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87 W 3rd St (vault) ADDRESS F-7 03/� ya BUILDING PERMIT NUMBER INSPECTIONS : FOOTING UNDER SLAB PLUMBING SLAB 2 -2 -7 FRAMING c COVER—UP INSULATION s—! �- FINAL• BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # 1632-3 INSPECTIONS ROUGH 5--12- -49S FINAL 7"/ - q s) MECHANICAL PERMIT # PLUMBING PERMIT /5 99 9 NOTES : LA CITY OF nn W���� Office of Building Official REQUEST FOR INSPECTION Permit No. Date L Ty A.M. Time PM Received ocality s Owner's ontractor Name PLUMBING MECHANICAL CONCRETE ELECTRICAL BUILDING ❑ Rough ❑ Air Cond. & ❑ Rough Wiring ❑ Heating Footing Pole ❑ Top Out ❑ Framing ❑ Temp _ Fire Place Re Roofing ❑ Slab ❑ Sewer Pre Fab Insulation ❑ Lintel ❑ Final READY FOR INSPECTION A.M. P. Wed. Thurs. Friday on. Tues. /y—> • P.M. Inspection Made al Inspection ❑_ Inspector tificate of Occupanc I Date ` ictttE of (�crupantu C�Erttf situ of Atlantis �e otntent of +,wilding Jno�ection ments of Section 103.8 of the Southern Standard 1 This Certificate issued pursuant to the requireture was in liance with the Building Code certifying that at the time of issuance this stSe cFor the followibtg• various ordinances regulating building construction or u e. Fire Single Family Residence Bldg.Permit No. 15828 Use Classification District Group _��Q�k-- n*�not i c Be>�h Tye Construction Bi- 7 Wr et Th{rd Stree* Thomas Penderfxras11 Address 8' FL 32233 owner of Building Atlantic Beach, Buil ' Address 87 West Third Street>_ocality 9 DON C. FORD----- By. Date: wilding Offic,al _ POST IN A CONSPICUOUS PLACE BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OFATLANTIC BEACH, FLORIDA CER TIFIC-ITE OF OCCUPANCY WORKSHEET Date Requested: Building Contractor: Building Permit Number : /�ffaK Address : 97 Zt) 3,t,� Legal Descriction: Z,07 -, -, 616,4 75 Imcrcvements to the above described property have been completed in accordance with the terms of the permit and is certified to be readv for occupancy as Lowest Floor Elevation: required as buil. BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOT IED DATE APPROVED BY Fi re •� Public Works Planning Building r.. (�Prtific tr of MccupanrV C�it� IIf Atlantic ileac4 — +Flariba Bepartmrnt of +.wilding Jnopertion This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use For the following. Use Classification Single Family Residence Bldg. Permit No. 15828 Group hl or•k Type Construction R— Fire District _Atlantic Beach Owner of Building Thomas Pendergrass Address 87 West Third Street Buil ki Address 87 West Third Street cality Atlantic Beach, FL 32233 By: DON C. FORD wilding Offic' I Date: I - / 6 POST IN A CONSPICUOUS PLACE FLOODPLAIN DEVELOPMENT INFORMATION Location:: 1 P- 11 Type of Development: Flood Zone:__ Required Lowest Floor Elevation: / If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgment: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the propos evelopmppent. Date ) , " Cf Applicant's Signature lam' g-;J?2z� Department Use: / Required Lowest Floor Elevation �r As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Re rese tative O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE Expires May 31, 1996 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR). Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER TOM PENDERGRASS STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 87 WEST Ircj qTRT;'.Frr. OTHER DESCRIPTION(Lot and Block Numbers,etc.) LOT 5 & THE EAST 20 ' OF LOT 6 , BLOCK 79 , ATLANTIC BEACH SECTION "H" CITY STATE ZIP CODE ATLANTIC BEACH, FLORIDA 32233 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION (in AO Zones,use depth) 120075 0001 D 4-17-89 "X" N/A 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ZNGVD '29 i_;Other(describe on back) 8. For Zones A or V,where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE 1 feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level_ I . 2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of I I I 1 111 .L91 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I U feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is uJ.0 feet above❑ or below (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is feet above❑ or below❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:ZNGVD'29 ❑ Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: :] Yes X_ No (See Instructions on Page 4) 5. The reference level elevation is based on:�72 actual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is: feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the "lowest floor"as defined in the community's floodplain management ordinance, the elevation of the building's"lowest floor" as defined by the ordinance is: I I I I I .0 feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31,MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al—A30, AE, AH, A (with BFE),V1—V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s),then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. 1 certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) H. BRUCE DURDEN, JR. P .L.S . # 4707 TITLE COMPANY NAME PRESIDENT DURDEN SURVEYING & MAPPING , INC . ADDRESSCITY STATE ZIP 8150 LONE T OAD J CKSONVILLE FLORIDA 32211 SIGNATURE DATE PHONE Copies should be made of this Certificate for: 1) c munity official, 2) insurance agent/company, and 3) building owner. COMMENTS: LOWEST GARAGE FLOOR ELEVATION 11. 4 ON WITH ON PILES, SLAB BASEMENT PIERS,OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCEBASE LEVEL REFERENCE EVEL LEVEL FLOOD ELEVATION BASE BASE `•',' ' ADJACENT ".''f�: REFERENCE FLOOD FLOOD GRADE '�S` LEVEL ELEVATION ELEVATION REFERENCE ADJACENT "' LEVEL GRADE ':..�i::;:�:.::;::'i�':�:�.'.':;.':r�'.: :•:'ii�ADJACENT'.;. GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 609135 1Wo4o z0; /47WIAA9 Afflcl�/0.4.Q Y.; URVEY OF: LoT S ANo T.�/E E.4�5'T 2� 00 .DEFT c�F cor G, l�coc� 79, ATLA/�T/C 'dW C1-11' $'eCT/ON A/�,AS.Ore!12 OF0/N ,OG9T A*VO..0 /A ,00 GE.�� of Thr' C!/,Q/Zeric/T P!/Bl/C .Qs�'C4•eOS' OF/�IC/Vi4L CIN�NTY, Fe 0.¢ 0.4. Z3 L c7 C ,rC o 78 ��Ncor ,1 G L o T S jCo I fovvo s.//1oNPiPC �; Foci vo ff /tZri✓p�Oc� 7o OO ivn C,dv O•S W�STl.PCY \ \ 0- 7?79 '-s ti v � 77-7-77-7— < X _ O Zo.o' Eccw.g7/O.�/ v S To,c Y rrl,os 0N�7 y C 97 [� 0 0 .777 G 5A. Vta ta V � �0 0 sv oo' 70. ov �t/EST 3 r� ST�EE T �/oTEs Th/S P eoPlQTY UFS /n/FC ao o LO.�F X NE.QE6Y G'EieT/�Y TO By --0000 7 /989 RECElilp -N /zoomsonoio TO/�'1 �E/VOE.QG.Q•GS-S Z QGL /�/TE'Rit>R An/�,LES 4/Zt p0 OCA O C + -3: ,✓v BUiCoiNG�rS'Tir�C'r/O.✓L�.��E BY.ocAr. EY� } r . �j �. Eurrarro�✓.r �Y�o„..✓ r..rrs iii 8BJ .aecr ' ! 1098 BAScrO ca./ �.4Tit�✓-IG G'C''O.%a"T�c yea2TiC'.aG G�Tti� City of Atlantic B fluilcjt And Zoning I hereby certify that this survey meets $ minimum technical standards as set forth by the Florida Board of Land Surveyors, pursuant to Section 472.027 Florida Statutes and Chapter 61 G1 7 Florida Administration Code. DURDEN ,l SURVEYING AND MAPPING, INC. 111 8150 Lonestar RoadOA ll� . Jacksonville, Florida 32211 FLORI A REGISTERED SURVEYOR NO. 4707 w I 11 (904) 724-5588 Fax 721-7845 H BRUCE DURDEN JR. LICENSED BUSINESS NO. 6696 I) SIGNED SEpTE1 #S A— 19 Qe 1 SCALE: _� gpo THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH THE SEAL OF THE ABOVE SIGNED. CITY OF l�t�?ctktc"c �eacl - ��vuda 300 SEMINOLE ROAD-_ ATLANTIC BEACH, FLORIDA 32'_33-5445 TELEPHONE(904) 247- 800 F.. X(904) 247-5805 NOTICE TO: Water Department FROM: Building Department DATE: 9 - 16 - 9P Please be advised that the final building inspection has been completed on each of the follo;•tLng addresses and construction water is no longer needed: Permit Number Address _ Wy, " a� Building Department DA':'E _`_1,41— PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC: AUTHORITY :3' WEST DUVAL STREET JACKSONVILLE, FLORIDA 322E0E THE FOLLOWING FINAL INSPECTION( S ) HAVE BEEN MADE AND ARE SATISFACTORY : 713 ?1 _-�' -- -- 1 6 3�23 1 R 7--�-�2 ck— ---�--------------------------- ------------------- ------------------------------ ------------- ------------------------------------ ------ ----------------------------- --------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc : FILE CITY OF ;22V/ 7'rp3 �( 41 Office of Building O ic' l - 3 L REQUEST FOR INS CTION �-� 7 / ! Permit No. Date A.M. Time PM Received L lily Job Owner's Contractor Name CH ICAL CONCRETE ELE RICAL LUM G BUIL ING C Air Con . Framing n Footing ❑ Temp Pole Rough Heating ❑ Slab ❑ p ❑ Top Out Fire Place Re Roofing ❑ Final ❑ Sewer L- L Insulation ❑ Lintel Pre Fab READY FOR INSPECTION A.M. Tues. Wed. Mon. Thurs. Friday per— A.M. P.M. Inspection Made n pec to Inspector e o 4&,&c CITY OFF Cnn Office of Building Official REQ T FOR INSPECTION S-P � I � c1 Permit No. Date A.M. Time P.M. Received cality Job dress Ow is u_ Contractor Nam PLUMBING MECHANICAL CONCR ELECTRICAL BUILDING Rough ❑ Air Cond. & ❑ Footing ❑ Rough Wiring ❑ g ❑ Heating Temp Pole [3 Top Out Slab ❑ Sewer ❑ Fire Place in Roofing Lintel ❑ Final Pre Fab insulation READY FOR INSPECTION A.M. Tues. Wed. Thurs. Friday Mon. A.M. P.M. Inspection Made _ Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be received by 5 P.M. on the MONDAY prior to the scheduled meeting in order to be placed on the agenda for consideration. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. , APPLICANT NAME ADDRESS TELEPHONE 2. �I --� 9&1, �(I -&,, 7� ADDRESS OR LEGAL DESCRIPTION OF PROPOSED TREE REMOVAL 3. DESCRIBE PURPOSE OF TREE REMOVAL: ln.P !j/ ZLr,2 4. SPECIFY TREES PROPOSED FOR REMOVAL AS FOLLOWS: NUMBER SPECIES DIAMETER (DBH) CONDITION 5. TOTAL NUMBER OF TREES TO BE REMOVED: ut 6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED: 7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS: NUMBER SPECIES DIAMETER (DBIJj? ��Ptioc•��' �1: v ,�43 � � 8. ATTACH SITE PLAN INDICATING THE FOLLOWING: a) Site topography, including proposed grade changes b) Existing and proposed buildings and other improvements with dimensions and required setbacks c) Tree protection zones as applicable d) Location, DBH and species of all trees with a DBH of six inches or greater e) Location, DBH and species of all trees with DBH of less than six inches proposed to be used for mitigation f) Specify trees of unique or special character g) Each tree proposed for removal clearly marked with a "X" h) All existing and new trees proposed to be used for mitigation clearly marked with brackets 1) Location of utilities, easements and material storage areas 9. ALL TREES PROPOSED FOR REMOVAL MUST BE CLEARLY MARKED ON SITE BY RED SURVEYORS RIBBON. 10. ALL EXISTING TREES PROPOSED TO BE USED FOR MITIGATION MUST BE CLEARLY MARKED ON SITE BY BLUE SURVEYORS RIBBON. 11 . INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH: Sr-Y7V,,,-o .(,d - 1� 1 - yC� APPLICANTS SIGNATU DATE OWNERS S GNATURE DATE APPROVED : 11� DATE TREE C SERVATIO BOARD CWA+RPdh4{4-- y p IL / . 00, Q ✓�,�, ',�,i �� Nuc r�, / v OS 4 O F�-+ C� . j� ANS. \" CIA F 441 4, �� � � (vim •� � �,�-. I'v,O ,. c'V ? ' V ,/ ! 1 7� Ir Ov cN, -4p c\l, N 6,9- Q; 111A. --, d o . p, S IS A BOUNDARY SURVE { A�F�R° Ij B" ARINGS CASED ON THE WESTERLY pNNING &2001G pF"CE -OF-WAY LINE OF ORCHID STREET :R PLAT. BUILDIN(.; RESTRICTICiN LINES AS 'LA T. THIS SURVE r WAS MADE FOR THE Bf T.P. PENCEPGPAS- ANC WAS MADE I WITH 'HE MINIMUM TECHMCAL STAN[ _ 23� - 3<)Y7—4e Ff CITY OFc jgecoC4-161,444 Officd of Building Official D _ �EQUEST FOR INSPECTION /& 2-3 Permit No.V /S Date Time A.M. Received P.M. • Job Ad s ocality Owner's Contractor Name UILDING CONCRET El.1::: AL PLUMBING MECHANICAL FramingFooting ❑ Roug ring Rough Li❑ Temp Pole ❑ Top Out Heating Re Roofing ❑ Slab Final ❑ Sewer ❑ Fire Place ❑ Insulation ❑ Lintel — Pre Fab READ R INSPECTION Thurs. Friday �/) Mon. Tues. Leh- P.>� i Inspection Made Z P.M. Final Inspection E Inspector Certificate of Occupancy ❑ Date [ TRANSMITTAL DOCUMENT FOR JEA DATE : The following permits have passed "rough" inspection: Permit No. Address n xs. P l e a se update vour records accordingly. NP UILERK CITY OF ATLANTIC BEACH /vcb CITY OF ATLANTIC BL-ACI-I, FLORIDA =A APPLICATION FOR ELECTRICAL. PERMIT TO TIIE CHIEF ELECTRICAL INSPEC-I0I1: DATE:_,__ __19--- IMPORTANI NOTICE: 114 CONSIDERATION OF PERMIT GIVEN FOR DOING 111E WORK AS DESCRIBED IN T f IE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WAIL TIIE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A I'AR1 HEREOF, AND IN ACCORDANCE WITH -TIIE ELECIRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATU RE JUUIINEYM NAME J Ol� g ASS ADDRESS:__, �� �Cl�/� �' RFD--BOX- 1J 13LDG. SIZE -_-,23V0 � ! 13ET WEEN: RES. ( V APT. ( 1 COMM. ( ) PUBLIC ( 1 INDUS. 1 I NEW ( 1 OLD ( 1 REW. ( 1 ADDITION 1 1 TRAILER ( I TEMP. ( 1 SIGNS ( ) --_ SO. FT. _ SERVICE: NEW (✓1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE � _AMPS AOO COPPER J—) --_ALUM_Jt4 SWITCH OR BREAKER g2e3() _ AMPS FI S � _��Z__ W � VOLT. - RACEWAY EXIST.SERV.SIZE - - AMPS_ PI .--w VOLT _ RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL — RECEPTACLES CONCEALED OPEN TOTAL --O•JO AMPS. - -__------ 31100 A1AP6. SWITCHES ---- , ^------L. - - - ---- --- INCANDESCENT FLUORESCENT & M. V. FIXED 0.100_ BELL TRANSF AMP9. _ VVER_ Ar�r LIANCE9 ( -- - -- AIR II.P. RATING II.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL IIEAT: KW HEAT 0-1 OVER MOTORS N.P. VOLTAGE PIIS NO. 1 ILP. VOLTAGE PHS _- MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER GOO V. NO. KVA NO. �— KVA _ NO. NEON TRANSF. _ NO. VA. jr. MOTOR SIZE SWITCH FLASHER EACH SIGN _- �—- _ ---- _ — FORWARDED TOTAL FEES ----------_---- _-- FSR-3844 16267 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH I FFI,RMAT I„N __ __ LCAT I;DN INFORMATION Number :erTit 1 tjrrrtb16267 T�rpQs ° 87 THIRD STREET TWEET ee;ME^RANI "AL ATLANTIC BEACH . FLORIDA�_3221- 3 Permit TbLEGAL DESCRIPTION - ass of Teo i M'k' Ew ' Block *,; Lot . Twr , Type ; Rna :=estr . Section` 0 Su ; proposed Tise ; SINGLE FAMILY Gub$i visi on. SECTION H Dwellings " Est . etTalue * I Ftr)r:ov . CoSt n Total Fees : 1 nn Amount paid; rite r,a. h!1-1 / 1998 '-NTRAL HEAT AND nTR �WNER INF-R RT_ _N 1 _ __._.___ AFPLI';?i: i rLL _ PERMIT rT, nn Name , PENDERGRASS Addy. Q-r i.1 _ 3F.D ST ATLANTIC BEACH , 'FLORIDA 3 Phone r nr 0 '1000-nnn0 M-_ 'ONTRACTOR INFORMATION Name ' HUXHAM HEATING & AIR Addy 1078 NINTH STREET SO') jACKSON`1ILLE BEACH . FL 32250- r S: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH EITHER RIS FROM THIS WORK CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY LAW CAN RESULT "FAILURE TO COMPLY WITH THE MECHANICS' LIE NG IMPROVEMENTS. N THE PROPERTY OWNER PAYING TWICE FOR BUILD ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO 1ASTIION FOR 014 VIOLATION OF APPLICABLE PROVISIONS OF LAW. -118r CHECKS 2 85188683221898 ATLANTIC BEACH BUILDING DEP RTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION ICOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. _ 7 C�FST" 7 1 LOCATION Street Address: OF Intersecting Streets: Between, And BUILDING Sub-division _ II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attaclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors X Contractor (Print) ��(/ '_ SCI r Master Name of C Property Owner Signature of Owner Signature of o9Authori.d Agent `�<- s_ e Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: B. 15 OTHER CONSTRUCTION BEING DON,ON. rY metric THIS BUILDING OR SITE? C ❑ Gas—❑ LP ❑ Natural Central Utility IF YES, GIVE NUMBER OFCONSTRUCTION ❑ Oil PERMIT lS ❑ Other — Specify IV. MECHANICAL. EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) 7�- Residential or ❑ Commercial Heat ❑ Space ❑ Recessed 91- Centro) O Flow (51 New Building Air Conditioning: ❑ Room1PCentral ❑ Existing Building Duct System: MateriaThickness Thickness ❑ Replacement of existing system KNew installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9•P-M• ❑ Fire sprinklers: Number of heads ❑ Hevetor ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Roceired) 0 Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Permit Approved by Oeta ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT roving Number Units Description Yodel Number Manufacturer ( )LA y App c 4� W C 1�' c �►S� DATING - FURNACES, BOILERS, FIREPLACES Capacity Appmvilos Number Unita Description Yodel Number Manufacturer (BTU) AiVney TANKS Now Many Nominal Capacity Type Liquid Name of Scram Approving and Dimensions Contained Manufacturer No. Agency i /��`a4�����` CITY O12e=4 F __ �� 11" Office of Building Official REQUEST FOR INSPECTION Date 2-2 Permit No. /�/ • / Time A.M. Received RM 7 Job A --- — c lity Owner's Name ontractor _ BUILDING CONCRE ELECTRICAL MBING MECHANICAL Framing _ Footing _ Rough Wiring Re Roofing Slab g g Air Cond. & Temp Pole Top Out Heating Insulation _ Lintel = Final = Sewer Fire Place READY FOR INSPECTION Pre Fab Mon. TuesA.M. Wed. Thur). Friday inspection Mad A.M. Final Inspection Certificate of Occupancy Date CITY OF 4&6od4*c lgeac.4-Qou- a Office of Building Official C',/ZZ / �1REQUEST FOR INSPECTION Date r� 7- ` V �� Permit No. Time A.M. Received p mz J:�— Z2 2A Job A ess Locality Owner's Name Contractor nz%�— BUILDING CONCR ELECTRICAL PLUMBING MECHANICAL Framing - Footing Rough Wiring C Rough Air Cond. & _ Re Roofing = Slab Temp Pole L Top Out Heating Insulation = Lintel Final C Sewer — Fire Place READY R INSPECTION Pre Fab Mon. Tues. ed. Thurs. Friday P.M� l ��9 A.M. Inspection Made -P.M. Inspector Final Inspection Certificate of Occupancy Date CITY OF f &oft,4C /3Wr,.4-0;&Uj4 Office of Building Official REQUEST FOR INSPECTION Date -2 _g(/0 Permit No. Time A.M. Received � P.M. Addr ss `/ L>ocality Owner's (� Name � Contractor BUILDING CONC TE ELECTRICAL PLUMBING MECHANICAL Framing ❑ ❑ Rough Wiring ❑i Rough ❑ Air Cond. & Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel x Final ❑ Sewer ❑ Fire Place _ READY FOR INSPECTION Pre Fab Mon. Tues. A.M. Wed. Thurs. Friday M 2 A.M. Inspection Made AP.M Inspector Final nspection ❑ Certificate of Occupancy ❑ Date C� J 2 LL, Qa/ 00 \ LLJ J l JJ Q <6\ p / co > 00 QZ � Q , 0eO U G Q W Q o s �� O• �/ ` M m; ��' M C O Q � 10 �-- Qui � � k CY) .d` '` iJ 0 fn o n Z (.o Cl- o S ai Z LJ OCL `v Cv v� S CO=a. Q o `` `O0 eO`+ 0 LL- 0 tp, � y w < <<Oo c�� � ..Opp`OZ � �✓� o 401�3� .107 N� Ld o�� J s 1S -o LO c F- a � z JC\�ly,91 \ o�y �°s w U z N U QF- 0 I � •c .0aU► a O rn m O O Z LL. U G n Z Q w d Cc-- 1 , co w Z G z F- Li �' m Z ( ] Z Q c w ;� uj < > W �/ wG < O Q � O "O SQA • O (� A W � m zd m J D eQ/ v oar F=� y'3yy� 6'-z' `` w = G U 4k/� < Q LLJ c0 GW Lj 1y J y 3Q � aw ' �c� V r G C) z_ Q > Z N LU i wad N > oWZLiJ � U1 IZ-41 a Z ZI 4Q7 O � ' ^Q 4 m coc) LLj a � W C) •VZ orn ,,, Z z = — Q) O `O � < cn � vQ ^ QJ rIvcp o �- ? Jw Q � v> > om� Q 0- oazr' UQ Q �J W J — ` (1 � W QQ WOZG O t O � w G _z Z 3 O z Q w N , ,, cn > � = J OQ OJJF— > a U w"< LiWQW / ,,,rr WNF- O U =xwMQ00 2 Z Z a G _ �N O O F 3 Z J M F- Cy- w GGw00a0ZUOW as Z w N � $ / � cwn c=n OWmWLA" OQ > U G0G � F-- � co co z0 � �> Z 04 Qcn3Qp � JtiZUofZ `J{�s� LLJ L- W � U I a J F- a Q: CL 0 �j�>ZZ m I — z00 � Q p ? QWQ. Urn m��_N a m J Of LLJ F- p ao Z Ln g o z � QW a aWrW -F � �goL ZZ LLJ = O Q in F— � m aZ J I C] FW- `- > W �' Z Y c Jy�W J o Vl W = 0 0 W Q O m z�730 c Z ( mQ a F-- F- u� m20G .- PSR-3844 15999 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION _ _ LOCATION INFORMATION ermit Number: 15999 'ddress : 87 THIRD STREET WEST Permit. Tvpe: PLUMBING ATLANTIC BEACH . FLORIDA 32233 'lass of Work:NEW ---------- LEGAL DESCRIPTION --------- .- Constr . Type :WOOD FRAME Block: Lot : Twp: Proposed Use : SINGLE FAMILY Section : 0 Subd: Rn? : Dwellings : 0 Subdivision: SECTION H Est . Value: 0 .0E Improv . Cost : Total Fees : 57 . 00 Amount Pd , 57 .00 Date 2/20/1998 -,�J1BING IN NEW HnI-1 OWNER. !NFOR-M._TIC%N _ __. __-__ __---__-- - APPLICATION FEES larrse : FENUERGRASS PERMIT 57 .O�s T:ddY , aR w - 3PP ST ATLANTT':" BEACH . FLORIDA 70NTRACTCR INFORMATION flame ! ATLANTIC COAST PLUMBINtO � TILE Addr: 3:3 9TH AVENUE NORTH JACKSONVILLE BEACH . FL 3225E `,i c : CF(7A2152`? ERA : � Type NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $57.00 14 P416158al RgGgipts @@35153 CHECKS 20669 0610093221060 ATLANTIC BEACH BUILDING EP TMENT By: \ - This InsSrti �t ptlt�ed By:.� Book 8825 Pg 1637 I TransLand Financial Services,Inc. Address: 2700 Westhall Lane,Suite 210 Bk: 8825 Maitland,FL.32751 f,9; 1637 Doc# 98009152 Filed & Recorded 01/13/98 03:40:55 P.M. HENRY W. COOP. CLERK CIRCUIT COURT DUVAL COUNTY, FL ((nn REC. 3 6.00 w� of Commencement o� Nonce t � (propane in Duplicate) To whom it may concern: t improvements and in accordance with section The undersigned hereby informs all concern einformation is stated in will NOTICE OFaCOMMENCEM�ENT. 713.13 of the Florida Statutes,the following Legal Description of property include Street Address,if available) Lots 5 and the East 20 fe t of I^r 6 Bly�k 9 SECTION "H" ATLANTIC BEACH, accordingto Plat thereof as recorded in Plat Book 1 a e 7 , 34 of the current General description of improvements and Brenda LMonahan Owner Thomas W. Pender rass Lee Address 4735 San Jose Manor Drive W. #4, Jacksonville, FL 32217 Owner's interest in site of the improvements Fee sim le Fee Simple Title holder(if other than owner) Name same as owner Address Contractor Thomas W. Pender rass Address 4735 San Jose Manor Drive W. #4, Jacksonville FL 32217 Surety(if any) N/A N/A Amount of bond S Address Any person making a loan for the construction of the improvements: Name Address Person with in the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(l)(a)(7),Florida Statutes: 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 (h),Florida Statutes. Name Addr Owner Brenda Lee Monahan Owner Thomas W. Pend rass da f January, 1998 by' The foregoing instrument was acknowledged before me this 2nd Y oar y Thomas W. Pendergrass and Brenda Lee Monahan, hire wife Who is/are personally known to me ] Who has/have produced as identification and who[ ]did[ did not take a oath. Y PU IIARBARA J. LAYS otary Public COMMI88tON RCC3736i8 My Commission Expires: EXPIRESJUN26,1998 BONDEDt"nU F ATLANTICsoNDINGCO.ONC. FLNOCM.WPD Rev.031097.1 VN STATE OF FLORIDA DUVAL COUNTY 1, THE UNDERSIGNED Clerk of tha Circuit Coua, Ouaal County, Florida,DO HEREBY CERTIFY r.he within and foregoing is a true and correct copy of the original as it appears on record and file In the office of the Clerk of Circuit Court of Duval County,Florida. WITNESS my hand and seal of Cle k of Circuit Court Jacksonville, Florida,this th@2day oteb A.D., 19 , HENRY W. GOOK Clerk, Circuit and County Courts �—:rD-e�putyt;lerk dds 11 CITY OF ATLANTIC BEACH P IT CALCULATION SHEET Address- Date—z--26 ddressDate - 2G Heated Sauare Footage @ $ Per sq ft = $ / 0 Garage/Shea k100 @ $ per sq ft = S 2d Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = S Patio @ $ per sq ft = S (D C) TOTAL VALUATION : S— Q o S76 Total Valuation lst • $ 4o /0 C) /y8 C� C, S Remaining Value $J/. per thousand or portion thereof TOTAL BUILDING FEE $ q0 o `� ly of + 1,2 Filing Fee $ O (0) Fireplaces @ $15 . 00 $ "- BUILDING PERMIT FEE $ 6 1 2 d WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TAP oa v Cj CAPITAL IMPROVEMENT SS' SEWER TAP S r(Pb) RADON (HRS) .0050 S S 5 S SECTION H PAVING ( 5v ) $ HYDRAULIC SHARES $ �' CP.OSC CONNECTION TOdj SURCHARGE . 0050 S HER $ ' GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : RECEIVEDrYOF JAN 7 4998 'e*&a `.6 viae! - i�lersida City of Atlantic Beach AN SEMINOLE ROAD PROPERTY DESCRIPTIONand Zoninf LANTIC BEACH,FLORIDA 32233-SW B u i l d i n g TELEPHONE("4)247-SM L o t # 5 FAX OK 247-SM , B 1 oc}�_ Section # Subdivision: 2 Street Nam DESCRIPTION OF WORK or Addres 7 3 P-D S / ' in a FLOOD HAZARD ^^// � Flood Zone: area complete page 3 . Brief Description_'p-'60 1`/OAe� Class of Work: (New/ Remodel/Addition:_ /V CAA) ZONING INFORMATION Type of Construction: G Zoning Q Proposed F2g�-e ,,��11 16, 006 ,t Q� District : /��?'� Use:_ S �iV Estimated Value $ , 006 Exceptions or Variances Materials: 1-1 b im' a Granted: Solid o Filled / ' Un Ground:�i !L Roof : WC0© OWNER INFORMATION Method of Heating: 4"/L- '4/'/L Property Owner:f-11 01-nt1s' Ly,�,►/D�26/Zf�S� Phone: 7 30 `3,'14f7 Mailing Address ��OL CONTRACTOR INFORMATION Contractor , .sh} tc Phone Mailing Address: Zip: Expiration License Number : Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNCw THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH , WHETHER SPECIFIED HEREIN OR NOT . THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES . REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING C: CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature &/' Date k' 2� Cont r c or Sig '"4 Date 3��' :• MY COtiMNSN 81 RS nugust27,2000 p,;,h 60NOE0 THRU TRoY FAIN INSURANCE,INC. CITY OF ATLANTIC BEACH Fixture Unit Worksheet for 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. �t BATHROOM GROUP CONSISTING OF SERVICE _SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) / Z WATER CLOSET 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) Z / WASHING MACHINE (3) ✓ POT, SCULLERY SINK (4) �TTT�DISHWASHER (2) WASH SINK EACH SET OF � FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) �KITCM SINK WITH WASTE 3 _i__DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) 6 BIDET URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL. PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) ELOilOUT (2) e LAVATORY. BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) _URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS �-6 - J l $20.00 EACH JOB INFORMATION 11 ITY OF ,4zie Veac! - ��vu � 4 a S00 SEMINOLE ROAD ATLANTIC BEACH. FLORIDA 3223;;-5445 �'— TELEPHONE,904124T-5800 EA\,90.41 247-5»05 �;GNCONI S5'3-5800 CHAPTER 489, FLORIDA STATUTES, PART I CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST Be ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEt-JENT�A(NND T�(HAT I COMPLY WITH ALL THE REOUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ��, 1 s✓"�" �S� VV PROPERTY OWNER/BUILDER 3� J� Q -c/1�1WO ,i/LTJ- 734 3 ADDRESS !(- � 3�'� 17 TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF 19 .0 NOTA PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIR S: ARE EMPHASIZED BY THE BUILDING MAUREEN KING DEPARTMENT. =f •� •_ ;� Notary Public, State of Florida My Comm. Exp. Tar. 31, 1998 ''�"o`s"f�°P Comm. No. CC 359683 This InslrurytItit Prepared By_ TransLand Financial Services, Inc. Address: 2700 Westhall Lane, Suite 210 Maitland, FL. 32751 1 hereby certify that this Is a true and exact copy of the original. �"""'��••� Attorney Notice of Commencement (Nepue in M.Plicelt) To whom it may concern: ill be made to certain real property, and in accordance with section The undersigned hereby informs all concerned that improvements w 713.13 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property(include Street Address, if available) Lots 5 and the East 20 feet of Lot 6. Block 79, SECTION "Il" ATLANTIC BEACH, according to plat thereof as recorded in Plat Book 18, Nape 34 of the current Public-re o1rds of Duval Cotinty, F117rida General description of improvements Construction of a single family residential dwelling Owner Thomas W. Pendergrass and Brenda Lee Monahan Address 4735 San Jose Manor Drive W. 114, Jacksonville, FL 32217 Owner's interest in site of(lie improvements Fee simple Fee Simple Title holder(if other than owner) Name same as owner Address Contractor Thomas W. Pendergrass Address 4735 San Jose Manor Drive W. 114, Jacksonville, FL 32217 Surety(if any) Address N/A Amount of bond S N/A Any person making a loan for the construction of the improvements: Name Address 7700 Westhall Ff. Person within the State of Florida designated by owner upon whore notices or other documents may be served as provided by Section 713.13 (1)(a)(7), Florida Statutes: Name Address In addition to himself,owner designates the following person to receive a copy of(lie Lienor's Notice as provided in Section 713.13 (1) (h), Florida Statutes. Name Addre FI 17751 Owner Thomas W. Pend rass Owner Brenda Lee Monahan The foregoing instrument was acknowledged before me this 2nd day of January, 1998 by, Thomas W. Pendergrass and Brenda Lee Monahan, him wife Who is/are personally known to tile [ j, Who has/I)ave produced as identification and who [ J did [ J did not take a oath. r'•9 *-sr.�"'17t W­" Qv PO BARBARA J. IAMB Notary Public ;P �r COMMISSION N CC 373618 My Commission Expires: ` ExPI ESJUBoNDED998 N260 <OF F�� ATLANTIC BONDING CO.,INC FLNOCM WPD .. Rry 0110911 A1� //CITY OF nn". T &aakc /3� 1- Office of Building Official "7 t / REQUEST FOR INSPECTION Date r —2 ` / Q Time Permit No. / *- r� A.M. Received UpM 27 0, �.ra S, S``",-/ -- > Job Address Locality Owner's Name �lcv,fo �- '�(f Contractor / L cCcs 6/111� BUILDING CONCR E ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab I Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer Fire Place ❑ 1 L.,)44-e,r Pre Fab READY FOR INSPECTION Mon. Tues. Wed. P M Thurs. Friday Inspection Made 9 A.M. P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date ******************************************************************************* SUMMER CALCULATIONS ******************************************************************************* BASE ___ __= AS-BUILT GLASS---------------- ORIEN AREA x BSPM = POINTS TYPE SC ORIEN AREA x SPM x SOF = POINTS ------------------------------------------------------------------------------- N 72 .00 65 . 8 4737 . 6 DBL CLR N 12 . 0 38 .3 . 87 400 .7 DBL CLR N 20 . 0 38 . 3 . 87 667 .8 DBL CLR N 40 . 0 38 . 3 . 87 1335 . 6 E 64 . 00 65 . 8 4211 .2 DBL CLR E 12 . 0 79 . 7 . 88 840 . 5 DBL CLR E 16 . 0 79 . 7 . 88 1120 . 6 DBL CLR E 8 . 0 79 . 7 . 88 560 .3 DBL CLR E 8 . 0 79 .7 . 88 560 .3 DBL CLR E 8 .0 79 .7 . 88 560 .3 DBL CLR E 12 .0 79 . 7 . 88 840 .5 S 72 . 00 65 . 8 4737 . 6 DBL CLR S 36 . 0 66 .2 . 84 1990 . 9 DBL CLR S 36 . 0 66 .2 . 84 1990 .9 W 44 .00 65 . 8 2895 .2 DBL CLR W 20 . 0 79 . 7 . 86 1375 .1 DBL CLR W 12 . 0 79 . 7 . 86 825 . 1 DBL CLR W 12 . 0 79 . 7 . 86 825 . 1 ------------------------------------------------------------------------------- . 15 x GOND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS POINTS ------------------------------------------------------------------------------- . 15 1, 800 . 00 252 . 00 1 . 071 16, 581 . 60 17, 766 . 00 ( 13 , 893 .51 ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- NON GLASS------------ AREA x BSPM = POINTS TYPE R-VALUE AREA x SPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 1140 . 0 . 9 1026 . 0 Ext Wood Frame 11 . 0 1140 . 0 1 . 70 1938 . 0 DOORS---------------- Ext 20 . 0 6 . 1 122 . 0 Ext Insulated 20 . 0 4 . 10 82 . 0 CEILINGS------------- UA 1800 . 0 . 6 1080 . 0 Under Attic 30 . 0 1800 . 0 . 60 1080 .0 FLOORS--------------- Slb 174 . 0 -37 . 0 -6438 . 0 Slab-on-Grade .0 174 . 0 -41 .20 -7168 .8 INFILTRATION--------- 1800 .0 8 . 0 14400 . 0 Practice #2 1800 . 0 8 . 00 14400 . 0 ------------------------------------- TOTAL SUMMER POINTS 27, 956 . 00 24, 224 . 71 --------------------------------------- TOTAL x SYSTEM = COOLING TOTAL x CAP x DUCT x SYSTEM x CREDIT - COOLING SUM PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS ------------------------------------------------------------------------------- 27, 956 . 00 . 37 10, 343 . 72 ( 24, 224 . 71 1 . 00 1 . 100 .310 1 .000 8, 260 .63 ******************************************************************************* WINTER CALCULATIONS ******************************************************************************* --- BASE __= AS-BUILT =-- GLASS---------------- ORIEN AREA x BWPM = POINTS I TYPE SC ORIEN AREA x WPM x WOF = POINTS ------------------------------------------------------------------------------- N 72 . 00 -10 . 6 -763 .2 DBL CLR N 12 . 0 7 .3 1 . 19 104 .0 DBL CLR N 20 . 0 7 . 3 1 . 19 173 .4 DBL CLR N 40 . 0 7 .3 1 . 19 346 .7 E 64 . 00 -10 . 6 -678 .4 DBL CLR E 12 . 0 -9 .2 . 67 -73 . 6 DBL CLR E 16 . 0 -9 . 2 . 67 -98 . 2 DBL CLR E 8 . 0 -9 .2 . 67 -49 . 1 DBL CLR E 8 . 0 -9 .2 .67 -49 . 1 DBL CLR E 8 . 0 -9 .2 . 67 -49 . 1 DBL CLR E 12 . 0 -9 .2 .67 -73 . 6 S 72 . 00 -10 . 6 -763 .2 DBL CLR S 36 . 0 -28 .4 . 92 -941 .5 DBL CLR S 36 . 0 -28 .4 . 92 -941 .5 W 44 . 00 -10 . 6 -466 .4 DBL CLR W 20 . 0 -9 . 2 .63 -115 .3 DBL CLR W 12 . 0 -9 .2 . 63 -69 .2 DBL CLR W 12 . 0 -9 .2 .63 -69 .2 ------------------------------------------------------------------------------- . 15 x GOND. FLOOR / TOTAL GLASS = ADJ. x GLASS = ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS POINTS ------------------------------------------------------------------------------- . 15 1, 800 . 00 252 . 00 1 . 071 -2 , 671 . 20 -2 , 862 . 00 -1, 905 . 29 NON GLASS------------ AREA x BWPM = POINTS TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 1140 . 0 2 .2 2508 . 0 Ext Wood Frame 11 . 0 1140 . 0 3 . 70 4218 . 0 DOORS---------------- Ext 20 . 0 12 . 3 246 . 0 Ext Insulated 20 . 0 8 .40 168 . 0 CEILINGS------------- UA 1800 . 0 1 .2 2160 . 0 Under Attic 30 . 0 1800 . 0 1 .20 2160 . 0 FLOORS--------------- Slb 174 . 0 8 . 9 1548 . 6 Slab-on-Grade . 0 174 . 0 18 . 80 3271 .2 INFILTRATION--------- 1800 . 0 7 .4 13320 . 0 Practice #2 1800 . 0 7 .40 13320 . 0 ------------------- --------- TOTAL WINTER POINTS 16, 920 . 60 21, 231 . 91 TOTAL x SYSTEM = HEATING TOTAL x CAP x DUCT x SYSTEM x CREDIT = HEATING WIN PTS MULT POINTS I COMPON RATIO MULT MULT MULT POINTS ---------------------------------------------------------------------------- 16, 920 . 60 .55 9, 306 . 33 1 21, 231 . 91 1 . 00 1 . 100 .484 1 . 000 11, 303 .87 ******************************************************************************* WATER HEATING ******************************************************************************* BASE ___ ( __= AS-BUILT ----------------------------------------------------- NUM OF x MULT = TOTAL I TANK VOLUME EF TANK x MULT x CREDIT = TOTAL BEDRMS RATIO MULT ------------------------------------------------------------------------------- 4 3803 . 0 15, 212 .00 40 . 90 1 . 000 3719 . 7 1 . 00 14, 878 .67 ******************************************************************************* SUMMARY ******************************************************************************* __- BASE __- --= AS-BUILT ------------------------------------------- COOLING HEATING HOT WATER TOTAL I COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS POINTS + POINTS + POINTS = POINTS ------------------------------------------------------------------------------- 10343 . 7 9306 . 3 15212 .0 34, 862 .05 8260 . 6 11303 . 9 14878 . 7 34, 443 . 16 ***************** * EPI = 98 . 80 ***************** SERIAL # 7777 * ResmanuJ(c) * 09-11-1997 WHOLE HOUSE HEAT GAIN / HEAT LOSS CALCULATION USING FLA/RES (c) DATA FILES (BASED ON A.C.C.A. MANUAL J - SEVENTH EDITION (c) 1986 by A.C.C.A. ) Project name : Address : City/State : Owner : Builder : HVAC contr. : Cond Flr Area: 1800 SF * GLASS/SF RATIO - 140 * House Faces : South * Climatic Conditions & Design Conditions * ---------------------------------------------------------------------------- Geographical Location : Florida I Jacksonville ---------------------------------------------------------------------------- North Latitude / Elevation 30 Deg. / 24 Ft . Above Sea Level Outdoor Winter Dry Bulb 32 Deg. F Indoor Winter Dry Bulb 70 Deg. F Winter (Actual) Temp.Diff . 38 Deg. F Winter Temp. Diff . (wTd) 40 Deg. F Outdoor Summer Dry Bulb 94 Deg. F Outdoor Summer Wet Bulb 77 Deg. F Outdoor Summer Hum. Ratio Gr/Lb 114 Indoor Summer Relaltive Hum. 500 Indoor Summer Design Gr/Lb. 49 Indoor Summer Dry Bulb 75 Deg. F Summer Daily Range 19 Deg. F - M Summer (Actual) Temp.Diff . 19 Deg. F Summer (User Sel) Temp.Diff . (sTd) 20 Deg. F ---------------------------------------------------------------------------- * HEATING SUMMARY * TOMMY DAT * COOLING SUMMARY * SUBTOTAL 26622 .48 STRUCTURE SENSIBLE 16816 .48 MECH.VENT- 0 Cfm 0 .00 SENS . + MECH.VENT : 16816 .48 TEMP.SWING @ 3 DEG. : 1 . 00 OCCUPANT/APPLIANCE 3600 . 00 DUCT LOSS 1331 . 12 DUCT GAIN 2041 . 65 TOTAL LOSS/BTUH 27953 .60 TOTAL SENSIBLE 22458 . 13 TOTAL LATENT 4243 . 84 SENSIBLE + LATENT 26701 . 97 20% OVERSIZE FACTOR 5590 . 72 20% SENS .OVRSZE FTR: 4491 . 63 ACTUAL + 20% OVERSIZE: 20416 .48 SENS . + 20% OVERSIZE : 26949 . 76 HTG FTR = 43 .2 CLG FTR = 20 . 5 CLG DESIGN CFM 1094 .45 * EQUIPMENT SELECTION * EQT MANUF CU MOD # AHU MOD # HTG INPUT HTG OUTPUT HTG CFM AFUE/HSPF SENSIBLE CLG LATENT CLG TOTAL TONAGE (S) EER CLG CFM TYPE ENERGY GUIDE For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for EPI- 98 . 8 DCA Form 600A-93 or Form 600B-93 0 10 20 30 40 50 60 70 80 90 100 ---------------------------------------X- 1 The maximum allowable EPI is 100 . The lower the EPI the more efficient the home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency SINGL CLR DBL TINT WINDOWS . . . . . . . . . . . . . . . . . . . . .Double Clear -------------X------- I INSULATION. . . . . . . . . . . . . . . . . . R-10 R-30 Ceiling R-Value. . . . . . . . . 30 . 0 I --------------------XI R-0 R-7 Wall R-Value. . . . . . . . . 11 . 0 I --------------------XI R-0 R-19 Floor R-Value. . . . . . . . . 0 . 0 IX-------------------- I AIR CONDITIONER. . . . . . . . . . . . . 10 . 0 SEER 17 .0 SEER. . . . . . . . . . . . . . . . . . . . . . 11 . 0 I --X------------------ I HEATING SYSTEM. . . . . . . . . . . . . . 6 . 8 HSPF 12 . 0 Electric HSPF. . . . . . . . . . . . 7 . 0 IX-------------------- I WATER HEATER. . . . . . . . . . . . . . . . 0 . 88 0 . 96 Electric EF. . . . . . . . . . . . . . 0 . 90 I ----X---------------- I 0 . 54 0 . 90 Gas EF. . . . . . . . . . . . . . 0 . 00 I --------------------- I 0 .40 0 . 80 Solar EF. . . . . . . . . . . . . . I --------------------- I OTHER FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I certify that these energy saving features required for the Florida Energy Code have been installed in this house . Builder �J Address : Signature ,lADate: I- City/Zip Florida Energy Code for Building Construction - 1993 Florida Department of Community Affairs FL-EPL CARD93 * L O A D C A L C U L A T I O N * TYPE Inside Shade Sc Area Loss/Btuh Gain/Btuh G L A S S South Double Clr Roller Shade 1 36 . 00 1044 . 00 1116 . 00 South Double Clr Roller Shade 1 36 . 00 1044 . 00 1116 . 00 West Double Clr Roller Shade 1 20 . 00 580 . 00 1180 . 00 West Double Clr Roller Shade 1 12 . 00 348 . 00 708 . 00 West Double Clr Roller Shade 1 12 . 00 348 . 00 708 . 00 North Double Clr Roller Shade 1 12 . 00 348 . 00 240 .00 North Double Clr Roller Shade 1 20 . 00 580 . 00 400 . 00 North Double Clr Roller Shade 1 40 . 00 1160 . 00 800 . 00 East Double Clr Roller Shade 1 12 . 00 348 . 00 708 . 00 East Double Clr Roller Shade 1 16 . 00 464 . 00 944 . 00 East Double Clr Roller Shade 1 8 . 00 232 . 00 472 .00 East Double Clr Roller Shade 1 8 . 00 232 . 00 472 . 00 East Double Clr Roller Shade 1 8 . 00 232 . 00 472 . 00 East Double Clr Roller Shade 1 12 . 00 348 . 00 708 . 00 Infiltration : Winter Htm ( 25 . 29 ) x 252 . 00 6373 . 08 Infiltration : Summer Htm ( 5 . 84 ) x 252 . 00 1471 . 68 R-Value Area Loss/Btuh Gain/Btuh WA L L S---------------------------------------------------------------------- Wood Stud - Ext . 11 1140 . 00 4104 . 00 2394 . 00 DO O R S---------------------------------------------------------------------- Insulated Core/Metal - Ext . 0 20 . 00 354 . 00 90 . 00 Infiltration :Winter Htm( 25 . 29 ) x 20 . 00 505 . 80 Infiltration :Summer Htm( 5 . 84 ) x 20 . 00 116 . 80 --------- --------- --------- SUBTOTALS : 20 .00 859 . 80 206 . 80 CE I L I N G S---------------------------------------------------------------- Under Attic 30 1800 . 00 2340 .00 2700 .00 FL O O R S-------------------------------------------------------------------- Slab on Grade 0 174 . 00 Lin.Ft . 5637 . 60 000 .00 * TOTAL STRUCTURE SENSIBLE * ------------------------------------------------------------------------------- 26622 .48 16816 .48 ------------------------------------------------------------------------------- ** INFILTRATION REDUCTION PRACTICE COMPLIANCE CHECKLIST ** ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK PRACTICE #1 606 . 1 COMPLY WITH ALL INFILTRATION PRESCRIPTIVES . ------------------------------------------------------------------------------- Windows 606 . 1 Maximum of 0 . 34 CFM per linear foot of operable sash crack (includes sliding glass doors) . ------------------------------------------------------------------------------- Exterior & 606 .1 Maximum of 0 . 5 CFM per sq. ft . of door area: solid Adjacent Doors core, wood panel, insulated or glass doors only. ------------------------------------------------------------------------------- Exterior Joints 606 . 1 To be caulked, Basketed, weather-stripped or other- & Cracks wise sealed. ------------------------------------------------------------------------------- PRACTICE #2 606 . 1 COMPLY WITH PRACTICE #1 AND THE FOLLOWING: ------------------------------------------------------------------------------- Exterior Walls 606 . 1 Top plate penetrations sealed. Infiltration barrier & Floors installed. Sole plate/floor joint caulked or sealed. ------------------------------------------------------------------------------- Exterior Walls 606 . 1 Penetrations, joints and cracks on interior surface & Ceilings caulked, sealed or gasketed. ------------------------------------------------------------------------------- DuctWork 606 . 1 Ductwork in unconditioned space must be sealed. ------------------------------------------------------------------------------- Fireplaces 606 . 1 Equipped with outside combustion air, doors and flue dampers . ------------------------------------------------------------------------------- Exhaust Fans 606 . 1 Equipped with dampers . Combustion devices see 606 . 1 .A.2 . ------------------------------------------------------------------------------- Combustion 606 . 1 Combustion space and water heating systems provided Heating with outside combustion air, except direct vent appliances . ------------------------------------------------------------------------------- ** OTHER PRESCRIPTIVE MEASURES (must be met or exceeded by all residences . ) ** ------------------------------------------------------------------------------- Water Heaters 612 . 1 Comply with efficiency requirements in Table 6-11 . Switch or clearly marked circuit breaker (electric) or cutoff (gas) must be provided. External or built- in heat trap required. ------------------------------------------------------------------------------- Swimming Pools 612 . 1 Spas and heated pools must have covers (except solar & Spas heated) . Non-commercial pools must have a pump timer. Gas spa & pool heaters must have a minimum thermal efficiency of 78 percent . ------------------------------------------------------------------------------- Shower Heads 612 . 1 Water flow must be restricted to no more than 3 gal- lons per minute at 80 PSIG. ------------------------------------------------------------------------------- Air Distribution 610 . 1 All ducts, fittings, mechanical equipment and plenum Systems chambers shall be mechanically attached, sealed, ins- ulated and installed in accordance with the criteria of Section 610 . Ducts in unconditioned attics must be insulated to a minimum of R-6 . Air handlers shall not be installed in attics unless in mechanical closet . ------------------------------------------------------------------------------- HVAC Controls 607 . 1 Separate readily accessible manual or automatic thermostat for each system. ________ ------- Insulation 604 . 1 Ceilings minimum R-19 . Common Walls - Frame R-11 or 602 . 1 CBS R-3 both sides . Common ceiling & floors R-11 . --------------------------------------------- page 1 0£ 1 i ARMEL BUILDINGwww v % SUPPLY INC i i BATCHJOB: PNDRGRS Date 01/22/98 Quote# Pendergrass I. Armel Building Supply, Inc. TOMMY PENDERGRASS P. O. 18124 703-9226 Trk 730-3487 Home Jacksonville, Fl 32229 Larry Iddings 247-7446 1-904-757-0488 Sales Rep:JRE Job:PENDERGRASS Designer:JRE Loading: 20 7 10 24 . 00"O.C. ITEM QT TRUSS ID SP PITC OVERHANGS PRICE 1 13 A-01 8' 0" 4 4 . 00/0. 00 24. 00/ 0. 00 2 2 A-02 8 ' 0" 4 4. 00/0.00 24 . 00/ 0.00 3 13 B-01 20 ' 3"12 4 . 00/0 . 00 24.00/ 0.00 4 2 B-02 20' 3"12 4 . 00/0.00 24.00/ 0.00 I 5 13 C-01 38' 4" O 4.00/0.00 24.00/ 24.00 6 1 C-02 38' 4" 0 4.00/0.00 24.00/ 24.00 I f Total Selling Pric $3760 . 00 Ta� 244.40 Total $4004 .40 Price valid £or 10 days. Subject to verification of quantity and spans. I Builder Signature l `r5 ;^. 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