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68 17th St (vault) CITY OF ATLANTIC BEACH r, 800 SEMINOLE ROAD j g ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030885 Date 8/02/05 Property Address . . . . . . 68 17TH ST A Tenant nbr, name . . . . . . SEPTIC TO SEWER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 0 Owner Contractor - ----------------------- ----- ------------------- PARISH, WAYNE A. GRUHN MAY, INC. 68-A 17TH STREET 6897 PHILLIPS PARKWAY DR.N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 262-9544 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments OWNER MUST HIRE PLUMBER TO INSTALL A BACKFLOW PREVENTOR & MAKE THE CONNECTION FROM THE PRIVATE PROPERTY! Fee summary Charged Paid Credited Due ----------------- ---------- -------- -- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILD G CODES. BUILDING OFFICIAL ri1 al r CITY OF ATLANTIC BEACH �$ jl PLUMBING PERMIT APPLICATION QDate: 8 d� Property Address: �O 17� Owner: V'�,�`�jV P ��}/Z )is Telephone#: 0 3 0 1�,j 9j-1 Contractor: sL1VC_ Telephone#: Contractor Address: ✓6 i'S h c•vl Q Fax#: Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, New list the building permit number: 0 Re-Pipe Number A Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water _Z Sewer Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: _ X$7.00 + $35.00 = 20 800 Seminole Road -Atlantic Beach, Florida 32233445 Phone: (904) 247-5800 - Fax: (904)247-5845- http://www.ci.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000952 Date 7/01/09 Property Address . . . . . . 68 17TH ST A Application type description IRRIGATION/SPRINKLER Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc IRRIGATION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PARISH, WAYNE A. HICKORY CREEK IRRIGATION 68-A 17TH STREET 12615 IVYLENA RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 221-0605 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/28/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 W-1 f PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA M� BUILDING CODES. 1 :r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- I I I I I I OFFICE:(904)247-5826•FAX NO.:(9(4)247-5845 BUILDING-DEPT@COAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: '^ 2.IS THIS A SUB PERMIT: 3.DATE: G27 [ -7'1 lT J �e C ❑NO ❑YES PERMIT#: PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: PLUMBING CONTRACTOR: 71NAMEO COMPANY: 8.ADDRESS.: a Z�r 9.STATE OF FLORIDALICENSE NO: 10.CELL PHONE: 2 11 F�� t d O 7/ �, -� b 12.EMAIL ADDRESS: 13.OFFICE PHHOON� O� � 14. t b Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. CONTRACTORS SIGNATURE: 15.NATURE OF WORK: 16. 17. 18.CURRENT CODE: M NEW ❑'07 FLORIDA BUILDING CODE- 0 RE-PIPE PLUMBING ❑OTHER: 19.NUMBER OF FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORYI/ � RI NALS LAUNDRY TRAY OTHER SPECIFY): ROOF DRAIN Ile�_ 20.PLUMBING PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = BLDG03 PennR Applic2!Non Plumb:05 05 09 CY CY LX Q) orD C� LLJ U-3 City of Atlantic Beach z wBuilding and Ong E�: 0-1 Zoning V-0 1-9 U-i pi L 0=1- 0-4 t- 0=1 c �0=1 06 I0=1 nn zz w W Vo=j z 0 W wU) .......... Z) 0=I-- 0- ............. Wo Z) U- (D LL Z LOA 0 0� OO 0W O� 0=1 z co ow m GA Z o Op ---------- T- W cn -V-01,-9 -j w _j W To: Reaction Summary PESSOLANO DEV. GROUP Job Number. 9634TR 681 17th ST. Page: I Project:681 17th ST, Block No: Date: 08-23-2002-8:09:56 AM Model: Lot No: Project ID: 9634tr Contact: Site: Office: Deliver To: Account No: Name: Designer: mtm 681 17th ST. Phone: PESSOLANO DEV.GROUP Salesperson: a Quote Number: Tentative Delivery Date: 4 Profile: Qty: Truss Id: Span: Truss Type: Slope: Reactions: Joint 2 Joint 9 1 A01 28-0-0 ROOF TRUSS 4.00 1300 Pm 1300 lbs. (� L, g 138 lbs.each 0.00 -1360Ibs. -13 60 Tbs. Joint 2 Joint 7 1 A02 28-0-0 ROOF TRUSS 4.00 1300 tbs- 1300 lbs. 134 Ins.each 0.00 -1384 Hm -1384 lbs. Joint 2 Joint 8 1 A03 28-0-0 ROOF TRUSS 4-00 1300 Rm 1300 lbs. 130 lbs.each 0.00 -1405 Rr- -1405 Ibs. C Z1 C z_1 146 (1) 2-Ply Joint Joint 9 2 A04 28-0-0 ROOF TRUSS 4.00 2526 tbs. 2526 Ibs. 152 lbs.each 2X4/2X6 0.00 -2820 11m -2820 tbs. S S"7I S— Joint 2 Joint 3 4 CJI 1 -0-0 ROOF TRUSS 4.00 336 Ibs. 3671bs. 6 Ibs.each 0.00 -679 lbs -127 Ibs. Joint 2 Joint 3 Joint 4 4 CJ3 3-0-0 ROOF TRUSS 4.00 314 Ins. 93 lbs. 41 lbs. 121bs_each 0.00 4861bs. -116 lbs. Joint 2 Joint 3 Joint 4 4 CJ5 5-0.1-0 ROOF TRUSS 4.00 371 lbs 91 Ibs. 71 lbs. 19 Ibs.each 0.00 463 Ibs -237 Ibs. Joint 2 Joint 3 Joint 5 8 EJ7 7-0-0 ROOF TRUSS 4.00 438 lbs. 167 lbs. 98 lbs. 28 bs each 0.00 -556 lbs. -311 lbs. Joint 2 Joint 4 Joint 5 2 HJ7 9-10-13 RTRUSS 2.83 507 lbs. 185 Ibs. 460 lbs. 39 Ibs.each 0.00 -6061bs 402 lbs. -290 lbs. U m LEGEND: = N LU 0, � Z H8 = Simpson H8 w/(5) 10dx1.5" nails each end co Z Ecoo - NITS = Simpson MTS12 wl (7) 10dx1.5" nails each end ,�- m U- N LGT2 = Simpson LGT2 w/ {14) 18d nails each end w °J 6° MGT = Simpson MGT w/ (22) 10d nails to truss and h- o < (1) 1/2" dia. thru-holt to foundation o cn Y ° U — O U USE: (1) H8 Un!ess Noted Otherwise (U.N.O.) N LL T o z CI- ;J \ J LJ..J U— r JOB ADnRFM GO f I It" �- TYPE WORK i ory k0 FROPERTY OWNER t k)a 1, r)A J" Ul rl'I S TEZYEPHONE CONTRACTOR �'essol o . rFr-EPHONE PE&1�3'rTDh�ER t9W Ll DATE q I. INSPEMONS• FOOTING SLAB TZE BEAMLEVTEL 3 G ( O 2 5ty-ck4+,,- d7-oZ IRAMINGICOEER GP �- INSULATION FINAL BOZLDrNG C'ERT7FIC4TE OF OC CY ELECTRICAL PERMIT# INSPECTIONS ROUGH 0Z' FINAL MECHAIVICQL PFRMIT# INSPECTIONS ROI7GB' FNAL PLUh121I1VG PEI NM INSPECTIONS ROUGWUNDER SLAB TOPODT WATEBISEVER FNAL NOTES: )992' MAP SHO SING BOUNDARY SURVEY OF LOT 3 BLOCK 8 AS SHO WN ON MAP OF �4 (;,Qa✓E Z-/A//-r, Z-/A// /,/o AS RECORDED /N PLAT BOOK 1_PAGES OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA CERTIFIED FOR: te,//1 y,1C Q • f AA,eE </ 5 /�- A,P/S�/ fGo P/o,4 �or�E CoA,-1 _Ei�sr ��,e icy Ti rr_C /.mss • co ' / 7 7--EE T C¢o '� �1 ) k I , Q 96-.001J.l—D, 00 � o•s, 6 D� g I o UPPER LEVEL k/oao �t H.Z' rn V C> W 0 N >1 `� O v/oop w a ? 4 =,Z, �o F %,5 LA . �QK o 4 H a x w J w //• 2' a o z �3 0 x � U Q H k W 1 `k w r n U� o.l 6'Ur/L/ry or Atlantic Beach o.z 0--Minding and Zoning x /g /7 r H �8 7T VAUD UNLESS EMBOSSED W1771 SEAL OF THE UNDERSIGNED. WzL /A/7Ef/0.e -90'00'00' THE PROPERTY SHOWN HEREON APPEARS TO LIE MTHIN FLOOD HAZARD ZONE k AS SCALED FROM FLOOD INSURANCE RATE MAP-!L001 FOR �J7-LWA1T/G 5EAC,4/� FLORIDA, DATED TRI--STATE LAND SURVEYORS, INC. 8411 BA YMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731-7235 LEGEND I HEREBY CERTIFY THAT THE ABOVE LANDS WERE Scut"✓EYED UNDER MY • Cona may RESPONSIBILF SUPERVISION AND DIRECTION, THAT T.7-,ERE ARF_ NO • IRav caq ENCROACHMENTS EXCEPT AS SHOWN AND THA THE SURVEY•SHOWN (SET)YDS CAP 4 LS 4144) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY -INCE THE FLORIDA BOARD OF LAND SURVEYORS PU,4SUANT TO SF_C710N O IRON Cat(FOUND) 472,027, FLORIDA STATUTES C1?XS CUT 9.R.L BUIIDWG RESTRICTION LW£ ' ;.W`T EASUiNT LARRY G. E.DO), P.L.S. N:.). 4144 t/1Y MMT--OF WAY .OV COWNED AREA SCALE.' — �� �•� AIC ATR CONDM NWG PAD R ISTER�� VEYUf� Si� OF FLORIDA H) RADIAL DISTANCE DATE. ,3/S-9¢ CAVpt£TE PG. 677__ ORDER NO. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024844 Date 11/08/02 Property Address . . . . . . 68 A 17TH ST Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 100000 Owner Contractor ------------------------ ------------------------ PARISH, WAYNE A. PESSOLANO DEVELOPMENT GROUP 68-A 17TH STREET 4720 SALISBURY RD, SUITE 228 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 246-7732 -------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 98 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98 . 00 98 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 98 . 00 98 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: - 2 OWNER OF PROPERTY: / TEL. PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS: 1r:L STATE LICENSE NUMBER: CF6 d�1_ 7 -TEL. , 3�j HOW MANY OF THE FOLLOWING FIXTURES SINKS RE-PIPED OR NEW J SHOWERS �- LAVATORY WATER HEATERS _BATH TUBS DISHWASHERS URINALS DISPOSALS '2- CLOSETS WASHING MACHINE FLOOR DRAINS / SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: X $7.00 + $35.00= MINIMUM PERMIT FEE: $35.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: - INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS -(904) 247-5826. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH, FLORIDA 32233 Y INSPECTION PHONE LINE 247-5826 �v Ji3 Application Number . . . . . 02-00024844 Date 11/18/02 Property Address . . . . . . 68 A 17TH ST Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 100000 Owner Contractor ------------------------ ------------------------ PARISH, WAYNE A. PESSOLANO DEVELOPMENT GROUP 68-A 17TH STREET 4720 SALISBURY RD, SUITE 228 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 246-7732 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . INSTALL/REPAIR DUCT WORK Permit Fee . . . . 55 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 r y BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAIN RESULT IN THE PROPERTY O R PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OFA$HIS PKPT ANt SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUIL OFFIC Nov 13 02 10: 29a i:/ ► Iq —/ P. 1• 1 BUILDING AND ZONING INSPECTION DIVISION Ct''t'Y OF ATLANTIC BEACH AITAN'CIC BEAC'II, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT -Applicant to com tete all items in sections 1, 11, 111,and 1V. 1. Street Address: _ j": LOCA'T'ION OF Intersecting Streets:Between c5'i�t1//`-!25 !lnd�c'�¢ (riLp(isz B(!(LOINC Sub-division 11. IVnF;VTIFIC,ATION To be completed tLIll .pplicants" In considcrattan u t permit given for drnn�the work as descntx d to the above statement we hereby u twee lu perfumr saW work in uu:urdunce with thu uttachad plans and spucilicatium which are it part hercwf and in ueeordunCc with the City OI Atlantic Beach xdinancus and sYanMrds OfPLOKKI ,cticc listed thcro n. Name uthlechan�cul i 9j(Gf/� G Gontra�ttxs t.'.untratxur ['rintt 7.tis'Y I.CiA7"/Q/� Ma.+tet /tv � !S Namc ut'Property Signature of Owner Signature of Of AathofQ v1 Agent G. Architect ix Engin-ex] 111. GENERAL INFORMATION A. 1'ypeoFheatmg fuel: l3. O Elcoric IS UTIItifi CONSTRUCTION I)•IN''WNL ON THIS U Gas _LP _NaNral _Cc41(r21 utility R111Li)IN(:OK SCI"ti? _yf _r O Oil T- Q Other-specify IF YES,OWE Nt;IVIIIF.K QY C(H`1STRt1C i[ON PCkmrr D IV. MECHANICAL EQUIPMENT TO BE NA'rupa OF WORK INSTALLEDJ Residuntiai or _ Commercial Ncw Uvildiov (1'ruvOc completo list of components on buck of this form) (� Casting tsuilding U licat _.Stxtcc _Reccswd _Central _Flax p Rcplaactncnt orcaitaing 7ystem D Air CO-Witivning: RMIn Central New Intwlladun(No nyswm previous:y installed) Duct System: kncssee­Ir> Extension or add- n to existing system Maximum capiwity 7 <ttn Othct-Spccity 3 Cool ing ton Z90 CI,S' <5V e,)e 7 (:soling tow�Yt Gtpaeiry 0prn :J FireVdrkk'w Numberulbcads TU SSPACE FOR OPPICE USE ONLY D Ulcvutor: Nlaniilt Escalahx _(Numbcr) D Gasoline pumps cNumber) (lteeeived) J Tunks � (Number) Remarks LI'll ctxitaincrs (Numheq 7 (Inhrod prc&wv4:vcsscl Peemit Approved by lUate :1 Uodurs D Ulhei-Speciry 1 omit Fee LIST ALL EQUIPMENT AIR CONVITIONING AND KEMIGLRAHON I;Q111NMtENT Number Units Descrtplion Modcl Number Mwivlactarcr C,Ipucity Approving _ Tons Agency :•!EATING-1 IJRNACi:.>,tIOILF,RS.FIREPLACES Numhcr Units Dest:nption Model Numbgr Manufacturer Capacity Approving B'I'U Agency FANKS How Many Nominal(rapacity Type Liquid Name or Serial Approving And Dimcnyiuns Contained Ivlanutacturer No. crc i _ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024844 Date 11/11/02 Property Address . . . . . . 68 A 17TH ST Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 100000 Owner Contractor ------------------------ ------------------------ PARISH, WAYNE A. PESSOLANO DEVELOPMENT GROUP 68-A 17TH STREET 4720 SALISBURY RD, SUITE 228 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 246-7732 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 64 .40 Plan Check Fee . 00 Issue Date . . Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------ ---- ---------- Permit Fee Total 64 .40 64 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 64 . 40 64 . 40 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Oyu ( - BUILDING OFFICIAL CITY OF ATLANTIC BEACH, FLORIDA ADProwd°Y APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- �_ �I 19 O Z IMP013TANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDAN_U WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF.,AND IN ACCORDANCE W IE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. MCDONALD ELECTRIC: "OeL41� ELECTRICAL FIRM: MASTER ELECT C N SSG a URE r NAME -ADDRESS C�7p t'� ST RFD BOX BLDG.SIZE / BETWEEN: RES.(`� APT.( ) COMM.( ) PUBLIC( ) INDUS.( ► NEW( ) OLD( ) REW.( ) ADDITION(`r TRAILER( ) TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW( ) INCREASE( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. ..-.. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS J PH 3W Z4k7 VOLT �iPE RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS 12- CONCEALED OPEN 12 TOTAL RECEPTACLES ,-I CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES �� INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVEn APPLIANCES - - BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I II.P. VOLTAGE PHS MISCELLANEOUS -- i�4¢ rte» • 9n� TRANSFORMERS: UNDER 60O V. OVER GOO V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED ! U TOTAL FEES CITY OF ATLANTIC BEACH I J 800 SEMINOLE ROAD J r� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 . . . - 20/02 Property Address . . . . . . 68 A 17TH ST Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 100000 Owner Contractor ------------------------ ------------------------ PARISH, WAYNE A. PESSOLANO DEVELOPMENT GROUP 68-A 17TH STREET 4720 SALISBURY RD, SUITE 228 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 246-7732 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc ADDITION/REMODEL Permit Fee . . . . 460 . 00 Plan Check Fee 230 . 00 Issue Date . . . . Valuation . . . . 100000 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . WATER CROSS CONNECTION 35 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 460 . 00 460 . 00 .00 . 00 Plan Check Total 230 . 00 230 . 00 .00 . 00 Other Fee Total 35 . 00 35 . 00 . 00 . 00 Grand Total 725 .00 725 . 00 . 00 . 00 aw 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 CH ARE PART OF THIS RNH SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address r, r� 7', 14 D IZ r c ~� Date 9 t ( .--d'L Heated Square Footage @ $ per sq ft= $ Garage/Shed L @ $ per sq ft= $ Carport/Porch !,� @$ per sq ft= $ Deck @ $ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ Total V luation i st $ / 00 , e, ~--- Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 0 ZONING: + '/2 Filing Fee $ �L '5 6 FLOOD ZONE: ( ) Fireplaces @ $15.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ U WATER IMPACT FEE $ -r--9 � SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON M50050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ 7-3 S� ST( ) SURCHARGE $ e--) OTHER $ e, GRAND TOTAL DUE: $ WATER IMPACT FEE WORK SHEET ADDRESS: !;. f �z i '.T>79( T/C A) '00 nj�L 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 whiripool 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 f Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavatory 1 j 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 TOTAL NUMBER OF UNITS = MULTIPLIED x 20 TOTAL $ J r i tip U. , a gtlansic Beach d �oning �utlding an City of'Atlantic Beach 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904) 247,5800 FAX (904)247-S805 - http,-//wwwlci.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUC'T'ION (INCLUDING NEW CONSTRUCTION, REMODEL,, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) J013 ADDRESS '�-wl DATE S APPLICANT ADDRESS rION)N:: LEGAL DESCRIPTION: Rl OCK NUMBER C_ IAT NUMBER_ ZONING DISTRXCT ` CONTRACTOR ��I,ctiyt� �JtrlQflaajatj . C _ STATE LICENSENUMBF,R_ ADDRESS y��SA ��,e �p } yi Z PHONE y 3 CITY�a���>!:� „STATE FAX DESCRIBE PROPOSED USE AND WORT{TO BE DONE PRESENT USE OF LAND OR BUILDING(S) t VALUATION OF PROPOSED CONS'T'RUCTION oo Is this an addition? _ � '' If yes, what are the dimensions of the added space: 13 r feet by 2± feet Will the added area beCatch d and cooled' _ -5 New electxicul or increase 7 se tn.service_ V E-S New plumbing fixtures? ' - �� _ ' T- P New fireplace. IVO _ New heating/air conditioning? Q Is approval or Homeowner's Association or other private entity required'? If yes,please sub't with this application, WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? Q NO.'applicant certifies that no change in site grade or fill material will be used on this project. ❑'YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and plrovide all information as a propria►te.) STEP 1. Verify coning designation and proper setbacks for the proposed construction, If you arc unsure of this information, please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real 13-statc Number available. STEP Z. Contact the City of Atl=tic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application,) The Deparhncnt of 8/02Public Works is Iocated at: 1200 Sandpiper Lane,Atlantic Bcach,Fl, 32233 Telephone: (904)247-5834 j •d STEP 3. 4 Please submit Lncrgy Code Forms,Notice of Commencement,Owncr/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic 13mch City Hall, 800 Seminoletic Road, Atlan Bcach,FL 32233 Telephone:(904)247-5826 M' In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal dcticription. 2. Location of all structures, temporary and permanent, including setbacks, building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If rcquircd by the Department of Public Works,a prc-construction topographical survey. S. Any significant ethvironmcntal features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area caIculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH TI[IS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE S16 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TIIE SAME TO BE TRUE. AND. CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING TIIIS TYPE OF WORK WILL BE COMPLIFI) WITH, WHETHER SPECIFIED HEREIN Olt NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Olt CANCEL TME PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PRO PERTY, I UN. EkSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORItECT AND TIIA.T THE PIANS AND SUP tTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SICNATURE OP CONTRACTOR DATE y ADDRESS AND CONTACT INFORMAT ON OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS A PLICATION (PLEASE PRIM) NAME MAILING ADDRESS `s Sv Z.Z v� PHONE 7 FAJi 7 - E-MA1Q SWORN AND SUBSCRZ.IIED 13EFORE MI THIS DAY OF � STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE AS TO OWNER: .— crs nall.y known ❑ Produced identification Typc of identification produced AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 8/02 z •d 5 MIN. RETURN NOTICE OF COMMENCEMENT PHONE# a 3a (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of EIC2 ;Q A County of To whom it may concern: Ch The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. 01 Legal description of property being improved: i /,AT 13oox /.6� tDFa f R.�2 r-qF 7/q,- ID4,B,4/G' C N O Address of property being improved: f /T ST, 47-6,, 7-11 /�ffaC'N, )'/ Z233 0nGeneral description of improvements: SAY 2/?2 G - Owner 4 2,2,/�r>f_ Address �� ,l ? �f ,A7�far�,—rC �'f�ct�. )f/ Owner's interest in site of the improvement 1�dGvn�l�Ly� i S Fee Simple Titleholder (if other than owner) Name Address Contractor ��Ss�' /�l✓G � V EIc�D ,T� .�o. :� v� Address YZ,cu SA�31--), � /�'3�. f3,�+ 2- 1 Phone No. `'o`� .-� yU,-7�)_2y� Fax No. �'� 7 4/3 ; Z Z V/ Surety (if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person m,*ing a loan for the construction of the improvements. Name XV Address Phone No. Fax No. _ Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement ;the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER r Signed: Date: SS v Before me t1h4 E 'J day of_ in the ppori 200 4806 County of D al, S . to of Florida, has personally appeared Book: 1 O ,.••..,,,4 CHRISTOPHER L.JOHNSON Page: 1999 Filed & Recorded 09/06/2002 01:58:14 Ph Notary Public.! ,{ s r ri JIM FULLER a hru otary ,ubli Underwri er CLERK CIRCUIT COURT My co On expires: DUVk COUNTY TRUST FUND 1.00 S -R rse`on( Kon wn or RECORDING 5.00 Y Produced Identification (ZL 17 L, e FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 60OB-93 Residential Component Prescriptive Method B NORTH -1 2 3 Department of Community Affairs _ Compliance with Method B of Chapter 6 of the Florida Energy Efficiency Code may be demonstrated by the use of Form 6008-93 for single and multifamily residences of 3 E.tcries or IeSs in height,and additions to existing residential buildings.To comply,a building must meet or exceed all of the energy efficiency prescriptives in any one of the prescriptive component packages ant comply with the prescriptive measures listed in Table 6B-1 of this form.Compliance by this method will be,in most cases,equivalent to an EPI of 100 points or less.An alternative method is provided for additions of 600 square feet or less by use of Form 600C-93.If a buildin does not comply with this method,it may still comply under other methods in Chapter 6 of the Code. PROJECT NAME: BUILDER: AND ADDRESS: 7 Sj^ PERMITTING CLIMATE C111 I OFFICE: ZONE: 1E-2 --1 3 OWNER: S PERMIT NO. JURISDICTION NO.:C=' GENERAL DIRECTION 1. New construction including additions which incorporates any of the following features cannot comply using this method: raised wood floors without continuous stem walls, steel stud walls,single assembly roof/ceiling construction,or skylights or other non-vertical roof glass. 2. Choose one of the component packages"A"through"E"from Table 66-1 by which you intend to comply with the Code. Circle the column of the pa3kage yc u have chosen. 3. Fill in all the applicable spaces of the"To Be Installed"column on Table 6B-1 with the information requested. All"To Be Installed"values must be equal to or more efficient than the required levels. 4. Complete page 1 based on the"To Be Installed"column information. 5. Read"Minimum Requirements for All Packages",Table 613-2 and check each box to indicate your intent to comply with all applicable items. 6. Read,sign and date the"Prepared By"certification statement at the bottom of page 1. The owner or owner's agent must also sign and date the form. Please Print CK 1. Compliance package chosen (A-E) 1• -- 2. New construction or addition 2. 3. Single family detached or Multifamily attached 3. _ 4. If Multifamily-No. of units covered by this submission 4. _ 5. If Multifamily, is this a worst case (yes/no) 5. - 6. Conditioned floor area 6. _sq. ft. _ 7. Predominant eave overhang (ft.) 7. 8. Porch overhang length (ft.) 8• �3 - 9. Glass type and area: Single Pane Double Pane a. Clear glass 9a. sq. ft. 11A ...sq. f; b. Tint, film or solar screen 9b. sq. ft. _sq. f. _ 10. Percentage of glass to floor area 10. % 11. Floor type, area and insulation: a. Slab on grade (R-value) 11a. R= iin. ft. _ b. Wood, raised (R-value) 11b. R= sq• ft. c. Wood, common (R-value) 11c. R= sq. ft. d. Concrete, raised (R-value) 11d. R= sq. ft. _ e. Concrete, common (R-value) 11e. R= _sq. 12. Wall type, area and insulation: a. Exterior: 1. Masonry (Insulation R-value) 12a-1 R= sq. ft. _ 2. Wood frame (Insulation R-value) 12a-2 R= sq. b. Adjacent: 1. Masonry (Insulation R-value) 12b-1 R= sq. ft• _ 2. Wood frame (Insulation R-value) 12b-2 R= sq. 13. Ceiling type, area and insulation: a. Under attic (Insulation R-value) 13a. R= 3cO _3 sq. ft• _ b. Single assembly (Insulation R-value) 13b. R= sq. ft. 14. Air Distribution System c insulation, tion 14. R= 15. Cooling system 15a. Type: ' CC (Types:central,room u none) 15b. SEER/EER: _ 15c. Capacity: 16. Heating system Fx 54-i 16a. Type: (Types:heat pump, na. s,L.P-gas,room or PTAC,none) 16b. HSPF/COP/AFUE: 16c. Capacity: 17. Hot water syste �X 1 S}-� 17a. Type: _ (Types:elec.,nat. .P.gas,sol ec.,ded.heat pump,other,none) 117b. EF: I hereby certify that theAc- overed by t calculation are in compliance ith the Review of plans and specifications covered by this calculation iioi�a;es compliance with Florida Energy Code. the Florida Energy Code.Before construction is completed,this building will be inspected for compliance in accordance with Section 553.908,F.S. PREPARED BY: DATE: 1 hereby certify that this th a Florida E y de. BUILDING OFFICIAL: - - DATE: OWNER AGENT: ATE: - 1 44" i7 14-- zo-ning City of Atlantic Beach 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904) 247-5800 FAX (904)247-5805 - http;!/www/ciatlantiC-bcach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILVOR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) JOB ADDRESS -)--#)S DATE APPLICAN d N A% �-<aCyl �J\ ADDRESS PYION'E.- LEGAL DESCRIPTION; BLOCK NUMBER LOT NUMBER_ - 111 CONTRACTOR ZONING DISTRICT 10%. ADDRESS STATE LICENSE NLTMEFR r—&-C cep —'l I "I I"XIONE y , ?'-) S Vz cay S-rATE :F I zip3ZZ. co FAX DESCRIBF,X'ROPOSED USE AND WORKTO BE DONE A-aal�� PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED CONSTRUCTION C) Is this an addition? -- V yes, what are the dimensions of the added space; feet by 2, feet Will the added area be Latcd and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? /%/0 New heating/air conditioning? Is approval or Homeowner's Association or other private entity required?---&D.— IfYcs,plcasesub't ,�mi with this application. WILL THIS PROJECT INVOLVE CHANCES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? CD NO. _A-pplicant certifies that no change in site grade or rill material will be used on this project. [J'YES. See Step 2 below. Approval of the Pul)jic Works Department is required prior to issuance of Building Permit. .PROCEDURE: (In order to expedite issuance of permits, please follow all steps and nformation as appropriate.) —D_Kovide all ;TEP 1. Verify coning designation and proper setbacks for the propuwd construction, If You are unsure of this information, please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify Zoning designation, please have Property Appraiser's Real 13-statc Number available. ,rEP 2. Contact the City of AtIjnfic Beach Department of Public Works to determine if a pre-construction or post-construction topoS aphical verification must provided with this application.) The D,-,-pwtmcnt of survey or grading plan is required. (If not required, written vcrif Public Works is located at; 1200 Sandpiper Line,Atlantic Beach,Fl, 32233 Telephone:(904)247-5834 C1 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owncr/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Dcpartm,cnt, which is located at clic Atlantic Aeach City hull, 800 Seminole Road, AtlanticBcach,FL 32233 Tckplronc:(904)247-5826 •' In addition to construction and engineering detail, plans must contain the following information as approprniatc for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, ternponyy and pern=ent, including setbacks, building height,number of stories and square fuotage. Identify any existing structures and uses. 3. Existing and/or proposcd driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. S_ Any signifi=t chvironmcntat features,including any jurisdictional wetlands.CC`QL,natural water bodies. 6. Impervious Surface area calculatiuns. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications, I REP-EBY CERTIFY THAT ALL INFORMATION PROVIDED WITH TIIIS APPLICATION IS CORRECT. SIGNATURE OF OWNER �� -� 4 DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND. CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING TRIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED BEP EXN Olt NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORTTX TO VIOLATE OR CANCEL TME.PROVISIONS OF ANY FEDERAL,STATE OR LOCAL 12ULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF TIIE PROPERTY. I UNAERSTAND TRAT THE ISSUANCE,OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPTING DATA HAVE BEEN OR SHALL BE PROVMED AS REQUIRED. SIGNATURE OF CONTRACTOR 76 DATE 1DDRESS AND CONTACT XNI,'ORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING TRIS.kPPLICATION (PLEASE PRINT) 14AME S AAXL>NG ADDRESS f L( c' Z Z 'U UT�ONEc Y1,t ._ 73 w FAX E-MA , r-- WORN AI'N'D SUBSCRMED BEFORE M[J!? THIS DAY OF 4 TATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE S TO OWNER: �crsonally 1Mowu ❑ Produced identification Type of identification produced S TO CONTRACTOR: ❑ Personalty lw.own ❑ Produced identification Type of identification produced z •d To: Job Material PESSOLANO DEV GROUP Job Number: 9 f 34F 681 17th ST. Page: 1 Project:681 17th ST. Block No: Date: 08-23-2002-8:30:51 AM Model: Lot No: Project ID: 9634f Contact: Site: Office: Deliver TO: Account No: Name: 681 17th ST. Designer: mtm Phone: PESSOLANO DEV.GROUP Salesperson: Fax: Quote Number: Tentative Delivery Date: Job Material Summary Job Connect Summary Size Species Grade Length Quantity Lineal Ft Bd-Ft MII20 3.0 X 4.0 316 2X4 SYP No.2 1 8 MII20 3.0 X 6.0 112 2X4 SYP No.2 8 8 M1120 3.0 X 8.0 68 2X4 SYP No.2 14 4 128 85.3 M1120 3.0 X 10.0 8 M1120 4.0 X 4.0 52 2X4 SYP No.3 1 20 M1120 4.0 X 8.0 8 2X4 SYP No.3 2 16 MII20 4.0 X 12.0 68 2X4 SYP No.3 3 8 76 50.7 Total Plates= 632 4X2 SYP No.2 14 26 364 242.7 Total Joints= 316 4X2 SYP No.3 1 156 4X2 SYP No.3 2 104 364 242.7 Lumber Total: 350 932 621.3 5 2r�? -'-Y Of Atlantic Eeachi wilding and Zoning � D mr mD pr 6-10-4 - � M -r .............................. 6G 1 o 24" o.c. 0 z n O _- F01 M - D0 zo F01 � � ._._..... -- � � - F01 cn0 0 � - F01 _ m -0 m � z F01_ � � m F01 - :3 F01 ..... 0) (D F01 No N m ----....T-Q 1 -- m - _ -- g CHs g 7Q F;G 1 - rn -1 y 6-10-4 m �, z rn m T 7Q O m .N To: Reaction Summary PESSOLANO DEV GROUP Job Number: 9634Fi' 681 17th ST. Page: 1 Project:681 17th ST. Block No: Date: 08-23-2002-8:30:52 AM Model: Lot No: Project 1D: 9634f Contact: Site: Office: Deliver To: Account No: Name: 681 17th ST. Designer: mtm Phone: PESSOLANO DEV.GROUP Salesperson: Fax: Quote Number: Tentative Delivery Date: Profile: Qty: Truss Id: Span: Truss Type: Slope: Reactions: Joint 13 Joint 20 13 FOl 13-9-8 FLOOR 1-0-0 739 tbs. 739 lbs. 71 Ibs.each (2) 2-Ply Joint 8 Joint 11 Joint 14 4 FG1 13-9-8 FLOOR 0.00 2294 lbs. 6816 tbs. 652 tbs. 63 lbs.each 0.00 -60 lbs. Job Truss Truss Type Qty Ply 9634F F01 FLOOR 13 1 o Tonal MTek Industries,Inc.,Chesterfield,MO 63017 4.201 SRI s Nov 16 2000 MTek Industries,Inc. Fri Aug 23 08:10:20 2002 Page 1 1-3-0 T31 2-M 7 1 r � r MX 3A0-A n 3A= 4n0= 4.0-= xd n A Bab— C3A 11 G3.1= Eaa 11F G H 3 11 ,3A j 3 II K3— L3A= g3= R Q P Q4A2— ,34 402= 3A M 5-10-12 7-10-12 13-9-8 3 9 Plate Offsets A:E 0-1-8 F:0-1-8 E G:0.1-8 Ed 0:0-5-12 Ed a :0-5-12 E e [U:0-1-8,0-1-81, :0-1-8 0-1-8 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) Well PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.25 Vert(LL) -0.17 P-Q >984 M1120 249/190 TCDL 10.0 Lumber Increase 1.00 BC 0.71 Vert(TL) -0.23 P-Q >712 BOLL 0.0 Rep Stress Incr YES WB 0.38 Horz(TL) 0.04 M Na BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min Well=480 Weight:71 Ib LUMBER BRACING TOP CHORD 4 X 2 SYP No.2 TOP CHORD Sheathed or 6-0-0 oc purlins, except end verticals. BOT CHORD 4 X 2 SYP No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc tracing. WEBS 4 X 2 SYP No.3 REACTIONS(lb(size) T=739/0-3-8,M=739/0-3-8 FORCES(lb)-First Load Case Only TOP CHORD T-U=-55,A-U=-55,M-V=-55,L-V=-55,A-B=-4,B-C=-1842,C-D=-1842,D-E=2739,E-F=2739,F-G=-2831,G-H=-2739,H-1=2739,1.1=-1842,J-K=1842,K-L=-4 BOT CHORD S-T=1057,R-S=2397,Q-R=2831,P-0=2831,O-P=2831,N-0=2397,M-N=1057 WEBS B-T=-1249,K-M=-1249,BS=943,GS=-123,K-N=943,J-N=-123,D-S=-667,I-N=-667,D-R=411,E-R=10,1-0=411,H-0=-10,F-R=-223,G-O=223,F-0=10,G-P=10 NOTES (3) 1)This truss has been checked for unbalanced loading conditions. 2)Recommend 2x6 strongbacks,on edge,spaced at 10-0-0 oc and fastened to each truss with 3-164 nails. Strongbacks to be attached to walls at their outer ends or restrained by other means. 3)This truss has been designed specifically for Turbo Web LOAD CASE(S) Standard C)iU '�,`� v� , o A CO -EG Job Truss Truss Type Qty Ply 9634F FG1 FLOOR 2 2 (optional) Mi rek Industries,Inc.,Chesterfield,MO 63017 4.201 SR1 s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:30:05 2002 Page 1 13-9-8 13-9-8 Suis=1:22. Seo= 4.e= 3.8— a3.4 II C3A 03x4 II E F3 II G W2 W10 EV2 g2 B1 M L3M II 33M II 14x12= 310= 3.4 II 4x12= 3x0 II 13-9-8 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/deft PLATES GRIP TCLL 40.0 Plates Increase 1.00 TC 0.89 Vert(LL) -0.07 I-J >999 M1120 249/190 TCDL 10.0 Lumber Increase 1.00 BC 0.71 Vert(TL) -0.09 I-J >855 BCLL 0.0 Rep Stress Incr NO WB 0.71 Horz(TL) 0.01 H n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min I/defl=360 Weight:1261b LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 TOP CHORD sheathed or 5-11-1 oc purlins:A-G. BOT CHORD 2 X 4 SYP No.2 BOT CHORD Rigid ceiling directly applied or 6-0-0 oc bracing. WEBS 2 X 4 SYP No.3*Except* EV1 2 X 4 SYP No.2,EV2 2 X 4 SYP No.2 i REACTIONS(Ib/size) N=466/0-3-8,H=2221/0-3-8,K=6816/0-3-8 Max UpliftN=-59(load case 3) Max GravN=652(load case 2),H=2294(load case 3),K=6816(load case 1) FORCES(lb)-First Load Case Only TOP CHORD A-N=-414,A-B=-755,B-C=-755,C-D=2352,D-E=2352,E-F=-4158,F-G=4158,G-H=-2016 BOT CHORD J-K=2973,I-J=2973,H-1=955,M-N=218,L-M=-345,K-L=-345 WEBS A-M=560,B-M=-519,C-M=1154,C-L=-135,C-K=-2105,D-K=-4053,E-K=-5602,E-J=-170,E-1=1247,F-1=-1560,G-1=3350 NOTES (8) 1)This truss has been checked for unbalanced loading conditions. 2)Provide adequate drainage to prevent water ponding. 3)Bearing at joint(s)K considers parallel to grain value using ANSUTPI 1-1995 angle to grain formula. Building designer should verify capacity of bearing surface. 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 59 Ib uplift at joint N. 5)Special connection required to distribute top chord loads equally between all plies. 6)2-ply truss to be connected together with 10d Common(.1 48"x3")Nails as follows: Top chords connected as follows:2 X 4-2 rows at 04-0 oc. Bottom chords connected as follows:2 X 4-1 row at 0-9-0 oc. Webs connected as follows:2 X 4-1 row at 0-9-0 oc. 7)Special hanger(s)or connection(s)required to support concentrated load(s)2526.01b down at 7-0-0 on top chord. Design for unspecfietl Connectib (s ' delegated to the building designer. 8)This truss has been designed specifically for Turbo Web 0110:1;F1lti�?if;;".•.-. LOAD CASE(S) Standard �W".. f5 1)Floor:Lumber Increase=1.00,Plate Increase=1.00 Uniform Loads(plf) ON Vert:D-G=-768.0,H-L=-10.0,L-N=-10.0 "�,• Concentrated Loads(lb) �l . Vert:D=-2526.0 v •ip.. Trapezoidal Loads(plf) • Vert:A=-180.0-to-D=-327.0 s' ,' ;C., Q 4i•. O LLJ LU O LLJ O-O-Z < LLJ CO LO oll� DL LLJ to H Nt H 06 oc Wr a z z FO L, LU Lra z < Ira LLJ C/) w r < D I r U) 0 D z 0 0 co a- LL 2 w U) 0 m z z (o 7 UJ —VI U) 5 0 U-0Qc) T- Lu FT N cn r 0 D (o < w co CO LO t CON AtA 0 0 0 JLU --i ........... < < To: Reaction Summary PESSOLANO DEV. GROUP Job Number: 9634TR 681 17th ST. Page: 1 Project:681 17th ST. Block No: Date: 08-23-2002-8:09:56 AM Model: Lot No: Project ID: 9634tr Contact: Site: Office: Deliver TO: Account No: Name: Designer: mtm 681 17th ST. Salesperson: Phone: PESSOLANO DEV.GROUP Quote Number: Fax: Tentative Delivery Date: Profile: Qty: Truss Id: Span: Truss Type: Slope: Reactions: Joint 2 Joint 9 1 A01 28-0-0 ROOF TRUSS 4.00 1300 lbs. 1300 Ibs. 138 Ibs.each 0.00 -1360 lbs. -1360 lbs. Joint 2 Joint 7 1 A02 28-0-0 ROOF TRUSS 4.00 1300 Ibs. 1300 lbs. 134 lbs.each 0.00 -1384 Ibs. -1384 Ibs. Joint 2 Joint 8 1 A03 28-0-0 ROOF TRUSS 4.00 1300 lbs. 1300 Ibs. 130 tbs.each 0.00 -1405 lbs. -1405 Ibs. (1) 2-ply Joint Joint 2 A04 28-0-0 ROOF TRUSS 4.00 2526 Ibs. 2526 Ibs. 152 Ibs.each 2X4/2X6 0.00 -2820 Ibs. -2820 Ibs. Joint 2 Joint 3 4 CJ1 1-0-0 ROOF TRUSS 4.00 336 lbs. 367 Ibs. 61bs.each 0.00 -679 tbs. -127 Ibs. Joint 2 Joint 3 Joint 4 4 CJ3 3-0-0 ROOF TRUSS 4.00 314 lbs. 93 lbs. 41 lbs. 12 lbs.each 0.00 -486 lbs. -116 lbs. Joint 2 Joint 3 Joint 4 4 CJ5 5-0-0 ROOF TRUSS 4.00 371 lbs. 91 Ibs. 71 Ibs. 19 Ibs.each 0.00 463 lbs. -237 Ibs. Joint 2 Joint 3 Joint 5 8 EJ7 7-0-0 ROOF TRUSS 4.00 438 lbs. 167 Ibs. 98 lbs. 28 Ibs.each 0.00 -556 tbs. 311 Ibs. Joint 2 Joint 4 Joint 5 2 HJ7 9-10-13 ROOF TRUSS 2.83 507 lbs. 185 Ibs. 460 lbs. 39 lbs.each 0.00 -606 tbs. -402 Ibs. -290 Ibs. Job Truss Truss Type City Ply 9634TR A01 ROOF TRUSS 1 1 (optional) MTek Industries,Inc.,Chesterfield,MO 63017 4.201 SR1 s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:01:58 2002 Page 1 13-0-0 15-0-0 , 28-0-0 1 � 13-0-0 2-0-0 13-0-0 xr4.rs2. 4.4= 4,0= 1.00 ITT E F 4A c 4w a 3a1� 4 O 3.1 O O H W W2 W6 7 III 37 B dA 011 N M L K 4,0=3M= 4r= 3A 11 28-0-0 Plate Offsets X [F:0-5-8,0-2q LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) Vdefl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.90 Vert(LL) 0.31 N >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.87 Vert(TL) -0.44 K-L >756 BCLL 10.0 Rep Stress Incr YES WB 0.60 Horz(TL) -0.11 1 n/a BCDL 5.0 Code FBC2001 1st LC LL Min Vdefl=360 Weight:138 lb LUMBER BRACING TOP CHORD 2 X 4 SYP No.1'Except' TOP CHORD Sheathed or 3-6-5 oc puriins. T2 2 X 4 SYP No.2 BOT CHORD Rigid ceiling directly applied or 3-9-4 oc bracing. BOT CHORD 2 X 4 SYP No.2 WEBS 2 X 4T SYP No.3*Except* W3 2 X 4 SYP No.3,W5 2 X 4 SYP No.3 REACTIONS(lb/size) B=1300/0-3-8,1=1300/0-3-8 Max Horz B=-214(load case 5) Max UpliftB=1359(load case 2),1=M%Ioad case 3) FORCES(lb)-First Load Case Only TOP CHORD A-B=20,B-C=-2811,C-D=-2811,D-E=-1924,E-F=-1838,F-G=-1924,G-H=-2811,H-1=-2811,I-J=20 BOT CHORD B-0=2657,N-0=2501,M-N=1838,L-M=1838,K-L=2501,I-K=2657 WEBS D-0=250,D-N=-715,E-N=384,F-N=O,F-L=384,G-L=-715,G-K=250 NOTES (5) 1)This truss has been checked for unbalanced loading conditions. 2)This truss has been designed for the wind loads generated by 120 mph winds at 18 ft above ground level,using 5.0 psf top chord dead bad and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category 11,condition 11 partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33, 41 and the plate grip increase is 1.33 "1 3)Provide adequate drainage to prevent water ponding. / 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 1359 Ib uplift at joint B and 1359 Ib uplift at joint 1 5)This truss has been designed specifically for Turbo Web LOAD CASE(S) Standard a3 ti JobTruss Truss Type Oty PIY 9634TR A02 ROOF TRUSS 1 1 o Tonal MiTek Industries,Inc.,Chesterfield,MO 63017 4.201 SRI s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:01:59 2002 Page 1 11-0-0 17-0-0 28-0-0 11-0-0 6-0-0 11-0-0 sd.•+sz des= sno= D E 400 12 dA I dA C Wd F W z (i B F a H Fot A M3A II L K 3! 418= 3A= IA 28-0-0 Plate Offsets X [E:0-5-0,0-1-131 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.95 Vert(LL) 0.35 L >963 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.78 Vert(TL) -0.36 I-J >936 BCLL 10.0 Rep Stress Ina YES WB 0.36 Horz(TL) -0.11 G n/a BCDL 5.0 Code FBC2001 1st LC LL Min Vdefl=360 Weight:134 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2'Except* TOP CHORD Sheathed or 3-5-3 oc purlins. T2 2 X 4 SYP No.1 BOT CHORD Rigid ceiling directly applied or 3-9-13 oc bracing. BOT CHORD 2 X 4 SYP No.2 WEBS 2 X 4T SYP No-3*Except* W3 2 X 4 SYP No.3,W5 2 X 4 SYP No.3 REACTIONS(Ib/size) G=1300/0-3-8,B=1300/0-3-8 Max Horz6=191(load case 5) Max UpliftG=-1383(load case 3),B=-1383(load case 2) FORCES(lb)-First Load Case Only TOP CHORD A-B=20,B-C=-2913,GD=-2178,D-E=2080,E-F=-2178,F-G=-2913,G-H=20 BOT CHORD B-M=2752,L-M=2627,K-L=2080,J-K=2080,I-J=2627,G-1=2752 WEBS C-M=207,C-L=-593,D-L=382,E-L=-O,E-J=382,F-J=-593,F-1=207 NOTES (5) 1)This truss has been checked for unbalanced loading conditions. 2)This truss has been designed for the wind loads generated by 120 mph winds at 18 ft above ground level,using 5.0 psf top chord dead bad and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category 11,condition 11 partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3)Provide adequate drainage to prevent water ponding. f' 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 1383 lb uplift at joint G and 1383 Ib uplift at joint B. t F 5)This truss has been designed specifically for Turbo Web } LOAD CASE(S) Standard 41 j, .^Zoo � � ; JobTruss Truss Type Q[y Ply 9634TR A03 ROOF TRUSS 1 1 (optional) MiTek Industries,Inc.,Chesterfield,MO 63017 4.201 SRI s Nov 16 2000 MTek Industries,Inc. Fri Aug 23 08:01:59 2002 Page 1 9-0-0 19-0-0 28-0-0 9-0-0 10-0-0 9-M xs.•152 D E F 1.00 t2 yw\\ 3A 11G G W3 1 W 1 H FFI E9B 1 'A �= M L K J y6= 4A= IM= 28-0-0 Plate Offsets X :0-5-40-2-0 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) Udefl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.86 Vert(LL) 0.40 K >821 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.92 Vert(TL) -0.39 K-M >855 BCLL 10.0 Rep Stress Incr YES WB 0.28 Horz(TL) -0.12 H Na BCDL 5.0 Code FBC2001 1 st LC LL Min Udell=360 Weight:131 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 TOP CHORD Sheathed or 3.6-12 oc purlins. BOT CHORD 2 X 4 SYP No.2 BOT CHORD Rigid ceiling directly applied or 0-2-0 oc bracing, Except: WEBS 2 X 4T SYP No.3*Except* 4-1-0 oc bracing:J-K. W2 2 X 4 SYP No.3,W6 2 X 4 SYP No.3 REACTIONS(lb/size) B=1300/0-3-8,H=1300/0-3-8 Max HorzB=-167(load case 5) Max UpliftB=1404(load case 2),H=-1404(load case 3) FORCES(lb)-First Load Case Only TOP CHORD A-B=20,B-C=-2728,C-D=-2426,D-E=-2325,E-F=-2576,F-G=-2426,G-H=2728,H-1=20 BOT CHORD B-M=2576,L-M=2618,K-L=2618,J-K=2314,H-J=2576 WEBS C-M=-295,D-M=517,E-M=-343,E-K=-99,F-K=352,FJ=292,G-J=-295 NOTES (5) 1)This truss has been checked for unbalanced loading conditions. 2)This truss has been designed for the wind loads generated by 120 mph winds at 18 It above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category II,condition It partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3)Provide adequate drainage to prevent water ponding. 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 1404 Ib uplift at joint B and 1404 Ib uplift at joint H. F 5)This truss has been designed specifically for Turbo Web LOAD CASE(S)Standard a''`ft>N�Ftty iiE4 <2 s, 63 Job Truss Truss Type Oty Ply 9634TR A04 ROOF TRUSS 1 2 tional MiTek Industries,Inc.,Chesterfield,MO 63017 4.201 SR1 s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:02:00 2002 Page 1 7-0-0 21-0-0 28-0-0 7-M 14-0-0 7-0-0 152 i i I 56- 36= 3,6= 54= G E F G 160 12 3.4\\ 3* G W3 � W Wfi H I B o J d A ;p= M l K ye= 64 74- 28-M Plate Offsets : B:0-3.60-0-14 I:0-3-6 0-0-14 [L:0-3-0,0-4-81 LOADING(psf) SPACING 2.0.0 CSI DEFL in (lac) Well PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.96 Vert(LL) 0.61 L >546 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.73 Vert(TL) 0.50 L >671 BCLL 10.0 Rep Stress Incr NO WB 0.33 Horz(TL) -0.12 1 n/a BCDL 5.0 Code FBC2001 1st LC LL Min I/defi=360 Weight 306 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2-Except' TOP CHORD Sheathed or 4-5-8 oc purlins. T2 2 X 4 SYP No.1 BOT CHORD Rigid ceiling directly applied or 5-8.14 oc bracing. BOT CHORD 2 X 6 SYP No.2 WEBS 2 X 4T SYP No.3*Except* W22X4SYP No.3,W72X4SYP No.3 REACTIONS(lb/size) B=2526/0.3-8,1=2526/0-3-8 Max Horz B=147(load case 4) Max UpliftB=-2819(load case 2),1=2819(load case 3) FORCES(lb)-First Load Case Only TOP CHORD A-13=22,B-C=-6953,GD=-6642,D-E=-6410,E-F=8139,F-G=-6410,G-H=-6642,H-1=-6953,I-J=22 BOT CHORD B-M=6600,L-M=7886,K-L=7909,1-K=6600 WEBS C M=319,D-M=1754,E-M=-1670,E-L=344,F-L=313,F-K=-1684,G-K=1745,H-K=-319 NOTES (7) 1)This truss has been checked for unbalanced loading conditions. 2)This truss has been designed for the wind loads generated by 120 mph winds at 18 ft above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chard dead load,in the gable end roof zone on an occupancy category 11,condition II partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 3)Provide adequate drainage to prevent water ponding. 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 2819 Ib uplift at joint B and 2819 Ib uplift at joint L 5)2-ply truss to be connected together with 10d Common(.148"x3")Nags as follows: Top chords connected as follows:2 X 4-1 row at 0-9-0 oc. Bottom chords connected as follows:2 X 6-2 rows at 0-9-0 oc. Webs connected as follows:2 X 4T-1 raw at 0-9-0 oc. 6)Special hanger(s)or connection(s)required to support concentrated load(s)539.01b down and 838.31b up at 21-0-0,and 539.01b down and 838.31b up at 7-0-0 on bottom chord. Design for unspecified connection(s)is delegated to the building designer. 7)This truss has been designed specifically for Turbo Web -0.'a`•�'ti�; <•.`. . LOAD CASE(S) Standard ;'"tel " : k' 1)Regular:Lumber Increase=1.25,Plate Increase=1.25 Uniform Loads(plo Vert:A-D=-54.0,D-G=-117.6,G-J=-54.0,B-M=-30.0,K-M=-65.3,1-K=-30.0 Concentrated Loads(Ib) Vert:M=-539.0 K=539.0 •` 0�s E J �. Job Truss Truss Type Qty Ply 9634TR Cil ROOF TRUSS 4 1 o tional MiTek Industries,Inc.,Chesterfield,MO 63017 4.201 SR1 s Nov 16 2000 Mi 1-ek Industries,Inc. Fri Aug 23 08:02:01 2002 Page 1 1-0-0 1-0-0 I 1 I j B i X00 1I T1 3M= D I A 1-M LOADING(psi) SPACING 2.0-0 CSI DEFL in (loc) Well PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.60 Ved(LL) -0.02 D >485 M1120 249/190 TCDL 7.0 Lumber Increase 1-25 BC 0.03 Vert(TL) 0.15 A-B >194 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) 0.00 C rda BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min Udeft=360 Weight:7 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 TOP CHORD Sheathed or 1-0-0 oc purlins. BOT CHORD 2 X 4 SYP No-2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS(Ib/size) C=-126/Mechanical,B=336/0-38 Max Horz B=115(load case 2) Max UpliftC=126(load case 1),B=-628(load case 2) Max GravC=327(load case 4),B=336(load case 1) FORCES(lb)-First Load Case Only TOP CHORD A-13=39,B-C=-62 BOT CHORD B-D=0 NOTES (4) 1)This truss has been designed for the wind loads generated by 120 mph winds at 18 it above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category II,condition It partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33,and the plate grip increase is 1.33 2)Refer to girder(s)for truss to truss connections. 3)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 126 Ib uplift at joint C and 628 Ib uplift at joint B. 4)This truss has been designed specifically for Turbo Web LOAD CASE(S) Standard 'N �' .'3 ,tiitivrl L � JobTl-'J s Truss Type Oty PIY (optional) 9634TR ROOF TRUSS 4 1 M7ek Industries,Inc.,Chesterfield,MO 63017 4.201 SRI s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:02:012002 Page 1 3-0- 3-M sir. 1e. C ON 12 B T1 Bi 3M= D A 3-0-0 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) Vdefl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.62 Vert(LL) -0.00 B-D >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.05 Vert(TL) 0.26 A-B >118 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C n/a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min Well=360 Weight:13 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP N0.2 TOP CHORD Sheathed or 3-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2 BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. REACTIONS(Ib/size) C=IO/Mechanical,B=314/0-3-8,D=41/Mechanical Max Horz B=165(load case 2) Max UpliftC=-115(load case 5),B=-463(load case 2) Max GravC=40(load case 4),B=314(load case 1),D=41(load case 1) FORCES(lb)-First Load Case Only TOP CHORD A-13=40,B-C=-47 BOT CHORD B-D=0 NOTES (4) 1)This truss has been designed for the wind loads generated by 120 mph winds at 18 ft above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category II,condition 11 partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33,and the plate grip increase is 1.33 2)Refer to girder(s)for truss to truss connections. 3)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 115 Ib uplift at joint C and 463 Ib uplift at joint B. 4)This truss has been designed specifically for Turbo Web LOAD CASE(S) Standard 'j .t Job Truss Truss Type Qty Ply 9634TR CJ5 ROOF TRUSS 4 1 o tional MiTek Industries,Inc.,Chesterfield,MO 63017 4.201 SR1 s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:02:02 2002 Page 1 5-0-0 5-0-0 c I I _ 4.00 12 T1 B B1 3rd= D A 5-M LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/defl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.62 Vert(LL) -0.03 B-D >999 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.15 Vert(TL) 0.26 A-B >118 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C n1a BCDL 5.0 Code FBC2001 (Matrix) 1 st LC LL Min Vdefl=360 Weight:19 Ib LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 TOP CHORD Sheathed or 5-0-0 oc purlins. BOT CHORD 2 X 4 SYP No-2 BOT CHORD Rigid ce8ing directly applied or 10-4A oc bracing. REACTIONS(lb/size) C=91/Mechanical,B=371/0-3-8,D=71/Mechanical Max Horz B=218(load case 2) Max UpliftC=236(load case 5),B=-457(load case 2) FORCES(lb)-First Load Case Only TOP CHORD A-13=40,B-C=-54 BOT CHORD B-D=0 NOTES (4) 1)This truss has been designed for the wind loads generated by 120 mph winds at 18 It above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category II,condition II partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are riot exposed to wind. The lumber DOL increase is 1.33,and the plate grip increase is 1.33 2)Refer to girder(s)for truss to truss connections. 3)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 236 Ib uplift at joint C and 457 Ib uplift at joint B. 4)This truss has been designed specifically for Turbo Web LOAD CASE(S) Standard f a / lf11'l/ V. Job Truss Truss Type Q ty 9634TR EJ7 ROOF TRUSS (optional) MITek Industries,Inc.,Chesterfield,MO 63017 4.201 SR1 s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:02:02 2002 Page 1 7-0-0 7-0-0 sw=1 15, "'D G i i4W 12 W1 I T1 B B1 A AM II 7-0-0 Plate Offsets X C:0-0-14 0-3-0 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) I/detl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.71 Vert(LL) -0.10 B-E >809 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.29 Vert(TL) 0.30 A-B >100 BCLL 10.0 Rep Stress Incr YES WB 0.00 Horz(TL) -0.00 C r✓a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min Ildefl=360 Weight:28 lb LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2 BOT CHORD Rigid ceiling directly applied or 10.0-0 oc bracing. WEBS 2 X 4 SYP No.3 REACTIONS(Ib/size) B=438/0-3-8,E=98/Mechanical,C=167/Mechanical Max Horz B=330(load case 2) Max UpliftB=-555(load case 4),C=-310(load case 2) FORCES(lb)-First Load Case Only TOP CHORD A-B=40,B-C=38,C-D=-5 BOT CHORD B-E=0 WEBS C-E=O NOTES (4) 1)This truss has been designed for the wind loads generated by 120 mph winds at 18 It above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category Il,condition It partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 2)Refer to girder(s)for truss to truss connections. 3)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 555 Ib uplift at joint B and 310 Ib uplift at joint C. 4)This truss has been designed specifically for Turbo Web LOAD CASE(S) Standard 1 Job Truss Truss Type Qty Ply 9634TR HJ7 ROOF TRUSS 2 1 o Tonal MiTek Industries,Inc.,Chesterfield,MO 63017 4.201 SR1 s Nov 16 2000 MiTek Industries,Inc. Fri Aug 23 08:02:03 2002 Page 1 9-10-13 9-10-13 Srale=120. I D i i I zea u c I T1 e 81 E A 3n1 II 9-10-13 LOADING(psf) SPACING 2-0-0 CSI DEFL in (loc) Vdefl PLATES GRIP TCLL 20.0 Plates Increase 1.25 TC 0.95 Vert(LL) -0.31 B-E >365 M1120 249/190 TCDL 7.0 Lumber Increase 1.25 BC 0.80 Vert(TL) -0.47 B-E >241 BCLL 10.0 Rep Stress Incr NO WB 0.33 Horz(TL) -0.02 E n/a BCDL 5.0 Code FBC2001 (Matrix) 1st LC LL Min 1/defl=360 Weight:40 lb LUMBER BRACING TOP CHORD 2 X 4 SYP No.2 TOP CHORD Sheathed or 6-0-0 oc purlins. BOT CHORD 2 X 4 SYP No.2 BOT CHORD Rigid ceiling directly applied or 5-9-0 oc bracing. WEBS 2 X 4T SYP No.3 REACTIONS(Ib/size) D=185/Mechanical,B=507/0-4-15,E=460/Mechanical Max Horz B=347(load case 2) Max UpliftD=-401(load case 5),B=-605(load case 2),E=-289(load case 3) FORCES(lb)-First Load Case Only TOP CHORD A-13=3 1,B-C=-769,C-D=30 BOT CHORD B-E=741 WEBS C-E=-784 NOTES (5) 1)This truss has been designed for the wind loads generated by 120 mph winds at 18 ft above ground level,using 5.0 psf top chord dead load and 5.0 psf bottom chord dead load,in the gable end roof zone on an occupancy category II,condition II partially enclosed building,with exposure C ASCE 7-98 per FBC2001 If end verticals or cantilevers exist,they are not exposed to wind. If porches exist,they are not exposed to wind. The lumber DOL increase is 1.33, and the plate grip increase is 1.33 2)Refer to girder(s)for truss to truss connections. 3)Refer to girder(s)for truss to truss connections. 4)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 401 Ib uplift at joint D,605 lb uplift at joint B and 289 It,uplift at 1 joint E. 5)This truss has been designed specifically for Turbo Web 6)Simpson-THJA26(Refer to Simpson Srtong-Tie Connectors book for hanger properties.) LOAD CASE(S) Standard +i1qY r t 1)Regular:Lumber Increase=11.25,Plate Increase=1.25s Uniform Loads(plf) l; r Vert:A-B=-54.0 ` + Trapezoidal Loads(plf) Vert:B=-2.8-to-D=-133.6,B=-0.0-to-E=-74.2 `�J•����'.�'� _: :��tee+ S00 SE\11�,OL�.��O j ATLANTIC BEACH,FLORIDA 32233 •, Ii�SI E.CTIOI�I 4K0'�,�,Z.1��.2'��5��6 .� Application Number . . . . . 05-00030561 Date 6/14/05 Property Address . . . . . . 68 17TH ST A Tenant nbr, name . . . . . . INSTALL CU/AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ PARISH, WAYNE A. OCEAN STATE HEAT & AIR 68-A 17TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 -------------------------- -------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ------- --- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING C S. . C- 1A BUILDING OFFICIAL Jun 14 U5 11 : 47a Ocean State R/C 904-249-8949 P. 1 •Lys Y. � CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address- .�. 7 tul_� O'wkkcr: Vhf a E� t21�2 Telephone#: Q Contractor: -)T 1 2 �-��. Telephone #: Coutractor Address: p L�i'Lnr r., LLb. Fax#: lrr congideraliuu of parmit yv%jn tot doing the work as drsnrihal in ilrr.above statement. we hereby agree to perform said work l0 accnnlance with the attached plan&and stoecihOttions which are a pelt hurcuf aad in accordance with rhe City o't Atluotic Beach nrdinaaccs and 5tandards of Food Dractice listed therein. Type u(fleshing Fuel: If other Construction is being done on this building ui zdw.list the building pound number" 2r, Electric O Gas: LI) _Natural -Central Utility ❑ Oil - — ❑ Other-ti ecifv MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK o'-­Heat _Space _Recessed -Central _Floor p-R,,iderttial (a—'tau Cooditiouutg: _Room /-CMtral O Duct System: Material_ Thickness 0 Commercial Maxitnum capacity _cfm ❑ Refrigeration ❑ New Building ❑ Cooling'Cower: Capacity Spm IY-E•xlsting Building ❑ Fire Sprinklers'.Number ofI-Ieads O Elevator: Manlit} Escalator __(Number) O-'Replaccment Of Existing Systt _ xn O Gasoline Pumps �^ (Number) ❑ Tanks (Nuutbci) 0 New,lnstallation ❑ 'LPG Containers � (Number) (No system previously iustal.led) ❑ Unfired Pressure Vessel ❑ Extension Or Add-un to Existing System CI Boilers ❑ Gas Piping O Other-Specify-- • pecify -o Other-Specify_ LIST ALL E UI.PMENT A1R CON.DII-IUNING,REFRJGERATIUN EQUIPMENT&COIVUl;JVSl1R'S APProvmg Number Units DescrI ion Modcl R Mauut;cnurr 'Loll's tlgeticy HEATING-FURNACES.BOUXItti,1-111EPLA,CES&AIR HANDLER'S .Approving Numbt:r Units Descriptioa Model u Manufacwrer BTU's Agency � 6 7w l:o 00 r.,3 4e4r,.k 7� (✓�lJ Gt-�- TANKS t4orninal Capacity Typc Liquid se i;+1 Approving Row Manv 8c DimensiongContained Manufuc-turcr Na. N_ ARenc T 800 Seminole Road• Atlantic Beach, riuridu 32233-5445 Y Phone: (904)247-5800• Fax: (904)147-5845• http.1/www.ci.2tl:intic-beacil.0-us Y1y J\1 r�f\ - r \ CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 5 Property Add ess: 72", tU-t- L Owner: (1V GSL Telephone #: o?54 -3a q4 Contractor:own h-Tcne- (-tm i Q�C Telephone #:��'{Q-$ � Contractor Address: 141(D CN w (, � % Fax#:FQ(q_gZP In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: 2r Electric ❑ Gas: LP _Natural central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK 2"Heat _Space _Recessed /Central _Floor Residential Q"AirConditioning: _Room _,-Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity din❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm p—Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ®Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency 1 �'�- �Tt�z903�6 HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency 4 Tw e-0 yon t 3IC6 4 lJ IJ TANKS NominC$p ity i Serial Approving How Many &D Manufacturer No. Agency 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us CITY OF Office of Building Official REQUEST FOR INSPECTION Date L) —7 Permit No. Time A.M. Received �P.f�'NJ/� District No. Ldcahty ass Owner's �/ �` A Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBIN MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating LEl Place Lintel ❑ Pre Fab READY FOR INSPEdfi6k, A.M. Mon. Tues. Wed. Thur . Friday P.M. A.M. Inspection Made Inspector Final Inspection❑ C Certificate of Occupancy Date k1© CfIg1�2-s C) 13 CITY OF S 6'-v (C- L 4&44& BwcA-&7&u& Office of Building Official REQUEST FOR INSPECTION _:5-.::2Permit No. Date Time v A. District No. Received T Locality J r Owner's Contractor Nam BUI I CONCRETE ELECTRICAL PLUMBING MECHANICAL ❑ Rough Wiring ❑ Rough ❑ Air.Cond.S ❑ Cg ❑ Footing Top Out ❑ Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. riday — �lA.M. Inspection Made Inspector <' Finallnspectio Certificate of Occupancy Date CITY OF 4&4a& BeacA-17&uJ4 Llol� Office of Building Official REQUEST FOR INSPECTION Date /� Permit No. Time �l e A. District No. Received obAddr r Locality Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBI MECHANICAL Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Framing ❑ Footing Heating Be Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Monti. Tues. Wed. Thur Friday-P.M. y �_ Inspection Made Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date A7 Permit No. Time �, 5� A:M; District No. Received �� _ 6 7 /� Locality Job Address Nameer s L�lat y -✓— j,C1 Q(Zl S�, Contractor MECHANICAL BUILDING CONCRETE ELECTRICAL PLUMBIN ❑ Air.Cond.& ❑ Framing ❑ Footing ❑ Rough Wiring ❑ —'mug Heating Re Roofing ❑ Slab ❑ Temp Pole D. Top Out ❑ Fire Place ❑ Lintel ❑ L Pre Fab .SG/d✓r:.c: cK.. READY FOR INSPECTION A.M. Mon. < Tues. Wed. M Thurs. \ Friday—P.M. Inspection Made A' ' Final Inspection❑ Inspector Certificate of Occupancy Date 1`S, CITY OF ATLANTIC BEACH i' 800 SEMINOLE ROAD -� ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030525 Date 6/09/05 Property Address . . . . . . 68 17TH ST A Tenant nbr, name . . . . . . CONNECT TO CITY SEWER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . RESIDENTIAL GEN 2 FAMILY Application valuation . . . . 0 Owner Contractor ------- ----------------- ------------------------ PARISH, WAYNE A. CITY OF ATLANTIC BEACH 68-A 17TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 6/09/05 Valuation . . . . 0 Expiration Date . . 12/06/05 ---------------------------------------------------------------------------- Special Notes and Comments SHARING SEWER TAP WITH 62 17TH STREET. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER IMPACT FEES 1250 . 00 SEWER TAP FEES 1450 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 2700 . 00 2700 . 00 . 00 . 00 Grand Total 2700 . 00 2700 . 00 . 00 . 00 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 CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. y BUILDING OFFICIAL 4 . r r J � J e .K- 2l/Y11� X r j i�'' b 5 � ru Date: C S Oo, ae Name Ij ( o (?) � 1450• Z Address Telephone# The costs to connect your building to city: and/or system are: SEINER WATER 3/4» A 7f Sewer Tap Labor and materials to tap into sewer main $ -t S (g — Water Tap Labor and materials to tap into water main $ Water Meter Cost of Meter $ Cross Connection Inspection by Public Works to ensure $ Inspection backflow prevention Sewer Impact Funds future expansion of the sewer plant $ �— Fees Water Impact Funds future expansion of the water plants $ Fee Capital Funds for improvements, expansion or Improvement replacement to water system TOTAL COSTS $ Homeowner must hire a plumber to install a backflow preventer and make the connection from the private property. ;SEWER TAP KAREN PARISH 68 17TH STREET 246-3242 home 359-9330 Work )O COST RECORD 1' ;":DESCRIPTION " "t;'*` QTYA,' MATERIALS, *''LAI30R'.1 TOTAL 8" X 4" PVC SEWER SADD,E 1 $6.21 8" SDR 35 SEWER PIPE 22' $91 .96 COLD PATCH (road repair) 5 $19.50 AGS SUB TOTAL $117 .67 10% O.H. $11 .76 TOTAL $129 .43 2 MEN ($27 .45/11R) FOR 6 HRS '164 70 30% O.H. 49 41 TOTAL $214 11 MATERIALS LABOR TOTAL TOTAL $12 .43 $214 .11 $343 .54 T,r ,. $200 00 ' ,.P.MISC:�OB'EXpENSES'u,{;;:.; • AMOUNT OTT IER JOB EXPENSES 1 TRUCK ($10.00/HR) FCR 61HI.S. TOTAL COST $543 .54 $6010(l TOTAL SELLING PRICE 1 BACKHOE ($35.00/HR) FOR14 MRS. LESS TOTAL COST GROSS PROFIT LESS OVERI IEAD COST '%.OF SELLING PRICE TOTAL 4200 0 NETIPROIFIT $543.54 (� 1 APPROVED JUL 3 1991 CITY Of ATLANTIC BEAC � PUBLIC WORKS DEPARTMENT PRICE QUomom APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME__ __ ____ ________ _ MAILING ADDRESS _ _ - ---------------- PHONE HUMBER __ DATE______________________ SERVICE REQUESTED_ -,______ SERVICE LOCATION__�p &,-/, 777 DATE SENT TO Ste- / GI ` DATE RETURNED 7/3('F/ PUBLIC WORKS__ __ TO BUILD. DPT. ____ _ ______ DATE OWNER NOTIFIED_____________________ L;LC�(1LQBK� MAY 1710-91 Building and Zoning CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INF ORLM ATION Permit Number: 21872 Address: 68 SEVENTEENTH STREET Permit Type: GARAGE ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: ---Parcel,Number: Improv. Cost: 1,160.00 OWNER INFORMATION Date Issued: 5/02/2001 Name: WAYNE AND KAREN PARISH Total Fees: 25.00 Address: 68 SEVENTEENTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/02/2001 Phone,:-_ _(904)246-3242 Work Desc: REPLACE GARGARE DOOR CONTRACTOR —A00,L-1CATION FEES ($ o OVERHEAD DOOR COMPANY JAX --o-'4A OR IT. 25.00 f x f 4a FINAL ,It -5 pt 4e I UffiRm A 4 %( NOTICE- II NSPECTION ;,y UST-,-BE REQUESTED AT LEAST 2+d-HOURS PFjRTO INSPECTION BUILDING MATERIAL, littl3BISH AND DEBRIS FROM THIS WORK MUST NOT BkPLACED INObBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY.,ErrHER CONTRACTOR OR.OWNER -'Jr "FAILURE TO COMPLY WITH Ti UCT10k LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE- OR UILDIING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS V\RICH OF ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF Ln o $25.Date: 5/02/01 81 Receint: Obc500431214 ATLAIC 13CH BUILbIN DEPT. CASH PSR-3844 8266 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ------ - - ----- LOCATION INFORMATION --------- Permit Number: 8266 Address : 68 SEVENTEENTH STREET Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 3223: Class of Work: NEW ---------- LEGAL DESCRIPTION --------- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use : SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: Estimated Value: $2580 .00 Improv . Cost : $0 . 0c, Total :Fees : $22 . 50 Arnount Paid: $22 . 50 29/94 T-r-T- - ---------- OWNER INFORMATION ------- ---- APPLICATION FEES ----- Name : WAYNE PARISH PERMIT $22 . 50 Address : 68 SEVENTEFNTH STREET WATER IMPACT FEE $0 . 00 ATLANTI,. BEACH. , FLORIrA ': 3 SEWER IMPACT FEE $0 . 00 Phone: 904)?44-9388 WATER METER,/TAP $0 . 00 RADON GAS-H .R. S . $0 .00 - ------ CONTRACTOR INFORMATION --- RADON CAB 5% $0 . 00 Name : ARLINGTON BEACHES ROOFING CAPITAL IMPROVE . $0 .00 Address : 1441 CESERY TERRACESEWER TAP $0 .00 JACKSONVILLE . FL 32211 HYDRAULIC SHARE S0 .00 License : Type: U CROSS CONNECTION $0 . 00 SEC .H IMPACT FEE $0 .00 CONST SURCHARGE d 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO&*bI FbR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT City of Atlantic 8c, 4; 'TT-' CHECKS CITY OF ALANTIC BEACH ROOFIIG_PERMIT APPLICATION Owner(s) : / Address: d / 7 c�1FCT- Phone: Lot # , Block or Unit # Subdivision: Contractor: �AJ67DAJ 20qgW&S /Ill Address: City, State and Zip Phonew - Q� State License # LRLoaz2a Q� Describe w to be erformed: �Q- Z� 0 �5 D Valuation of Proposed Construction: CXD Materials to be used: Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information 4434 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION - -- -- - -- LOCATION INFORMATION --- �'ermit Number: 4434 address: 68 SEVENTEENTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 ,lass of Work : ADDITION --------- LEGAL DESCRIPTION Constr. Type: WOOD FRAME ot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 )wellings: 1 Code: O :subdivision : sstimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $18. 50 Amount Paid : $18. 50 Date Paid : 10/11/91 4ork L,- UN WATv" :RV10E ----- _ ------------ OWNER INFORL4ATI0N ------- `_-_ APPLICATION FEES$18. 50 Name: WAYNE PARRISH PERMIT Address: 68 SEVENTEENTH STREET WATER IMPACT FEE $0. 00 ATLANTIC, BEACH, FLORIDA 322. SEWER IMPACT FEE $0. 00 Phone: t } - WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 ------- CONTRACTOR INFORMATION --- - RADON GAS - 5% $0. 00 Name: ROTC:?-ROOTERSERVICES WATER TAP $0. 00 Address: A SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 !.ieense: CFCO29770 Type: 3 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: a� CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: � zZ33 PLUMBING CONTRACTOR: aT LICENSE NUMBER: OWNER: (i✓/� yJl/G f� ���S BUILDING CONTRACTOR:_ TYPE OF BUILDING: j��s t�s_ .cJT,g- L SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS b447,FC 5SFkrll F OTHER TOTAL FIXTURE COUNT: + $15.00 a ---------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 3575 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - ------ LOCATION INFORMATION --------- 'ermit Number: 3575 address: 68 SEVENTEENTH STREET Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 ;lass of Work: ADDITION --- -- LEGAL DESCRIPTION -------- Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 )wellings: 1 Code: O Subdivision: -'sti.mated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $941. 03 Amount Paid : $941. 03 �`-1 C C� Date Paid: 3/29/91 Work Desc. : 3/4" WATER METER, WATrn IMPACT AND WATER TAF' OWNER INFORMATION ------- ---- APPLICATION FEES ----- Name: WAYNE AND KAREN PARISH PERMIT $15. 00 Address : 6€3 SEVENTEENTH STREET WATER IMPACT FEE $390. 00 ATLANTIC BEACH, FLORIDA 322 SEWER IMPACT FEE $0. 00 Phone: (904)246-3242 WA'F'ER METER $85. 00 RADON GAS-H. R. S. $0. 00 - --- CONTRACTOR INFORMATION -- RADON GAS - 5% $0. 00 Name: PUBLIC WORKS DEPARTMENT WATER TAP $451. 03 Address: SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 License: Type: 0 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER ► O(I NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT jj By: ^'��� n;� �/ fes• /;�s' PRICE COU00-m APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME -------- ------------------------G -------------- MAILING ADDRESS_(.XYZ---L- --------=-------------------------- PHONE NUMBER_ = _ 1� _ DATE__ 11 _l SERVICE REQUESTED_ � ___________� _____ L � Q -/lL(-a- ---------------------- SERVICE LOCATION_�p d� _ _ __ __ ____________ _ �-�-- ------t- =-- -------- DATE SENT TODATE RETURNED 9� PUBLIC WORKS_,,�,/,5—_.��_--- TO BUILD. DPT. _____ DATE OWNER NOTIFIED--------------------- MAR 13 1990 JP-U-81,1C WORKS 3/4" Meter FOR ESTIMATE 0\TLY Mr. Wayne Parish 68 17th Street — 246-3242 h 359-3005 wk(wife) JOB COST RECORD DESCRIPTION QTY. MATERIALS LABOR TOTAL 6" X 1" T. S. PVC 1 1 1" CorpStop 1 1 3/4" CorpStop 1 8100 I" ++ Male Adapter I 1" Male Adapter 1" 900 "L" PVC 1 27 " 3/4" Rubber Wnshprs Concrete Meter VA" mptpr 1 00 SUB TOTAL $ .-5, 29 TOTAL IN 7 MEN 178.143 TOTAL $231.196 MATERIALS LABOR TOTAL TOTAL ` of MISC. JOB EXPENSES = MOIJtiT OTHER los EXPENSES $130.p0 2 TRUCKS 10.00 HR OR % HRS. TOTAL COST $530.b0 130.0 TOTAL SELLING PRICE LESS TOTA,COST -fes GROSS PROFIT � l LESS OVERHEAD COST 't.OF SELLING PRICE / TOTAL 19510 NET PROFIT 5� CITY OF ATLANTIC BEACH Waal IC VdOF"° CITY OF ATLANTIC BEACH Fixture Unit Worksheet fo'r Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) f2- WATER CLOSET v WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) _L_KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) Ak JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS !� � @ $20.00 EACH $ 3 �• 0 0 JOB INFORMATION '3/4" WATER SERVICE WAYNE A. PARISH 68 17Th STREET 246-1772-00M 448-7402-WORK JOB COST RECORD DESCRIPTION QTY. MATERIALS I LABOR TOTAL 8" X 1" T.S PVC 1 $1450 1" CORP STOP 1 $22.36 1" MALE ADAPTER PVC 1 $0.77 1" 90 L PVC 1 $0.87 1" X 3/4" MALE ADPATEF 1 $0.23 PVC 3/4" X 5/8" METER 18 .00 CONCRETE METER BOX/LIE 1 21 .00 3/4" METER ENDS 2 .60 3/4" RUBBER WASHERS 2 $0.16 1" GALV. PIPE 20' $17.40 1" PIPE PVC 15' .30 1" COUPLING PVC 2 $0.80 SUB TOTAL $176.99 10% O.H. 17 .70 TOTAL $194.69 3 MEN ($27.45/HR) FOR 6 HRS. $164.70. 30% O.H. $49.41 TOTAL $214.11 MATERIALS LABOR TOTAL TOTAL 194.69 214.11 408 80 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES 60 00 1 TRUCK ($10.00/HR) FOR 6-11RS. TOTAL COST $.468,80% $60 00 TOTAL SELLING PRICE 1' LESS TOTAL COST GROSS PROFIT LESS OVERHEAD COST OF SELLING PRICE TOTAL 60.00 NET PROFIT 468 ,80 , APPROVED MAR 30 1990 CITY OF ATLANTIC BEACH PUBLIC WORKS DEPARTMENT SEWER TAP WAYNE A. PARISH 68 17TH STREET 246-3242 JOB COST RECORD 448-7402 DESCRIPTION CITY. NIATERIALS LABOR TOTAL " 1 $45 .00 PVC 6" 90 L GASKET TYPE Q_ 6" PIPE PVC SDR35 2 SUB TOTAL k75 29 10% O.H. 53 TOTAL 82 82 3 MEN 27 .45 HR FOR 6 HRS. _ $16Z .70- 30% O.H. $4S .41 TOTAL $21Z .11 MATERIALS LABOR TOTAL TOTAL $82,82 $214.11 $296.93 MISC. JOB EXPENSES AMOUNT OTHER JOB EXPENSES 95 00 1 TRUCK 10.00/HR FO 6 RS. TOTAL COST $391 93 $60 00 TOTAL SELLING PRICE 1 BACKHOE $35.00/HR OR HZ. LESS TOTAL COST GROSS PROFIT LESS OVERHEAD COST OF SELLING PRICE TOTAL 0 NET PROFIT 391 93 APPROVED MAR ;0 1990 CITY OF ATLANTIC BEACH PUBLIC WORKS DEPARTMENT PQICF. couoomm APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME__ --- -- -------------------------- MAILING ADDRESS_Jj�__ _ _ �________________ PHONE NUMBER_6aT _3a��_ DATE �U________ SERVICE REQUESTED------� - -- -� �- - ��------------ SERVICE LOCATION--_L _____---- ----------- ---------------- ------------------------------- DATE ---------------------------------------------------------- DATE SENT TO DATE RETURNED PUBLIC WORKS_ ____ TO BUILD. DPT. __-I,:,,, tqb DATE OWNER NOTIFIED _______-__- RECEIVED FEB 271990 MEWC WORKS. F Pele.E APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME__ MAILING ADDRESS_ZIL- - --__--_- PHONE HUMBER_6L�1` DATE SERVICE REQUESTED /------3 Y------- ------------------------ ------------- SERVICE ------- ------------ SERVICE LOCATION ------------------------------------------------ DATE SENT TO �j DATE RETURNED PUBLIC WORKS -L -p2 7 --- TO BUILD. DPT. DATE OWNER NOTIFIED --------------------- r♦ 5283 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number: 5283 Address: 68 SEVENTEENTH STREET Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work : ADDITION - -- ------­ LEGAL DESCRIPTION Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: PATIO/DECK Township: RNG: 0 Dwellings: I Code: 0 Subdivision : Estimated Value: $4760. 00 Improv. Cost: $0. 00 Total $52. 50 Amount i: aid : $52. 50 rivvR VXTSTTAIM 1IR12ER E)r7rIj OWNER INFORMATION ---- APPLICATION FEES Name. WAYNE PARRISH PERMIT $52. 50 Address: 68 SEVENTEENTH STREET WATER IMPACT FEE $0. 00 ATLisNTIC BEACH, FLORTDA S E W E.R I"PACT FEE Phone: (904)246-3242 WATER METER $0. 0C) RADON GAS-H. R. S. $U. 00 ------- CONTRAC',"OR INFORMATION - RADON GAS - 5% $0. 00 Name: MABRY DEVELOPMENT GO WATER TAP $0. 00 Address- 323 ATLANTIC BLVD. SEWER TAP $0. 00 ATLANTIC BEACH, FL. 32:23J HYDRAULIC SHARE $0. 00 "manse: C00006748 Type: I RE--INSPECT FEE 50. 00 SEC. H IMPACT FEE -1)0. ()0 OTHER -90. 00 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." VkINTION DATE: 04/30/92 TIME* 0?.24 PM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND S4j&j TO REVOCg!E'X'4 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE $.00 REEEPT N W ERs e64569 ATLANTIC BEACH BUILDING DEPARTMENT By: 7L Address �� ( � J T_ 14 Dp / 7- Heated Square Footage - O @ $ - d -- per sq ft = $ Garage/Shed - @ $ per sq ft = $ Carport Porch 0 @ $_ Z 0-_per sq ft = $ Deck r @ $ per sq ft = $ © '- Patio - @ $ © per sq ft = $ TOTAL VALUATION: $ r7(o0 .va Total Valuation l.st $ Remainder Valuation 5. per thousand or portion thereof ------------------------------- ---------� Total Building Fee $ ADDITIONAL PERMITS anal/or FEES REQUIRED + z Filing Fee $ ! -7• 5 a C Fireplaces @ 15.00 $ Mechanical BUILDING PERMIT FEE S S Cj Plumbing Electric/New Electric/Temp Septic Tank BUILDING PERMIT $ S� • � d WATER METER CHARGE $ Well O Swimming Pool SEWER IMPACT FEE $ — O Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ - 01 Sewer Connection 1-'6) XX.Do oto $ Water Meter $ Elevation Certificate QUM TOTAL DUE $ -D ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) :_ R__ �'j� __�,4 iZ215�'1 -------- ------------- Address:�$---1� �^---ST.___Atltt Phone: wu -342---- Lot # Block or Unit ------ Subdivision:------------------ V_C L_ MEQ►T Contractor:__ 1�1Pr`$J2�-- -- �°- ------------------------ ---- Describe work to be done:_� �TC��Srt__�L_�'�y� -J�� _� ,�,�--y,�p,.11 ►�u-t�4 --------------------------- Present use of building : �^� :h^^LL ------------ ----`L--� ---- --�---------- Valuation: &8 Oa ----------------- Proposed use: ---------- -------- Is this an addition?_ `&S____ If Yes, what are the dimensions of the added space:---lo___ft• X ---2 8---ft. Will the added area be heated and cooled?__Ao___ New electrical (or increase) ?_n.tO _ New plumbing fixtures?_L)Q New fireplace?_00 New Heat/AC?__ n)©__ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:___ _- -- S �i s ---__ Date: _- Signature CONTRACTOR: _ - _------ _-_-_--_•- Date:_ � Z1�.�_ lip)� , V , 1 i° d APR 211992 Buiiding and Zoning AF 101" MAP SHOWING SURVEY OF LOT 3, BLACK 81 OC=d GROVE, UNIT NO. 1t AS RECORDED IN PLAT BOOK 15, PAGE 820 OF THE CURRMT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. ,FCh Y�LJ�t-/C 4, rl 77,-,,/) N .4�7 'v r? � IZ li r G C/` ✓ q �1 I N i W� ZI 4I �e • �3atirgqco o.�cni.. srr i 2�3, 1,979 72:' APR 2 21992 H. A. BURDEN Building anZoning & ASSOCIATES INC �- - lJa -- 17U •.O46TER[D SURVEYOR NO FLA. LAND & HYDROGRAPHIC SURVEYORS _ POST OFFICE BOX 50470 SIGNED .5 aTH STREET SOUTH JACKSONVILLE BEACH, FLA.22250 SCALE 20 THIS SURVEY NOT VALID UNLESS THIS PRINT 15 EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. I<<.v FLA. 1967 LAWS RAMCO FORM 400 FS 713.13 Ala#trr of 11fiamm C- (PREPARE IN DUPLICATES ` -4 y APR 211992 V� A (`fie (VITOlT it Mau tortrem: + The undersigned hereby informs all concerned that improvements will be mac1RA*VrHRdl ZO iing property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. c Description of property............ Q................. ............... ......f.0 nn f I +a` ...........I................... (..0.......�.... ........... ......................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................ ................................................................................................................................................................................................................................................ General description of improvements......•.•..��111.O..�t/......... ............���......s . .T. m..7... ..... v ?4-.............D. .. ��...................... f L ....../. 2. ?. ......GvQ�r......v^!.....���? P'!e......... . '......./ o1 ..,........................................................................................................................................................................................... Owner . .......1.14YA1..s.�............ 1E'/Zl-5.4........................................................................................ .......................................................... Address. .....(042.............1. f`1......s .7`!. r —.¢.................H114.V14.......�4�.`�..C.`r... �i:...... 30 3,3................. Owner's interest in site of the improvement................................................................................................................................................... Fee Simple Title holder (if other than owner) Address.............................................................................................................................................................................................................................. 1 Contractor......."1./ .....T .6 4 .e..,...-1.1...1....e. Address............. lclC...' .........../ �irl%?! 4q........< .... 1. !(T.!C......� ::. GL.�... �............. Surety (if any).............................................................................................................................................................................................. .................... Address.......................................................................................................................................................Amount of bond $................................ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name.................................................................................................................................................................................................................................... Address............................................................................................................................................................................................................................. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owner's option). Name................................................................................................................................................................................................................................... Address ............................................................................................................................................................................................................................. THIS SPACE FOR RECORDER'S USE ONLY ..�.�./ ... Y Owner Sworn to and subscribed before me this..........�•`f.. .............. ...........................dayof............ ..............................19.1`..? ....... ................................................. ..........I Notary Public NOTARY PITI-T. S-i RTL i_r FLORIDA AT LAPGF MY COM641SS10 ; EXPIRES AUGUST 2E, 1992 BONDED THRU EUCKLEBERRY & ASSOCMATES - CITY OF ATLANTIC BEACH — - - DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 _ — —— --. --- - — -- _ ------------ PERMIT -PERMIT INFORMATION _ _ _ LOCATION INFORMATION ~Permit Number: 21872 Address: 68 SEVENTEENTH STREET Permit Type: GARAGE ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 1,160.00 OWNER INFORMATION Date Issued: 5/02/2001 Name: WAYNE AND KAREN PARISH Total Fees: 25.00 Address: 68 SEVENTEENTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/02/2001 {'"' Phone: (904)246-3242 Work Desc: REPLACE GARGARE DOOR _ CONTRACTOR(S) �`" - –" , kRI�,�,,.ICATION FEES _ OVERHEAD DOOR COMPANY OF JAX _ ERI�IT 25.00 `u8N_ T4 _ - n' .o FINAL IV ?. NOTICE - IiNES CTI0 UST BE REQUESTED AT LEAST 24 HOURS PPJ6R TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BIB-PLACED IN PbBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR,OWNER "FAILURE TO COMPLY WITH T C( NS` "1ltfG•Tt W CAN RESULT IN THE PROPERTY OWNER PAYING TWICETO ILDING IIAIJ.d4�O\/IEMENT$" ISSUED ACCORDING TO APPROVED PLA .tO' L� f F ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIOONS i $25.0014 ATLA IC B .CH BUIL IN DEPT. nate: 5102181 01 Receiot: 005421:: CASH CITY OF ATLANTIC BEACH PERMIT p pp%, C._TION REM1ODEL, ADDITIONS, OR �r,?�'R T 7 OATS MOVING, DEMOLITIONS owner(s) -L , Address :�� 17A J Phone: OG Lot .`,' Block or Unit R Subdivision: Contractor: OVERHEAD DOOR C6MPANY.' OF JACKSONVILLE State License y 591881676 OCCUPATIONAL TYPE 1 Address: 6884 PHILIPS PKWY DR. N. Phone tio: 268-1627 C;tv JACKSONVILLE tate FL Z;o Code 32256 Describe work to be done: _resent use o' buiId' jp _ c: Valuation of Proposed Construct-'on: Proposed use: .s this an adCi tlon?IAV If VeS, F I— .are the dimensions oL the cCde:: space: Lt . X Ft. will t.^.e added area be heated and GOOIed) ";ew electrical (or _....sense) lJ?:J plu=inc I=:al:res? New fireplace? \jew heat/AC? SUR%fl-T T.-`R-- (COI---=RCInL) 7-WO (RESID-Z-2tiTZAL) CAI-"—LETE SETS OF PLANS, INCLUDING SIT-- PLA_*T, SURVEY, Mq-ERGY COBE FOR.u.S, NOTIC—M OF CO1�==T, AND Off=-R/CONTRACTOR A_ze7DAVI , ,IF OWM ,'-2 IS CONTRACTOR. Si cnature CriN7-.z' -&4` Lt..,.-L Date . � �Signature COVT?-''T^_ 4rk -�" Date: Sworn to and s ibscribe , before me this _day c V P .BL c _d.1R7" L * *MY Commission CC804432 4•,bM1 .Expires January 24 2003