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92 W 5th St (vault) ADDRESS BUILDING PERMIT NUMBER Z ` INSPECTIONS: FOOTING UNDER SLAB PLUMBING SLAB FRAMING 3 �3 COVER-UP INSULATION -97 FINAL BUILDING `/ CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # /3 y 3 INSPECTIONS ROUGH /��l � 7 FINAL MECHANICAL PERMIT # '� L PLUMBING PERMIT # NOTES: PSR-3844 or 3 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- - ------ LOCATION INFORMATION ------- Permit Number : 13996 Address : 92 FIFTH STREET WEST Permit Type: STORAGE SHED ATLANTIC BEACH , FLORIDA 3223? Class of Work: SHED -------- LEGAL DESCRIPTION --------- Constr . Type:WOOD FRAME Block : 76 Lot : 4 Twp: Proposed Use : SINGLE FAMILY Section: 0 Subd: 34 Rnn Dwellings : 0 Subdivision : SECTION H Est . Value: 0 .00 Improv . Cost : 1 , 300 .00 Total 30 .00 Amount 30 , 00 INFO !-,MATION -------- APPLICATION FEES ---------- Name : LOWELL -j . BCRPH , SR. PERMIT �n nn Addr , ,-12 FIFTH STREET WEST 7-.TLANTI � BEA-'H . FLORIDA Phot_ ---,4124 - 11)35- CONTRACTOR !NFORMATION Name * PR?�PEFTY OWNER Ad'i r ; Lic : Exr Ter r'.in - I NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $30.0014 Date& 5/20/97 01 Rarpipts 0057 RA CHECKS 185 99188883221000 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT CALLC'ULATION SHEET Address q ;2- �- SE- Date r Date I i— �! a i Heated Square Footage 1�$ per sq ft = $ Garage/ShedV $ per sq f t = $ Carport/Porch �- �/L@ $ per sq ft = $ Deck �(,, (@ $ per sq ft = $ Patio 1 @ $ per sq ft = S 00 TOTAL VALUATION: 13 bov is_oo Total ValVAtion 1st $ oAo O . o� $ r 6a Remaining Value $ °- per thousand o portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ /o , o,Z) ( ) Fireplaces @ $15 . 00 $ 4 BUILDING PERMIT FEE $ .3 ( Oe) WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 6 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner (s) E121 - ,S12 Address: 9 2- U�, s5 ✓ Phone: 2 -6 ' ��_ Lot # Block or -I3 #� Subdivision: C. /t/ �? Contractor: �h= r i State License # Address: Phone No: Describe work to be done: //•� /</C S�r'�C /-� C r— �� / /�/i�l�. Present use of building: Valuation of Proposed Construction: 3e Proposed use: �iL/�(;�iz •r-► /l l ( L �.:. Is this an addition? S If yes, what are the dimensions of the added space: ft. X Oft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (CONAMRCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COM ENCE,fENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IJS/ CONTRACTOR. Signature OWNER: G " -" Date: Signature CONTRACTOR: Date: License Supplied: lv�Q G Liability Insurance: CEIVED Q�PC �>� 4� i Worker's Compensation Insurance: 0 �� (�� MAY 1 9 1997 Q� �y City of Atlantic Beach f' Building and Zoning 0� CITY OF 800 SE'NIINOLE ROAD _, _---- _--- ATLANTIC BEACH. [LORID[\:33233-64 h -- - - TELEPHONE(904)247-5800 FAX(904)247-5>0.5 SUNCONI 862-5800 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 WORKER'S 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 1 099 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 STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. l PROPERTY OWNER/BUILDER yV_ w . Ls - 2�� -//J5-,-- ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS D Y OF t y7ifta<:�1 NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING DEPARTMENT. a..tt,,.. i!Try lraY�uo «i CCTROY gj MY COMMISSION/0553881 EXPIRES AuOY FAIN 2000 !�q;,�•• BONOE071#IU TnFAIN INSINIANCE,INC. May-19 97 ' lV.t32P Heartland087JAC9047775061 90477750611 P.01 i o y� IN (� rel j� NW I GL —1 -N _ „o-,or 4 U - U N U � s E PR ED � Z ,ObrrY OF ATLANTIC BEACH Q BUILDING OFFICEP o MAY 19 1997 jig� O RECEIVELY S 4 MAY I1997 City of Atlantic Beach Building and Zoning SIE�I`Y- 17.00 f Fel Ty�REOF , 6,1-Od t 7(;, s'ECTiO1✓-N;ArZANr,1Z' 6EAcN AS RECORDED IN PLAT BOOK AS PAGES 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL CO, FLA FOR NDR7N ROW/DA 674551C hIOM676. NOTE: BEARINGS SHOWN HEREON ARE BASED ON THE ABOVE MENTIONED PLAT. i�rvrc ECEyr?Tinvs AVA7 S;10wSv ryas (/�.a/� ,AW 1,7,rFE,? 771 NAWA14Z 6600E7'iC rfvnCyc 47117uy Of/9Z9 %0: LO1VELZ G. ; M/LDeE-D M . 430,'e,41-/ ------ - -------- C r M6)CF6A6F_ C&A4PAA/Y F/�'sr I1 Mr-,r/CAA/ TITLE- /AIfzll ,4NLE CO, PNC T/7-LE CorPoRArIOA/ W,,5 T -5 TN J 7-lQ,6-zc--T C sn' R1697- oc Zvi)y Ls 470 7 1,6,704 �/•50, t,6,jus 70 1'(4 17.o• 33o s - - 91 (70.O'-PLAT) �:J, - QQ� jo VJ � Q V! 3 Z o l O 5 0 \4 �( p / 4' o, � \1 NW t ti O A 'A; Ip� a f- ,o l/.6' 3d.0 - _1 ,VvvrG C oly l r) J A7c./AO f/ 11� 4 - - y )n 4/.5o r Ido' 330' 6.5 4/5 aGO�P\G� [4./704 L-1Cj 7 _� L Opp �w �3 L 0 wQ� ,rlNAG S4110VE y - $_ 9 7A/o rE FOui✓O a« ego vs. 'vol:: sE i ,aoa (Norko) ormvo 411 eruE12 1•4oas. HEREBY CERTIFY THAT THIS SURVEY, PERFORMED UNDER MV RESPONSIBLE DIRECTION. MEETS THE MINIMUM LEGEND. TECHNICAL STANDARDS FOR LAND SURVEYORS IN ACCORDANCE WITH CHAPTER 6IGI7 6 FLA ADMINISTRATIVE CODE IPIIRSIIANT T SFr nt-W e7)1117 n--. II.I.— .........._...---- --�--- ---- I. ..........» PSR-3844 ' 13853 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION ----- -- LOCATION INFORMATION ---- Permit Number : 13853 '.ddress : 92 FIFTH STREET WEST Permit Type: FENCE ATLANTIC BEACH , FLORIDA 32233 -lass of Work -.NEW ---------- LEGAL DESCRIPTION --------- Constr. Type:WOOD FRAME Block :76 Lot : 4 Twp: Proposed Use: SINGLE FAMILY Section: 0 Subd: 34 Rna, Dwellings - 0 Subdivision: SECTION H Est . Value : 0 .00 Improv - Cost : 590 .00 Total Fees : 10 .00 Amount Paid: 00 VINER INFORMATIC-IN --___ APPLICATION FEES --------- Name: LOWELL . ECIPAH . SR. PERMIT 10 .00 Adclr: 92 FIFTH STREET WEST ATLANTI''_ BEACH . FLORIDA 3. --- - - CONTR T_ICTOR INFORMATION - -- Name* -- Name: PROPERTY �_,WNER Addr: Lire Exp , yre NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ' CHECKS fa4 af�166603�21fl�� ATLANTIC BEACH BUILDING DEPARTMENT APPLICATION FOR FENCE PERMIT Owners Name_,�,sr e 2 1 . s2 Phone Job Address 4= • S -Tse Ti�iTT Lot Block and/or Unit # Subdivision Contractor if different from owner -51L L Valuation of fence $ STV. gw-.> Corner or Interior Loth h! rz�4 162 Type of Construction ,/�&Z�:, 0 Show location and height of fence as well as location of street(s). Owner Signature Date 4- 2-?- F -7 Contractor Signature Date 0 F 0 S A L SMVERMAN ]FENCE COMPANY 6384 Phillips Highway Jacksonville, FL 32216 (904) 730-0882 FAX: (904) 730-5142 .fie � � - Z � • q' 7 CUSTOMER'S NAM �7HOME PHHONE WOM?HONE � L�r � � � 1 ✓! Z Y l� 7 / 95-- DE ADDRESS CITY STATE f INSTALLATION ADDRESS (IF DIFFERENT) CITY STATE ZIP CODE FEtYCE TYPE SPECK FENCE% FENcE TIE-ONs ■ 'u"".Gs Met Feri mmt , O INSTRUCTIONS DIAGL" TOE TERMINAL POST p WALK GATE ❑BOARD ON BOARD / KEY ERECTED EXISTING FENCE)0(> OC DOUBLE QATEd%0 (� HADOW BOX /l s 7- STOCKADE — Cc x FEN EBOARD WIDTH �( x E�r4 06� 6 4 f # c y ples- STYLE 0 M S 46 c k a DESCRIPTION TOTAL - X W x { & 000/ LINEAR FENCE FOOTAGLENGTH 7- - HEIGHT Z- _ f, X [i X [ /I fi 1 � x 6 w a (raft GATES s TYPE IQUAN. WII7TtII HQT. SPECIFICATIOtgS 1/ " G rti THE FOLLOWiNQ FOUITS f HAYS BEEN COVERED WrM CUSTOMER. Vq7/2 Repre9e�ve s ' SPECIAL.WORK TO BE Initials 1 PERFORMED BY CUSTOMER F!'1XZ TO: A.Follow Slope of Ground ❑ We hereby propose to furnish labor anerials-complete in accordance with above S.Follow Contour of Ground specifiations, for the sum of$__5 qmt • 0 J with payment to be made upon C.Be Level with Highest Grade ❑ completion of above specifications. All work m guaranteed with materials for one year. D.Be Level with Lowest Grade ❑ Silverman Fence Co. is not respondsible for underground obstructions such as power E Be Level and Split the Grade F1, lines, sprer lines, pipes for wells, etc. - ❑ lines Gear of Obstructions o p A C C E P T A M C E o f P g o P O S A L The above rices,specifications and conditions are hereby accepted.You are authorized lines Staked with/by Customer to do the work as specified.Payment will be made as outlined above. - - - - Gate Location/Swing Direction II Signature: ACCEPTED: Permit Respondsibility Contact Utility Company Date: Signature: i w L7 c C 1:0 -9 F. y. D (7 O A. W a W F Fl O ra O fD n cn G Cn v' rT Oq 14 yr m m F W rt .7. ° 5 =i Oz A p rr C"1 F, S 0-4, �2 O r � Q • y y y' � A f�i R F� � � fes• ~y—.-.�- C C m W y y O t0 C 00��' ° �}�" rs ►y1 rt P W m O r n L z :z �-d r !R rt Go a o A ~ n r• r O w n rr v N• m M O (moo 'b A 3 °' y °, h dcn D 0o x 0 SCS 00 0' w tom" E PQ N 3NA co R. CITY OF r ttcc ie4d - 9&vz da 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 NOTICE TO: Water Department FROM: Building Department DATE: 17L-1,5- 577 Please be advised that the final building inspection has been completed on each of the following addresses and construction water is no longer needed: Permit Number Address � oZ /� �/ Gld � aa�t /3Z 7 4/ q Z CEJ 5- � Sincerely, Building Department I DATE:—/7/— / 5- /?-7 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY : /;66 a' z -------------- --------------------- ------ -------- ------ ---------------------------------------- --------- ------------ ------ � ------------------------------------------------- Enclosed are the blue copies of the permits. SI RELY BUILDING INSPECTION DIVISION cc:FILE 1 BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OFA TLANTIC BEACH, FLORIDA'` CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: April 10, 1997 Building Contractor: Pulte Home Corp. { Building Permit Number: 13274 Address : 92 Fifth St. W. Legal Description• Lot 4, Except E. 41.50' & Lot 6 Except W. 17.00' , Block 76, Section "H" 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 Single Family Residence Lowest Floor Elevation: 12.5 13.1 required as built BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED DATE APPROVED BY , Fire n/a Public Works 4/10/97 �7'// ' �/ ��A Planning 4/1 /97 Building 4/ 16/97 �- �5 —` 7 xs 77 . 10.1Prttftrate of Orrupauru Cita of Atlantic Ntacll — +floriba Department of +,wilding Jwipertion 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 Bldg. Permit No. 13274 _ Groupw.frame Type Construction S/f Fire Distrito Atlantic Beach Owner of Building Pulte Home Corp. Address J v le FI.g 11 6 Bu' ing Address 92 W. fith St. Locality Atlantic Beach, FL 32233 By DON C. FORD Building Official Date: POST IN A CONSPICUOUS PLACE { nnCITY OF II Office of Building Official REQUEST FOR INSPECTION r Permit No. Date A.M. Time P M. Received —�� cality Job Address Owner's Contractor ---- Name - PLUMBING MECHANICAL ELECTRICAL r; G C CRETE ❑ Rough ❑ Air Cond. & • "`^' ~Footing Rough Wiring ❑ Top Out ❑ Heating Framing Temp Pole Sewer ❑ Fire Place ❑ Re Roofing ❑ Slab Final Pre Fab ❑, Lintel '-' Insulation READY FOR INSPECTION A.M. RM. Tues Wed. Thurs. Mon. A.M. InspectionMadMad — - Certificate of OcCupanc Inspector - �/ r _ � P A Date /7 � � I - I_1 HHLL HIL BCH TEL No . 2475805 Apr 3 . 95 15 : 31 NO - 010 P . 02 FLOODPLAZM DEVELOPMENT 1HFO1?11ATY011 'type of DevVl en oPn lf,�-_S f e�_C-L� Flood Zones _. ----------_--- ReQwired Lowost Floor lKlovattont� It building 10 looted Mithtn s 91004 hazard zona, a �urvarr t be li*de AFTER TMg SLAB HAS DEEM POURED, certttying that t.mu LOvEST FLOOR ELEVATIpd is Wquftl to or above the boos he -loot! elevation estrbiisbed =or that none. NO final inspeotlon Mtli be made and no certigiaat• of will be =srued until the survey is on =ily e vtth the Boccupanccupancj Department. COMMENTS, ' Applicant Acknorledoeynts X understand that the Awsuance of this permit Am gonttnpent upnq the above Antorsation baing correct and that the plans snd ouppprtlnQ data Rave been or ahali be provided as required. I Z apses to oomplr with sli applicable provisioom oZ Ordinanoe Ko. 25-7-AS and all other late ur ordtnano•s streeting th• proposwd devolopnvnt. Date ---L _1y.:1�Gwppitcaat's Sipnature -ter- ---------------------rte.---------------I----�wr- Departsent use Required t.0.eat F'loosCt*vstton a As Built Lowest Fl Surve Elevation 3 Y Flied with tSuildino Depart -_ ---- iL Building OoDart seat kepreseAtrtivv pages 3 APR— -30-97 WED 9 : 4 0 0 P - 0 2 UNI/ /(P C • mAP SHoVVtW tbdN& SUAVtV OF LOT¢E PSzx�4,41 EI,%ERXlfl�l�Gt64FXe7ePr T6/EI�f(&'S1 •�,�;�..,,�,€�. �i,4?EOf, 8G.�1�',�;'-,;f5 �:'�' � ,"Af1�c�l,�lC:&EA�CN AS RECORba m PLAT kbk 49 PAGES__._4 _OF THE t P[3Wd 4&ORDS OF DUVAL co., FLA. FOA /4(Dr1Z;r+' iLutP1.�9A CLASS' lblfS. NOTE QEARfNG&BEARINGHEREOhI E USED:'AN..TRE;WO#E..fitEAl,.O PLAT. 0T6 ELE RAAdi ES : .Pf R /l T LOL g 0,-1949 W,,c57' -5 5rReC7 <so• R16117 of war) �se�o� u.,rof 4/50, c i. WIT 4a'Z 7i• 4 tj W C � � ti O !J•4' a '+ �w � � > � o f!•5• .96.0' ''�•�? '"• ' 0.!1' .�10 c4 4/•50, RE.. �/ 1.m Jxa,' Jia' Iut�'' IF6 FLvc6., 44-/',V o T s L�, 4 1997 6 L a c 77 �� City o Atlantic E3900 Build and Zoning i RIVAL ,yY/QY 8-.:91 �- vo>e �aaD Act �aaa9. 'af Alr� ,. . , y� � //L}1B ✓I�oa�1JFfT� AJ'X�.C/d,-./�LL QT,!!44 /R .9 EISi Mu�fif LEGEND: RFAR UIVDBR ley RESP N,+84CAL STA#7L�AilbS Fon �6 Rs�b v�m�c t a,�c��,I(PURSUANT TO SE"ON 412.027 fl 0 )k sr/1 .ArFURTHr C TgF k � f ENt to�cN• • ,n ramp 1"N MENTS UPON THE SUBACT PAOPOATY EXCEF+T Ns'b(iOWN ON THIS SUAVEY. o ��•o"mm t•1744 QQ� {�.�1 C. TME LOT SHOWN MEMfi��i{w t[.1�0 A.P", 191taM0"Atmrn011 UMI 2owe JCAS VOWN ON'P41 OLOOP tiys>d1WQ4*4AT1 ICL-AV14011 AW li Est1NC. ° MOM NAP,ccwmvWTv PAIIEL N- 12007-Cl0._.24 VATE0 x-E7:0! Ti'fY"II4"aft 4LA i2207 A AMc asTu.cl C" CMOMo oTAMCA re ro1MT or cwvaTtM1I .15"or TA.CY tion `w0 $!G,rLA ►M.0 .01W or MI tmw CUM sc." w 0?40 =:::J:� �E /-i//LL r ae ro1M,o.eo.M oo«o ww . . .. 'tElo'�fOK 3B0 Od. �r PULTE HOME CORPORATION 1558 JACKSONVILLE, FL IMPREST 8081 PHILIPS HIGHWAY, STE. 14 JACKSONVILLE, FL 32256 904-733-7300 32-1/1110 w February 4 1997 ° PAY TO THE s! ORDER OF City of Atlantic Beach 6 3' Five thousand dollars and no/100---------------------------------------- DOLLARS NationsBank I f' - NationsBank of Texas,N.A. A Q Fine for improper clearing of lot z 76 C ABW II200 L S S8f1' is L L L0000 L 21: 3 7 S 063 S LII' CITY OF ATLANTIC BEACH No- 20814 FLORIDA February 5 19 97 NAME Pulte Home Corperatior ADDRESS 8081 Phillips Highway, Suite 14 CITY Jacksonville, FL 32256 Fine for improper clearing of Lot 5 and Part of Lot 4, Block 76 Section H, a/k/a 92 Fifth Street West $5,000.00 Account No. 001-0000-354-0000 - Fines & Forfeitures Violations of Ordinances. When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER //►►&11�� awtz //CITY OF fY /3wcA-lk Office of Building Official REQUEST FOR INSPECTION Date 7 Permit No. Time 7 Received <PM. Job Address Locality Owner's �Q Name � Contractor �-- BUILDING CONCRETE ELECTRICAL �P-Lumlf�sa� MECHANICAL Framing ❑ Footing C Rough Wiring ❑ Rough ❑ Air Cond. & ElRe Roofing 11Slab E:1Temp Pole Top Out Nc5, Heating Insulation — Lintel ❑ Final ❑ Sewer ❑ FirF lace El PreREADY FOR,INSPECTION ) Mon. Tues. Wed. Thurs. Friday �� A.M. Inspection Made P.M. Final Inspection Inspector Certificate of Occupancy Date s'��,,�� //CITY OF f ,046a tc /3�-"tom+ Office of Building Official � REQUEST FOR INSPECTION /3 2 Date j �` 7 Permit No. Time y C f� A.M. Received Job dress _ t Loca' r Owner's Name Contract BUILDING CONCRETE ELECTRICAL MECHANICAL Framing ❑ Footing ❑ Rough Wiring E Air Cond. & ❑ Re Roofing ❑ Slab ElTemp Pole ElTop Out ElHeating Final ❑ Sewer L11 Fire Place El Insulation F-1 Lintel C' Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday Inspection Made P.M. _ Final Inspection ❑ Inspector "� Certificate of Occupancy E:Date — ll��__ ��,��..__ CITY OF nnA Office of Building Official REQUEST FOR INSPECTION Date I�Pq- ;7 Permit No. Time A.M. Received PM' Job Address ,�---� Ovrner's Contractor Name CONCR E ELECTRICAL PLUMBING MECHANICAL BUILDING FramingFooting Rough Wiring Rough Air Cond. & To Out Heating Re Roofing Slab Temp Pole Sewer Fire Place\ Insulation Lintel Final Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday A.M. 7 Inspection Made P.M. Final Inspection ❑ Inspector - ertificate of Occupancy Date n /CITY OF 4& /3�-"fn Office of Building Official REQUEST FOR INSPECTION C Date f 7 Permit No. Time3 A.M. Received Job Address Locality Owners Contractor -7 >✓ . �ILDIN CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing C Rough Wiring Rough C Air Cond. & G Re Roofing Slab C Temp Pole = Top Out ❑ Heating Fire Pla Insulation Lintel ❑ Final Sewer [IPre Fabce READY FOR INSPECTION A Mon. Tues. Wed. Thurs. Friday M ^ (L� _ A.M. Inspection Made PM. _ Final Inspection C Inspector Certificate of Occupancy 7- Date Date '1(0c' R&- 3 CITY OF ATLANTIC BEACH, FLORIDA ! ?� Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: a] 19W7 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. � —0001713 Munson and Bryan Electric Co. --- 1423 ELECTRICAL FIRM: MASTER ELECTRICIAN SI E IOURNEYMAN NAME LCIS (� �5 P_ADDRESS: � ' '� RFD BOX BLDG.SIZE I I BETWEEN: 'q RES. APT. ( ) Comm. ( 1 PUBLIC ( 1 INDUS. ( ) NEW (V! OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( 1 SCI. FT. SERVICE: NEWx) INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE 0 AMPS COPPER ALUM.PQ I SWITCH ORRE KER AMPS PH �W LT I .R EWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO, SIZE LIGHTING OUTLETS I CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.70 AMPS, 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES i BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS CITY OF ATLANTIC BEA 1 Approved by APPLICATION FOR ELECTI TO THE CHIEF ELECTRICAL INSPECTOR: DATE:6 c't, —� S -V�QZ4IMPORTANT NOTICE: �� IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE W( �j ��j l H EREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH T E ATLANTIC BEACH ORDINANCES. ;viunson and Bryan Electric Co. 1413 ELECTRICAL FIRM: MASARXLECT IC A� ,.,I T E JOURNEYMAN NAME WU C •/ADD ESS: • t `L'lUQ� RFD BOX BLDG.SIZE BETWEEN: � ��Iail A RES. 1 APT. ( 1 COMM. ( ) PUBu( ) INDUS. ( 1 NEW Yom' OLD ( 1 REW. ( I ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SQ. FT. SERVICE: NEW (x1 INCREASE ( ) REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER Ir:--)O AMPS ( PH � W vVOLT f/j C RACEW Y EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL _ 0•JO AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMP!. OVER APPLIANCES i I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS I MISCELLANEOUS rDA?,ICCn0"C0C• 111UnPw ann v I I I I nVFR SnO V- I I lue Rex'-) CITY OF ATLANTIC BEACH, FLORIDA �P Approved by APPLICATION FOR ELECTRICAL PERMIT _ L LA TO THE CHIEF ELECTRICAL INSPECTOR: DATE: LLLJ a� 199, 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. 6P 1 001713 Munson and Bryan Electric Co. 1____71J4 ELECTRICAL FIRM: MASTER ELE I /I, 1 E JOURNEYMAN NAME +e HQ ADDRESS. w `' RFD BOX �D p f� I BLDG.SIZES 1 Q I l., BETWEEN: RES. '1 " APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( 1 NEW (y, OLD ( 1 REW. ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW �4 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE 5O AMPS COPPER ALUM. 00 SWITCH OR BREAKER AMPS k PH 3 W I�'-TC)V LT PJQ�. RACEWAY EXIST.SERV,SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED I OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT &M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS H.P. I VOLTAGE PNS NO. I H.P. VOLTAGE PHS I MISCELLANEOUS PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- ------ LOCATION INFORMATION -------- Permit Number ; 13447 1,,Irl-ess : 92 FIFTH STREET WEST Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA-3t�J Class of Work:NEW ----- ---- LEGAL DESCRIPTION - -Constr . Tvpe-'WOOD FRAME Block: 76 Lot : 5 , PT LOT 4 Twp : Section: 0 Subd: Rng` Proposed Use: SINGLE FAMILY Gubdivision: SECION H Dwellings : 0 Est . Value: 0 .00 Improv . Cost : 0 .00 Total Fees : 43 .00 Amount Paid: 43 . 00 -------_ APPLICATION FEES ------ - --- -W11ER INFORMATION --------- 43 . u: Name: PULTE HOME CORPORATION PERMIT Addr : 8081 PHILLIPS HIGHWAY , SUITE JACKSONVILLE . FLORIDA 32256 Phone: ! 9^4 7,3-73^0 CONTRACTOR INFORMATION ---- Name : MCGOWAN ` S HEATING & AIR COND Addr : 4950 COLLINS ROAD !',RANGE PARK. FLORIDA 32073 r Lic : CAC018079 Exp: Type: 3 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,HAULED AWAAND Y BYDEEBHRIS FROM THIS WORK MUST ER CONTRACTOR OR OWNEROT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND "FAILURE TO COMPLY WITH THE MECHANICS' LN LAW CAN RESULT DING IMPROVEMENTS 99 THE PROPERTY OWNER PAYING TWICE FOR BUIL ISSUED ACCORDING TO APPROVED PLANS WHICH ASF " " - VIOLATION OF APPLICABLE PROVt810N--1' BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, I 1-CRIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. sj- LOCATION Street Address: OF Intersecting Streets: Between A/nes,, BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attaclLed plans and specifications which are a part hereof anc in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. r Contractors Name of Mechanical McGowan s Heatincr & Air— Master CACO-1.8970 Contractor (Print) Coni . Inc . �, M-48 Name of Property Owner C Signature of Signature of Owner 1 Architect or Engineer or AuthorRed Agent III. GENERAL INFORMATION B. A' Type of heating fuel: IS OTHER CONSTRUCTION BEING/DONE ON Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER O,FJONSTR UCTION ❑ Oil PERMIT dJ T ❑ Other — Specify - IN, MICHANtM EQUIPMENT TO BE INSTALLED NATURE OF WORK Residential or El Commercial (Provide complete list of components on back of this form) H Recessed �/Cents) O Floor � New Building est ❑ Space ❑ 5�` `// P_– ❑ Existing Building �J/Vr Conditioning: ❑ Room Cental � J /� fp ❑ Replacement of existing system `[ Duct System: MateriaThickna� �) New Installation(No system previously Installed) Maximum capacity ll�—c.f'm' ❑ Extension or add-on to existing system Q Refrigeration ❑ Other — Specify 0 Cooling tower: Capacity 9'p-m. ❑ Fire sprinklers: Number of head ❑ Elevator ❑ Manlift ❑ Escalator—(number) THIS SPACE POR OFFICE USE ONLY ❑ . Gasoline pum (number) (Re"led) ❑ Tanks_ (number) Remarks Q LpG containers --(number) ❑ Unfired pressure vessel Permit Approved by Data ❑ Pollen Permit Fee ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT qr� ty Appppr Number Units Description Model Number Xgnufactxsrer (Tons) Mess Y G,8 zo ..c NOTICE OF COMMENCEMENT STATE OF FLORIDA Book-6516 Pg 2105 COUNTY OF DUVAL The undersigned, as Owner, notifies all parties that improvements m tion made so certastatedmin real this oNoticeand o in accordance with Section 713.13 Florida Statues, the following ir Commencement: Description of Property: to ether with Lot 5, excepting the Westerly 17.00 feet thereof, all Lot 4, excepting the Easterly 41.50 feet thereof, g with__-- "H", ATLANTIC BEACH, according to the plat thereof as recorded in Plat Book 18, Page in g ocl k 76,_STION 34, of the Public Records of Duval County, Florida. CN General Description of Improvements: Single Family Residence a w Owner and Owner's Address: C4 Pulte Home Corporation Pk: 8516 P9: 2145 X 8081 Philips Highway, Suite 14 Docii 97000937 H Jacksonville, Florida 32256 Flied Recorded 01/02/97 04:25:59 P.M. Owner's Interest in the Property Described as fee simple HENRY W. Coax CLERK CIRCUIT COURT 0DUVAL COUNTY, FL Contractors and Contractor's Address: RFC• 6.00 z Pulte Home Corporation 8081 Philips Highway, Suite 14 Jacksonville, Florida 32256 w Surety (if any) and Surety's Address: w cz H z Amount of Bond $N/A Name and address of Lender, if any, making a loan for construction of the improvements: CD NIA Ln Flori designated by Owner upon whom notices or other Name of person within the State of odocuments may be served: h of the Lienor's Notice as provided in Section In addition, Owner designates the following person to receive a copy 3 713.06 (2)(b) Florida Statues: 0 U w PULTE HOM C TIO �BY;-. EMpLO E & ATTY IN FACTRDY S. AUB, F � C, --------------- _ P4 M w a ut/Jli 91 rx1 10:08 kA1 904 733 7733 PULTE JACKSUNV ILLE 7�24?,e d)a;6 11 j003 Wc- �o NOT OF Cii; N�MENCE-MEN'r cit. a NO STA"TF, OF FLORIDA Book 11516 Pg Fuo5 COUNTY OF DUVAL The undersigned, as Owner, notifies all parties Haat efollowingginformatiiond isostated certain in real thisoNv cea of in accordance with Section 713.13 Florida Statues, the Commencement; D I oi'Property: feet pting the Easterly 41.50 feet thereof, togel.her with LDt Se excepting as Wes ded in.at Book Sof, al i ,CT1QN "II", ATLANTIC BEACH, a.�cording plat thege 34 of the Pablic Records of Duval County, Florida. General Description of Improvements: Single Family Residence a w Owner and Owner's Address: w Pulte Home Corporation Pk.- 8516 W4 8081 Philips Highway, Suite 14 �3� X105 3 Bora 9700097 H Jacksonville, Florida 32256 Filed a Recorded 01/0x/47 Q4c�Fa59 P.17� O Owner's Interest in the Property Described as fee si?:npie HENRY W. COOK CI,CRI CIRCUIT COURT P, REC. COUNTY, FL Contractors and Contractor's Address: RFC- � 6.00 W: Pulte Home Corporation 8081 Philips Highway, Suite 14 Jacksonville, Florida 32256 w Surety (if any) and Surety's Address: w a H V) z Amount of Bond $NIA Mame and address of Lender, if any, making a loan' for construction of the improvements: o N/A designated by Owner upon. whom notices or other Ln Name of person within the State of F7ori a adocuments may be served: H erson to receive a copy of the Lienor's Notice, as provided in Section In addition, Owner designates the following P 0 713.06 (2)(b) Florida Statues: 0 U w PULTE HOM G TIO r-� E In BY: EMFL,O E&A'rTY IN FACT F,�'., - RANDY S. AUB, x to K) z a a ii W PSR-3844 13274 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH — PERMIT INFORMATION ---- ------- LOCATION INFORMATION ---- Permit Number: 13274 + Address : 92 FIFTH STREET WEST Permit Type:BUILDING ATLANTIC BEACH , FLORIDA 32233 "lass of Work:NEW -------- LEGAL DESCRIPTION --------- �Constr . Type:WOOD FRAME 1 Block: 76 Lot : 5 , PT LOT 4 Twp : Proposed Use: SINGLE FAMILY Section: 0 Subd: Rna* Dwellings : 0 Subdivision: SECION H Est . Value : 0 . 00 Improv. Cost : 48 , 582 . 00 Total Fees ' 3 , 135 . 94 Amount Paid:. 3 . 135 . 94 C - ------- —, OWNER INFORMATION ---_ - ----- --- APPLICATION FEES --------- Name: PULTE HOME CORPORATION PERMIT 397 . 50 Addr : 3081 PHILLIPS HIGHWAY , SUITE WATER IMPACT FEE 410 .00 JACKSONVILLE . FLORIDA 32256 SEWER IMPACT FEE 1 , 250 .00 Phone: f904 )733-7300 WATER METER/TAP X5 .00 RADON GAS-H .R. S . 5 . 20 -_--- CONTRACTC'R INFORMATION - - xRADON CAB 5% 0 . 27 Name : PULTE HOME CORPORATION CAPITAL IMPROVE. 325 .00 Addr: 8081 PHILLIPS HIGHWAY SUITE 1 SEWER TAP 0 .00 JACKSONVILLE , FLORIDA 32256 CROSS CONNECTION 35 . 00 Llr : Cr-,C057991 Exg : ,SEC H IMPACT FEE 522 . 50 TvT;,- . , 'aCONST . SURCHARC:E 4 - 922 ySCHARGE/ATL . BCH . 0 . 55 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. .�+. F,. 10tal Payment ATLANTIC BEACH BUILDING DEPARTMENT By: �'?` . PSR-3844 13323 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- - PERMIT INFORMATION -___ ------- LOCATION INFORMATION ------- Permit Number : 13323 Address : 92 FIFTH STREET WEST Permit Type : PLUMBING ATLANTIC BEACH , FLORIDA 3223" Class of Work :NEW ------ LEGAL DESCRIPTION - -------- _'onstr . TyPe:WOOD FRAME Block: 76 Lot : 5 , PT LOT 4 Twp : 0 Proposed Use : SINGLE FAMILY Section: 0 Subd: Rng: 0 Dwellingx. : 0 Subdivision: SECION H Est . Value : 0 .00 Improv . Cost : 0 . 00 Total Fees :: 60 . 50 Amount P- ING IU- NEW HOMIE _.. `_WNER INFORMATION --- -- ---_- - APPLICATION FEES Name:` PULTE H{�ME CORPORATION PERMIT 60 . 50 Addr, 8081. PHILLIPS HIGHWAY , SUITE JACKSONVILLE FLORIDA 32256 Phone; ! 904 ;73 3- 7 ,.00 - -- CONTRACTOR I NFORMAT I nx - - - Name* - - Name: DON HARRIS PLUMBING Addr ,, 4029 ELANDIN= BIND. JACKSI-'NV I LLE . FLA . 32210, Li c : CFC019194 Exp: ,' TvDe: 4 NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 660.50 14 CHECKS 2607 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 L S By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 4 &)JOB LOCATION' ' , Lk. OWNER OF PROPERTY' BUILDING CONTRACTOR: PLUMBING CONTRACTOR DON HARRIS PLUNIR-PIG rn AND ADDRESS: P. 0. SOX TELEPHONE NUMBER: (904) 772- 0900 C F+ C _ 19 19 4 STATE LICENSE NO: TYPE OF BUILDING: TYPE OF WORK: C-Gt�� HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY / WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3.50 + $15.00 = $ --� V-2 ------------------------------------------------ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION 'OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 uc a a" NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL BVak �51� P9 2105 The undersigned, as Owner, notifies all parties that improvements will be made to certain real property, and in accordance with Section 713.13 Florida Statues, the following information is stated in this Notice of Commencement: Description of Property: Lot 4, excepting the Easterly 41.50 feet thereof, together with Lot 5 excepting the Westerly 17.00 feet thereof, all in Block 76,-SECTION "H", ATLANTIC BEACH, according to the plat thereof as recorded in Plat Book 18, Page 34, of the Public Records of Duval County, Florida. N o General Description of Improvements: M Single Family Residence a w Owner and Owner's Address: Pulte Home Corporation OW Bk:8081 Philips Highway, Suite 14 Pg- 2145 Jacksonville, Florida 32256 DOr 47000937 Filed & Recorded 01/02/97 % Owner's Interest in the Property Described as fee simple HENRY• Ws'S9 p•M• 0 CLERK CIRCUIT COOK P4 COURT Contractors and Contractor's Address: DUVAL COUNTY RFC. $ 6.66 FL z Pulte Home Corporation 8081 Philips Highway, Suite 14 � Jacksonville, Florida 32256 E: Surety (if any) and Surety's Address: w cz H o� z Amount of Bond $N/A H Name and address of Lender, if any, making a loan for construction of the improvements: CD N/A M Ln Name of person within the State of Florida designated by Owner upon whom notices or other z documents may be served: H In addition, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section °a 713.06 (2)(b) Florida Statues: 9 0 U w PULTE HOM C TIO a E-'LO BY H N H M RANDY S. AUB, EMPLOYEE & ATTY IN FACT o _ Uo � I P+ � M a w x •. z r� Department of Community Affairs SN : FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUC'.TTON FORM 60OA-93 "Wesident ial. Whole Building Per.forman,cr Method A N� PROJECT NAME: 1094 ; BUIL.DER: N F C AND ADDRESS : I.,OT �Co C ; PERMITTING : CLIMATE _ (,)J � S�`-' . Srtt 0FFI C,E: Dq917til �=NE: 1 � __� 2 � ._. : 3 w OWNER: � �� , pERMT7' NCJ .l321LI , JURISDICTION NEI a6/! 1 . New constructio or addition 1 . New Construction 2 . Single familY. detached or Multi.famjAy attached 2 . Single-Family 3 . If Mu.lt.ifamil.y-No . of units 3 • - 4 . If Multifamily , is this a worst (-as(--- (yes/no) 4 . _._.-.. 5 . Conditioned floor area (sq . f t . ) 5 . 1094 . 00 6 . Predominant eave overhang (ft . ) 6 . 1 . 33 __ ..... 7 . Porch overhang length ( f-t - ) 7 . 0 . 00 _..- 8 . Glass area and type : Single Pane Double Pane a . Clear Glass 8a . 98 . Osgft 0 . 00sg-C,t b . Tint , .film or solar screen 8b . O . Osgft 0 . 00sgft -__- 9 . Floor type and insulation : a . Slab on grade (R-value , perimeter) 9a . R= 0 . 00 , 163 .00 ft --. .__-- 10 .Net Wall type area and insulation : �.f a . Exterior : 2 . Wood frame (Insulation R-value) 10a-2 R=1 1 . Q0 , 923 .00s�. t.____-_- b . Adjacent : 2 . Wood frame (Insulation R-value) 10b-2 R=1 1 . QO , 238 .00sgf_t:-__---_ 11 .Ceiting type area and insulation: R . a 11 _-_, a . Under attic (Insulation R-value) - - 19 . 00 62 . 00st;ft_ a . Under. attic (Insulation R-value) 1 1 a .R=30 . 00 1 102 .00x(1 Ft_---_-- 12 .Ai.r distribution systems 12a . R= 6 . 00 uncond _ a . Ducts (Insulation + Locati.on) 13 . Type : Centra] A/C -__--- 1 3 .Coo 1 ing system SEER: 10 . 00 14 .Heating System : 14 . Type : Heat Pump HSPF: 7 . 00 15 .Hot water. system: 15 . Type : Electric _ 16 .Hot Water Credits : (HR-Heat Recovery , 16 . ---- DHP-Dedicated Heat P-umf,) 17 2 17 .Infiltration practice : 1 , 2 or 3 18 .HVAC Credits (CF-Ceiling Fan , CV-Cross vent. , 18 . HF-Whole house fan , Ria-Attic radiant barrier , MZ-Multizone) 19 .EPI (must not exceed 100 points) 19 . 96 . 85 19a . 23182 .52 ---- a . Total As-Built points 19b 23936 .96 b . Total Base points I Hereby certify that the plans and--- Review of the ply this calculatianc .ndicatasc- specif_ications covered by this calc��- complveredanhe with the Florida Energy lation are in compliance wi-th the Code . Before construction is c.omplet:ed Florida Energy C de this building wi.11 be inspected for compliance in accordance with Section PREPARED BY : DATE: ;_ _� - 553 . 908 F . S . / - - I hereby certify that this building is in compliance with the Florida Energy Code . BUILDING OFFICIAL:---- -\--_---- OWNER/AGENT ------- DATE: ---------- --- it'�C�C9C`}r�r�C�C�r�:�C�C�r*fir ic�4c9c 9r 9C�r�;�C�w�,�rn w*�n�r*�::n�;r::�:9r;:��*��*MAA/ �A%rhn AAAA;rA A�IrAAAnnh n•�n SUMMER CALCULATIONS BASF. ___ -_= AS-BUILT = GLASS---------------- ORIEN AREA x BSPM = POINTS TYPE SC ORIEN AREA x SPM x SOIL = POINTS ------------------------------------------------------------------------------- N 15 . 00 65 . 8 487 . 0 SGL CLR N 15 . 0 40 . 7 . 90 5148 . 9 E 29 . 00 65 . 8 1908 . 2 SGL CLR E 15 . 0 84 . 9 . 88 1119 . 1 SGL C1_11? E 14 . 0 84 . 9 . 75 887 . 8 S 54 . 00 65 . 8 3553 . 2 SCC CLR S 20 . 0 73 . 2 . 84 1223 . 0 SCI, CLR S 34 . 0 73 . 2 . 89 2223 . 3 ------------------------------------------------------------------------------- . 15 x COND . FLOOR / TOTAL GLASS = ADJ . x CLASS = A.DJ GLASS GLASS AREA AREA FAC1`OR POINTS POINTS POINTS ------------------------------------------------------------------------------- . 15 1 , 094 . 00 98 . 00 1 . 674 6 , 448 . 40 10 , 797 . 78 6 , 002 . 19 NON GLASS------------ AREA x BSPM = POINTS TYPE R-VALUE AREA x SPM = POINTS --------------------------------------------- WALLS----------------- Ext 923 . 0 . 9 830 . 7 Ext: Wood }Frame 11 . 0 923 . 0 1 . 70 1569 . 1 Adj 238 . 0 . 7 166 . 6 ; Adj Wood Frame 11 . 0 238 . 0 . 70 166 . 6 DOORS---------------- Ext 20 . 0 6 . 1 122 . 0 E:xt. Insulated 20 . 0 4 . 10 82 . 0 Adj 18 . 0 2 . 4 43 . 2 Adj Insulated 18 . 0 1 . 60 28 . 8 CEILINGS-------------- UA 1094 . 0 . 6 656 . 4 Under Attic 30 . 0 1102 . 0 . 60 661 . 2 Undor Attic 19 . 0 62 . 0 1 . 1 0 68 . 2 FLOORS--------------- Slb 163 . 0 -37 . 0 -6031 . 0 Slab-cin-Grade . 0 163 . 0 -41 . 20 -6715 .6 INFILTRATION--------- , 1094 . 0 8 . 0 8752 . 0 Practice X62 1004 . 0 8 . 00 8752 .0 TOTAL SUMMER POINTS 15 , 337 . 68 10 , 614 . 49 TOTAL x SYSTEM - COOLING ; TOTAL x CAP x DUCT x SYSTEM x CREDIT = COOLING SUM PTS MULT POINTS COMPON RATIO) MULT .MULT MULT T'OINTS -------------------------------------------------------------------------------- 15 , 337 .68 . 37 5 , 674 . 94 ; 10 , 614 . 49 1 . 00 1 . 070 . 340 1 . 000 3 . 861 . 55 WINTER CALCULATIONS _-= BASE _-_ -= AS-BUILT GLASS---------------- ORIEN AREA x BWPM = PO.I.NTS ; TYPE SC ORTEN AREA x WPM x WOF - POINTS ------------------------------------------------------------------------------- N 15 . 00 -10 . 6 - 159 . 0 ; SCL CLR N 15 . 0 1 3 . 8 1 . 09 225 . 0 E 29 . 00 -10 . 6 -307 . 4 ; SGL CLP E 15 . 0 -3 . 8 . 27 - 15 . 2 SGL CLR E 1 4 . 0 -3 . 8 - . 50 26 . 5 S 54 . 00 -10 . 6 --572 . 4 ; SGL CI.R S 20 . 0 -24 . 0 . 90 -431 . 1 S(IL CLI2 S 34 . 0 --24 . 0 . 94 --767 . 0 ------------------------------------------------------------------------------- . 15 x GOND . FLOOR / TOTA.L GLASS - ADJ . x GLASS = ADJ GLASS CLASS AREA AREA FACTOR POINTS POIN'T'S POINTS ------------------------------------------------------------------------------- . 15 1 , 094 . 00 98 . 00 1 . 674 - 1 , 038 . 80 -1 , 739 . 46 -960 . 74 NON GLASS------------ AREA x BWPM = POINTS ; TYPE R-VALUE AREA x WPM = POINTS ------------------------------------------------------------------------------- WALLS---------------- Ext 923 . 0 2 . 2 2030 . 6 ; Ext Wood Frame 1 1 . 0 923 . 0 .3 . 70 341 5 . 1 Adj 238 . 0 3 . 6 856 . 8 ; Adj Wand Frame 11 . 0 238 . 0 3 . 60 €356 . 0 DOORS---------------- Ext 20 . 0 12 . 3 246 . 0 ; Ext: Insulated 20 . 0 8 . 40 168 . 0 Adj 18 . 0 11 . 5 207 . 0 ; Adj Insulated 18 . 0 8 . 00 144 . 0 CEILINGS------------- UA 1094 . 0 1 . 2 1312 . 8 Under Attic 30 . 0 1102 . 0 1 . 20 1322 . 4 Under- Atli(, 19 . 0 62 . 0 2 . 00 124 . 0 FLOORS--------------- Slb 163 . 0 €3 . 9 1450 . 7 ; Sl b-on-Grado . 0 163 . 0 18 . 80 3064 . 4 INFI:LTRATION---------- 1094 . 0 7 . 4 8095 . 6 ; Practice #2 1094 . 0 7 . 40 8095 . 6 TOTAL WINTER POINTS 12 , 460 . 04 ; 16 , 229 - 56 ------------------- TOTAL x SYSTEM = IIEATI:NG ; TOTAL x: CAP x DUCT x SYSTEM x CREDIT = 11EATTNC WIN PTS MULT POINTS ; COMPON RATIO MULT MULT MOLT POINTS --- - 12 , 460 . 04 55 6 , 853 . 02 ; 16 , 229 . 56 1 . 00 1 . 070 . 484 1 . 000 8 , 404 . 96 WATER HEATING ��*�I��/��'��C'1C*��*n�i'fC�*��nniC iC�:nn'n 3i n'�nn nnniC iCnnn/"s..ni.hA"h�*3CniC iCnnnn��nnn`n niCnn nn.n'iv nnnn'n BASE _—_ __= AS—BQLT NUM OF x MULT = TOTAL TANX VOLUME EFS' 'TANK x MULT x CREDT:T = 'TOTAL BEDRMS RATIO MULT -------------------------------------------------------------------------------- 3 3803 . 0 11 , 409 . 00 30 . 92 1 . 000 3638 . 7 1 . 00 10 , 916 . 00 n'�Cniit iCn niC iC fCn/'i.'�'niC'/C iCn�nnnniv iinnnn n.'iiL n`n'iC n'n`/�i.nnn.iC is'i niC+tnnnn`n nniCn n.nnn/JG iCniw'iCn n'n'n`n n"n.'vnn'n n'n'n n' SUMMARY nniC�'�C/JC'3C�iC'�'iCnniCnn�iCn�Cn�iCnniCnnnn'/J'i.iCiCw�"ix'nn.n'ia"n'i�iL'niCiiiiiC/�iCnnn'niC'iCnnnniCn"nK"iCA%\iinnnnniCnniiniiis --= BASE __— __= AS—BUILT =_ COOLING HEATING HO'1 WATER TOTAL COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS POINTS + POINTS + POINTS = POINTS ------------------------------------------------------------------------------- 5674 . 9 6853 . 0 11409 . 0 23 , 936 . 96 3861 . 6 8405 . 0 10916 . 0 23 , 182 . 52 i'i4 eC ii n n iw n iC�iC n n n iC�i it eC ;c .EPT = 96 . 85 ENERGY GUIDE For detailed information of the EPI rating numbor or for any ITEM listed , ask your Builder for .P-.r= 96 . 8 DCA Form 600A-93 or Form 600B-93 0 10 20 30 40 50 60 70 80 90 100 ------------- ----------------------------- yy ' X.-- , The maximum allowable EI11 is 100 . The lower the EPI thee more efficient trre home RESIDENTIAL ENERGY PERFORMANCE RATING SHEET ITEM HOME VALUE Low Efficiency High Efficiency STNGL CLR DBL TINT WINDOWS . . . . . . . . . . . . . . . . . . . . .Si.ngle. Clear :X-------------------- INSULATION . . . . . . . . . . . . . . . . . . R-10 R-30 Ceiling R-Value . . . . . . 30 . 0 ---------------------X : R 0 R17 Wall R-Value . . . . . . . . . 11 . 0 R-0 R-19 Floor R-Valt.w . . . . . . . . . 0 . 0 X---- -- ---____---__.______ AIR CONDITl'ONER . . . . . . . . . . . . . 10 . 0 SEEK 17 . 0 SEER . . . . . . . . . . . . . . . . . . . . . . 10 . 0 :X--------------------- HEATING SYSTEM. . . . . . . . . . . . . 6 . 8 IISPF 12 . 0 Electric HSPF . . . . . . . . . 7 . 0 X_.____---------__.__...._...__._-. WATER HEATER. . . . . . . . . . . . . . . 0 . €38 0 . 96 Electric EF . . . . . . . . . . . . . . 0 . 92 -------- - X_.. -- -- 0 . 54 0 , 90 Cas EF . . . . . . . . . . . . . . 0 . 00 0 . 40 0 . `30 EF . . . . . . . . . . . . . . Solar ----- - ----- ------ OTHER FEATURES . . . . . . . . . . . . . . I certify that these energy saving features required for the Florida Energy Code have been installed in this house . Builder Address: Si.gnat�i.re : lA �ti-- /� _-Date city/zi1j_�.J1�--e1lr-S' -l1_��eT - Florida Energy Code for Building Construction -- 1993 Florida Department of Community AffairsFL-EPL CARIl93 3 B SERIAL # 7116 * Resmanui(c) * 04-18-1996 WHOLE HOUSE HEAT CAIN / 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 1094 Address LOT 5 HIDDEN VALLEY City/State Owner Builder NORTH FLORIDA CLASSIC HVAC contr . McGOWAN' S A/C Cond Flr. Area: 1094 SF * GLASS/SF RATIO = 9% * Mouse. Faces : Fast * 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 Winger 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 . 50% Indoor Summer. Design G.r/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 * 1234 DAT * COOLING SUMMARY * SUBTOTAL 21220 . 04 : STRUCTURE SENSIBLE 9825 .46 MECH.VENT- 100 Cfm 2090 .00 SENS . + MECH .VENT 11915 .46 TEMP . SW:I:NG A 3 DEC . 1 . 00 ; OCCUPANT/APPLIANCE , 3000 .00 DUCT LOSS 1061 . 00 ; DUCT GAIN 1491 . 55 TOTAL I:,OSS/BTUH 22281 . 04 ;TOTAL SENSIBLE 16407 . 01 TOTAL LATENT 6629 . 56 ; SENSIBLE; + LATENT 23036 . 57 20% OVERSIZE FACTOR 4456 . 21 120% SENS .OVRSZE FTR: 3281 . 40 ACTUAL + 20% OVERSIZE: 14915 . 46 ; SENS . + 20% OVERSIZE: 19688 . 41 HTG FTR = 43 . 2 CLG FTR = 22 . 7 ; CLG DESIGN CFM 723 . 41 * EQUIPMENT' SELECTION * EQT MANUF CARRIER CU MOD # 38YCB024-3 AHU MOD # FA4ANF0300 HTG IIP/BTUH HTG OUTP/BTUH AFUE/HSPF 7 TYPE IIP SENSIBLE BTUH LATENT BTUH 23800 TTI., CLG BTUH 23800 TONAGE 2 (S)EER 10 CLG CFM 1000 HTG CFM 1000 • Florida Building Fnergy-Efficiency Rating Systeu).s for New Residential B(A.1dings (aters Name : GILBERT MTI,]*.ER Raters Certification #: 044 Street: Address : LOT 5 City: HIDDEN VALLEY County: No County Tnput Clinate Zone: NORTH End Use Fu�.j costs Site Energy- Energy- Score Site Costs Cost Score $ MBtu % $ % cooling: .23 . 73 3 . 9 87 92 85 heating: 23 . 73 8 . 5 81 201 85 Lighting: 23 . 73 2 . 5 42 59 36 Misc: 23 . 73 5 . 4 63 127 60 Refrig: 23 . 73 5 . 3 42 126 37 Hot Water : 23 - 73 12 . 4 40 294 14 ' Dryer : 2.3 . 73 2 . 6 65 61 27 Stove : 23 . 73 2 . 2 65 51 33 Pool : 23 . 73; 0 . 0 0 0 0 TOTALS 42 . 6 68 i-oll 55 Estimated Annual Site Energy Use = 42 . 62 MBtus Estimated Annual Purchased Energy Cost $ = 1011 . 41 Total Energy Rating (Energy, Score) = 68 . 12 Total Cost Rating (Cost Score) = 54 . 51 Rating Range Low Use Low Cost High Use Bigh Cost MBtu $ MBtu $ Cooling: 1 . 3 28 21 . 0 467 Heating: 1 . 8 39 37 . 6 502 Lighting: 0 . 7 17 3 . 7 83 Misc : 1 .2 28 12 . 4 277' Refrig . : 1 . 4 30 8 . 2 182 Hot Water : 1 . 1 11 20 . 0 339 Dryer: 2 . 1 20 3 . 4 76 Stove: 1 .8 17 2 . 9 69 Pool : 0 . 0- 0 0 . 0 0 TOTALS 11 .4 190 109 . 3 1996 7 '4NER/AGENTRATER ---------- DATE CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 9 21 7– A Date ;t- - 6- —1 Heated Sauare Footage @ $ per sq It Garage/Shed X $ , X-61t per sq -J;-'- = S G Carport/Porch @ S per sq ft = $ Deck d @ $ © per sq ft = $ Patio YID @ $ �� per sq ft = S 4(o U TOTAL VALUATION: $ d Z /S-. 0 $ Is-, o v ToLl- � Va tion 1st $ / 060 -S 1 U. 00 $ r? y .Oz) Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ a 0 + 1/2 Filing Fee $ �2 7 -S ( l ) Fireplaces @ $15 . 00 $ / J-® BUILDING PERMIT FEE $ 39-7, 5 U WATER IMPACT FEE $ = 70,06 "ry0 SEWER IMPACT FEE $ 00 WATER METER/TAP $ Je.l^.00 CAPITAL IMPROVEMENT $ ? 2 5.00 SEWER TAP $ 0 :7, (16q — (16q RADON (HRS) . 0050 S S 2J • z SECTION H PAVING HYDRAULIC SHARES S CROSS CONNECTION $ � S•� (/pQq SURCHARGE . 0050 S q 2— OTHER $ GRAND TOTAL DUE $3,/ 5 ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF RdPERTY DESCRIPTION Prl.oP S 'r' et= Cc '- t&aaee'e H00 SF:JIINOLE ROAD Lot +►__ __Block X_ _Section 9_ ': ,g .y� h TLANTIC BE ,CH, FLORIDA 32233-5445 --4rf' � „( TELEPHONE(904)247-5800 r 1 _ FAX(904)247-5805 Subdivision LUB! L w •- �� 1996 $treat flame-� -_ � Building and TMM OF WORK i or hddress: �______ ___ _______ � If in a FLOOD HAZARD Flood Zone:--------------area complete page 3. Brief Single Family Dwelling Description:_________________ Claes of Work: (Hew/Remodel/Addition) ZOIIING INFORMATION Type of Construction:- WogdFjLamed_-_M_____ =oning Proposed p -- �- � -- District: PUD ____Use: Single Family Residence Estimated value s Exceptions or hater ialo: SpruceL Pinei_FurZ_S_ Pine Variances Granted:------------------------ Solid or Filled -------------- ------- ------------------- -- Ground:_FjjjQd------RooS:_8hing (:a__ OWNER INFORMATION Method of Heating;__ElP_r_trlC-_-__--_ Property Ovnert--= Pulte Home Cor oration Phone, 733-7300 =----------- ------ -------------- -------------- ----- Moiling Address------ �11U..j.3PL_ w1's_sSute 14---------------- Jacksonville, Fl. _____________________ Zip: 32256 CONTRACTOR INFORMATION T Contractor: Pulte Home Cor orat"on Phone:_ 733-7300 Hailing ---------------P----.1------------------------ ----------- Addre€sI--- gOJ31 Ph;1-,-1'i�HWW. --------------------=----- ___ Ja�ksonv_ille�_Fl. ........-------------�------ Zip:_32256--------- CG-0057891 W Expiratio%-31-98 Licenee Humber:----------------------------------------- Datet-------------- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAMS AND ORDINANCES GOVERNING THISTYPEOF voRr. WILL eE � � COMPLIED VITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PREWME TO T GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL. STATE OR LOCAL RULS5. i.�. REGULATIONS, ORDINANCES, OR LAMS IN ANY MANNER, INCLUDING THE GOVERHINO OF CONSTRUCTION OR Tf�E PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION ZEIHO TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING �sl�J: •� DATA HAVE BE" OR SHALL BE PROVIDED AS REQUIRED. C_ -Date Ovner Signature _ -----------= Date_ Contrcctor Signature I i t fl Y1 LL r1I L Dl.fl I LL 14U - Z-" I JUUJ 1JpN ntai•ll.r1A)RII►��:: ,� �►,= — ,aj.tAvo:%r,Iwj1,:J,.fila. RF;Ot1IRE0 SU©fill_T/►[. `AX 4VO4i Mr-.4Nar E'.�ch o�,�,licativn for building permit must be accompanied by three complete pets of _ lAnr3 including a detailred _eater indicating lot,-ation of utilitiocj - _Plan, f yer—de-0- uutt,acks and other data an required hyaCode pand/or• the obuildiny, zoning or cpmmunity development departments of the City of Atlantic Beach= one Bet of Florida Enerpy Efficiency Code 9heetu ton new construction or addition a of 500 aq. or marv) j 0 recent serve of the land for new Construction and addition[;; and a tree aurvey Or—let—ter certifying no trace ere on property. APPLICATInu r-uv [ I 1 . Building Application Form 2- Three complete g3 t13 of plans including detailed Bite play, 3. Recent survey, inaluding trap survey or letter Certifying no trees are On property 4. Owner/Building Affidavit (required contractor ft when owner acts a S- Energy Sheets E- Notice ens' Commencement TIKE RGOPIRED FORPERMXTTIH�}. APPj,�[1TTamp ARE CONSIDERED IN THE QppER RECaYEK SCHEb Request& for inspection are taken from �QQ R, ?j, Innpectione are made the following workin days- ' Please until 4:3 m. a. m. or p. m. inspection. When calling Inaninepeation specify have 'thee per.+it nuPD<r, Sob location and t phrase- needed. Inspections are scheduled act gallows, YPp eat Inspection 1. Footing 2. Under Bleb plumbing/8ewer/electric 3. Slab 4. Cover up (framing, rough electrical, aeohanical, pluebing call for cover-up on building, use building permit numbsr and reference other applloable permit numbere (electrical, Plumbing. mechanical and bullding, eta. I S. Insulation 6. Final Inspection 7. Finish Floor elevatlan survey/Certificate of Occupancy AUjLDINO CARR } UST pE pOgTED OR�� INSPr`TrONYLL 6E M.nc Concrete cannot be poured and work cannot be covered up until building card 1e SIONED by the inspector. You maty be required to uncover any work that has not been inepeeted. It to the recponaibility of the SUILDER/CONTRACTOR to peat the building card. A tee of s15. 00 in �chordpd for all reinspectlonp. VOTE= This application may be subject to covenants and restrictions for the pormitterl pr•oportThe enforcement of thu c ovenanto and retitrietiana rare tile, rLnponrslbility of homeownera acroci ationz. 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. F BATHROOM! GROUP CONSISTING OF SERVICE _SINK TRAP STAND WATER CLOSET. LAVATORY & BATH (8) TUB OR SHOWER STALL (6) j ?-- 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) -3 LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) _KITCHEN SINK (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE 3 DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) 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) BLOWOUT (2) / LAVATORY, BARBER/BEAUTY 1 ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL. WASHOUT (4) TOTAL FIXTURE UNITS �- r�@ $20.00 EACH $ r F' JOB INFORMATION_��J DEC 04 196 22:56 CLARSON 037 P02 PLOT gLAN FOR LOT 76 (C) BEING DE CRI ED AS: LOT 4 , EXCEPT THE EASTERLY 41 . 5 FEET THEREOF, TOGETHE8YITH LOT 5 , EXCEPT THE WESTERLY 17 .0 FEET THEREOF, ALL IN BLOCK 76 , AS SHOWN ON PLAT OF SECTION "H" , ATLANTIC BEACH , AS RECORDED IN PLAT BOOK 18 , PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA . DATE = NOVEM©ER (o, 1994p VEWAY PA7'10 SC�gZE � f"s f�. I2-5 - 910 = Rev$5O_ DpERI-5T 5 TH ..?�� 41. a 870 kn V , V. kb o "s 7 � v cl 14 17.33' l �- ,j Z '7, (3 QJ PROTe TE1)"TRP-F�5 LoT Cv" OAKS Joe •� (� 1 I --• MWOR LaT PLOT PLAN FOR LOT 16 (C) BEINO MCR MED AS: LOT 4, EXCEPT THE EASTERLY 41 . 5 FEET THEREOF, TOGETHER ITH LOT 5 , EXCEPT THE WESTERLY 17 . 0 FEET THEREOF, ALL IN BLOCK 76 , AS SHOWN ON PLAT OF SECTION "H" , ATLANTIC BEACH, AS RECORDED IN PLAT BOOK 16 , PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY , FLORIDA. ' DAT'B = NOVEMBER !o, I Me RI�EyUAY 'PAT10 SCALE : ��$ /�, 12-5 -�s Co = REV�ISQFLy� T 5T" 51'ReC- T W 41. 46 ? � qj � o � v 7 Zp'B,.P.L.� � [Ar, � � 17,33' 0 N •�� " PRQTe47 eD"TReer- tz L oT '� o �� TO Sc- Remo%/EQ pA K5 -- 0 �N\ sr s NG MINOR LaT A R A D I Iii G t!6 SHAFFER SONS �n LOT = JOB # 5 - 244 . 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