O aLIJ 14.0' O j O ONE STORY BRICK o City of Atlantic Beach O & FRAME O:- Planning and Zoning DeparUn� d O o LOT 14, BLOCK 60 0 LO RESIDENCE ih-"", r�rM� n M+apoleabla NUMBER 160 zor0g, subdivision and other local land development regulations, but does not constitute 1.0' approval for the issuance of permits. Compliance s' wooD FENC with Florida Building Code and all other appIkabM 't 19W ate and Federal permitting requirements 33.2' mustle verified by :'onature of the City ofAdwft 7.5' 7.2' Beach Building prior Ms,r BuiWMg Permll. Appmved�' _D91612~011� a �9 6•• i Date: 0.8' W U W Po O�- Z 2 U z 6, o 0 0 O� r i4) _ _ "- — 6' WOOD FENCE 0.1' 4' CHAIN UNK FENCErhUND 1/2- IRON FOUND 1/2" IRON A O�oo9 1.2- Y PIPE (NO CAP) ` 8 PIPE (NO CAP) 8pp s�.Fr• (47.89' FIELD) Lor S�zE : �t � HoA'r i/ 66 -7 Sq FT LOT 8, BLOCK 60 LOT 9, BLOCK 60 Cd NC2ET� OR/✓E i98 SFr SAiJD SFT FA✓ER l'oot- -1 Z- -rAL I.vP6RVI0,✓S q.e'CA Z, 30 5 S4 Fr 2305 svFf = +97, LoT covLf4ACE NOTES: 1. THIS IS A BOUNDARY SURVEY. 7 &t ICt CC AOC AC OCn cIri r. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) S 800 Seminole Road D 9 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 2- E-mail: building-dept@coab.usDate routed City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /C � 15"7�1 JT ant review required Yes No Buildin Applicant: 011&& 11-X✓6-n ?eels _'Planning &Zon g ree Tdministrator Project: 1/1/ --Pod C ublic Wor ' Utiliti Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: BUILDING ^� PLANNING &ZONING Reviewed by: 4 Dater O-b J TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. PURLC WO Comments: rBLI U T S PUBLI FETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. Comments: Revievva;d by: ®Date: Rev'sed c SiMt09 't,='lyfJJ� BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 7:7. .. 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 * Fax: (904)247-5845 Job Address: �� l S-1-M2 Permit Number: Legal Description Lo+ /3 Block 60 m1tw&/aa ®,A Valuation of Work(Replacement Cost) $ J�� Z0C7 ■ Class of Work(Circle one): New Addition Alteration Repair ■ Use of existing/proposed structure(s)(Circle one): Commercial ia■ If an existing structure, is a fire sprinkler system installed?(Circle one): ;-!d!et o N/A ■ Is approval of homeowner's association or other private entity required? (Circle one): Yes No Describe in detail the type of work to be performed: ki r unci d urs 116 Poo Property Owner Information// / Name: Da�? Tri S/1 #D�! Address: /(a City GL i G13e444 State E�Zip 3 Z 33 Phone Contractor Information: Name of Company: J� ffa,+ie_�7 QaI16 ��S Qualifying Agent: Address: /zo 1{/ a ea�- Id/vd #Za City s ✓i i/e-State FL Zip 3 u 6 b Office Phone Job Site/Contact Number 23 b Z/q Sfesls State Certification/Registration# —/4/5 4 7 0 S Office Fax#_0-0 V- G Z-0-o Z-0 6 Architect Name &Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performedto meet the standards of all laws regulating construction.in this jurisdiction. This permit becomes null and void i1work is not commenced within six(6) months, ori construction or work is suspended or abandoned for a period of six (6) months at anytime after work is commenced f I understand that separatepermits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN G FINANCING,NOTICONSULT E OF COMMENCE MENT. EMENT.YOUR LENDER OR AN ATTORNEY BEFORE RECORD Thereby certify that have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a � f „r��„ t� ,,,� a„r ^r;t„ to violate or Cancel the »rovisions of any other federal, state, or local law yeriisis uvea no p esume to give utho ..y 1 regulating construction or the performance of construction. Signature of Property Owner: Signature of Contractor: � P rh' Sworn to and subscribed before me Sworn to and subscribed before me this -t- Day of 1744V 2,00 9 this -Ii- Day of i14.9 Zo 0 9 Notary PublNotary Publi KENNETH ' ' ' Notary Erublie St2te of Rorida ��• = Commission DD 723778 '• Commission#DD 612067 ' ”: ,a'. �' M Commission Expires Nov.6,2010 •° Expires January 26,2012 ,,� ?- r REVISED 03.05.07 ' rf •`•` BandedThruTroyFonInsuranceepp3�59019 Banded ThruPichardlnsuranC9 City of Atlantic Beach APPLICATION NUMBER BuildingDepartment (To be assigned by the Buildinq Department:) 800 Seminole Road O 9 Atlantic Beach, Florida 32233-5445 ` y Phone (904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: Z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /LO 73' �T ent review required lies o Buildin Applicant: ,��lL0 fT 9i V6-n ?eels tan 'ng &Zon g ree ministrator 1/1/ ��� L' ublic vVor Project: Utiliti Public Safety Fire Services Re��ev��fe�e€$�s����.:� Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 2Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: m Date: S TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised OS114109 City of Atlantic Beach APPLICATION NUMBER Building Js Department ( g y To be assigned b the Buildinq Department.) 800 Seminole Road Q 9 d�� Atlantic Beach, Florida 32233-5445 - Phone(904)247-5826 • Fax(904)247-5845 Z 2 Jill E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /CG �T artment review required Yes No Buildin Applicant: alt ✓�77 Da�S tan wng &Zon g ree ministrator Project: � ��/1/ �Dd G ublic Wor lic Utiliti Public Safety Fire Services Review fee $ , � . Y Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps A Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ElApproved. ❑Denied. (Circle one.) Comments: BUILDING LA NTNG &ZONI � � Date: Reviewed by: TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. -]Denied. Comments: Reviewed by: .�_=:—vr� _y�-- Date: Revised 05/14/09 Ate` r jJ� City of Atlantic Beach ,ire j �1 9 APPLICATION o�NiU.�M BER we w (To be assigned by the Buildinq Department'.)Buildin Department yQ 800 Seminole Road 9 Atlantic Beach, Florida 32233-5445 s Phone(904)247-5826 Fax(904)247-5845 �• E-mail: building -dept@coab.us -;v L \, Date routed: ZZ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 1-1 Property Address: /LO � 7�1 �TI Daent review required Yes No Buildin Applicant: /lt fTf�✓�� Oa�S Ian 'ng &Zon g —�, ree Administrator Project: /i f/l� ��� L' ublic Wor Utiliti Pubiic Safety Fire Services Other Agency Review®r Permit RequiredReview or Receipt Date of permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: -: Approved. [ enied. (Circle one.) Comments: �� BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: fApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: 3� FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05M4109 • , r ,r,� � s s` CITY OF ATLANTIC BEACH f} 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 l INSPECTION PHONE LINE 247-5826 -Dill, r' Application Number . . . . . 09-00001124 Date 8/11/09 Property Address . . . . . . 160 15TH ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 6ft fence ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HOLLOWAY OWNER 160 15TH STREET ATLANTIC BEACH FL 32233 ------------------------------------------------------------------------ Permit FENCE PERMIT Additional desc 6 FT FENCE Permit Fee . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/07/10 ------------------------------------------------------------------ Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. Roll off container company must be on City approved list and cannot be placed on City right-of-way. -------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------ Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of At!antic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �r z Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) 247-5845 E-mail: building-dept@coab.us Date routed: JI City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: VV �T t review required Ye No Applicant: 010-1 t4 anninq &Zonin ministrator ublic Works Project: u is Utilities is aey Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: b TREE ADMIN. Second Review: ❑Approved as revised. ❑D ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 � City of Atlantic Beach _ APPLICATION NUMBER ri-- rig;•. (To be assigned by the Building Department.) Building Department SS 800 Seminole Road U �' Atlantic Beach, Florida 32233-5445 ��� Q 20�� Phone(904)247-5826 • Fax(904)2 �55 Date routed: �J;:l�r E-mail: building-dept@coab.us City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM /�a �T t review required Yes No Property Address: 4)_h t� P annin &Zonin Applicant: r ministrator ublic Works Project: u is Utilities u is aey Fire Services Review fee $ Dept Signature' Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept.of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑ Denied. (Circle one.) Comments: BUILDING q 4 PLANNING &ZONING Reviewed by: Date: ,01 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLWO KS Comments: PUBLI U I IES PUBLI SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Syi`lr,_. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) �SS 800 Seminole Road �r z J x Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) 247-5845 9 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /�'o �774 �T a t review required Yes No Applicant: ���! �- P annin &Zonin r ministrator ublic Works Project: u is Utilities u is aey Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. []Denied. (Circle one.) Comments: BUILDING y ANNING &ZONING Reviewed by: Date: o TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 Public Utilities Plan Review Comments Date: h I b ci Initials: Project Name/Address: Application Permit#: 112,q Check Bog Application Tracking Comments to Add Comment Avoid damage to underground water/sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed, call ❑ 247-5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and ❑ visible. A sewer cleanout must be installed at the property line. Cleanout must be covered ❑ with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be ❑ tested by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an ❑ appropriate backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow requirements. At a minimum, will require double check backflow ❑ preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" ❑ must be installed in a vault as noted in JEA specifications. ❑ CITY OF ATLANTIC BEACH 09- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 s's. rAs, OFFICE(904)247-5826 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUIL®IN(3PERMIT A►PPLICA►TI®NDUVAL COUNTY S.SQ.Fr-UNDER ROOF 2'-VALUATION"OF WDEtK IIaD I 5� , a CLASS OF WORK 1.JOB ADDRESS- USE OF STRUCTURE 4.LEGAL DESCRIPTtObJ ❑NEW BUILDING El DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION 0 ADDITION 0 CONVERTING USE 0 COMMERCIAL 0 ALTERATION 0 ACCESSORY BLDG. 8.FIRE SPRINKLER 7.DESCRIPTION OF V,QRK 0 REPAIR 0 POOL/SPA 0 YES 0 N/A Tl vzlC C� c'X� (I C `f' rJ g 0 MOVE ❑OTHER 0 NO GONTRACTOR ' ARCBIN ITECT I ENGEER: PROPERTY HERE 23.COMPANY NAME: 9.NAME: 15.COMPANY NAME ��`^'��^I ��;�(� !I -- �( 1\ NAME: 24.LICENSEE NAME: �'! V.-tl/1`fr1, '/ fT7-� ( .STATE OF FLORIDA LICENSE NO.: 25.S E OF FLORIDA LICENSE NO 10.ADDRESS: 1 /`/!/-0 r �� 18.ADDRESS: 26.ADDRESS: [ 19.OFFICE PHONE 20.FAX NO.: 27.OFFICE!HONE 28.FAX NO.: 11.OFFICE PHONE 12.FAX NO.: y7-5- 0� 29.CELL PHONE: 13.CELL PHONE: 45 CELL PHONE: `5 30.EMAIL ADDRESS: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 5Gla Iowa roil .A FEE SIi4PLE T LE BOLDER: BONDfNG COMPANY: MORTGAGE LENDER: 35.NAME 31.NAME: 33.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. r WARNING TO OWNER: **� YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEEC®RDED AND POSTTO YOUR OPERTYED ON HE�OB SITEOBBEFORE THE COMMENCEMENT MUST BE R FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR Of Agent pave:of AtsoorM or Aganq Lefler ReQI reds frh afifier Om6y) Date: Signed- ate: <�,-5 -D Signed: Before me this day of 2009 in the county of Before me this day of 2009 in the county of Duval, of Florida,has personally a p r d Duval,State of Florida,has personally appeared o A- . herin by ims I ersel a affirms that all statements d declarations are herin by himself I herself and affirms that all statements and declarations are true and true and accurate. County of utB 111 Notary Public at Large,Stats of _ Notary Public at Large,State of County of 0 personally Known 0 Personally Known ❑Produced Identification- 0 Produced I do - Notary Si n-` B. .._, Notary Signature: 'o O,W, a f o k -z My co mission Expires 14,2010 _= C mmission#DD 1 533 Bonded By National Notary Assn. BLDG01 P- e 1 ALLIED PENCE COMPANY OF NORTH FLORIDA Phone: 786-2011 6803 WEST BEAVER STREET Facsimile: 695-0314 JACKSOPIVILLE, FLORIDA 32254 www.aiiiedfencenfl.coni Date: --�^' Home: Work: Name: t's5'r_7 `' State: - . Zp: s, Address qty. g— Job Site: Fax: Directions: GHAMLlNK: Footage Height Gauge Framework Toprail I ineposts Terminals Gates etc ,A900D: Footage (r Height ra Style �?-aO L Top r:T } Kind of Wood Picket r%�-• � Runner � Gates&other work ; a o r: /j t 1p5 p '17V75 f � l Contract Price � �,V Adjustments Balance �-��� NET OUE UPON COMPLETION;Allied retains the right to make additional charges if unusual ground conditions minder the installation. The Customer is responsible for providing property markers and property survey. ,1 Customer -Colon ram printed Name MAP SHOWING SURVEY OF . LOT 13, BLOCK 60, MANDALAY AS RECORDED IN PLAT BOOK 10, PAGE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 0 N II FIFTEENTH (15TH ) STREET w J Q 40' RIGHT—OF—WAY C) � (47., 2' FIELD) FOUND_'X" CUT FOUND 1/2' IRON CJ ONCRETE WALK 48 O 11ON CONCRETE 142.90' BY PLAT PIPE (I.D. ILLEGIBLE) FOUND 1/2- IRON CJ 0.3' (141.96' FIELD) w cp �D� OUND 3/8- IRON PIPE (LB 3848) 17 �• o WATER METER , Q OD (NO CAP) 3: ss� O�� 3 .2' SOUTH r LO z Qi m U o BRICK PLANTERo I 00 7.4' 4.4' 14.9 7.2 a 0.1` C� 0.3' o a M CA o w " = 0 0/ ` z U a Q o 0 a 14.0' O J W LLJ O ONE STORY BRICK o O� & FRAM:F, 0-- 00 Ln RESIDENCE O o LOT 12, BLOCK 60 LOT 14, BLOCK 60 0— NUMBER 160 :- 1.0' 6' WOOD FENC 7. 33.2' 7.2 not �5; s q `r,I ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001125 Date 8/05/09 Property Address . . . . . . 160 15TH ST Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc set 2 120 gallon tanks and run line to pool heater ------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HOLLOWAY AMERICAS PROPANE LP 160 15TH STREET 866 TALLEYAND AV ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32206 ------------------------------------------------ Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . SET 2 120 GAL TANKS AND RUN Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/01/10 ___ ----- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 09� I '� ?i•, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 I I .'J 1=I OFFICE:(904)247-5626•FAX NO.:(904)247-5845 j y BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: OINO❑YES PERMIT#: PROPERTY OWNER: 4.N E: 5,ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: _T-tq MECHANICAL CONTRACTOR: 7.NAME OF COMPANY: ' 8.ADDRESS.: S 5 � LL==c 9.STATE OF FLORIDA LICENSE NO: 10.CELL, Ol E:�Z•/_ S � 11.F.Q)(NO,- 12.EMAIL ADDRESS: 13.OFCCFIII E PHONE: _1. 14.. 5 G cr�n ttdc•v><,•r� )Li-355 -v s& Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time a work commenced. ARI# CONTRACTORS SIGNATURE: 15. SS OF WORK: 16.BUILDING: \ IT-.-SERVICE: 18.CURRENT CODE: NEW INSTALLATION ❑NEW RESIDENTIAL ❑'07 FLORIDA BUILDING CODE- 0 REPLACEMENT OF EXISTING SYSTEM XISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR 1❑OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19.HEAT: ❑SPACE ❑ RECESSED ❑ CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM ❑ CENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: 9Pm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION- ❑ PUMP ❑WELL ❑ PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC, VALUE OR OTH-ERS: 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT.CONDENSORS ETC. APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY 32.HEATING EQUIPMENT: FURNACES BOILERS.FIREPLACES AIR HANDLERS ETC. 7AGENECY NUM MODEL# MANUFACTURER 7BTU OF UNITS DESCRIPTION 33.TANKS: ArrmuV INGI NUMBER f� GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG-04 Permit Appficaton Mech:REVISED:1 2/1 8)2 00 8 t ti fri°� µs CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024971 Date 10/09/02 Property Address . . . . . . 160 15TH ST Application description . . . REINSPECTION FEE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------- ------------ HOLLOWAY B & G PLUMBING 160 15TH STREET 13997 BEACH BOULEVARD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224 (904) 223-3585 -------------- - ---------------------- ----- ---------------- Permir EINSPECTION FEE AdP ILED SEWER INSPECTION 35 . 00 Plan Check Fee 00 Valuation . . . . 0 1�� -•`� t'ib� Paid Credited - Due A - C+* Z1 �Qti M `0 -----35 . 00 ------- . 00 . 00 * Lo01 0661 ' . 00 . 00 . 00 35 . 00 . 00 . 00 tt°°$ 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 WIIICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL C►TY OF ate- • � O{►icial Office of Building 1NSPECTION R QUEST FOR `1 r T Q 2002 permit No. A.M. Dat P.M. Tim Received � Locality Job Address Contractor MECHANICAL ❑ Owner's ELECTRICAL PLUMBI ❑ Air Cond. & ❑ Heating Name CONCRETE ❑ Rough Wiring ❑ Top put �(` Fire Place BUILDING ❑ Footing Temp pole ❑ Sewer /'" pre Fab Framing ❑ Slab Final A.M Be Rooting ❑ Lintel SPECTION Insulation READY O Friday � Thurs. \✓ A M �y M. Mon. �© �� p. Final Inspection❑ of Occupancy Inspection �_ Made Certificate Date ❑ Inspector P�%LANrj�, ORIOP OF ADDITIONS or CORRECTIONSm, D• NOT REMOVE 1Xe ADDRESS L DATE �bo tf-- THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted r—JC ; C O TR3 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or 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 been made, call 247-5826, Building Depart- PLU c 0t<0 ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. FIN RECEIVE® rl+;r of Atlantic Beach Returned Permit ApplicationUi:lina and Zonin Applicant: L S0 P-) iG Address: /(,; C � r — Project: C(nNv'F/2i d F7-1 Your permit application is being returned due the following: 1--4/1.y3 Mo _S-T r3E S�o4« 1, Bbl Of/1 CF{/%TC'i p2 �.t,'6iNE�/L f— ly ✓,,��,, 0 r� ��S//o Bu Q iN fICCGd1Oi�n)C� C��?/� SST T f(G H T rw �c 00�4I S r2S �C 5'N Please re-submit your application when these items have been completed. Don C. Ford Building Official Date: y �� FOR OFFICE USE ONL �.' Date //--�/.--------- .....19 Permit ##.1..0_'_3r..Fee$---- CITY OF ATLANTIC BEACH Valuation $------ 40 C - FLORIDA House #............................ / .----------/ ........ APPLICATION FOR BUILDING PERMIT ------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted building or other structure described. This application is made in compliance and conformity with the Building Ordir the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licer be verified. n M Date......... -....... 401 Owner--------4±. n JM 0-SA S •---•---•- -----------•----•--------------------------Address. _Qz_____ .A1. Xe)_A----•-•-S T---Telephone No.LV.q / Ax, JC<A, Architect------ -' C.......ALJ4- .jn- --)&---------------------Address------------••----------------------------------------•-•--Telephone No.-------•------ Contractor Builder........0-,�., F-RG--------------------------•----------------Address------------------------------------------------------------Telephone No--------------- Lot No------------�--.�-------------------------_---Block No.-------(d 0 --------Sub Division-A—A PIA-4m.-AY---------------_------------------Zone_-A ----------- �� �S Street-------Side Between---Q-4--16A-N---•-------------------and--------./�-- t Valuation ___f p4o._�-----For what purpose will building be used------ .Ff---.___._--_-.-..Type of construction____X.eeAA J � Dimensions of Building---- A /s 9Q ------:Dimensios of Lot_.... _ n-- - • ..4 ...................Size a of Footings Size of Piers-----------_------------------------Size of Sills.........------------ _..__...Greatest Sill Span in ft----------__---------------Type Roof---f __.ZNa. How will Building be Heated?---Ql-.------------------------------------------------Will Building be on Solid or Filled Ground?-------S_.s4L/4 r y Size of Ceiling Joists___- 1-14 Distance on Centers___.--.16 �, __._..._..____.__.._...__.__._, Greatest Span.___.______.�_O- Size of Floor Joists----------�,---------------------------------- Distance on Centers-- ----- --------------------------------, Greatest Span-------------------- u Size of Rafters..._-"�-�- x---------------------------, Distance on Centers..-...._ r !---------------------------, Greatest Span...---.�-- --a---------- This rectangle is to represent Locate the building or buildings right position. Give distance in fe all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and/or lintel. z 3. When steel is in place and ready to pour beam. ' 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. a 7' 6. When septic tank drain field or sewer is laid but before it is covered. W A 7. Electrical inspection by City of Jacksonville. { �h 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, w hereby agree to pE work in accordance wit the attached plan d specifications, which are a part hereof, and in accordance with t regulations of the it tlanS:Bea �j s r Signature of Builde _­ .......... t ---- ..... Signature of Owner. --_ --- .. ....x.. _.. ._.. Address.---. MOR it '02 11:07 FR BRUCE ELLIS 904 287 125e TO 2499191 P.02i13 FORM 60OA-2041 FLORIDA ENERGY EFFICIENCY CGDE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Holloway addition & renovation Builder. Coalson Contracting Address: Permitting Office- AtlarMc Beach City, State-- Atlantic Reach, FI Permit Number: Owner: Holloway Jurisdiction Number: Climate Zone_ North 1. New construction or existing �E-astiug 12. Cooling systems 2. Single family or multi-t:unily Single family _ a_ Central Unit Cap:24-0 l:Btufhr __ 3. Number of units,if multi-family I — SEER:10.00 — 4. Number of Bedrooms 3 — b_Central Unit Capr 18.0 kl3tnJhr — 5 Is this a worst cm? No — SEER:10.00 — 6. Conditioned floor am(M 1966 IF c.NIA — 7. Glat;s area ds type — — a. Clear-Siegle pane 0.0 fe — 13_ Heating systems b. Clear-double pane 263.0 fV — a. Electric Hcat Pump Cap:24.0 kBttAr — c. Tint/other SHCrC-single pane 0.0 fF ___ HSPF:6.80 — d.Tint/otber SHGC-double Pane 16.0 fl= b. Electric Hest Pump Cap:18.0 kBtu/hr — 8. Floor t)T HSPF:6.80 — a. Slab-on-Grade Edge lnsulation R-0.0,166.0(p)ft _ e.N/A — b.NIA — c. N/A 14. Hot Nater systems 9. Wall types u.Electric Resistance Cap:50.0 gallons — — FF:0,91 a. Frame,Wood,Exterior R-19-0.112A,0 it' _ . -- b.Trams,Wood,Exterior R=19.0, 112-0 ftb.N/A M-- c.N/A — — d.N/A — c_ Cansenstion credits e. N/A (HR-Heat recovery,Solar 10. Ceiling types -- DBP-Dedicated beat pump) n. vndcr Atric R=30.0,580.0 ft= 15. HVAC credits b_Under Attic R-19.0,379-0 H' _ (CF-C,ealarg fan,CV-Cross ventilation, c. Single Aesembly R-19.0,903.0 fe HF-Whole house fan 11. Ducts FT`Pr 4"mmable Thermostat, A. Sup:Unc, Ra:Unc. AH:Interior Sup.R--6.0, 120.0$ — MZ-C-MultuDrw cooling. b. Sup:Unc. Ret:Unc. All:Attic Sup.R-6.0,75.0 Q M7.H-Mnitizonc hcatiog) Glass/Floor Area: 0.14 Total as-built points: 25871 PASS Total base points: 26793 1 hereby certify that the plans and specifications covered Review of the plans and ��srrr by this calculation are in compliance with the Florida specifications covered by this p� Energy Code. calculation indicates compliance q PREPARED BY; � with the Florida Energy Code_ Before Construction is completed y DATE: // 2: this building will be inspected for 4 I hereby certify that this building, as designed, is in compliance with Section 553.908 �. compliance with the Florida Energy Code_ Florida Statutes. OWNER/AGENT: BUILDING OFFICIAL- DATE: DATE: — EnergyGauge®(Version: FLR1PS V3.21) MAR 11 '02 11:08 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.03i13 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , Atlantic Beach, Fl, PERMIT A: BASE AS-BUILT FGLASSPESditioned X BSPM = Points Overhang oor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 1968.0 20.04 7091.9 Double,Clear N 1.5 6.0 25.0 19-22 0.94 461.0 Double,Clens N 1.5 6A 14.0 1922 0.94 252.6 Double,Clear W 1.5 6.0 6.0 36.99 0.91 202.7 Dol>ble,Clear S 1.5 6.0 54.0 34.50 0.86 1595.0 DoWbie,Cww S 1.5 6.0 54,0 34,50 0.86 2461.1 Doubie,Clear N 1.5 6.0 40.0 19,22 0.94 721.6 Double,Clear S 1.5 6.0 40.0 34.50 0.85 1181.5 DWS j-fft H 0.0 0.0 16.0 60.66 1.00 970.5 AsBuK Total: 279.0 7865.9 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adjacert 0.0 0.00 0.0 Frame,Wood,Exterior 19.0 1124.0 0.90 1011.6 Exterior 1236.0 1.70 2101.2 Frame.Wood,Exterior 19.0 1120 0.90 100.® Base Total: 1236.0 2101.2 Aso 3uilt Total: 1299.0 11124 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adacant 0.0 0.00 0.0 Exterior Wood 21.0 6.10 128.1 Fiderior 21.0 6.10 128.1 Ease Total: 21.0 128.1 As43ulll Total: 21.0 120.1 CEILING TYPES Area X BSPM - Points Type R-Value Area X SPM X SCM= Points Under Aftic 1273.0 1.73 2202.3 Under Attic 30.0 580.0 1.73 X 1.00 1003.4 Under Attic 19.0 378-0 134 X 1.00 684.5 Shr*Amy 19-0 803.0 5.64 X 1.00 4528.9 Rase Total: 1273.0 2202.3 As-Built Total: 1761.0 6416.8 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 166.0(p) -37.0 -5142.0 Slab-00-Gracle Edge Insulation 0.0 166AP -41.20 -6839.2 Raised 0.0 0.00 0.0 Base Total. 46141.0 As-80t Total: 164.0 6819.2 INFILTRATION Area X BSPM - Points Area X SPM = Points 1966.0 10.21 20072-9 1 198$.0 1021 200729 EnergyGauge®DCA Form 600A-2001 Enwgycvjq vR"rREE'2001 FI.R1 PB V3.21 MAR 11 '02 11:09 FR BRUCE ELLI$ 904 287 1258 TO 2499191 P.04i13 FORM 60OA-2001 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , Atlantic Beach, Irl, PERMIT##: BASE AS-BUILT Summer Base Points: 25454.2 Summer As-Built Points: 28746.9 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) 28746.9 0,571 (1.090 x 1.147 x 0.91) 0.341 0.950 6571.8 28746.9 0.429 (1.090 x 1.147 x 1.11) 0.341 0.960 4928.9 25454.2 0.4266 10858.8 28746.9 1.00 1.234 0.341 0.950 11500.7 EnerBYGau©eTM DCA Fwm SODA-2001 EmrgyGaugeVResFREE'2001 Fl.R1P0 Q.21 MAR 11 '02 11:08 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.05i13 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: ,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X $WPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area }C WPM X WOF= Poir1 .18 1966.0 1274 4606✓- Double,Clear N 1.5 S-0 25.0 14.30 1.00 358-4 Doub)*,Clear N 1.5 g,0 14.0 14.30 1,00 2007 Double,Clear W 1.5 6.0 6.0 10-T7 1.02 68.1 Double.Clear S 1.5 6.0 64.0 4.03 1.12 243.3 Double,Cir S 1.5 6.0 84.0 4.03 1.12 378.4 Double,Clear N 1.5 6.0 40.0 14.30 1.00 $73.5 Double,Clear S 1.5 6.4 40.0 4-03 1-12 ?80.2 Dam TIM H 0.0 0.0 16.0 10.23 1.00 163,7 As4BdR Total: 278.0 2164.3 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adpow-A 0.0 0.00 0.0 Frame,Wood,Exberror 19.0 1124.0 220 2472.5 _ Exterior 1236.0 3.70 45732 Frame,Wood,Exterior 19.0 112.0 2.20 245.4 Base Total: 1256.0 469'3.2 AsZuiit Total: 123e.0 271s.Z DOOR TYPES Area X BWPM Points Type Area X WPM = Pointg Aird 0.0 0.00 0.0 Exterior Wood 21.0 1230 258.3 Exterior 21.0 12.30 258-3 Bass Total: 21.0 238.3 AS43uit TotaC 21.0 258.3 CEILING TYPESArea X BWPM = Points Type R-Value Area XWPM X WCM = Points Under Attic 1273.0 2-05 2608.6 Under Attic 30.0 580.0 2.05 X 1.00 1189.0 Under Attic 19:0 378.0 2.70 X 1.00 1020.6 c„ftle Assffnbty 19.0 803.0 1.86 X 1.00 1493.6 Base Total: 1275.0 2609.6 As$uiR ToWI; 1761.0 3703.2 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM - Points Slab 1 MOW 8-9 1477-4 Stan-Grade Edge ikon 0.0 156A(p 18.80 3120.5 Raised 0.0 0.00 0.0 Bass Total: 1477A As43uiR Total: 186-0 3120.8 INFILTRATION Area X BWPM = Points Area X WPM Points 1966'.0 -0.89 -1159.9 1966.0 -0.58 -1159.9 EnergyGauged)DCA Form 600A-2001 EnergyGauge&ResFREE'=1 FLR1 PS x.21 MAR 11 '02 11:09 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.06i13 FORM 60OA-2001 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: , Atlantic Beach, lel, PERMIT t BASE AS-BUILT Winter Base Points: 12267.0 Winter As-Built Paints: 10805.9 Total Winter X System Heating Total X Cap X Dud X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points (DM x DSM x AHU) ---.._ 10805.9 0.571 (1.0(S9 x 1.169 x 0.93) 0.501 0.950 3659.1 10805.9 0.429 (1.069 x 1.168 x 1.10) 0.501 0.950 2744.3 12267.0 0.6274 7696.3 10805.9 1.00 1.244 0.501 0.950 6403.4 a EnergyGaugeTM DCA Farm 6MA-2001 EnergyGaug@WResFREE72001 FLR1 Pg V3.21 MAR 11 '02 11:09 FR BRUCE ELLIS 904 297 1258 TO 2499191 P.07i13 FORM 60OA-2001 WATER HEATING & CGDE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: ,Atlantic Beach, FI, 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 2746.00 8238.0 50.0 0.91 3 1.00 2655.47 1.00 7966.4 U-SuiR Total. 7866.4 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Tota! Cooling + Heating + Hot Water = Tota! Points Points Points Points Points points Points Points 10859 7696 8238 26793 11501 6403 7966 25871 PASS by EnergyGaugen+OCA Form 600A-2001 ErvwgyGauKje&R*&FREE—MW FLR1 P9 V321 MAR 11 '02 11:09 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.08i13 FORM 60OA-2001 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: ,Atlantic Beach, Fl, PERMIT# 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST C SEGT1oN iRE�!, FMENTS FQR EACH PRAGTiCE —__----- .. _— CHECK Exterior Windows&200M 6061.ASC.1.1 Maxinnum,3 cfTn/saR wird area- 5 ofaVsC ft.door am. EdenGr&Adjacent Walls 606.1 ABC.1.2.1 Cakdk gasket,we.tfterstrip or seal Uetwr•err wirtdows/doors&frames,snrrourtdN wall; foundation&wag sole or sill Plate;joints between exterior wag Panels at Comers trtllity penetrations;between wag Pastels&top mttom plates:between wells and floor. EXCEPTION:Frame vw9ft whM a corttirtu xm htfiilhation barrier is irrstalledi that extends from,and is aegfed to,the foundation to the too Pte- Floors late Floors W6.1.A5C.1-22 I Penetr-atiorWopenings y-1 fr sealed unless backed by truss or joint members- EXCEPTION:Frame floors when a continuous inTRratiat bamef is instilled that Is saaied to the perimeter pww rayons and seams CerTrigs -- 6Q6.1.ABC,1.2.3 Between walls&co&Vs;penetrations of Gerling Platte of top floor;around stags,chases, sorra,CNmneys,cabinets sealed to continuous air barrier,gasps in gyp board&top plate, attic acCesa.EXCEPTION:Frame catlings where a oontirwous intiitration barrier is weaerled trot is sealed at the r at penetrabons and seams. Reoewd Lighting Fixtures 6MI ABC_1.24' Type IC rated with no penetrartiWsi,sealed;or Type 1C or non-IC rated,installed inside a sealed boot with ia-clearance&3-tram insulation;or Type IC rated vAh<2.0 cfm from Condibuned• tested ----• --- kolati-5toryFiou 606.1 A13C.1.2.5 Air barrier on perimader of floor n fl Additional Infiltration rents i W6.1.ABC.1.3 I Exhaust fans vented to outdoors,dampers;combustion space treaters comply with NFPA, hove combustionalr, 6A-22 OTHER PRESCRIPTIVE-14EA3URES must be met or exceeded by all residences. COMPONENTS SECTION MQIlOtEfi1£NTS __.-tcilECK Water Heaters 6121 Comply with efficiency regmremenla in Table 5-12 Switch or Cfe8r1Y marked CirCUlt broker electric or cuto�gas�musf.be?rovrded,.External gr built-in heat tragi required. Swimming Pools&Spas 517.1 Spas&heated pools must haus covers(except solar heated).Non-cotnuriemat poais rnuek Crave a pump timer-Gas spa&pod heatars must ttav®a mirtimtan thermal _ of icier"Of 78% Shower heads .612.1-_ Water How must be restricted to no more than 2.5 r rnirtute at 80 PSiG. —___-- Air Distribution Systema 610.1 All ducts,fittings,meamnical equipment and pi 41um chaMbeM shay be mechanically attached,sealed,kwutated,and installed in 80=Tlarwe with the Criteria of Section 610. Duch in urtoar�di>?oned#ft' :R-6 min_insulation. HVAC Gontrols 607.1 S rate nsea,Xl scc esab)e rrwusai or automatic thernrosiat for each _-- Insulation W4-1,602.1 Ceiling"in-R-19.Common wags-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11. EnergyGaugeTM DCA Form 600A-2001 EnergyGauge&ResFREE 2001 FLR1 PE l v3.21 MOR 11 '02 11:10 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.09i13 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTEMIATED ENERGY PERFORMANCE SCORE* =82.8 The higher the score,the more efficient the home- Holloway, , Atlantic Beach, FI, 1. New construction ug-cxisl.4, E]vsong - 12. Cooling bystems 2. Single family or multi-faenify Single family - a. Central Unit Cap:24-0 kBtuilir - 3. Number of units,if multi-family 1 - SEER: 10.00 - 4- Number of Bedtnoms 3 b.Central Unit Cap:18.0 kBtulhr - 5. is this a worst case? No - SEER:10.00 - 6. Conditioned floor area(ft') 1966 fP c- N/A - 7. Galas-v arca&type - - a- Clear-Single pane 0-0 fi' _ 13. Heating systems b.Ckar-double pane 263.0 ftp - a Electric Heat Pump Cap,24.0 kBtu/hr - c. Tmt/other SHGC-single pane 0.0 fe r HSPR 6.$0 _ d.Tmt/cwthcr SHe�C-doubk pane 16.0 W b.Electric Host Pomp Cap:19.0 kBnvhr - 8. Fkrar types - HSPF;6,80 - a. Slabd)n-;rade Edge Insulation R-0-0,166.(Xp)ft - a N/A - b.N/A - c.NIA 14. Hot-tcr systems 4. Wall types s.Electric Resistance Gip:50.0 gallons _ EF:0.91 34 Frame.Wood,Rid-r R=19.0.1124.0 tip - - b.Frame,Wood Ederior R-19.Q, 112.0 R; - b.N/A - c. NIA - - d.NIA - e. Conservation credits - e.N/A (HR-Heat romvrxy,Solar 10. Coling types - DHP-Dedicated boat pump) U. Under Aloe R-30,0,590.0 fi° - 15. HVAC credits MLC:.iJIL H - b. Under Attic R=19.0,378.0 ft= - (CF-Ceiling fan,CV-C-tvss retdilati-, t. Singk Assnnbly R-19A,803-0 fl' HF-Whole house lien, 11. Ducts - PT-Programmable Thcm)ostat, a. Sup:Unc, Rct Unc. AH;Intctior Sup-R-6.0,120.0 fl _ RB-Artie radiant barrier, b. Sup:Unc- Ret:Unc. AH:Attic Sup,X--6.0,75.0 ft MZ-C-Multizonc crating. W-H-Multizone heating) I cc t4 that this home bas complied with the Florida Energy EfFiciertq Code For Building Construction tbrougb the Above energy saving features which will be installed(or exceeded 04 srtrA in this honer:before fitlal inspection-Otherwise,a new EPL Display Card will be completed based on installed Code wmpliant features. Builder Signature_ Date_ Address or New Home: City/FL ZipWE *NOTE, The home's estimated energy performance score is only available through the FL41RES computer program. This is. t a Building Energy Rating.If your score is 80 or greater(or 86 for a US EPA/DDE litergySta designation). your home maw qualify for energy i iciency mortgage(EFMJ incentives if you obtain a Florida Energy Gauge Rahing. Contact the Energy Gauge Hotline at 321/638-1492 or see the Energy Gauge web site at www.fl-ec.ucf edu for infonnation and a list of certified Raters. For information about Florida's EEnergv Efficiency Code For Building Construction, contact the Department of Community Af Wrs at 8501487-1824. EnergyGauge*)(Versiom F'JUPE V321) MAR 11 '02 11: 10 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.10i13 DATE: 3/11/02 MANUAL "J" SUMMARY REPORT -------------- PreppEnergy ared For: Prepared By: Coalson Contracting Ellis Energy Design Systems Job Name: 1st floor Holloway DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER wINTER SUMMER WINTER Dry Bulb 95 32 72 7262 Wet Bulb 78 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor (%) 5 Latent Factor M 29 Sensible Room Heating Heating Cooling cooling Name BTUH CFM __BTUH GFM ---- 874 16092 --- 671 WHOLE HOUSE ------- ` HEATING COOLING DELTA T 40 DELTA T 23 NOTE: **Calculated air flow is based upon load requirements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 MAR 11 '02 11.10 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.11i13 DATE: 3/11/02 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Coalson Contracting R.B. Ellis Energy Design Systems Job Name: 1st floor Holloway EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL -----------39 138 ----- -- ------------- -- ----------------------- AREA 6 183 444 COOLING 975 5520 6939 HEATING 1248 4416 192 5856 ------------------------------------------------------ ----------------- WALLS TOTAL ----_---------------------------------------.._--------------- AREA 1124 1124 COOLING 1798 1798 HEATING 3035 3035 ------------------------------------------------------ ----------------- DOORS TOTAL -----------21---------------------------------------------- AREA 21 COOLING 277 277 277 HEATING 435 435 --------------------------------------------- -------- ----------------- FLOOR AREA COOLING HEATING ------------------------------------------------------ ----------------- SLAB 166 6042 RAISED WOOD ` ----------------------------------------------------------------- CEILING AREA COOLING HEATING ------------------------_-------------------------------- UNDER ATTIC 580 899 870 SGL ASSEMBLY KNEE WALL ----------------------------------------__-- .---------------- MISCELLANEOUS COOLING LOADS --------------------------- People Sensible Load 1200 Latent Load 3255 Lights & Appl. Load 1200 Latent Safety Btuh 163 Ventilation Load Duct Heat Gain 1180 .Infiltration Load 1888 Sensible Safety Btuh 710 TOTAL SENSIBLE LOAD 16092 TOTAL LATENT LOAD 3417 Summer ACH 0. 5 Temp. Swing Mult. 1.00 *** Total Cooling Load 23412 BTUH Or 1.95 Tons *** MISCELLANEOUS HEATING LOADS ----------------------------- Infiltration Load 7951 Ventilation Load Duct Heat Loss 812 Safety Btuh 1209 Winter ACH 1. 0 *** Total Heating Load 26210 BTUH Or 2 . 18 Tons*** MAR 11 '02 11:11 FR BRUCE ELLIS 904 297 125e TO 2499191 P.12i13 DATE: 3/11/02 MANUAL "J" SUMMARY REPORT -------------- Prepared For: Prepared By: Coalson Contracting R.B. Ellis Energy Design Systems Job Name: grid floor Hollaway DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 32 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor (t) 5 Latent Factor M 29 *********************************************************************** Sensible Room Heating Heating Cooling Cooling BTUH Name ---- CFM BTUH --- ----- ------- 412 WHOLE HOUSE 12355 11347 ------- -----473 a HEATING COOLING DELTA T 40 DELTA T 23 NOTE:**Calculated air flow is based upon load requirements verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 MAR 11 '02 11:11 FR BRUCE ELLIS 904 287 1258 TO 2499191 P.13i13 DATE: 3/11/02 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared 'By: Coalson Contracting R.B. Ellis Energy Design Systems Jab Name: 2nd floor Holloway EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL ------------------------------------------------------------ AREA 40 40 16 96 COOLING 1000 1600 1152 3752 HEATING 2280 1280 624 318 ----- ---- ------------------ -___-------__---------------- ----- -- WALLS .,,___TOTAL _-- -__-- AREA 112 122 COOLING 179 179 HEATING 302 302 ------------------------------------------------------ -- -- DOORS TOTAL ---------------------------------------------- ------------------------- AREA COOLING HEATING --------------------------------------------------------- FLOOR AREA COOLING HEATING ------------------------------------------------------ ----------------- SLAB -------------------------------------------------------------- SLAB RAISED WOOD --------------------------------------------------- CEILING AREA COOLING HEATING ------------------------------------------------------ ----------------- UNDER ATTIC SGL ASSEMBLY 803 1847 1767 KNEE WALL 378 869 1021 -------------------------------------------------------- MISCELLANEOUS COOLING LOADS --------------------------- People Sensible Load 900 Latent Load 1961 Lights & Appl. Load 1200 Latent Safety Btuh 98 Ventilation Load Duct Heat Gain 768 Infiltration Load 1028 Sensible Safety Btuh 489 TOTAL SENSIBLE LOAD 11032 TOTAL LATENT LOAD 2059 Summer ACH 0 . 5 Temp. Swing Mult. 1.00 *** Total Cooling Load 15709 BTUH Or 1 .31 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- Infiltration Load 5194 Ventilation Load Duct Heat Loss 314 Safety Btuh 573 Winter ACH 1.2 *** Total Heating Load 12355 BTUH Or 1.03 Tans*** ** TOTAL PAGE. 13 ** J U mMM J O C a CO 1 V Lu U m LL ❑ ¢i �ii a` T V O C _ U N CL !Y \ U /1 O O U `O _T Z a Z l0 m C w 00 L 7 O Z J = .0 a) 6 C m fa J o a � ii U O io H E a [rHcn �g a Z ¢a G'` O d ❑❑❑ N0 w LL Z a Q m CL i U a Z o FE F— 0Q L a U LL WE c G J o E Fu LL O 0 w CC F ii } w 6 a DQa ❑❑❑ W cc H Ii w U m c O O D C 7 U LL(n J H 0 'p Qj X❑❑ N O Z C C C a) N �0 O O O N d N m E aa) 3 u T u . o Cr m a O F Q O Z m LL Cr C 2 C C CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24275 Address: 160 FIFTEENTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: 10 Lot(s):13 Block: 60 Section: Proposed Use: SINGLE FAMILY Square Feet: Subdivision: MANDALAY Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 6/14/2002 Name: HOLLOWAY, MARGARET M. Total Fees: '64.00 Address: 160 15TH STREET Amount Paid: 64.00 ATLANTIC BEACH; FL 32233 Date Paid: 6/14/2002 - - - ne: (000)000-0000 Work Desc: INSTALL PLUMBING tCATION FEES CONTRACTORS ' �-- > 64.00 B &G PLUMBING °r � U fina. s F 'lulred h b s � 3 L l5 NOTICE- ISSS SPECTIOUS T BE,REQUESTED AT LEAST 24 HOURS PP,4bR TO Il ECTION BUILDING MATERIA RUBBISH AND DEBRIS Ff� �$ � RK MUST T BE P.I7,� D IN PUBLIC SPACE, AND MUST B° i.EAfEi3 ; I HAUI ED AWAYB` dTE f _ ONTRA OR OWNER "FAILURE TO COMPLY I tE C NST IC t"L" N �A'VV CARR ALT IN THE PROPERTY OWNER PAYIN IQL BbfLIDYNO IAds 90V �l ISSUED ACCORDING TO APPROVED PLA CH ARE`P�MT O ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF open JU KIM Type. OC Drover: 1 :Dte: PI no 65239 14MM-BUILDING ATLANT C BEACH B ILDING DEPT. YY1NY13221iBito_ CI CM= 11421 964.N Trans date: 6/14112 TiW1 INMIN CITY OF ATLANTIC REACH APPLICATION FOR PLU30ING PERMIT JOB LOCATION: 140 15 "T1-A S TOW r OWNER OF PROPERTY: ,tjaC[Qwg/ TELEPHONE NO. PLUMBING CONTRACTOR � d'G pGv- q41 svG G o CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: G#caZ2 Sl 3 TELEPHONE: ,Z;,3- 8SeT HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS Z LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE P I PE OTHER TOTAL FIXTURES: ly x $3 . 50 + $15 . 00�� MINIMUM PERMIT FEE — $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: cjAn .1.,92d&L& ti . ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904 ) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — (904) 247-5834 d ' coo.0 O Cco aIL ❑ N m m O� Q=LL(L p ° ,v U O 6 m co —yw^ @ m 7 N t: 16 O Z z ° Z5 g iiCL ° o ¢a v W a \ El o N , a lL �_ Z U '—O w 0— N (n t! as O a W W rn N D � U Z d p o N �r N m V 0 g � rn c �J ? c c �\ m N �p m°o o m m m cE J ET. o N m d O U 3 N 5 l0 m C c C H¢ °Z m `Q CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24067 Address: 160 FIFTEENTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: INCREASE Township: Range: Book: 1.0 Proposed Use: SINGLE FAMILY Lot(s):13 Block: 60 Section: Square Feet: Subdivision: MAN DALAY Est. Value: Parcel Number: Improv..Cost: OWNER INFORMATION Date Issued: 5/10/2002 Name: -HOLLOWAY, MARGARET M. Total Fees: 39.50 Address: 160 15TH.STREET- Amount Paid: 39:50 ATLANTIC BEACH, FL 32233 Date Paid: 5/10/2002 Phone: ..(000)000-4000 'Work Desc: INCREASE TO 200 AMPS CONTRACTORS APPLICATION FEES BROOKS &.LIMBAUGH ELECTRIC PERMIT 39..50 Acz Y +- fti '"Js •ee�,.y'-,y, max?.• r y y YQ At y�='}'.- .t�• !�� ?• � .-��tiyy,!{y..'f�CC��i:1iS„� .eij-'• ' '3•' .a �.- s `'•a,�..r,"�} den- '" '°�"'�w.vR�„ x a,.' .1-A -w,� �:zs �r'•{+e..ti d �, �.2 a rte,7`��,�.._�.� .•°moi `� • 'JG F' �� -ti r r ..+rF . 'aI y ' - .SC•i i .yT yyT� 41^n �•• �tW '�1� ciY.S. �!'it�. ��,-` � •�.a.-�.•2rs 'Y � �a,A_._',y�^a`•9 r3'�i�*�=� 'Y' _..� - ' .•tieF�.` y �f.«s '53,.,5 r .-"',•.�, 's+o � �rC•��N� MAW 10 A _— a z - . - •"- r z as -i•_..J-"�n'W"• �- .�•,r��'-yam y,-�� •'�" _ - !� IN/+ .. 4 ^'i�"���u= '- r�'.!�-�'' � a J.�...',F`:+'�r.�y^t4' +•s��3.r--v+'2}'a., ..rr:�",.",-'� ION NOTICE f+1 - � �� � � b�3p ':-..: ..,y: t.'- x^r •'wvr-ids � atyt��tri �- BUILDING MATEal1l4FKTr# SPACE, AND MUST BE CLEARED €dT sTCQREC2E# ;. ..w. d-.�s�.v^ a�- ,Cut. _ �.-a�, _ y,q,.,�u y� •.!$.ems,�_ ��:.ox.� s.,'. v, use',,,;,.s•-r x ""� , "FAILURE TOC ._ ` iC PROPERTY OWN ,ta �� �CIFtffIV <' ' ISSUED ACCORDING TO �1 ,t - - � = JECT TO REVOCATION ' FOR VIOLATION OF ~0.4 _1 V! _ Rr _ Ooer:•DSHITH Type,.OC Draver: 1 Date; 51101Q $1 . Receipt no: 565M 19 PERAITS-RUILDIAG `1. 539,58 5@1886632218@x!. ' tom. r 16$ 15TH ST AT TIC BEACH B ILDING DEPT: - CX CHECKS 15535* $39.58. ;zxax:5 w e. Tie, 17c40,52 . CITY OF ATLANTIC BEACH, FLORIDA Approved Dy APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN TIIE FOLLOWING, WE HWHICHEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, ATLANTIC ARE A PART HEREOF, AND IN ACCORDANCE WITII TIIE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLTIC BEACH ORDINANCES. ro�C��ic� �TER ELECTRICAL FIRM:'A� MASELECTRICIAN SIGNATU E 4 NAME _ � "" ADDRESS:16c) Ls-' RFD BOX BLDG. SIZE BETWEEN: RES. 1 APT. ( ) comm. ( ► PUBLIC ( ► INDUS. ( ) NEW ( ► OLD ( 1 REW. ( ► ADDITION ( 1 TRAILER 1 1 TEMP. ( ► SIGNS ( ) SO. FT. SERVICE: NEW ( INCREASE (REPAIR ( 1 FEE CONDUCTOR SIZE "If �v '26AMPS COPPER ALUM. SWITCH OR BREAKER [�-� AMPS PFI W CI�VOLT S(FCCRACEWAY_ EXIST.SERV.SIZE v AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE JNO. SIZE NO. SIZE LIGATING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O JO A P8. --_11]1_100 AMrS_� SWITCHES 1 INCANDESCENT FLUORESCENT & M. FIXED 0.100 AM r9. OVEfi - APPLIANCES _ _ JBELL TRANSF. C AIR H.P. RATING II.P. RATING CONDITIO ING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT 2 iso 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1II.P. VOLTAGE PIIS MISCELLANEOUS - TRANSFORMERS: UNDER 600 V. OVER 600 V. - NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX:.247-5877 'PERMIT INFORMATIONLOCATION INFORMATION Permit Number: 24092 Address: 160 FIFTEENTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township:. Range: Book: 10 :13 Block: 60 Section: Square Feet: s Proposed Use: SINGLE FAMILY Lot - Subdivision: MANDALAY. •. Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 5/14/2002 Name: HOLLOWAY, MARGARET M. Total Fees: 65.00 Address: 460 15TH STREET Amount Paid: 65.00 ATLANTIC BEACH, FL 32233 Date Paid: 5/14/2002 - Phone: .(000)000-0000 Work Desc: INIRTALL NEW SYSTEM AND REPLACE ANOTHER eno� 1[`�TInN FEES CO .5:00 LES' HEATING Al CITY OF '� , Office of Building Official REQUEST FOR INSPECTION Date- f / rY2— Time _ Permit No. Received A.M..M 0 Job Address Locality Owner's Name Contractor � -p t co4_r c , BUILDING CONCRE ELECTRICAL PLUMBING MECHANICAL Framing = Rough Wiring ❑ Rough Re Roofing Slab Temp Pole ❑ To Out ❑ Air Cond. & ❑ Insulation O Lintel Final ❑ Sewer ❑ Heating ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. ' Friday inspection Made 1 A P � P.M. NOTI Inspector I Final Inspection ❑ Certificate of Occupancy ❑ AND BUILDING MATT Date MUST BE CLEA - "FAILURE TOC _ JHE _- MRS PROPER' PROPERTY QWN - .•s�.i.v. ISSUED ACCORDING TO - f #S JECT TO REVOCATION -FOR VIOLATION OF APPLI _ a� _ Oper.: A&KIER Type.: OC Drayer: 1 i D1a41e: PS/14/92.11 ERKITS-BUI49 LDI ipt no: $65. 00 .ATLANTIC B ^H BUILDING DEPT: A81183221(IA® 168-FIFTEWII STREET CK CHECKS 18488 $65,88 Trafas date: YJAM Jj*; 1b;14;le1 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. Street Address: C? IS,rj S LOCATION OF Intersecting Streets:Between And BUILDING Sub-division II. INDENTIFICATION—To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Name of Mechanical Contractors O Contractor Print �,$S rt f G. Master Q Name of Property Owner Signature of owner Signature of Or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A. Type of heating fuel: B. B--Electric IS OTHER CONSTRUCTION BEIN NE ON THIS ❑ Gas: _LP _Natural _Central Utility BUILDING OR SITE?_ ❑ Oil ❑ Other-Specify IF YES,GIVE NUMBER OF ONSTRU TION PERMIT IV. MECHANICAL EQUIPMENT TO BE ATURE OF WORK Residential or Commercial INSTALLED ❑ New Building (Provide complete list of components on ck of this form) Existing Building 61- Heat _Space _Recessed 1,,Central Floor Ur—Replacement of existing system Er- Air Conditioning: Room / Cen�} 3'- New Installation(No system previously installed) WeDuctSystem: Material P#$r P'J'�)r Thickness Je4 ❑ Extension or add-on to existing system Maximum capacity /��© cfin ❑ Other- Specify Ll Refrigeration ❑ Cooling tower: Capacity Qpm ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift_Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving Tons Agency J2, KN G com .4e, D HEATING-FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT Agency ! K O v ` K N k C— TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency - _ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 8W SEMINOLE ROAD-ATLANTIC BEACH,FL 37233-TEL 247-26-FAX 247'587 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 23949 Addnrss: 160 FIFTEENTH STREET Permit Type: REMODELING ATLANTIC BEACH, FL 32233 Township- Range: Book: 10 Class of Work: ALTERATION L s 13 Stock: 60 Section: Proposed Use: SINGLE FAMILY Subdivision: MANDALAY Square Feet: Parcel Number: Est. Value: OWNER INFORMATION Improv. Cost: 65,000.00 Name: HOLLOWAY; MARGARET M. Date Issued: 4/2512002 Address: 16015TH STREET Total Fees: ATLANTIC BEACH, FL 32233 Amount Paid: 600.00 Date Paid: 4/25/2002 Phone:. (000)000-0000 Work DesC: ATTIC RENOVATION' - APPUCATION FEES CONTRACT S 480.00 PETER COALSON � _ E 120.00 >�s zt /�.V7 -- , Y. 1_ ,kgto– A!;—77- W17 -41 y��e � '. � Y•=ate-. _ � _ _ �'�_—`<_ . ' = I NOTIC $T9EPLA - }.: C SPACE, AND BUILDING MATERi. - - 00 MUST BE CLEARED' -_ - - � "FAILURE TO CO PROPERTY OWN _ EN$TE1 L.A1�V E THE ER - _ — " - - SUBJECT TO REVOCATION E ARDING TO APP ; V T N OF APPLICABL — db- ►r '�0 1 LA BEACH EBUILDING DEPT. Its CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET � t-L Address Date Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ 0 Carport/Porch4 @ $ per sq ft = $ Deck @ $ per sq ft = $ ' �(/ ", E Patio v © @ $ per sq ft = $ TOTAL VALUATION: $ ba �-60j $ 26-6 Total Valuation 1st $�o il U $ � o Rema ning Value $,(.o6per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ 116 0 ( ) Fireplaces @ $15 . 00 $ -- n BUILDING PERMIT FEE $ 11� 010 0 WATER IMPACT FEE $_ 11tea SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ =�S ( ) SURCHARGE . 0050 $ C�$ OTHER $ 4---- GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: WATER IMPACT FEE WORK SHEET ADDRESS: - i L _�c9p L' f;A2 DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, bidet, and bathtub or shower 6 - Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine, domestic 2 Drinking fountain 1/2 Floor drains 2 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 Shower compartment, domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink (circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, public installation 6 J TOTAL NUMBER OF UNITS = MULTIPLIED x 20 TOTAL $ l REC MAR 15 41 0/1 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ACTItRAT10"154ntic Beach MOVING, DEMOLITIONS Building and Zoning Owner(s U.0 UhNfsd Job Address_ lit 151,C( �lt. , Phone 01g.1 "5001 Lot# Block or Unit# Subdivision AZLA J:jtC j?sWAcc-* Contractor State License# 0 (v D x13 Addres1s\ 15a 1-1 N t'Ar15+ ti+ Phone City FtT1 X, 11"1tUz_h State E— Zip 3as37) Describe work to be done o no 2v--" Present use of building own D Valuation of Proposed Construction (D J 000 Proposed use & !s l l nmips i Is this an addition? n 0 _ If yes, what are the dimensions of the added space: ' ft. x ft. Will the added area be heated and cooled? .:t New electrical (or increase) U1e_�_ New plumbing fixtures? T ` `'1 New fireplace? r I t, New Heat/AC? 5 SUBMIT THREE (COMMERbIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S IN DING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature of OWNER Date: Signature of CONTRACT0Date STATE OF FLO A COUNTY OF Sworn to (or affirmed) and subscribed before me this - day of 200 2 AS TO OWNER: Notary's Signature C (Y)a Cc 0, m` 1 "0I I O r-Q1CLI 1 Personally known ❑ Produced Identification Linda McCraw *My commission CC938W Type of identification produced Expires June 13,2004 Sworn to (or affirmed) and subscribed before me this day of ,x/2000 2/ AS TO CONTRACTOR: Notary's Signature n(1 Ca Y I I Cl 11/�t-c C V OL" S pin V---Personally known ❑ Produced Identification ,,• .,� Linda McCrwv *-W*mM commimim Type of identification produced ' •° Expires June 118,20D4 MAP SHOWING SURVEY OF: LOT 13, BLOCK 60, MANDALAY AS RECORDED IN PLAT BOOK 10, PAGE 11 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA 0 CV it FIFTEENTH (15TH ) STREET .j 40' RIGHT—OF—WAY V) (47. 2' FIELD) FOUND 'X' CUT FOUND 1/2- IRON ONCRETE WALK /( t 10r{ CONCRETE 142.90' BY PLAT PIPE (I.D. ILLEGIBLE) FOUND 1/2- IRON T 0.3' (141.96' FIELD) W PIPE (LB 3848) :� 9. Fe WATER METER ,q�� OUND 3/8' IRON o o a OD (NO CAP) ¢ S 3 611 0� 3 .2' SOU TH w w °D �On w < z U 0) U U U U BRICK PLANTER O ti O 7.4' 4.4. 14.9 7.2' a o.1 Q 0 0.3' o a xw o T ElN < d' N 1 O U� U y o 0 Ua d \ O Q 14.0' O LLJ u- O ONE STORY BRICK o OLS W _O & FRAME to 0-- m p RESIDENCE o LOT 12, BLOCK 60 LOT 14, BLOCK 60 0 NUMBER 160 1.o' 6' WOOD FEN 0. ' 7.5' 33.2' 17.2' o.stv WOOD DECK0 8' INGROUNDTRAMPOLINE Cp1.0O 6' WOOD FENCE 0.1' 4' CHAIN LINK FENCE 1.2 �,INO 1/2- IRON PIPE (NOO CAP) 4T8v FOUND IRON .00' PIPE (NO CAP) C (47.89' FIELD) LOT 8, BLOCK 60 LOT 9, BLOCK 60 NOTES: 1. THIS IS A BOUNDARY SURVEY. 2. ANGLES ARE AS PER FIELD SURVEY. 3. THE NORTH ARROW WAS PROTRACTED FROM THE PLAT. THIS SURVEY WAS MADE FOR THE BENEFIT OF 4. THERE ARE NO BUILDING RESTRICTION LINES AS PER PI AT V �® CITY OF ATLANTIC BEACHja'� PERMIT APPLICATION REMODEL,ADDITIONS, OR ALTERA'TIC MOVING LI 31WIdin 0anddt�c eAach Owner(s) 40110 ubblrsl "' z3g-11.49 Job Address I(t 0 15 Ilk, Phone " " OO'1 Lot# Block or Unit# Subdivision A" LA.Jv7tC Contractor CDAlA. Cjh� , % Tj jC-. State License# O D X13 Address Jr Y' Phone Q,-AQ City State Zip Describe work to be done 0 n V ev—t Present use of building S L AQ,y r i7 Valuation of Proposed Construction t05 000 Proposed use 0 S p, D Is this an addition? (\ _ If yes, what are the dimensions of the added space: (n1 a ft. x ft. Will the added area be heated and cooled? P 5 New electrical (or increase) V1 e_ New plumbing fixtures? QIS New fireplace? El C) New Heat/AC? Uk S SUBMIT THREE (COMM IAL)TWO (RESIDENTIAL) COMPLETE SETS OF PI ANS,S INCL DING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature of OWNERDate: Signature of CONTRALTO Date 4, _ STATE OF FLO A - n COUNTY OF Sworn to (or affirmed) and subscribed before me this _ day of 200 Z AS TO OWNER: Notary's Signature C ma r9 o, reA- M, k) 0 W Personally known ❑ Produced Identification �.. '• unda McCraw * *my comm"ion CCMW Type of identification produced Epi.,P,.18,2004 Sworn to (or affirmed) and subscribed before me this _day of x/2000 2 AS TO CONTRACTOR: Notary's Signature2E C(ll D t ) F, , C co A S onPersonally known ❑ Produced Identification et"S Unda M.Ow Type of identification produced * *mM commission Expk.June 113,2004 ^�DENTZAI, HFLKLIST FOR ONE & TWO FAMILY DWELLINGS NOTE: DRAWINGS REQUIRED TO BE DRAWN TO SCALE WITH SUFFICIENT CLARITY AND DETAIL - [FBC 104 .2 . 11 PLANS EXAMINER: �jr Aa CH 11� DATE:_ LH L\\(, _� Q � OWNER: PERMIT NUMBER: o CONTRACTOR: _ � ��a ��(� PHONE NUMBER: 3-41IU ( CIRCLE ) I. Survey: No N/A 1. is a specific purpose survey submitted? & 2. Is correct Flood Zone shown? Yee No N/A 3. Are existing grade elevations shown for structures located in an "All or "V" zone? Yes No 4. On lots in multiple flood zones, are flood zone lines indicated? Yes No N/A, 5. Is property in a flood way? Yes No N/A 6. is flood way line shown? Yes No N/A IZ. Site Plan: (FBC 104.2 .41 1. Is Site Plan submitted? ee No N/A 2. Is North arrow shown? s No N/A 3 . is lot width and length shown70Qe s NST ^A-[-L 04 &J't V - No N/A 4 . Is structure shown on site plan with all setback dimensions? No N/A 5. Does structure layout match the floor plan? Z NoN/A � 6. Are drainage/storm water run-off requirements noted? Yes N/A 7 . Are all easements shown? ? Yea No N/A 8, Is proposed driveway shown? �)G►S-f � No N/A 9. Is landscape and irrigation layout shown? Yes �� N/A I0. Is septic tank and drain field location shown? yea Bow N/A 11. Is L.P. gas tank it size shown? Yes NO-) N/A Structure Code Compliance: 1. Are plans sealed by architect or engineer? Yes ag�:) N/A A. Are structural calculations submitted? Yes <Zj_Q�) N/A 2. Is correct wind speed shown? (FBC Figure 16063 Yea 42§) N/A 3 , Is exposure category shown? [FBC 1606.1.91 Yes � N/A 4 . Is Importance Factor shown per FBC Table 1606? Yes o N/A 5, Are pressures for wind loading on components and cladding shown per FBC 1606.2.57 Yes N/A 6 , Does structure meet requirements of FBC Table 500 for number of Yes No /A stories and allowable area? 7. Does structure meet Fire Resistance Ratings of FBC Table 600 for structural elements? Yea No g , Are plans designed per SSTD 10-99? Yes N/A A. Are all appropriate charts and tables shown? Yeso N/A B. Are all appropriate requirements circled or highlighted? Yes N/A 1 RF.STpENTIAL_CmECKLz.gT (Continued) III. Structure Code Compliance. (Continued) 9_ Are plane designed per "Guide to Concrete Masonry Residential yes No AK-) Construction in��igh Wind Areas"? A. Are all appropriate charts and tables shown? Yea No 7 B. Are all appropriate requirementn circled or highlighted? Yes No 10. Are plans designed per "WPPC Guide to Wood Construction in Yea No N/A High Wind Areas"? Yes No N/A A. Are all appropriate charts and tables shown? htad? Yes No N/A B. Are all appropriate requirements circled or highlig 11. Are plana designed per "AF & PA Wood Frame Construction Manual for One- and Two-Family Dwellings, High Wind Edition"7 Yes No N/A A. Are all appropriate charts and tables shown? Yes No N/A B, Are all appropriate requirements circled or highlighted? Yes No N/A IV. Energy Code Information: 1 . Is the current energy code form completed properly and signed; correct climate zone and correct jurisdiction? [FBC 13-6001 (YO ..No N/A 2, Does conditioned square feet area on plans match square feet yea No N/A shown on energy forms? 3 , Is the "R" value between common walls shown? yes No [FBC 13-602.1.ABC.1 .13 q, Is the "R" value for added insulation on exterior walls shown? �e No N/A 5. Is the "R" value for ceilings shown? [FBC 13-604.1.ABC.1] Yes No N/A 6 . Is the "R" value for raised floors shown? [FBC 13-605] o N/A 7 . Are Energy Credits Claimed? A. Attic Radiant Barrier credit (FAC 13-60-7.1.A.4) Yes (!!q) N/A H. White Roof Credit [FRC 13-607.1.A.5) Yea � N/A t [FSC 13-600.2.A.3 .5] YeaO N/A C. Programmable Thermostat Credi V. Foundation Plan: No -r--)-0e 1o,J �X^es krsc.4.vr Y _ 1. Are all footings shown, including interior bearing walls, Yes (&—a:) N/A column pads and concentrated loads? 2. Are all locations of vertical reinforcement and anchor Yes QILD N/A bolts shown? Yes No 3. Are all elevation changes in slab shown? yes 10 N A 4. Is minimum concrete PSI shown? Yea No AVE) 5, is slab reinforcement shown? Yes No A. Wire mesh Bize and gauge? Yes No �J1�-� �JK B. Fibermesh reinforcement? Yes NoOLA 6. Is vapor barrier, minimum 6 mil. shown? [FBC 1909.2] Yes No 7. Is minimum Blab on grade thickness shown? [FBC 1909.1) Yes No a. Is type of soil treatment for tet-mites shown? (FBC 18167 Yes No 9, is perimeter slab reinforcement shown? [SSTD 10-99] _ Do plana show bottom of foundation minimum of 12" below Yes No �LL� finish grade? [FBC 1804.1.31 11. Do plana show concrete footings have a specified compressive strength of not less than 2500 PSI at 28 days? [FSC 1804.5.11 Yes <1&> N/A 12, If pile foundation shown, is Sealed Soils Report submitted? Yes No 67�- [FBC 1805.1] 13. Does plan indicate "No Wood Grade stakes Permitted"? Yee No7 N/A 2 RESIDUNTIAL CHECKLIST (Continued) VI. Typical Wall Section: 1. Is finished grade shown? Yee <1!§) N/A 2. Is minimum floor elevation shown? C Yes <Lq?5� N/A A. Minimum e" above adjacent grade? Yes No N/A D. Min imurtLlQ" ab?ve crown of road or drainage pllan submitted? �,t s[noun"/[R 0 1 wc- Yes No N/A C. Flood protection elevation? Yes Q�'t7' N/A D. Base flood elevation? Yes <Xjg% N/A 3 . Is minimum footing depth beneath finished grade shown? [FDC 1804.1.31 Yes N/A 4 . Are all footing sizes shown? Yes 4 N/A 5. Are all horizontal reinforcements shown? Yea <149 N/A A. Number and size of reinforcement? Yes <W N/A B. Minimum lap? Yee N/A 6 . Is vertical reinforcement shown? Yes V& N/A 7. Are minimum 3" X 4" clean-out and inspection openings shown? Yes Q&, N/A 8 . Masonry construction. A. Is exterior wall finish shown? Yes No N/A B. Is interior furring shown? Yee No N/A C. Is exterior wall insulation shown? Yes No N/A D. Is interior wall finish shown? Yes No N/ 9. Wood Frame Construction A. Is stud size, spacing, grade and lumber species shown? Yea I&D N/A B. Is exterior sheathing (type and thickness) shown'. Yes <JO N/A C. Are nailing requirements (size and spacing) shown? ,c� [FBC Table 2306.11 Yes � N/A D. Is exterior wall finish shown? � No N/A E. Is interior wall finish shown? Yes � N/A F_ Is wall insulation shown? Z(�jp NO N/A G. Is minimum clearance between wood siding and finished grade shown? [FBC 2304.2.51 Yes No H. Are shear wall segments shown? Yes tp{) N A A. Type of hold-downs shown? Yes 415) N/A 10. Are ceiling heights shown? [FBC 1203 .23 Yes C N/A 11. Are all hurricane anchorage and hold-downs specified and labeled? Yes <29W N/A 12. Is ceiling type shown, drywall thickness? Yes 4,Ca) N/A 13. Are insulation baffles shown? Yes 46) N/A 14. Roof Framing A. Are engineered trusses shown? Yes djo� N/A B. Are conventional frame rafters used? '..�okS u�<C�T, JgP No N/A 1_ Rafter size shown? Yee 29X:) N/A 2. Species of lumber shown? Yes 0 N/A 3 . Grade of lumber shown? Yes tPp N/A C. Type of roof sheeting shown? g� No N/A 1. Thickness of roof sheeting shown? <X§A) No N/A 2. Grade of roof sheeting shown? <X6j) No N/A 3. Nailing pattern of roof sheeting shown? [FBC Table 2306.11 Yes IE-L) N/A D. Weight of Dry-In felt shown? Yes C90 N/A E. Type of roof cover shown? es No N/A 1. Attachment asphalt/fiberglass shingles shown? [FBC 1S07.3.73 Frr7�h�✓' � �,a� b�}.� . N/A 2. Attachment of tile roof shown? [FSC 1507.4.51 Yes �No 3- other roof covering and attachments shown? Yes No F. Length of roof overh .a shown? Yes � N/A G. Type of soffit an ascia shown? YesN/A H. Attic ventilation ehown7 Yee Ip N/A X. Location, type and thickness of flashing shown? [FBC 1503 .2.1 and FBC 1507 . 3.91 Yes <39� N/A J. Type and gauge of eave metal shown? Yes �& N/A 15. Ie anchorage of veneer shown? (FBC 1403) Yee No dIT&> 3 RFSI_QE► LLN CHECKLIST (Continued) VZI. Floor Plan. 1. Does square footage on plan match square footage shown on O No N/A Application? If "No", measure all areas under roof from exterior wall to exterior wall andwadjust square footage accordingly. Add/Subtract To/From living or habitable area. Add/Subtract To/From non-living or non-habitable area. 2. Are all room dimensions shown? Ve k. �° e � N/A 3. Are all door and window sizes shown?NP 9��2 •� '..;`-S s rti. Yee 4 . Are all emergency egress openings shown? Yee No 5 , Is required tempered glass shown at all hazardous locations? Yes [FRC 2405.21 Yes � N/A 6. Are all vertical reinforcements shown? yes 40) N/A 7. Are all shear wall segments shown? e. Are all hold-downs and hurricane an shown? Yes kW. N/A Yes 1_tq7- N/A 9, Is required attic access shown? y�g No N/A 10. Are all plumbing fixtures shown? Ja t_>1cYca- G�vf a�+ Yee No N/A A. Is water heater size shown7 j poc . �`J cli-AD '�M N/A il. Are all electrical fixtures shown? A. Is arc fault circuit interrupter shown for bedrooms? Yes N/A [NEC 210-121 yes N/A 12. Are all mechanical fixtures shown? No N/A A. Is air handler and condensor location shown? acaD YN/A B. Are exhaust fans shown? yep IM:) N/A 13. Are all smoke detectors ohown7 (FBC 905.27 14 . Does one (1) bathroom on the first habitable floor level have a 29" net clear door opening and handicap accessible yew No N/A route? (FBC 11-111 15. Does bedroom open directly into garage? Yes G N/A 16. Does the number of bedrooms shown on plans match the number Yes N/A of bedrooms shown on the Applicativn7 ' ' Yea JAUD N/A 17. Is Designer's name and address shown on plana? Ia. Do egress doors and landings comply with FBC 1012.1.3 Yes No and FBC 1012.1.5? ht and 19. Are habitable rooms shown,with the minimum lig yes No ventilation requirements of FBC 1203 .17 20. Are garage doors, windows and other openings shown as meeting wind load requirements for components and cladding per FBC 16067 Yes No 21. Does floor plan show fireplace? Yes $6) N/A A. Does masonry fireplace have a detailed cross-sectional yes No N/A� detail? B. Does pre-fabricated fireplace have copy of the 'Yea No N/Aj manufacturer's specifications? YeO No N/A C. Is hearth size and detail shown? D. Is mantel size, location and detail shown? Yes �N_.�N/A 22. Are stair details shown? Yea N/A A. Is minimum stair width shown? [FBC Table 1004] Yes jW N/A B. Are tread and riser sizes shown? [FBC 1007.31 Yes No C. Do spiral stairways comply with FBC 1007.8.27 Yee D. Are required landings shown? [FBC 1007.4] E. Are handrail height, spacing and graspability Yea 16D N/A details shown? [FBC 1007.51 N F. Is required headroom clearance shown? [FBC 1001 .71 Yes ® /A G. Are guardrail height, spacing and details shown? Yes (07 N/A (PBC 1026.51 23. If floor plan shows mixed construction, are mixed yes No 460 construction details shown? [May require engineering•] yes No 24. If required, are tenant separations shown? A. Duplex [FBC Table 704.11 B. Townhouse [FBC 704.41 4 �=] pperai Ta (1e L655 47 SASE of _Y­�,jt, RFSIDENTIAL CHECKLIST (Continued) VII. Floor Plan. (continued) ? Yes No �) 25. Are all columns and beams shown for porchesd lana A. Are column type, size and anchorage shown? Yea No `_A B. Are beam type, size, span and ,anchorage shown? Yes Yes No N/A 26. Are all linter and-bdam details shown? 27. Are engineering details provided for butt glass? Yes No VIII. Truss/Rafter Plan. P p g lifts 1 . Are engineered truss lana provided showing loads, uplifts Yes No and required connections? 2. Are all headers, beams, girders and interior bearing walls Yes NN/A shown? 3. Framed Roof. A. Is rafter plan shown, including size, spacing, species, grade of lumber, span and connections? Yee N/A B. Is ceiling joist plan shown, including size, spacing, species, grade of lumber, span and connections? Yes C. Are collar ties shown, including size, spacing, species, Yes ®N/A grade of lumber and connections? D. Is ridge beam shown, including size, species and grade Yes of lumber? N/A q. Is roof sheeting indicated, showing type, thickness yes N/A and nailing pattern? IX. Floor Framing. 1. Is engineered floor truss plan provided, showing loads, yes No uplifts and connections? 2. Is joist plan provided, showing size, spacing, span, Yeo N/A species, grade of lumber and connections? 3. Is floor sheeting indicated, showing type, thickness Yes No N/A and nailing pattern? X. Elevations. Yes N/A 1. Does plan show four (4) elevations? Yes <jo N/A 2. Are attic ventilation requirements shown? Yes N9 N/A 3. Are roof pitch and overhang shown? yes (70 'F/A 4. Is chimney height and location shown? Yes No N/A 5. Is cricket shown? (FBC iso7.3.9.4) Yea No N/A 6. Are all lanai/porch details shown? 7. Does plan show solid blocking required for ridge vents? Yee No N/A 9. Are condensate lines and roof downspouts shown to discharge minimum 1 foot away from structure for protection against Yes N/A decay and termites? (FBC 1503.4.41 Yeso N/A 9. Are gutter, downspouts and splash blocks shown? 5 rv.. RESIF?ENTIAL CFi��I�1ST (Continued) XI. Structural Details. 1. Is basic wind speed shown? [FBC Fig. 16061 Yes (No N/A 2. Are gable end bracing details shown? Yee CzW N/A 3. Are roof sheetipg veiling zones shown? Yes N/A 4. Are protection of—opening details shown? [FHC 1606. 1.41 Yes N/A 5. Is importance factor shown? [FBC Table 1606) Yes N/A 6. Is structure designed to withstand interior pressures? Yes N/A 7. Is exposure category shorn? [FBC 1606 .1.8) Yes cla N/A 8. Are wind pressures for components and cladding shown? FBC Table 1606.2B Yes bo 19� FBC Table 1606.2C Yes N/ 9. Are exterior windows and glass doors shown as approved by independent testing laboratory and do they bear a label i by AAMA or WDMA or other approved label? [FSC 1707.4 .2) Yes No 'N/A 10. Are window and door installation and buck details shown? Yes No N/A 11. Are mullion installation details and design criteria shown? Yes No NIAe� 12. Are garage door positive and negative wind pressures shown as meeting requirements of 1.5 X pressure? [FBC 1707.4.31 Yes No N/A 13. Are garage door manufacturer' s installation details provided? Yes N N/A 6 Returned Permit Application Applicant: 4- Address: Address: %e� O S T Jf Project: cop v't-:.ic r 4 Ti c -o Your permit application is being returned due the following: t IAT /3E Sg�"o4 L4 O 4 B (I ACoy(7 TCT 02 �a16 i/uFt� o ��si�evEQ .N Accony��� c,)(Tiie SSrp /D-9 5 ev f_d7 S oN O/Z C� �-(N E T C N 2 _ c a c S 2 O FLf C 2C7 r G DO �K pr�2 Please re-submit your application when these items have been completed. Don C. Ford Date: Building Official