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69-71 W 5th St (vault) SGP ADDRESS '_ `r -- "7 / r ��/ �� .5�" C�� TYPE WORK 7'1 env 46- Lynn Alligood pROPEgTY097NERMayport Affordable Partners SHONE 241-0474 {fb,-,tom 249 - ?l 3.1 Warren Brew - Cell 571-5937 CG1'dMCTOR Brew Construction, Inc. 7EL PHONL PERMIT NVWER �y� lv - 3 1 �AT� ��`� INSPECT ONS. FOOTnVG ,SLB i a3-r2d !v f-U /0-/'7-v� NAd�LLVGISH-E4 G FRAAIEVGICO VER LV, ULA-77 N I� FEVA,L BUILDLIG C"R=GATE OF GCCI]PA1V�' C4L PES ao '� l,!-U l �1 SPE G1V� ROUGH ASL �CA AeOLV17C4L PERMM d VSPECTI®IVS ROUGH PLLTWLVG PER13flT4 LvSpECTra'NS RGUGHATNDER.ALAR /O l- c1 TGP®UT / WATERS, EIS ELVAL 'a NGT .- ,I CITY OF /n� Office of Building Official a REQUEST FOR INSPECTION OlPermit No. Date J v A Time Received / ocality Job Address -- tractor MECHANICAL Owner's PLUMBING ❑ ELECTRICA ❑ Air Cond. & Name Rough ❑ Heating BUILDING CONCRETE ❑ ou9 Wiring Top Out Fire Place n Footing � TPole emp Sewer pre Fab Framing [7, Slab C, ma Re Roofing _ Lintel A.M. Insulation INSPECTION P.M. READY FOR Friday� It, .A-E Thurs. 7yj r Wed. Tue Mon. P.M. Final Inspection ❑ Inspection Made Certificate of occupancy/ / r Inspector Date CITY OF r� a"tzc Oeac4 - - e76,u� 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247-5800 FAX (904) 247-5805 SUNCOVI 852-5800 DATE S-,3/_O I JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved.- PERMIT pproved:PERMIT NO. ADDRESS W-of 67 W. 57f A Sf. ( Nev) dK� e oe ti� 71 VJ, 5fk S4. ( Nea ) Please call me at 904-247-5826 if you have any questions. Sincerely, AT TIC BEACH BUILDING DEPARTMENT CITY OF tea ut�c Eeac4 - �76,z� - � 300 SEN(INOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904) 247-5800 FAX (904) 247-5805 SUNCONI 852-5800 DATE Y—)2——0 JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved. PERMIT NO. ADDRESS 21170 /S2 'I Jo?ji S . New 2-1172 Jordan sf. N. " 5 c�2/a Y 7 6-S W. 5f A S-1. r-Q-�0SY 6 `7 u/. 5f A s-f . Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY FThisrtificate issued pursuant to the requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Address: 71 FIFTH STREET WEST Owner: MAYPORT AFFORDABLE PARTNERS, LT ATLANTIC BEACH, FL 32233 645 MAYPORT ROAD SUITE 3-A ATLANTIC BEACH, FL 32233 Construction Type: WOOD FRAME Use Classification: SINGLE FMLY(ATT) Permit Number: 19237 Date: 6/08/2001 DON C. FORD, C.B.O. Post in a conspicuous space CITY OF ATLANTIC BEACH CERTIFICATE OF OCCUPANCY This Certificate issued pursuant to the requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Address: 69 FIFTH STREET WEST Owner: 6 5YMAORT AFFORDABLE YPORT ROAD SUITE PARTNERS, LT ATLANTIC BEACH, FL 32233 ATLANTIC BEACH, FL 32233 Construction Type: WOOD FRAME Use Classification: SINGLE FMLY(ATT) Permit Number: 19236 Date: 6/08/2001 DON C. FORD, C.B.O. Post in a conspicuous space - -- -- //C��ITY��OF /3 fY P�//-0;&U- a Office of Building Official REQUEST FOR INSPECTION lZ Per ' No. R Date / A.M. Time P. . � Received Locality Job Address S f Owner's TL/ Contractor A Name � PLUMBING MECHANICAL CON ETE ELECTRICAL ❑ Air Cond. & BUILDING ❑ Rough Wiring ❑ Rough ❑ Heating 11 Footing ❑ Temp Pole E] Top Out ❑ Fire Place ❑ ❑ Framing Slab ❑ Sewer Re Roofing ❑ Lintel 13 Final Pre Fab Insulation A.M. READY FOR INSPECTION PM Wed. Thurs. Friday Tues. Mon. A.M. d d P.M. inspect n Made Final Inspection 11 Certificate of Occupancy ❑ Inspecto s _ Date CITY OF fY � Be4rA Office of Building Official REQUEST FOR INSPECTIO p it No. Date A.M. Time P.M. Received 9 _ cality Job Address � Owner's Contractor MECHANICAL Rough 11Name ELECTRICAL MBING CONCRETE it Cond.& BUILDING ❑ Rough Wiring ❑ ❑ Heating ❑ ❑ Footing Temp Pole ❑ Top Out ❑ Fire Place Framing ❑ Slab ❑ E] sewer Pre Fab ❑ Lintel Re Roofing ❑ Final Insulation READY FOR INSPECTION Friday P.M. Wed.' Thurs. Tues. A.M.Mon. P.M. Inspection Made © l Final Inspection ❑ Certificate of Occupancy ❑ Inspector Date CITY OF Office of Building Official REQUEST FOR INSPECTION Permit No. Date A.M. Time P.M. Received Locality Job Addres Owner's Contractor Name PLUMBING MECHANICAL BUILDING CON TE ELECTRICAL ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Framing Footing ❑ Heating 9 ❑ ❑ Temp Pole ❑ Top Out ❑ Re Roofing ❑ Slab ❑ Sewer ❑ Fire Place Insulation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. Friday-P.M. Mon. Tues. A.M. P.M. Inspection M e Final Inspection 11Inspector Certificate of Occupancy ❑ � Q� � ate CITY OF 4&4m& /3eacA' Office of Building Official REQUEST FOR INSPECTION `Q �7 Date L —/ v� Permit No.�/ / `���� Time A.M. Received P.M. Job&ddress ocality A c Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Fire Insulation 11Lintel ❑ Final ❑ Sewer ❑ Pre Fabce ❑ READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday Z,5= CrG A.M. Inspection Made PM. Final Inspection ❑ Inspector. Certificate of Occupancy ❑ Date nn11��� �� //CITY OF �J TYfIaa& BeacA "t Office of Building Official REQUEST FOR INSPECTION Date / © y D Permit No. Time A.M. Received P M � 11T tk4 ST S- S Job Address Locality Owner's 5 Name (�bntractor Y� BUILDING ONCR ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing )fq-, Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. S, T" FridayP.M. Inspection Made A /S"e P(154-st Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date i n11�� CITY OF 4&,4a QeacA 0 Office of Building Official REQUEST FOR INSPECTION / 9 .36 Permit No. Date A.M. Tlnoe Received1,I� r�' ,f ` Locality Job Address Owner's /4 H� Contractor re Name / PLUMBING MECHANICAL CONCRETE LECT CO ❑ BUILDING Rough Air Cond. & ❑ Footing El Rough Wiring ❑ Out ❑ Heating Framing ❑ g ❑ Temp Pole C Top ❑ Re Roofing ❑ Slab �/Sewer ❑ Fire Place Insulation ❑ Lintel E, Final Pre Fab READY FOR INSPECTION M. Thurs. ,{/��(;/� Friday P.M. V"' es. Inspection Made Final Inspection ❑ Inspector Certificai 1 0 `/Y El / r Date CITY OF ��,�,����,//�� Office of Building Official REQUEST FOR INSPE 10 Permit No. /9 )3`-3_Z Date / A.M. Time P.M. Received � Q� / Locality Job ress Owner's - Contracto _ "y Na PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL Rough ❑ Air Cond.& ❑ Footing ❑ Rough Wiring ❑ g ❑ Heating Framing ❑ Temp Pole ❑ Top Out ❑ In Roofing Slab ❑ Final ❑ Sewer ❑ Fire Place Insulation Lintel Pre Fab READY FOR INSPECTION Wed. Thurs. Friday Mon. Tues. / — P.M. Inspection Made Final Inspection El Inspector Certificate of Occupancy❑ Date CITY OF l q� 3 �4tlwst�c /3 44c Office of Building Official REQUEST FOR INSPECTION 4-2 66 -41 -7 Permit No. — Date `1 A.M. Time M. Received T. �— Locality Job Address Owner's /I CA—L— Contrac ✓` Name RLE CA P MECHANICA CONCRETE UILDWiring Rough ❑ Air Cond. & ❑ ❑ Footing ❑ Rough oe ❑ ❑ Heating ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑ Re Roofing ❑ Slab ❑ Sewer Insulation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION 14OZZ4. Tues. Wed Thurs. Friday Mon. A.M. 0 -0 P.M. Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy❑ Date CITY OF Be Office of Building Official l �J REQUEST FOR INSPECTI Dl Perm N� Date -7�,� Time Received o ity Jo ess Owner's ntractor Name PLUMBING ECHANICAL UILDING CONCRETE ELECTRIC ❑ oug ❑ Air Cond. & ❑ ❑ Footing ❑ Rough Wiring ❑ Top Out ❑ Heating amoo—ing ❑ Tem Pole ❑ Fire Place ❑ Re Roofing ❑ Slab ❑ ❑ Sewer pre Fab Insulation ❑ Lintel READY FOR INSPECTION A.M. Wed. Thurs. Friday M' MooTues A.M. a P.M. In Ipec ion ade Final Inspection ❑ Inspector Certificate of Occupancy ❑ Date '57/ - 5- 7 w �� CITY OF u Office of Building Official REQUEST FOR INSPECTION (� � d oq 7�' Permit . Date M Time Received /l.J✓1 C L cality Job Address Owner's r Na MB NG MECHANICAL BUILDING f CONCRETE ELECTRIC it ond. & Footing ❑ Heating Framing ❑ g ❑ Temp Pte ❑ Top Out ❑ Re Roofing � Slab Sewer ❑ Fire Place Insulation ❑ Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. (:Mon. Wed. Thurs. Friday----PM. �� Tues. A.M. P.M. Inspection Made Inspection ❑ l Inspector -- Certificate of Occupancy ntv nn ��,,�� //CITY OF r�:�,,//,�, 4&412M �G 13e=4-07&'� Office of Building Official REQUEST FOR INSPECTION Date—a--7 U Permit No. Time 2 A.M. Received J` P.M. Locality Job Address `� 1 owner'(( d�S,1 Contractor L v�' Name 1� 11 CONCRETE ELECTRICAL PLUMBING MECHANICAL BUILDING ❑ Air Cond. & ❑ Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Co Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out u g ❑ Final ❑ Sewer Fire Place ❑ Insulation ❑ Lintel Pre Fab READY FOR INSPECTION A Mon. Tues. Wed. Thurs. rida P.M. M. Inspection Made Final Inspection ❑ Inspector / Certificate of Occupancy ❑ Date 11„ CITY OF i eco Office Of Building Official REQUEST FOR INSPE O Date 'L 0 Time Received I• �Z A.M. Pe _ P.M. r Job Address `��� J Owners Locality Name rUILDIN J` CONCRETE ractor R u � arrrrrrg— ELECTRICA LUMBIN t\ Re Roofing Footing FJ MECHA Insulation Slab `� ou mng G: Rou Lintel O gh Final Pole ❑ op Out El Air Cond. & Sewer Heating READY FOR INSPECTION Fire Place Mon. Tues Pre Fab Inspection Made Wed. Thurs. Friday M /� � Inspector P PM. P.M. Final Inspection E:Certificate of Occupancy❑ n(zsDate CITY OF � rC &44x40L Office of Building fit REQUEST FOR INSPEDate 11J'� .GTime O�a Received t 1. A.M. Permit No. P.M. Job Address Owner_ (�C Name ��ll-.� Bfocality BUILDING Framing CONCRETE Contractor Re Roofing G Footing ELECTRICAL Insulation Slab GPLUMBING Lintel G Rough Pole wiring r. Rough MECHANICAL G Final G ❑ Top Out Air Cond. g Mon. RG Sewer ❑ Heating G EADY Tues. FOR INSPECTION G Fire Place Inspectionwed. Fat) G Made Thurs. Pre Fa Inspector A.M.M Friday O�nn� Final Inspection ❑ Certificate of Occupancy G Date BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OFATLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: Q� Building Contractor: Building Permit Number: Address: (M---) I fZPurl � 5}- Legal Description: Improvements to the above described property have been completed in accordance with the terms of the permit and is certified to be ready for occupancy as b 1 jP L F– V Lowest Floor Elevation: w 1 � required as built BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED DATE APPROVED BY Fire —� Public Works Planning - Building 2 � �� �O 2 L c5l QC FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Ma ort Affordable Housing Partners, Ltd. BUILDING STREET ADDRESS(Including Apt., Unit,Suite,and/or Bldg.No.)OR P.O_ROUTE AND BOX NO. Company NAIC Number 69 West 5th St. CITY STATE ZIP CODE Atlantic Beach FL 32233 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc_) Part of Orchid Trace,Tract A, Duval County,Florida(RE No. 171030 1005)(Orchid Trace Apts.) BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc_ Use Comments section if necessary.) Residential Duplex LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( t►#°-##'-##.ice or R#.al ' ®NAD 1927 ❑ NAD 1963 ❑ USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 62.COUNTY NAME B3.STATE 120075 Duval Florida B4.MAP AND PANEL B5.SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8.FLOOD B9_BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 0001 D 4/17/89 4/17189 X Na B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other(Describe): 1311. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE, V1430,V(with BFE),AR, AR/A,ARAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a)Top of bottom floor(including basement or enclosure) 12. 50 fL(m) ❑ b)Top of next higher floor n/a._ft(m) fn ❑ c)Bottom of lowest horizontal structural member(V zones only) n/a._ft.(m) 00 ❑ d)Attached garage(top of slab) n/a._ft(m) ❑ e) Lowest elevation of machinery and/or equipment W a � o o � servicing the building n/a._ft_(m) a ❑ f) Lowest adjacent grade(LAG) 11 . 5Dft.(m) z N ❑ g)Highest adjacent grade(HAG) 11.60ft(m) 0 ❑ h)No. of permanent openings(flood vents)within 1 ft. above adjacent grade n/a ❑ i)Total area of all permanent openings(flood vents)in C3h n/a sq. in. (sq. cm) SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A, 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 H.Bruce Durden,Jr. LICENSE NUMBER 4707 TITLEPresident COMPANY NAME Durden Surveying and Mapping,Inc. ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE lCrIAN 7)'A-CFA- FEMA Form 81-31, AUG 99 SEE EVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,andfor Bldg. No.)OR P.O.ROUTE AND BOX NO. Policy Number 69 West 5th St. CITY ' STATE ZIP CODE Company NAIC Number Atlantic Beach FL 32233 SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. COMMENTS None ❑ Check here if attachment: SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. if the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number_(Select the building diagram-most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑ below(check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft-(m)_in.(cm)above the highest adjacent grade. E4. For Zone AO only. If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G _ SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building is: _fL(m) Datum: G9. BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3017-002 Expires July 31,2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Ma rt Affordable Housing Partners, Ltd. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 71 West 5th St. CITY STATE ZIP CODE Atlantic Beach FL 32233 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Part of Orchid Trace,Tract A, Duval County,Florida(RE No. 171030 1005)(Orchid Trace Apts.) BUILDING USE(e.g., Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) Residential Duplex LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ##.#/F' or ®NAD 1927 ❑NAD 19W ❑USGS Quad Map ❑ Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE 120075 Duval Florida B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX I B7. FIRM PANEL B8_FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 0DD1 D 4/17/89 4/17189 X n/a B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ® Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations–Zones Al-A30,AE,AH,A(with BFE), VE, V1430, V(with BFE),AR, AR/A,ARAE, AR/Al-A30,AR/AH,AR/AO Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. if the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a)Top of bottom floor(including basement or enclosure) 12. 50 ft-(m) o ❑ b)Top of next higher floor n/a._fL(m) ❑ c)Bottom of lowest horizontal structural member(V zones only) n/a.—ft.(m) o 0 ❑ d)Attached garage(top of slab) n/a._fL(m) ❑ e) Lowest elevation of machinery and/or equipment W o servicing the building n/a--_ft.(m) E Ll f) Lowest adjacent grade(LAG) 11 . 50ft.(m) z ❑ g)Highest adjacent grade(HAG) Iwo �L'- 60ft(m) ID ❑ h)No. of permanent openings(flood vents)within 1 ft. above adjacent grade n/a ❑ i)Total area of all permanent openings(flood vents)in C3h n/a sq. in. (sq.cm) SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sedans A, B, and C on this certificate represents my best efforts to interpret the data available. l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001, CERTIFIER'S NAME H.Bruce Durden,Jr. LICENSE NUMBER 4707 TiTLEPresident COMPANY NAME Durden Surveying and Mapping,Inc. ADDRESS CITY STATE ZIP CODE FL 37211 SIGNATURE DATE TELEPHONE FEMA Form 81-31,AUG 99 4EE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the corresponding information from Section A_ For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit,Suite, and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Policy Number 71 West 5th St. CITY STATE ZIP CODE Company NAIC Number Atlantic Beach FL 32233 y SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. COMMENTS None ❑ Check here if attachment: SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE), complete Items E1 through E4. ff the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor(including basement or enclosure)of the building is _fL(m)_in.(cm)❑above or ❑ below(check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is ft.(m)_in_(cm)above the highest adjacent grade. E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community4ssued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1. ❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUEDG6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY r ISSUED G7. This permit has been issued for. ❑New Construction❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building is: _fL(m) Datum: G9. BFE or(in Zone AO)depth of flooding at the building site is: _fL(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS FLOODPLAIN DEVELOPMENT INFORMATION _ _ s Location:: Lot Z Block# �� Cj- 7 (,v 5-7W -SY Type of Development: Residential Flood Zone: x Required Lowest Floor Elevation: /2 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 proposed development. Date /U Applicant's Signator pµj H Department Use: Required Lowest Floor Elevation i iAs Built Lowest moor Elevation 1 Survey Filed with Budding Department Building Dep ment Representative CITY OF 800 SEMINOLE ROAD V �jP _ _AATLANTILEPHONE(904821,47-58003 5445 TE FAX(904)247-5805 SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Rough Electrical Inspections- Dear nspectionsDear Connie: following locations have been completed and Rough Inspections on the approved: PERMIT NO. ADDRESS D6.Sb /��-s�✓2c�z ems' G�`"`"� 0,41 �1GSl R Please call me at 904-247-5626 if you have any questions. S' ely, ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH IVIIECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233 TEL: 247-5826 FAX. 247-5877 __ PERMIT INFORMATION. _-_ _�_ LOCATION_INFORMAPERMITIO_N_. -_-__- _ Permit Number: 21257 Address: 69 FIFTH STREET WEST Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: _OWNER INFORMATION - Date Issued: 1/09/2001 Name: MAYPORT AFFORDABLE PARTNERS, LT Total Fees: 47.00 Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 47.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/09/2001 Phone: (904)241-0474 Work Desc: INSTALL HVAC _ ----- -- - ---- - - CONTRACTOR p _ __ _-APPLICATION FEES ARLINGTON AIR CONDITIONING PERMIT 47.00 Inssnections Re u�red ROUGH MECHANICAL FINAL j I I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $47.0014 `� Date: 1/18/81 81 Receipt: 8825137 AT NTIC LCJIBUILNG DEPT. CHECKS 18752 08188883221888 CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION = �� -LOCATION_INFORMATION Permit Number: 21258 Address: 71 FIFTH STREET WEST Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: s 77 Improv. Cost: OWNER INFORMATION Date Issued: 1/09/2001 Name: MAYPORT AFFORDABLE PARTNERS, LT Total Fees: 47.00 Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 47.00 ATLANTIC BEACH, FL 32233 Date Paid: 1/09/2001 Phone: (904)241-0474 Work Desc: INSTALL HVAC �CONTRACTOR(S) APPLLCATION FEES25 % - . ARLINGTON AIR CONDITIONING PERMIT 47.00 - tt actions_ Reguue ROUGH MECHANICAL. FINAL I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION__ BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _ $47.90140025 Date: 1/18/01 01 Receipt: 0025137 ATL0010 ANTIC BEACH B ILDING DEPT. CHECKS0 10752 010eeeai'2lebO BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH.PLDRIDA]aa]] APPLICATION FOR MECHANICAL PERMIT CALL-M NUMBER IMPORTANT— Applicant to complete ail items in sections I, II, 111, and IV. I' LOCATION Sired Gc� S � S Addr.u: � OF Intv+eeflnq Street+: Se t.•.n A.d BUILDING Srb"d Ll+io. II. IDENTIFICATION —To be completed by all applicants. (n o.+idention ( pe mil qi.r for doing th. ..ork .I d.—il,.d In Ih. .bo.. det•m.nt+.6.r.6r.gree Io perform ..id ..o.k In .ceord..ce 'th the ft- J pi— •.d rp.dRc.lio.+ .nick •n • pert h.r.of ..d .n •ccard..ce r,ilh th.C;Iy of J.ckmndll. ordi..ncn end �t.nd.rd+ of good.pr.a tlu listed Ihuein. N.,ne .( Mec6enlul -/ Cenl.•dor+ � 'I c.ntr.d.r (nlntl J i Tcl C X- lye Ity, N.re .l hep.rty o.— �. - ilq..t.n .(O..v iign•Ivn of «Arthsrlud Aq.nt Arehibcf er Engl•eu III. GfNFiIAL INFOR ON A. Type f M.tlnq fr.l: 9. IS OTHER CONSTRUCTION IXG GONE ON ❑�E6.L.c THIS BUILOING OR SITE T �r'S LY b..—❑, lr ir N.Mrel Cl Gntr•1 Utility 13 QW IF YES, G12XU(r Il f OF CONSTRUCTION PERMIT / L [Q ❑ CHh«— Sp.dfy ff IV. MNCHI NN„AL DQUIPMtR TO 11 INSTALL.M NATURE OF WORK (►te.�id•templet•lilt of eomP—h e.b.c!of this fe—I ,C,,f�Hesldenll nl or 11 Commercial &, Heat ❑ Spice R•cs'nwd/ l Gntrrl C3 %w d' New Bulldlnp G.drtfenlnq: ❑ loom y.l'c..dn! ❑ Existing Building �Dret ST.—. Mslrri•' ' Idn•u� c ❑ Replacement of existing system M••{mww up•clly New Installation(No eyslem previously Installed) ❑ Rairli—Hee ❑ Extension at add-on to slating system ❑ Coellnq Is .r. Gpedty q p-,& ❑ other—9peclfy . ❑ R- +prinU.n+ Nrm6« d h«de ❑ Ei...ter Q M.n11N ❑ Eaul.l.r (nrmb.rl THIS STAC* I'OIl ORIC& US&ONLY - ❑.Q-11.4 p.mps (..rn6..I (Re•d..d) ❑. Tui. (nrm6.r) R«n.ds . ❑ Ll'.cs.telw (nrm6.r1 ❑ U.flred pnurn wast ❑ We" F—it Approved by D.� 0 Sp.alfy F—it F.. . LINT ALL EQUIPMENT ASR CONDrnONINC AND REPRIGERATION EQUIPME24T ,)r -'Z=10Nt>®ber Ua1ta Deaariptloss Yodel Number Xaavtaatunr 7 h i� HI ATING - FURNACES, BOILERS, PI'REPLACE4 C}p�alt7r Number Uzdta Desarlptlon Yod.l Number Yu aaufaaUar (13TL7) TANX3 How Yang• Nmrm.l. CaD.-Ab Type uquidl Nem.Of Serial A!'P'Ovin assd Dtasandma Contained Yaanfantm,.r No. ^s�7 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC SUCH. FLORIDA]xx]] APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to Complete all items in sections I, II, III, and IV. I. LOCATION 5t—f Addr.u: s �� OF Lhru<tinq BUILDING A.d S.b•d 1.7den II. IDENTIFICATION —To be completed by all applicants. In <onridv.fion I p:mil given for doinq the -t .r d.—i6.d i Ih. .bo.. II•Lm•nl w. h...br•qr.• to per(e.m ,rdd soh In.ccerd.nc. 'Ih rh• •rf.clud pl n end ,p.cdic.Honr .hich .r. p•rr h.r.ol end .n .cc ord•"c. ��Ih Ih. City of J.cb.nv7ll. wdin.nc•. end N•ndudr of geed.P'wl— Itd.d,Ih.'—. N..,. .f Gn6s.ler (►rintl Mohr N•n.. •I SIq.•lun.f 11—:. Sign.fur. e( N Aulher(-4 Aq•nl Archihc} or Engin••r nI. cENE AL INFO TION A. Type of h—tinq fu.l: B. 15 OTHER CONSTRUCTION BEING DONE ON ❑ �Mc THIS SUILOING OR SITET 91'bis—❑. Il Q" N•t—I ❑ Gnlr.l Utility ❑ Og IF YES. GE}IU' SER OF CONSTRUCTION PERMIT / ] ❑ Other — Specify IV. MNCHANICAL SQUIPUNKT TO 11 INSTALIE NATURE OF WORK (hti""eomp7efe lilt of c"mpom.h o.bsci of thiof--I Ly—URResidenllel or ❑ Commercial Neat C] e.se SP." ❑ Recd g"Go�ntrel ❑ Row G New SUllding Ik_T/Nr Co.drfle.lnq: [3Roolw t,.ntnl ❑ Existing Building fel' O"d, Sy.hnn: Met"rie —ThicYne.c.,2— ❑ Replacement of existing system Muimsm c•p•dfy e.(� If—Z.'Inelallatlon(Na system previously Installed) ❑ Rsfd?.-N— ❑ Extension or add-on to existing system ❑ Other—Specify ❑ Rn ryrinll.n: N.m►.r i h—d. ❑ Ei"..fsr ❑ Menlih ❑ E.ul•her B"ri"ber) THIS STACII FOR ORICi US&ONLT ❑.Gesell,.pear;" (nrmber) (� "1 CJ, Tsa1• JA-6.r( R.m.ri. ❑ LIG owls!.... (nrmb•rl ❑ Uafl—d pnarre-mer ❑ Milers I.—it App--d by p.ti 13 Olbw—'spscify r«,nif F— LIST ALL EQUIPMENT Ali CONDITIONING AND REARICERATION EQUIPNEYT Number Units DeBorlpuon Yodel Number YAnutacbmw t7 Jpp�4nr f t r 1 HKATING - FURNACES, BOILERS, PtREPLUC.3 Cap�dt7 NuD.r Volta Desarlptim Yodel Number Yaautaotur+r (13'IZJ) - } m u TANXS Now HaAy Nombwl Capacity Type Liquid Name of Sft-w AP �� sad Dtmemak" Contained Yaanfaat=— No. A�mcT CITY OF ATLANTIC BEACH I`JIECi-1AMICAL PEt=Mi T 800 SE-MiINOLE ROAD-A T L41`!!IL;BEACH, FL 32233- TEL: 247-5816-FAX: 147-5677 f� - - 0C�lIRfTi'RICf1C11 ATlf1R1 4 ' 7 "" f'��{O Tf91INFORMATION -.t CORA/.t tt.i V4�titAitVla �LOZ/A �� w Permit Number. 21197 Address: 71 FIFTH STREET WEST Permit Tvpe: MECHANICAL ATLANTIC ANTIC BEAC H, FL 32-933 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: - -_ OWNER INFORMATION Date Issued: 12/22/2000 Name: MAYPORT AFFORDABLE PARTNERS, LTD Total Fees: 25.00 Address: 645 MAYPOR T ROAD SUITE 3-A Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 12i22i2000 j Phone: (904)241-0474 Work Desc: GAS PIPING l:OIV! - TKA4- ---1UK(��- T. APPLICATION FEES �'`' -`� FIRST QUALITY GAS INC. PERMIT 25.00 [nspedtlons Re wire` - - L-GH--E-LECTRIC _ FINAL ELECTRIC 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 --- "FAI -- -T�- —O_ PYMITT-F (.( .0 DfT. s! 1 !F ! UIf`�U ?�Cl�I T IN T4 ` D ?�D Lwll— CL . � I . 1. �t— t_ .. OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" _- — ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _- _-.- - $25.86 14 Date: 12/26/88 81 Receipt: 8621718 DECKS 1559 ATLANTIC BEACH OUILDING DEPT. _dM3221868 CITY OF ATLANTIC BEACH MECHANICAL FERMI 1 AIN0 :'TJ ,`rL ri:; F L 3 <3 =L: 4 1b iX. 1877 33-- M A7-7 -.P!=R# 1r INIClRM T! -OC -011NIF QT Permit Number: 21196 Address: 69 FIFTH STREET WEST Permit Tune, MECHANICAL ATI I ANTIC REACH, FI 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lotisl_2 Block.- 75 Section; Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 12/22/2000 Name: MAYPORT AFFORDABLE PARTNERS, STB Total Fees: 25.00 Address: 645 MAYPORT RUAU 5U1 I E J-A Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Uate Paid: 12/22i2uuu Phone: (904)241-0474 _ Work Desc: GAS PIPING - GON-1 RAI—1-0— j AF'I'LI,t,Al.i(J!V rttJ _� -— - -- - rFIRST QUALITY GAS INC. �, PERMIT 25.00 n r a .. 5 TM Y F - - ROUGH MECHANICAL FINAL 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 Mi ic+r nr n. F_^ IJ? H".i^ IriAI(I ED AWAY EY E'sTHER COr4TrZ ''R OWNER -;1 :r:�1 ^1 :s•1�11:Li �: !^ ;.,,.,,,Tr.. ,;••••;5�• ,_-• E -„ , :•-`_! i �i�vi\ate 10 COM L i * 11 i E CniNS 1 I�vv 1'Vii i- �i� ���• viii• OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS” ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.88 14 ! Date: 12/26/00 81 Receipt: 8821718 CHECKS 1559 4TN—TIC B AC BUILDING T. 88188883221888 i BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC eaACH, FLORIDA Jxx]] APPLICATION FOR MECHANICAL PERMIT CALL•iN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Sf..ef Add..,,: OF Infeructlnq Slreelu efvun WILDING Ass! sYb.dl.l,len •,� r! G .v Ii. IDENTIFICATION —To be completed by all applicants. In cam ids..tion of p.rmit given for doing the —k •, d.,aribed the .bo•e rtahm..1 a to pe,forn, "id—rh in accoroa— fh th• •tf•lIc. pitid •asci ,p•<ific.fion, .hich •re • pert M..ol end in •<cord.nce ..;Ih the Cly ofnJec6onville ordin.ncn end d•nderdr of gothtt cNt. tided IMrein. Nam• of Meeh•nla•I r C-0-0— M.,f.r .nfnetw,M•,f.r ' y.5,'),y Nerve el &.party O.... �t � Sig-t— of 0...r w Aulhwlud Aq.n1 Sign.fun of Arehiled ar Engi.ur III. GENERAL INFORMATION A. TTPa of hooting lust: g. ❑ Electric IS OTHER CONSTRUCTION BEING DOME ON THIS RUILOING OR SITET Lf�% &-bas—C3. Ll 0- NelYnl El Gnfrd Utility -- ❑ Og IF YES, GIVE NUMBER OF CONST UCTION PERMIT _ ❑ Other— Specify IV. MNCHANICAL SQUIPMIKT TO 111 INSTAUM NATURE OF WORK (provide mmpiate 140 of componanh on bad of this farm) -L— Se5Idantlal or ❑ Commercial ❑' Heat ❑ Space ❑ Reeeued ❑ Central ❑ Roar .Q -New Building ❑ Air C Wrtlo.inq: ❑ Eeom ❑ Centrel ❑ Existing Building ❑ Oe Sy"""': M.Nriel Thickne.a ❑ Replacement of existing system Ma.lmum capacity �� $"'New Installation(No system previously Installed) ❑ Eafr*.Hen Cl Extension or add-on to existing system ❑ Coaling to.er: Capacity ❑ Other—Specify g.pJw. ❑ Rn ,prinkient Number of h«d. ❑ Efavetef ❑ Manlllt ❑ 6ulafor (nYleb.r) ❑ gyms. (nYTt'Mf) THIS WAGS OOR 0FFIC& us&ONLY 6e.ollaa (t1...iv.dl TankL (nYml.ar) 1emafk, ❑ LPG oa.Nlaa.. (namber) ❑ Unfired pressYre nasal ❑ Want pwmit Approved by pati ❑ Ofhe►—'Speeify permit LIITP ALL EQUIPMENT ALR CONDTIIONIlNG AND REFRIGERATION EQUIPMENT CrpW hka NtanttarUnita Description Modal Number Xanutaotunr (lbea)r w � HEATING -FURNACES, BOILERS, FIREPLACES GYp�lt .Lpp:v�ts(; NusslMr Unita D.eartptl,xv Xodel Muntrer Xaaulaa4srar (LyTL7)r pp—th =TANKSapaolbTypoL4tvdName a[ Serial Approrinodaoa Contained Xanufaatux— No. eocY BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 91ACN, FLORIDA 32133 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. pof iN Shed Addrua: �K J y~ LC IAnd TIFICATION —To be completed by all applicants. rid•r•fian f permitgiwnfor doinq Ih• .vat •o d.—ib•d in thedorieaco •nc•tl•clud pl•m •nal ,peuli<•fioao .hick •n • pert hu•ol .od 1n •ccord.nc• .•i16 rhe Cify of Jac6omille ordin•ncundd.prec tic• lid•d•eh.ela•I14' �(►'Intl ` f� 4'e /~ 1. M•Ihr i l�� N•m• f ►ra2.h*.011 —, �� // L•�/ /'l� SleAq•nl Arehibc} or Engln•v III. GENERAL INFORMATION A. Type of h•ollny fuel: E3. IS OTHER CONSTRUCTION BEING GONE ON ❑ Electric THIS BUILOING OR SITE? ❑ U R-"N-t-I ❑ C.nfr.l Utility 7 13 OA IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Ofhef- specify IV. MBCIHUN}CAL OQUI/MM TO BB INSTALLED NATURE OF WORK (►'Ovide templets ITA of componenh os becL of thio fefm) Q--Residentlal or ❑ Commercial ❑- Hest ❑ Specs ❑ Itecsusd ❑ C-trel O Boor 9---Now Building ❑ Nr Ce"01o.1.9: ❑ (loom ❑. C.ntrsl ❑ Existing Building ❑ DYd System: Materiel Thic(s•,- ❑ Replacement of existing system M.•Imvm espedty c f.nu Now Installation(No system previously Installed) ❑ Refrl",sti— ❑ Extension or add-on to existing system ❑ Coaling freta': Cap4city9•pjw. ❑ Other—Specify ❑ RN, 9-WI.nl Number .f h«d- ❑ Elevfx ❑ M•nllh ❑ 6ul.fer (nYrsb.r) THIS WACB POR OMC& US&ONLT ❑.6e.ollas pYmrre (number) ( dI ❑.'Tealt• (nYmb.r) . IlMlerlt ❑ LOG oe.fele•.� (nYmbsf) ❑ Uallred poeuYn vena ❑ 4ders hermit Approved by Del.. b Other-Specify ?-it I:. LIST ALL EQUIPMENT ADl CONDITIONING AND REFRIGERATION EQUIPMENT C�pae! Number Usha Description Model Number ManuLaotueer (S�ma)r HEATING - FURNACES, BOILERS, FIREPLACES CYp�altr Aster Number t/ eeartptico Number Maatdaatuter (ly'TSNumberVWD TANTS How 3"Ay Nowh ] Capedib' Type LIgI'JA Name of Serial Approving and Dimensions Contained Maanfaeturer No. A�cnc� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT - - PERMIT INFORMATION _ LOCATIONINFORMATION.______ Permit Number: 21051 Address: 69 FIFTH STREET WEST Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: _OWNER INFORMATION Date Issued: 11/29/2000 Name MAYPORT AFFORDABLE PARTNERS, LTD Total Fees: 45.00 Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 45.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/29/2000 Phone: (904)241-0474 - Work Desc: NEW 150AMP 1 PH 3W 240V SERVICE - - CONTRACTOR(S) _ - APPLICATION FEES RICHARD GRAVES ELECTRIC PERMIT 45.00 r ROUGH ELECTRIC FINAL ELECTRIC T NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER - "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C :4568@ 14 bate: 12/81/88 81 Receipt: 88154b5 CHECKS 3491 ATLANTIC BEACH BUILDING DEPT. 88181683221888 89��_ CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21052 Address: 71 FIFTH STREET WEST Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: -__OWNER INFORMATION Date Issued: 11/29/2000 Name: MAYPORT AFFORDABLE PARTNERS, LT Total Fees: 45.00 Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 45.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/29/2000 Phone: (904)241-0474 _ Work Desc: NEW 150AMPS 1 P_H 3W 240V SERVICE CONTRACTOR(S) _ -_ _i_- _— _APPLI: ATION FEES _ RICHARD GRAVES ELECTRIC PERMIT 45.00 n s'ibc dn&s Required -- - ----- ROUGH ELECTRIC FINAL ELECTRIC 07 NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. _ $45.88 14 Date: 12181/88 81 Receipt: 8815465 CHECKS 3491 TLA TIC BEACH UILDING DEPT. X188883221888 NOV-28-00 TUE 04 :23 PM RICHARD. GRAVES+ELECTRIC 2.46+0018 P. 04 CITY OF ATLANTIC BEACH, FLORIDA J APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: & r- 7-'Z Z 12L_ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES. EL);CTRICAL FIRM: /n1 MA nR ELECTRICIAN SIGNATURE �fla�YlYlAN NAM FILIf� rimer `#'Gv�Ti✓Pir AODRESII: Al 4J• .S �4-Sx--47 RPo aox SLOG.SIZ+ECIvzr" BETWEEN- RES.U,'K APT.( { COMM.1 I PUBLIC( I INDUS.( 1 NEW I I OLD( i AEW.( i w AOOITION( 1 TRAILER I I TEMP.I 1 SIGNS ( I SO.FT. SERVICE. NEW I I INCREASE( 1 REPAIR( I FEE .� CONDUCTOR 5121 a COPPER ALUM. SWITCH OR BREAKER L re) AMPS P W LV6 VOLT RACEWAY o(my.SERV.SIZE AMPS PH w VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL �-SO ASA. �1•/n0 wYrl. ••••• SWITCHES INCANDE=ENY FLUOR F-sCF i1T a M.V. RUcED 0.900wr� ---- ArrLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CON01T10NINO COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW44FAT 9-1 ovt;R MOTORS H,P. VOLTAGE PIS NO. 7liP, v'OlTA6E II/S MISC LLANEOUS TRANSFORMERS: UNDER ON V. OVER NO V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SMTCH FLASHER EACH SIGN --- FORWARDED NOV-28-00 TUE 04 :22 PM RICHARD. GRAVES-ELECTRIC 246+0018 P. 03 CITY OF ATLANTIC BEACH, FLORIDA S A� APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1 Z-?.2 W IMIPO13TANT NOTICE. IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF. AND IN ACCORDANCE WITH THE ELECTRICAL. REGULATIONS,CODES AND CRY OF ATLANTIC BEACH ORDINANCES. E ECTT%ICAL FIRM: MASTEI(FI,ECTRICLAN SIGMA RE ACUANEYMAN NAME rY�i / /t� Tri/f AODRF.SS: w -S� .0 T RFD---BOX- Do. FDBOXDo.6m dJeA4p _ _ BETrYEIeN: es.(1/10'� APT.1 1 COMMA I PUBLIC i 1 INDUS.1 I NEIN( I OLD( 1 AEW.1 I ADDITION 1 I TRAILER( ) TEMP.I 1 SIGNS ( 1 _SC.FT. SERVICE: NEW( ) INCREASE( I REPAIR( I FEE �. CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER YO PH 6 W 2 f O VOLT I FIA!PEWAY EK18T.SERV,SIZE AMPS PH I WL VOLT I RACEWAY FEEDERS NO. SIZE NO. SIZE NO, SIZE LIGHTING OUTI,M CONCEALED OPEN TOTAL, RECEPTACLES CONCEALED OPEN TOTAL _ 0.20.�.rs, 31-106 Awry. SWITCHES INCANDESCENT FLUORESCEMr R M.V. F1XEe 0.10O Am AL ova te APM]ANC" BELL TRANSF. AIR H.P.RATING Hp.RATING M^ CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT H;. MOTORS HP. VOLTAGE PHS NO. 1NJ. VOLTAGE PHS .MISCELLANEOUS TRANSMMWERS: UNDER way. OVER 600 V. NO. I KVA 41 NO. 1CVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE I SWITCH FLASFIE EACH SIGN FORWARDED CITY OF ATLANTIC BEACH, FLORIDA App--d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. e ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME - RESS: Z,/ G 5� �S` T 5'� RFD-BOX- 417 BLDG.SI , �• / _� BETWEEN: RES.( APT.( 1 COMM. ( I PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW. ADDITION ( ) TRAILER 1 ) TEMP. (}Cj SIGNS ( 1 SQ. FT. SERVICE: NEW( ) INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS ­6� COPPER ( ALUM. ( SWITCH OR BREAKER _ CJ AMPS PH 3 W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH I W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.]O AMPS. ]I.f00 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0-100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA r^; NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHE f\ EACH SIGN FORWARDED S TOTAL FEES CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION` _LOCATION_INFORMATION_-- Permit Number: 20767 Address: 71 FIFTH STREET WEST Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcell-Number Improv. Cost: OWNER INFORMATION `. Date Issued: 10/10/2000 Name: MAYPORT AFFORDABLE PARTNERS, LT Total Fees: 67.50 Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 67.50 ATLANTIC BEACH, FL 32233 Date Paid: 10/10/2000 Phone: (904)241-0474 Work Des_c:_INSTALL PLUMBING -- CONTRAGTOR(S -�' s ._'s -.aPPLLCATtQN FEES CHRISTY FIRST COAST PLUMBING PERMIT 67.50 - ------ 1_nspections Regwred` __ -} UNDER SLAB PLUMBING SEWER/WATER TOPOUT FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 18/18/88 91 Receipt: 8002106 CHECKS b 88188883221888 A NTIC BEACH ILDIN EPT. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION- U .---- �l OWNER OF PROPERTY: NO. r�- � ar TELEPHONE PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: /, C7• sok �� ' -JAY, ecL, STATE LICENSE NUMBER: C�C�S�� STELEPHONE: 3., fje�roo.v� u�l�S SOW bo= OF THE FOLLOWING FIXTURES RL-PIPED OR NEW SINKS SHOWERS 3 LAVATORY I WATER HEATERS BATH TUBS DISHWASHERS URINALS I DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: x $3. 50 + $15 . 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: y� SIGNATURE OF CONTRACTOR: —164;�D '^" INSTALLATION OFPLUMBINGAND FIXTURES MUST BE IACCORDANC WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax- 247-5877 PLUMBING PERMIT PERMITLOCATION INFORMATION_ INFORMATION _ 1- - ` Permit Number: 20766 Address: 69 FIFTH STREET WEST Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: -OWNER INFORMATION _- Date Issued: 10/10/2000 Name: MAYPORT AFFORDABLE PARTNERS, LT Total Fees: 67.50 Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 67.50 ATLANTIC BEACH, FL 32233 Date Paid: 10/10/2000 -Phone_(904)241-0474 Work D mc: INSTALL PLUMBING _APPLICATION FEES CONTRACTOR(S) CHRISTY FIRST COAST PLUMBING PERMIT 67.50 _ Inspections_Required _ UNDER SLAB PLUMBING SEWER/WATER TOPOUT FINAL NOTICE - INSPECTIONS MUST BE REQUESTED-AT-LEAST-24-HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $67.58 14 Date: 18/18/18 81 Receipt: 6882106 - CHi CK5 6243 I ATLANTIC BE CH BUILDIN EPT. 881888832.2100 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMING1 PF.RM/rT JOE LOCATION: OWNER OF PROPERTY: r ' G1��L k� j TELEPHONE NO. PLUMBING CONTRACTOR �yI'S P"rt �"�� �r!'rinb'. c. CONTRACTOR' S ADDRESS: �C�• �ok �� y� `���" �t�` 3aas� STATE LICENSE NUMBER: CfC+�S��f S'1 TELEPHONE: HOW MANY OF THS 17OLLOW'ING FIXTURES RE-PIPED OR NEW SINKS SHOWERS 3 LAVATORY _ WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: x $3 . 50 + $15.00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR:----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE I ACCORDANCE LUMBING CODE. WITH THE MOST RECENT EDITION OF THE SOUTHERN STAN CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION _ LOCATION INFORMATION Permit Number: 19237 Address: 71 FIFTH STREET WEST Permit Type: DUPLEX RESIDENCE ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: Improv. Cost: 53,411.00 OWNER INFORMATION Date Issued: 11/24/1999 Name: MAYPORT AFFORDABLE PARTNERS, LTD Total Fees: 3,011.86 * Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 3,011.86 * ATLANTIC BEACH, FL 32233 Date Paid: 11/24/1999 Phone: (904)241-0474 Work Desc: CONSTRUCT NEW DUPLEX RESIDENCE PER PLANS - HSF 1186 T- _. CONTRA OR S :Y <x�.___s PPE[OATfOPf`FEES J BREW CONSTRUCTION INC. PERMIT 420.00 WATER IMPACT FEE 510.00 * SEWER IMPACT FEE 1,250.00 * WATER METER/TAP 85.00 * RADON GAS-H.R.S. 5.63 RADON CAB 5% 0.30 CAPITAL IMPROVE. 325.00 * CROSS CONNECTION 35.00 * SEC H IMPACT FEE 375.00 * CONST.SURCHARGE 5.33 *See Payment Agreement for these items SCHARGE/ATL.BCH. 0.60 ftspections Regu��ec ' FOOTING SLAB COVER UP FRAMING FINAL BUILDING CERTIF/OCCUPANCY INSULATION NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Operator: JLAMIER Date: 1/28/88 81 Receipt: 8838229 - Total Payment $431.86 AT TIC BEACH B ILDIN�D - CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION ^ LOCATION INFORMATION Permit Number: 19236 Address: 69 FIFTH STREET WEST Permit Type: DUPLEX RESIDENCE ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FMLY(ATT) Lot(s):2 Block: 75 Section: Square Feet: Subdivision: SECTION H Est. Value: Parcel Number: _ Improv. Cost: 53,411.00 OWNER INFORMATION Date Issued: 11/24/1999 Name: MAYPORT AFFORDABLE PARTNERS, LTD Total Fees: 3,011.86 * Address: 645 MAYPORT ROAD SUITE 3-A Amount Paid: 3,011.86 * ATLANTIC BEACH, FL 32233 Date Paid: 11/24/1999 Phone: (904)241-0474 Work Desc: CONSTRUCT NEW DUPLEX RESIDENCE PER PLANS - HSF 1186 _ _. CONTRA�tE7R(S y .. g, :. P ' Q.'I•[Q.N.`FEES BREW CONSTRUCTION INC. PERMIT 420.00 WATER IMPACT FEE 510.00 SEWER IMPACT FEE 1,250.00% WATER METERITAP 85.00 RADON GAS-H.R.S. 5.63 RADON CAB 5% 0.30 CAPITAL IMPROVE. 325.00 CROSS CONNECTION 35.00 SEC H IMPACT FEE 375.00 *See Payment Agreement for these items CONST.SURCHARGE 5.33 SCHARGE/ATL.BCH. 0.60 �P�,� FOOTING SLAB COVER U FRAMING FINAL BUILDING CERTIF/OCCUPANCY FINAL NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER _ - "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Operato-r: JLANIER Date: 1/28/00 01 Receipt: 0030228 T NTIC B A BUILDING DEPT Total Payment 5431.8b Irvl Wt t � p � I I I I I —---—-—-—-—-—- —- —-—---—--- -- —-—-—-—-—-—--- }- i ► a oma.. � Qo I I I °, I � I. d I 8,1 I y IVA, Fm I I I I j I e< i I nil 1 I ,2 J CIT'-' OF ATLANTIC BEACH PERMIT CALCULA-7, 70N r C4 V Heated Sauar e Footage 'c UO -� 3a z - = 52 , Garac(/7S h e a ' 2 -S� S 2) ODper sq ,!5-3� L/// a 0 0 -- -_, a - -1.3 y� _ Joo O _Ll I TOTAL• BUILDING FEE S + A Filing Fee / 4/0,00 Firepiaces .d Si5 . '3;_ BUILDING PERMIT r E" S_�?�r: �C WATER IMPACT FEE SEWS' IMPACT FEE S /,2 A'D 60 -ETER; `I Is 0'�--- CA--7'- IMPROVEMENT 1 ?2. . ()-Cl SEWER TAP - S_ RADON (HRS ., , . C050 S • 3 SECT I ON...H PAVING �..5�; S HYDRAULIC SHARES S 'A— CROSS CONNECTION S ?E 00 f ?,(a) SURCHARGE . 00 5 0 S S OT"r_EF. GRAND TOTAL DUE a 3 I I . ?6 ADDITIONAL PERMITS OR FEES : MechanicalPlumbing Electric/New Electric/Temp ; Swimming?ool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 2 �D J a � CIT" OF ATLANTIC BEACH PERMIT CALC'3LA'ON Si�EET Address Heated Square Footage � ; a a y UO ger s _ - = 5 , ► a �{ Grac i Shed ` S 2J ODper sq „hr SIC: - 1000 TOTAL BUILDING FEE S c' + i;' .. Filing Fee S 1 � OC Fireniace BUILDING PERM-7 FF - Z WATER IMPACT FEE $ SEW__. IMPACT FEE S /,2 �'`�,�0 CAP_-AL IMPROVEMENT SEWER TAP // ?4) RADCN (HRS , . SO5v S • 30 SECTION-H PAVING HYDRAULIC SHARES CROSS CONNECTION S ?—fir- � y t ?,(,)' SURCHARGE . 01)5C OT:!ER GRAND TOTAL DUE a ADDITIONAL• PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well ; Sign Finish—Floor Elevation Survey Other CALCULATIONS and/or NOTES : I CITY OF ATLANTIC BEACH F:xcure Unic Worksheec for Wacer Iapacc Fee FIXiJRE UNITS ARE ESTABLISHED AS THE N.EASUREXENi OF WATER DEI.. ND R AO EAa WATER FIXTURE UNIT INSTALLED AND CONNECTED TO TZ^_ C'ry wk, SYSTF'i. THE' WATER SUP?LY CH-tiRGE ZS HEREBY FIXED AT 7,;E:-;Y DOLL ARS M FIXTURE UNIT CONNECTED TO THE CIT': WATER SYSTru. _ BAiHji //�� OQli GROUP CANS IS:'IN1C OF `� SERVICE S--NK TRA? STAND WATER CLOSET. LAVATORY b BATH (y) V TUD OR SHOWER STALL (6) f 2 I WA-.=R CLOSET WAM CLOSET. TANY OPERATED (4) 1 VALVE 0 P ER.;'7ED (a) J ; - 3Aid:'UE/SHQWEY (?) URINAL WALT. L:? (4) SHCWER CnCUF ?ER HED (3) F--0OR DRA=NJ (1) i SHOWEI LAUNDRY (=) 1 LAVATORY (1) J M3'NA7:CY 1 WASHT—ING MAC3ZNE (3) POT SCULLERY I DISE--IiASHEi (3) Z WAST' S7-NK EACH SET CF 6 r::= STYX (2) DENTAL LAVA':'ORY (1) ' L17CZE.`1 SIXX 'WI--3 WASTZ DEN7.AL UNIT OR CUSPIDOR (1) m CRIMEX (:) URZNAL STALL, WASHOUT (G) IJSHII�G R_.`! sl.lfx (9) � c02r FZ .BI:IAi_ON SI:tR A:VD FCCD DISPOS. (4) URINAL. P=ES:AL. SY?WON JET !_DRINKING FOUNTAIN (1/2) I ELOWOUT (z) i LAVATOR':. EARBc.R/BEAUTY f SHOP (?) .' iC= HAKER (1/2) SURGZQNS SINK (3) LAVATORY, SURGEONS (2) t _ 1ACUZ I (Z) _URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS /�' J A SZO.00 `ACTT $ S� JOB PROPERTY DESCRIPTION RECr4 Lot # C` r Block # 7_S , Section # ) : 1999 Subdivision:Sec. - h City of A.tlantia ueach Street Name DESCRIPTION OF WORK 'iI19nanin8 or Address: C) (If in a FLOOD HAZARD Flood Zone: X area complete page 3) Brief Description Duplex 3- Bedroom Class of Work: (New/ Remodel/Addition: New ZONING INFORMATION Type of Construction: Residential Zoning Proposed District:RG-1 Use: Residential Estimated Value $ 42 , 04�, . 00 Exceptions or Variances Yes Materials. Wood Frame Asphalt shingl( Granted Solid or Filled Ground: solid Roof:Asphalt shingle Method of Heating: Heat Pump OWNER INFORMATION LTD. Property owner: Mayport Affordable Partners, Phone: 904 241 0474 Mailing Address 645 Mayport Rd. A.B. ,F .32233- suite 3-A Zip: CONTRACTOR INFORMATION Contractor: Brew Constr. , Inc, Phone: 904 241 7182 Mailing Address: 203 Sailfish Dr. Atlantic-,—U-ch- F . 3223T— Zip: STATE LICENSE NO: CB C05 7 8 8 9 Expiration Date: Aug. 31 2000 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 THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPOR DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signatu DATE Contractor Signature SWORN TO SUBSCRIBED BEFO ME BY LU fjjj �f LIJL(l��/�] C Y(�K;a.'HIS �r' ,DAY OF _� 1994. 40 PUB Jennifer L, Daniel r I& Commission#CC 767962 UBLIc Expires SEP. 13,2002 ATLANTIC BONDING CO..INC. PLAN REVIEW CHECKLIST *-L PROPERTY DESCRIPTION: CQs ST- !�. OWNER: Determine Occupancy Classification of the structure. Select occupancy classification which most accurately fits the use of the Building. (Chapter 63) (v]� 2. Determine actual physical properties of building. a. Determine building area each floor. (Area definition Chapter 132) [✓j b. Determine grade elevation for building. (Grade definition Chapter B2) [v]' C. Determine building height in feet above grade. (Height definition Chapter B2) d. Determine building height in stories. (Story definition Chapter 132) [� e. Determine separation distance from exterior walls to assumed and common property lines. (Property line definition Chapter B2) Determine percent of exterior openings per floor. [� 3. Determine minimum Type of Construction necessary to accommodate proposed structure. (Chapter B6) a. Determine maximum allowable heights and floor areas for Types of Construction and Occupancy classification. (Table 8500) [� b. Check allowable height and area increases permitted. (Chapter 65) 4. Check detailed Occupancy requirements. (Chapter B4) [� 5. Check detailed Construction requirements a. Fire Protection of Structural Members (Chapter B6 &Table B600) b. Fire Protection Requirements (Chapter 67 and Table B700) [✓]�/ c. Means of Egress Requirements (Chapter 610) v1 d. Special restrictions if in Fire District. (Appendix BF The provisions of Appendix BF are applicable only where specifically adopted by Ordinance) [v] 6. Review design as related to standards. (Chapters 616 - B26) �] 7. Check other requirements as necessary. a. Construction projecting into public property (chapter 632) [. b. Elevators and conveying systems (Chapter B30) [..r C. Sprinklers, standpipes and alarm systems (Chapter B9) d. Use of combustible materials on the interior(Chapter 68). [ e. Roofs and roof structures (Chapter 615) [.� f. Light,ventilation and sanitation (Chapter B12) ( ] g. Other _9 CITY OF ATLANTIC BEACH BUILDING DEPARTMENT Date By: i " Don C. Ford, Buildin O ial don/sb.1 CITY OF ATLANTIC BEACH FLxcure Unic Worksheet for Wacer Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASURZMENT OF WATER D`ukND FOR EAC3 WATER FIXTURE UNIT INSTALLED AND CONNECTED 0 Tar CITY WATrR SYST%-i. THE- WATER SUPPLY CH.k.RGE IS HEREBY FIXED AT :NE`':'Y DOLL ARS PER FIXTURE UNIT CONNECTED TO THE CIil WATER SYSTE.'!. BATHROOM GROUP CONSIST:NG OF. `( SERVICE S_NK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) 12- WATER C:.OSE T LWA= C..ASET, TANY OPERATED' (4) VALVE 0?ER.;TED (a) 11 j DAidT'JB/SHGir�R (2) URINAL WALL L:? (4) SHCiJER GROUP ?ER HE.ti OGR DRA=:d (?) SHOWER S T'k L DC;!EST:C ('-) LAUNDRY (_) _LAVATORY (1) CC?l3:NATICN SINK rQljL I WASHINC XACHINE (11) POT, SCIMLca'= S.:1K —WASH' S:VK ZkCi SET or O :AUC:TS {-) YIT ^3E�1 SI�i1C (Z) DENTAL LAVATORY (i) I LI7C3F3i SINK -173 WASTZ DENTAL UNIT OR CUSPIDOR (I) G-AINDE2 (3} B ID E- (%) URIYAL STAL:., WASHOUT (4) FrIISHZ2IC I^i S INX (8) FOOD DIS?OS. (4} URINAL. P,ESTAL, SY?"CNDRINK_.rG r( I > -- OGNTAZ.V (1/Z) BLOWOUT (z) LAVATORY, EAR3cR/3EAU% SHOP ICE MAKER (I/Z) (2) i SURGZONS SINK (2) LAVATORY, SURGEONS (_) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS $20.00 EACH .JOB INFOR.".AZION �- PLAN REVIEW CHECKLIST -� s (J. PROPERTY DESCRIPTION: T' OWNER: [✓f 1. Determine Occupancy Classification of the structure. Select occupancy classification Z which most accurately fits the use of the Building. (Chapter 83) i 2. Determine actual physical properties of building. [�]! a. Determine building area each floor. (Area definition Chapter B2) b. Determine grade elevation for building. (Grade definition Chapter B2) [v)' C. Determine building height in feet above grade. (Height definition Chapter B2) d. Determine building height in stories. (Story definition Chapter 62) [� e. Determine separation distance from exterior walls to assumed and common property lines. (Property line definition Chapter B2) Determine percent of exterior openings per floor. [� 3. Determine minimum Type of Construction necessary to accommodate proposed structure. (Chapter B6) a. Determine maximum allowable heights and floor areas for Types of Construction and Occupancy classification. (Table B500) [✓; b. Check allowable height and area increases permitted. (Chapter 85) 4. Check detailed Occupancy requirements. (Chapter B4) [� 5. Check detailed Construction requirements [ a. Fire Protection of Structural Members (Chapter B6 &Table 8600) b. Fire Protection Requirements (Chapter B7 and Table 8700) c. Means of Egress Requirements (Chapter B10) [, d. Special restrictions if in Fire District. (Appendix BF The provisions of Appendix BF are applicable only where specifically adopted by Ordinance) [✓f 6. Review design as related to standards. (Chapters B16- B26) 7. Check other requirements as necessary. [.=J a. Construction projecting into public property (chapter B32) b. Elevators and conveying systems (Chapter B30) [..j C. Sprinklers, standpipes and alarm systems (Chapter 69) d. Use of combustible materials on the interior(Chapter B8) [ e. Roofs and roof structures (Chapter B15) [.� f. Light,ventilation and sanitation (Chapter B12) [ ] g. Other -19 '? CITY OF ATLANTIC BEACH BUILDING DEPARTMENT Date By: �-- Don C. Ford, Building Official don/sb.1 - FORM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Orchid 3 Bedroom apt Builder: Brew Construction Address: 5,6,7th Ave Permitting Office: Atlantic Beach City, State: Atlantic Beach, FI Permit Number. 192 3 Y-3 t' Owner. /1'AyPo2T/4«o.¢DA/3LF,Pi4RTi✓tr_I Jurisdiction Number: Climate Zone: North 1. Now construction or existing New - 12. Cooling systems 2. Single family or multi-family Multi-family - a. Central Unit Cap:36.0 kBtu/hr - 3. Number of units,if multi-family 20 _ SEER:11.00 - 4. Number of Bedrooms 3 - b.N/A - 5. Is this a worst case? No _ - 6. Conditioned floor area(112) 1186 ft' c. N/A - 7. Glass area&type - - a. Clear-single we 0.0 fe - 13. Beating systems b. Clear-double pane 147.0 ft2 - a. Electric Heat Pump Cap:36.0 kBtu/hr - c. Tint/other SC/SHGC-single pane 0.0 ft= _ HSPF:7.40 - d.Tint/ather SC/SHGC-double pane 0.0 W b.N/A - 8. Floor types - - a. Slab-On-Grade Edge Insulation R�0.0,98.0(p)R - c. N/A - b. Raised Wood,Stem Wall R=19.0,26.0fl? - - c. N/A 14. Hot water systems 9. Wall types - a. Electric Resistance Cap:40.0 gallons _ a. Frame,Wood,Exterior R=13.0, 1400.0 W - EF:0.88 - b.N/A - b.N/A - c. NIA - - d.N/A - c. Conservation credits - e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Under Attic R=30.0,606.0 ftz _ 15. HVAC credits - b.N/A - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH:Interior Sup.R=6.0,75.0 ft - MZ-GMultizonc cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.12 Total as-built points: 16369.00 PASS Total base points: 19290.00 I hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida specifications covered by this y� s?ti6 OA Energy Code. calculation indicates compliance PREPARED BY: with the Florida Energy Code. bre Before construction is completed A5 DATE: 2--2 this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 11•�� compliance with the Florida Energy Code, Florida Statutes. OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: - - EnergyGauge®(Version: FLR1PA 2.02) FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: Orchid 3 Bedroom apt Builder: Brew Construction Address: 5,6,7th Ave Permitting Office: Atlantic Beach City, Slate: Atlanbc Beach, FI Permit Number Owner. Jurisdiction Number. Climate Zone: North 1. New construction or existing New - 12. Cooling systems 2. Single family or multi-family Multi-family - a. Central Unit Cap:36.0 k$tu/hr - 3. Number of units,if multi-famdy 20 - SEER:11.00 - 4. Number of Bedrooms 3 - b.NIA - 5. Is this a worst case? No - - 6. Conditioned floor arm(9s) 1186 fF c. NIA - 7. (class area&type - - a. Clear-single pane 0.0 fe - 13. Heating systems b.Clear-double pane 147.0 ff - a. Electric Heal Pump Cap:36,0 kBtu/hr - c. Tint/other SC/SHGC-single pane 0.0 W - HSPF:7.40 - d.Tint/olher SC/SHGC-double pane 0.0 fe b.NIA - 8. Floor types - - a. Sleb-On-tirade FAV Insulation R=0.0.99.0(p)R - c. N/A - b. Raised Wood,Stem Wall R=19.0,26.013° - - c. N/A 14. Hot water systems 9. Wall types a. Electric Resistance Cap:40.0 gallons - a. Frame,Wood,Exterior R=13.0,1400.0 ft' - EF:0.88 - b.N/A - b.NIA - c. NIA d.N/A - c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Under Attic R-30.0,606.0 ft' - 15. HVAC credits _ b.N/A - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, e. Sup.Unc. Rat:Con. All:Interior Sup,R4.0,75.0 R - MZX Multizone cooling, b.NIA MZ-H-Multizone heating) Glass/Floor Area: 0.12 Total as-built points: 16369.00 Total base points: 19290.00 PASS i hereby certify that the plans and specifications covered Review of the plans and by this calculation are in compliance with the Florida specifications covered by this �dg ctcbsT'�� Energy Code. calculation indicates compliance PREPARED BY: with the Florida Energy Code. Before construction is completed - DATE: ti ZZ C7 this building will be inspected for �. I hereby certify that this building, as designed, is in compliance with Section 553.908 q•�� compliance with the Florida Energy Code. Florida Statutes. OWNERIAGENT: BUILDING OFFICIAL: Vo �- DATE: DATE: EnergyGaugeO(Version: FLRIPA2.02) PROPERTY DESCRIPTIONSection # L 17'Itj E Ce" , Lot # b�. , Block # r��� 1[19 Subdivision:sec. - t � Street Name DESCRIPTIONf'6y_ 40 nJC IleaCh or Address:. -71 0 sT 5 S( f3uf;ding and Zoning (If in a FLOOD HAZARD Flood Zone: X area complete page 3) Brief Description Duplex _ 3- Bedroom Class of Work: (New/ Remodel/Addition: New ZONING INFORMATION Type of Construction: Residential Zoning Proposed District:RG-1 Use: Residential Estimated Value $ 42 , 09" . 00 Exceptions or Variances Materials: Wood Frame Asphalt shingle Granted: Yes Solid or Filled Ground: solid Roof:Asphalt shingle Method of Heating: Heat Pump OWNER INFORMATION LTD. Property Owner: Mayport Affordable Partners, Phone: 904 241 0474 Mailing Address 645 Mayport Rd. A.B. ,F .37733 suite 3-A Zip: CONTRACTOR INFORMATION Contractor: Brew Constr. , Inc Phone: 904 241 7182 Mailing Address: 203 Sailfish Dr. At an 1c , ch. F . 32233 Zip: Expiration STATE LICENSE NO: CB C05 7 8 8 9 Date: Aug. 31 2000 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 THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature DATE; ` Contractor Signature DATE /G���y� SWORN O 2%ND, SUBSCRIBED BEFO ME BY L l _ �T S rig!7- OF _ � , 19�_ �P�Y (1w, Jennifer L, Daniel Commission#CC 767962 No F TIC Expires SEP. 13,2002 '? �b� BONDED THRU �- ATLANTIC BONDING CO.,INC N D � n O N O O iol 8'-O' $'-0 N II ' Ij � j 1111 � I III � + I � , I � ' Ali �� � Ir • I ► I I � I ! ► 1 I1 I f t -� � . —� � is t ! ' ► ; I IIi� �'� !�� I� il �!! 171IL ,its rn Ci II z �' ' � I;I j i ►� ►� f � ilii tl I ' II it ! IIS ! il � � 1 � 1 ; I ulf: • II ! ! llti ! I•! � ; I�t ' j � ; � l ; !� t�Itlt � j� m L w w , y w ,w. d FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - details ADDRESS: 5,6,Tth Ave,Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X SPM X SOF = Points .18 1186.0 33.06 7066.6 Double,Clear S 5.0 6.0 6.0 34,50 0.55 112.8 Double,Clear E 1.5 15.0 15.0 40.22 0.99 600.1 Double,Clear N 1.5 16.0 54.0 19.22 0.98 1032.1 Double,Clear S 1.5 6.0 6.0 34.50 0.86 177.2 Double,Clear S 1.5 6.0 30.0 34.50 0.86 886.1 Double,Clear E 1.5 6.0 6.0 40.22 0.91 220.3 Double,Clear N 1.5 6.0 30.0 19.22 0.94 541.2 As-Bultt Total: 147.0 3668.8 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 0.0 D.0 0.0 Frame,Wood,Exterior 13.0 1400.0 1.50 2100.0 Exterlor 1400.0 1.70 2380.0 Base Total: 1400.0 2380.0 As$ulFt Total: 1400.0 2100.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 21.0 6.10 128.1 Exterior 21.0 6.10 128.1 Base Total: 21.0 129.1 As$uitt Total: 21.0 128.1 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 606.0 0.60 363.6 under Attic 30.0 606.0 0.60 363.6 Base Total: 609.0 363.6 M43ullt Total: 606.0 363.6 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 98.0(p) 37.0 36260 Slab-On-Grade Edge Insulation 0.0 98.0(p) -41.20 -4037.6 ` Raised 26.0 3.99 -1013.7 Raised Wood,Stem Wall 19.0 26.0 -1.5D -39.0 Base Total: 3729.7 As-Bullt Total: -4076.6 INFILTRATION Area X BSPM = Points Area X SPM = Points 1186.0 10.21 12109.1 1186.0 10.21 12108.1 EnergyGauge®DCA Form 6MA-97 EnergyGaugeGlVResFREEV7 FLR1 PA 2.02 FORM 60OA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5,6,7th Ave,Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT Summer Base Points: 18307.5 Summer As-Built Points: 14194.0 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 14194.0 1.000 0.97D 0.310 1.000 4271.9 18307.5 0.3573 6541.3 14194.0 1.00 0.970 0.310 1.000 4271.9 EnergyGaugeTM DCA Form GMA-97 EnergyGaugeV1ResFREE'97 FLR1 PA 2.02 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 6,6,7th Ave,Atlantic Beach, FI, PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X WPM X WOF = Points .18 1186.0 9.76 2084.6 Double,Clear S 5.0 6.0 6.0 4.03 2.46 59.4 Double,Clear E 1.5 15.0 15.0 9.09 1.01 137.2 Double,Clear N 1.5 16.0 54.0 14.30 1.00 772.2 Double,Clear S 1.5 6.0 6.0 4.03 1.12 27.0 Double,Clear S 1.5 6.0 30.0 4.03 1.12 135.1 Double,Clear E 1.5 6.0 6.0 9.09 1.04 56.5 Double,Clear N 1.5 6.0 30.0 14.30 1.00 430.1 As-Buut Total: 147.0 1617.6 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 0.0 0.0 0.0 Frame,Wood,Exterior 13.0 1400.0 3.40 4760.0 Exterior 140D.0 3.70 5180.0 Base Total: 1400.0 5180.0 As$uift Total: 1400.0 4760.0 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 0.0 0.00 0.0 Exterior Wood 21.0 12.30 258.3 Exterior 21.0 12.3D 258.3 Base Total: 21.0 268.3 As-BWK Total: 21.0 268.3 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points Under Attic 606.0 1.20 727.2 Under Attic 30.0 606.0 120 727.2 Base Total: 606.0 727.2 As-Bulli Total: 606.0 727.2 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 96.0(p) 8.9 872.2 Siab-On-Grade Edge Insulation 0.0 96.0(p) 18.80 1842.4 Raised 26.0 0.96 25.0 Raised Wood,Stem Wall 19.0 26.0 0.80 20.8 Base Total: 897.2 As$ullt Total: 1863.2 INFILTRATION Area X BWPM = Points Area X WPM = Points 11860 -0.59 -699.7 1186.0 -0.59 -999.7 EnergyGaugeO DCA Form eODA-97 EnergyGeugeOlResFREE'97 FLR7 PA 2.02 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 5,6,7th Ave, Atlantic Beach, Fl, PERMIT#: BASE AS-BUILT Winter Base Points: 8447.5 Winter As-Built Points: 8526.6 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 8526.6 1.000 0.962 0.461 1,000 3&98.7 8447.5 0.5340 4511.0 8526.6 1.00 0.982 0.461 1.000 3858.7 EnergyGauge"4 DCA Form MOA-97 EnergyGaugeVResFREE'97 FLRIPA 2.02 FORM 60OA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS:5,6,7th Ave,Atlantic Beach, FI, PERMIT V BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 3 2746.00 8238.0 40.0 0.88 3 1.0D 2746.00 1.00 8238.0 As4ullt Total: 8238.0 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Cooling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 6541.3 4511.0 8238.0 19290.2 4271.9 3858.7 8238.0 16368.6 PASS 0 =g � c EnergyGaugeTM DCA Form 0=-97 EnergyGauge®lResFREE 97 FLRt PA 2.02 FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 5,6,7th Ave,Atlantic Beach, FI, PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK_ Exterior Windows&Doors 606.1.ABC.1.1 Maximum:.3 cftnkq.ft.window area;.5 ctnsq.ft.door area, Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windows/doors&frames,surrounding wall; foundation&wall sole or sill plate;joints between exterior wall panels at comers;utility penetrations;between wall panels&top/bottom plates;between walls and floor. EXCEPTION:Frame walls where a continuous infiltration barrier is installed that extends from and Is sealed to the foundation to the top plate, Floors 6D6.1.ABC.1.2.2 Penetrations/openings>1/8"sealed unless backed by truss or joint members. EXCEPTION: Frame floors where a continuous infiltration barrier is Installed that is sealed to the perimeter,penetrations and seams. Ceilings 6D6.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is I installed that is sealed at the perimeter,at penetrations and seams Recessed Llghtft Fixtures 6D6.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. Mufti-story Houses 606.1.ABC.1.2.5 Air barrier on perimeter of floor cavity between floors. Additional Infdtration refits 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space heaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker elecft or cutoff as must be provided.External or built-In heat trap uired. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficient of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 gallons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shall be mechanically attached,sealed,insulated,and Installed In accordance with the criteria of Section 610. Ducts in unconditioned attics:R-6 min.insulation- HVAC nsulationHVAC Controls 607.1 Separate readily accessible manual or automatic thermostat for each syMem. Insulation 604.1,602.1 Cellings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common telling&floors R-11. EnergyGaugel DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLRIPA 2.02 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =86.2 The higher the score,the more efficient the home. 5,6,7th Ave, Atlantic Beach, Fl, 1. New construction or existing New - 12. Cooling systems 2. single family or multi-family Multi-family - a. Central Unit Cap:36.0 kBtu/hr _ 3. Number of units,if multi-family 20 - SEER: 12.00 - 4. Number of Bedrooms 3 - b.N/A - 5. Is this a worst case? No - - 6. Conditioned floor area(it') 1186 ft2 c_ N/A - 7. Glass area&type - a. Clear-single pane 0.0 fF - 13. Heating systems b. Clear-double pane 147.0 W _ a. Electric Heat Pump Cap:36.0 kBtu/hr _ c. Tintlother SC/SHGC-single pane 0.0 ft2 - HSPF:7.40 _ d.Tint/other SC/SHGC-double pane 0.0 fF b.N/A - 8. Floor types - - a. Slab-On-Grade Edge Insulation R=0.0,98.0(p)ft - c. N/A - b.Raised Wood,Stem Wall R=19.0,26.0fl? - - c. N/A 14. Hot water systems 9. Wall types - a. Electric Resistance Cap:40.0 gallons _ EF:0.88 a. Frame,Wood,Exterior R=13.0, 1400.0 W - - b.N/A - b.N/A - c. NIA - d.N/A _ c. Conservation credits - e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a. Under Attic R=30.0,606.0 ftz - 15. HVAC credits b.NIA - (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Unc. Ret:Con. AH:Interior Sup.R=6.0,75.0 ft - RB-Attic radiant barrier, b.N/A MZrC-Multizone cooling, MZ-H-Multizone beating) I certify that this home hts complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) oi srgrs in this home before final inspection. Otherwise,a new EPL Display Card will be completed -z, crb based on installed Code compliant features. H„ Builder Signature: Date: Address of New Home: City/FL Zip: cob ryg *NOTE: The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating.If your score is 80 or greater(or 86 for a USEPA/DOE EnergyStaf designation), your home may qualify for energy efficiency mortgage(EEM)incentives if you obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 4071638-1492 or see the Energy Gauge web site at www.fsec.ucfedu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 8501487-1824. EnergyGattge®(Version:FLRIPA 2.02) DATE: 10/22/99 MANUAL "J" SUMMARY REPORT -------------- Prepared For: Prepared By: Brew Construction R.B. Ellis Energy Design Systems Job Name: Orchid Trace 3 BR *********************************************************************** DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 29 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor (o) 5 Latent Factor (%) 29 *********************************************************************** Sensible Room Heating Heating Cooling Cooling Name BTUH CFM --BTUH- --CFM-- --24577 ----819 WHOLE HOUSE -16128- -----672 HEATING COOLING DELTA T 43 DELTA T 23 NOTE: **Calculated air flow is based upon load requirements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 DATE: 10/22/99 MANUAL "J" DETAILED REPORT FOR ENTIRE HOUSE Prepared For: Prepared By: Brew Construction R. B. Ellis Energy Design Systems Job Name: Orchid Trace 3 BR ************************************************************************ EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL ------------------------------------------------------------------------ AREA 84 42 21 147 COOLING 2100 1680 1554 5334 HEATING 2688 1344 672 4704 ------------------------------------------------------------------------ WALLS TOTAL ------------------------------------------------------------------------ AREA 1400 1400 COOLING 3500 3500 HEATING 5600 5600 ------------------------------------------------------------------------ DOORS TOTAL ------------------------------------------------------------------------ AREA 21 21 COOLING 277 277 HEATING 435 435 ------------------------------------------------------------------------ FLOOR AREA COOLING HEATING ------------------------------------------------------------------------ SLAB 98 3567 RAISED WOOD 26 23 57 ------------------------------------------------------------------------ CEILING AREA COOLING HEATING ------------------------------------------------------------------------ UNDER ATTIC 606 939 909 SGL ASSEMBLY KNEE WALL ------------------------------------------------------------------------ MISCELLANEOUS -COOLING LOADS --------------------------- People Sensible Load 1200 Latent Load 3095 Lights & Appl . Load 1200 Latent Safety Btuh 155 Ventilation Load Duct Heat Gain 1183 Infiltration Load 1759 Sensible Safety Btuh 712 TOTAL SENSIBLE LOAD 16128 TOTAL LATENT LOAD 3250 Summer ACH 0. 5 Temp. Swing Mult. 1. 00 *** Total Cooling Load 31005 BTUH Or 2 . 58 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- Infiltration Load 7408 Ventilation Load Duct Heat Loss 764 Safety Btuh 1134 Winter ACH 1. 0 *** Total Heating Load 24577 BTUH Or 2 . 05 Tons***