78-80 W 6th St (vault) JOB ADDPP.SS TN �'4r e e r w TYPE WORK
Lynn Alligood
PR®PFRTYOWNER ers yT=HOAE 241-0474
Warren Brew - Cell 571-5937
COgCTOjd Brew Construction, Inc. J'Fp-EP�Tc'NE 241-7182 —!-{crm
PF,RA9g'N-UAOER i 1/7- V A' DATE
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NOTES:o��
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CITY OF
4&4^4-c Se4c.4-0;&u'afa
Office of Building Official
jO/ Permit NoREQUEST FOR INSPECTION
Date ./ ' /
.
Time F
Received
75-'
Job Address Locality
Owner's //y,' y,/ �'J/ !.e W
Name /"/ i / / Contractor g _
CZ2
UILDING CONCRETEECTRICA PLUMBIN CHANIC
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
F,flR READY FOR INSPECTION �/,pp�/�
Mon. es. Wed. Thurs. Friday P.M.
Inspection Made V
Inspector Final Inspection t0"
Cert ifica�10 u cy D�
Date ZZ
/CITY OF
/s
f'Y wocA-0;
Office of Building Official
REQUEST FOR INSPECTION Q r^�/(�/ 1
Date V Permit No. 6
Time z I A.M.
Received
" w Locality
Jobn Address
Owner's Contr r
Name 1111 -f-?ff
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating
Final B� Sewer ❑ Fire Place ❑
Insulation ❑ Lintel ❑ Pre Fab
READY FOR INSPECTION A.M.
We Thurs. Friday P.M.
Mon. ues. � _ -
A .
Inspection Made
Final Inspection ❑
Inspector Certificate of Occupancy
Date 3"30-o t
11�� //CITY OF
AA
f'Y&4#d4C /3�-4
Office of Building Official
REQUEST FOR INSPECTION
Date `' —�/— Permit No. 192 / F
Time A
Received
a N/
Job Address /� y� R/Locality
Owne
Namer s M ! // / Contractor t// e�✓
NG CONCRETE ECTRICAL PLUMBI EC�& E]
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air C
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
Mon. Tue Wed. Thurs. Friday
Q
Inspection Made P.M.
Inspector Final Inspection e
Certificate of Occupancy ❑
Date S '2 Z —O/
CITY OF ATLANTIC BEACH
CERTIFICATE OF OCCUPANCY
requirements of Section 106 of the Standard Building Code certifying that at the time of issuance this structure was in
This Certificate issued pursuant to the require For the following:
compliance with the various ordinances of the City regulating building construction or use.
Address: 80 SIXTH STREET WEST Owner: MAYP6 5 MAORT AFFORDABLE YPORT ROAD SUITE 3-A ERS, LT[
ATLANTIC BEACH, FL 32233 ATLANTIC BEACH, FL 32233
Construction Type: WOOD FRAME
Use Classification: SINGLE FMLY(ATT)
Permit Number: 19248
Date: 5/29/2001
--LiDON C. FO D, C. .
Post in a conspicuous space
/CITY OF ,,
fQ SI /2.,C.4-A;&U,/a
Office of Building Official
REQUEST FOR INSPECTION
j!] Permit No.
Date /,
J S-j�- A.M.
Time `Z PM.
Received )
ddress ,,Loca,,,,y
Owner' Contract r
Name PLUMBING MECHANICAL
BUILDING CONCRETE ELECTRICAL
Rou h Ll Air Cond. & ❑'
❑ Rough Wiring ❑ g Heating
Framing ❑ Footing ❑ Temp Pole E] TOP Out ❑ g
Re Roofing 11 Slab Fina ❑ Sewer El Fire Place
Insulation ED Lintel Pre Fab
READY FOR INSPECTION A.M.
Wed. Thurs.
Friday P.M.
Mon. Tu
A.M.
P.M.
Inspection Made Final Inspection 11
InspectorfiL
Certificate of Occupancy ❑
Date
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE (904) 247-5800
FAX (904)247-5805
. cam SUNCObf 852-5800
DATE L
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
X0 9 g 79 W.
; 0950 g�
z0 9,5I g�
� 0 9 sc�
Please call me at 904-247-5826 if you have any questions.
Sincerely,
ATLANTIC EACH BUILDING DEPARTMENT
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
-` TELEPHONE(904) 247-5800
` FAX (904) 247-5805
SUNCOM 852-5800
DATE 7 —,2 —� 1
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
0 9 �g 79 W.
� e � � 9 So
z0 9
�0 9 5cz
Please call me at 904-247-5826 if you have any questions.
Sincerely,
ATLANTICEACH BUILDING DEPARTMENT
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: 78 SIXTH STREET WEST Owner: MAYPORT AFFORDABLE PARTNERS, LTD
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: 19247
Date: 5/29/2001
DON C. FO D, C. .
lPost in a conspicuous space
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OFATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORKSHEET
Date Requested: j• Z��` 01
Building Contractor: jZ CSS UC�tt� . Vint,
Building Permit Number: 10�a) ,--2 - Lt%
Address: - �•-$O UO-h {- �-
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
Lowest Floor Elevation: . l
required as built
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE
COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire lj
Public Works aLi U d
Planning
S ani �A f-
Building
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
78 West 6th St.
CITY STATE ZIP CODE Company NAIC Number
Atiantic 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. ffthe 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 infomration 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: ft.(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 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 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
78 West 6th St.
CITY STATE ZIP CODE
Atlantic Beach FL 32233
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Part of Orchid TraceTract A Duval County,Florida(RE No.171030 1005)(Orchid Trace Apts.)
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Commends section if necessary.)
Residential Duplex
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
or ##.## ##°) ®NAD 1927 ❑ NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER Elk.COUNTY NAME B3.STATE
120075 1 Duval I Florida
B4.MAP AND PANEL B5.SUFFIX I 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)
OD01 D 4/17/89 4/17/89 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):
611_ 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,AWA,ARAE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3a-i below according to the building diagram specked 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. 40 ft.(m) o
❑ b)Top of next higher floor n/a ._fL(m) o o
❑ c) Bottom of lowest horizontal structural member(V zones only) n/a ._ft.(m) a o
❑ d)Attached garage (top of slab) n/a. W a
❑ e) Lowest elevation of machinery and/or equipment o
servicing the building n/a ._ft.(m) E;
❑ f) Lowest adjacent grade(LAG) 11 . 40ft.(m) z P
aN
❑ g) Highest adjacent grade(HAG) 11.60fL(m} •
0
❑ h)No. of permanent openings(flood vents)within 1 fL 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.
l 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 orimprisonment 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
41 7F2= (904)724455M
FEMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
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 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
80 West 6th 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 ff necessary.)
Residential Duplex -
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
##.#fr or ##.# ') ®NAD 1,927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD IM6URANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER BZ COUNTY NAME B3.STATE
120075 Duval Florida
B4.MAP AND PANEL I B5.SUFFIX B6.FIRM INDEX B7_FIRM PANEL B8.FLOOD 1 59.BASE FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding)
0001 D 4/17/89 4/17/89 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):
B11. 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,ARIA,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) 12.40 ft-(M) g
❑ b)Top of next higher floor n/a. fL(m) o
_ 0
L) c)Bottom of lowest horizontal structural member(V zones only) n/a._ft.(m) $
❑ d)Attached garage (top of slab) n/a. YL(m) WE p
❑ e)Lowest elevation of machinery and/or equipment o
servicing the building n/a._ft.(m) E s
Ll f) 11 adjacent grade(LAG) 11 . 40ft.(m) a N
❑ g)Highest adjacent grade(HAG) 11.60fL(m)
❑ h)No. of permanent openings(flood vents)within 1 fL above adjacent grade Na
❑ 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.
l 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.
CITY STATE ZIP CODE
ADDRESS
SIGNATURE DATE TELEPHONE
FEMA Form 81-31,AUG 99 S=15 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
80 West 6th 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 agenticompany,and (3)building owner.
COMMENTS None
❑ Check here if attachments
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: _ft(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 Forth 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS
FLOODPLAIN DEVELOPMENT INFORMATION
Location..
Lot _ Block#
Type of Development: Residential
Flood Zone: x
Required Lowest Floor Elevation: Z' 4(
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.
Dated/ Applicant's Signatur, k ,
Dep ment Use:
Required Lowest Floor Elevation 2 `�
As Built Lowest Floor Elevation
Survey Filed with Building Department
Building Department Representative
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i
CITY OF
��i°curt�c �eacC - ��vr.�da
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
- TELEPHONE(904)247-5800
FAX ( 247-5805
..�� SUNCOMOM 852-5800
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Rough Electrical Inspections
Dear Connie:
Rough Inspections on the following locations have been completed and
approved:
PERMIT NO. ADDRESS
-- 4 7,q x6)
X0952 - "Y6 —k�
Please call me at 904-247-5826 if you have any questions.
Sjn6
ATLANTIC BEACH BUILDING DEPARTMENT
— — CITY OF ATLANTIC BEACH
�
IE�I-I;N f-%L PEIRMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
-- — - --T -- — LOCATION INFORMATION
_ PERMIT INFORMATION _
_ _
Permit Number: 21065 Address: 78 SIXTH STREET WEST
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 74 Section:
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number:
Improv. Cost:
OWNER INFORMATION
_
Date Issued: 11/29i2000 Name: MAYPORT AFFORDABLE PARTNERS, LTD
Total Fees: 25.00 Address: 645 MAYPORT ROAD SUITE 3-A
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 11/29/2000 Phone: (904)241-0474
CONTRACTOR S --- "Work Desc: GAS PIPING
— — --- APPL[CATION FEES
(_ 1
PERMIT _" -- — = — 25.00 "
FIRST QUALITY GAS INC.
— — v-— —
. ;1nspec
tions_Regired� --
ROUGH MECHANICAL FINAL
NOTICE- INSPECTIONS_MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS
IBY EOIMTTHIS HER CONTRACTOR MUST
O OWNER
PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY
"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.
$25.80 14
Date: 11/38/08 61 Receipt: 8615279
CKC(g 1517
BRIOM3221M
ATLANTIC BEACH LDING DEPT.
nn CITY OF l
Office of Building Official
REQUEST FOR INSPECTION
-O ) Permit No. d
Date v v
A.M.
Time M. 6—,U4Received O
Lo Y
Address
Owner d a Contractor
Name PLUMBING MECHANICAL
CONCRE ELECTRICAL
BUILDING g ❑ Rough ❑ Air Cond. & ❑
❑ Footing Rough Wiring ❑ Top Out ❑ Heating
Framing Temp Pole ❑ Fire Place ❑
Re Roofing ❑ Slab 3�❑ Final ❑ Sewer
Insulation
❑ Lintel Pre Fab
READY FOR INSPECTION A.M.
Tues. Wed.
�T�hul-
Mon.
Friday
A.M.
_ �L' P.M.
Inspection Mad Final Inspection ❑
Inspector ��-A Certificate of Occupancy ❑
Date
nns� CITY OF
G�
1Yl�L,,&, B,;C'I-
Office of Building Official
REQUEST FOR INSPECTION /� 2
Permit No.
Date A.M.
Time P.M.
Received
77 7d S LO y
.
- 4Localit
Job Address 1
Owner's Contractor
Name o�� PLUMBING MECHANICAL
CONCRETE ELECTRICAL ❑ Air Cond. & ❑
BUILDING Rough Wiring ❑ Rough ❑ Heating
13 F, Temp Pole El Top Out C] Fire Place ❑
Framing ❑ Slab F, ❑ Sewer
Re Roofing ❑ Final Pre Fab
❑
Insulation Lintel A.M.
READY FOR INSPECTION Tues. Friday P.M._Q
Wed. Thurs.
Mon. A.M.
P.M.
Inspection M e Final Inspection ❑
Certificate of Occupancy ❑
Inspector
Date
CITY OF
'tial 7-0 &
Office of Building Offf �O g
PU-- ��'�REQUEST FOR INSPE *I 1 Ljw o
Z 12 "
Date A.M.
P.M.
Time
Received /� Loc fY
i 0
Job Address
Contractor
Owner's Air Con .
Name yCONCRETE �' ougt 0 Heating
BTop Out Fire Place
_.� Footing Temp pole Sewer pre Fab
F Slab Final
p Doti tel
READY FOR INSPECTION P.M.
Friday
Thurs.
ues. ^ A:M:.
Mon.
Final Inspection❑
Inspection M d Certificate of Occup
ancy ❑
Inspector ,Q Date
L— J:�J—
rr
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
__-PE_RMIT INFORMATION- LOCATION INFORMATION
Permit Number: 21066 - Address: 80 SIXTH STREET WEST
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 74 Section:
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number:
Improv. Cost:
NER
Date Issued: 11/29/2000 Name: M` PORT AOFRFORDIAOBLE PARTNERS
D
Total Fees: 25.00 Address: 645 MAYPORT ROAD SUITE 3-A
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 11/29/2000 Phone: (904)241-0474
Work Desc: GAS PIPING
� - CONTRACTOR(S) s --- -= APPLICATION FEES
FIRST QUALITY GAS INC. PERMIT 25.00
I
I
I
I _
spection-s Re uired
ROUGH MECHANICAL FINAL j
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.
$25.0014
Date: 11/38/88 81 Receipt: 8815279
CHEC. 0KS 1517
0@10@063221000
A TIC BEACH UILDING DEPT.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
An.wrfc eew6.1.►Lpa10A arise
APPLICATION FOR MECHANICAL PERMIT �ALL•iw�t,M.�� -
IMPORTANT—,applicant to complete all items in sections I, I1 ill, and IV.
FlIDDENTINCATION
N slreof AJJmiTor-
A.d—To be completed by all applicants
In .../iJ.raiao of p.—If liven .a de:.q eM. �.rl•u doeribd i. .6—. •bU./.-W w.6.r.br•qr•• 1.yw(orrw rid-wk Ir.ce.rW.nc•
-Jo tbrl
?)so 0..6 .ed goti(Ie.eiom wi,:eA • • P." Awwl ..4 1. ...o,d—e —IN tA. Cifv of Juiq.viA. wrdwuee•..d /b.rNrd/
of q ad.pr.cNc. 16104 Ihoemi..
New.d M.cb.ekd i
Gnb..Hn
J,.� Lr Me•Mr i Z L
tl.el.d
51"o.ft d 0.40, fign.f.r. •(
w A.tbwle.d Atowl Ar.6ifed.r Engin..r t
1(H. 64NUAL INFORMATION
A' Tyr of 1r.Nlq h 0h 8.
le aTM[R coMerwu CTlOii etia6 troMt OM
a. TMte eYIC.011tG 011 el Tt1
13. V (IN.t.Aa 0 confni vwtr
IF Yts.69Y4 MYM/:11 or c"STRu('T1on
C7 Oslrr— fMn*
Iv. MgCs;WICAL epui►b(sfft TO gg INSTALLED NATURK OF WORX
Z l.edA eeerplelw ne d foow1/weeeh en bed d Ibh f--j r./Rasidentlal or 0 CoMMUClei
[] pert ❑ Sperm 0 a.eawrd Q Cwehu{ D now D iw.wilding
n Ab Ce1d11lMiagl n tees ❑ C-6%1 O "sting suading
(7 Drat fyetelal
W. W Repiaoenent of.meting syelem
M..flwele u}.stly s.f.11► j✓Kn►Inwiansua t(No eyeton plevlouNy inslaitiW,
t�tiCrteNell v Extension of.ddon to"wing"sten
r othw—eeeofty
CJ � w..1: C.pedly e.►.1.
t3 pw r,rAeYewl Nwebw of -
13 w..i« IM MwAft O s.ewbMa (wewb.rt ryas sACE Oct 0"KA M oMLT
(3.Gown" (aeelbrr! {E...f..dl
Q I% Itlwebe►p
p utlfred pm wrm ww
d let.. ferlsa Arrw..d br Owe
p Cqb.—IpdM— low A!see.
UNIT ALL XQUIPME;NT
Aim OON=OMPG AND REIrMUAItON CQUIPMEM r
Ilusellar Vaft Dwwlspulam Ke"1fv�lbw
r Llatasomw ('l y AA11:=
RiATM. FURNACI3 WtIXRA, MUTLACIS
Ih�1i►wVlldfe Ls�erftptw 3coodi caber (1itSt1-
a
oe
sAwxs Ay
�iy�. --
"`'raw`sDi1e.�esrp o baww xita .e 1�.
BMW
Army
i
BUILDING AND ZONING NSPEC?ION DIVISION
CITY OF ATLANTIC BELCH
ATIkkInc;such,ALORlDA sagas
APPLICATION FOR MECHANICAL PERMIT CAL -oti NUMBER
IMPORTANT--Applicant to complete all items in sections 1, il, Ill, and IV. +
T
LOCATION f1r4+1 Mlnat S / ,
lat+r44at1a� fkr•I+t f.At••.OF
A.1
Ih iOENTIF.CA,TION —To be completed by all applicants
I !s een+11•n}few of p•r;nfT 9"A (w d•f..q to.. seri r/ 4-vib.4 le 16•abe- �w.M t r+bnby.t•• In pw(w.+.1d wwi
11 .iM M. •fheiyd pl.nr ud y.ei0utioA+ .Aien •.• • p+n M•+•el •.d i. •ceo.d..e+ .ilh to.C;ty of J+a[w.•�Y+ wd:w..e•r pd .10440,4+
al lead,pr+eNca 14444 Ih4raw.
G4Ir44Nr(f4141J
M4+Nr
N.as 4f
s4a4/.w.1 q.0,.
w A4tlw iced As•.t ArehiMa} •r Styl.••r
iu. emutAL wpowATION
A, Typo of Issou"I hell 8,
18 OT14"CONSTRUCTION •t(INO DO/IL ON
Tllta IU1L0080 ON slTs 14�ft_
13 Gas_Q iJ W'N.tYost C GAIN Mir
Q Os
IF Yes.give NLMssll OIlIW
W"ATC ION
PKAM1T —! (41 7 t/ V
L OMw—sp..Ify T-T�7`
IV. MIICK�NXAL gVAM*a TO ss INST04AAD NAMAK OF WORA
fit'- We a PI Na 110.1 aw"Iwlaats.+t back 4d-ihh feral Zl''Assidentlai of 0 Commtirolat
(]- !fast Q Spada Q ssasasd O C—ow O row � ---N*w ewAding
Ll Air Crw0,01"ilo: Q Laa.t ❑ Cae" Q Existing swidin0
(� poor syetwt+: M4wri4t — Ttv741,a."-- Q Aeglaowne"of extatlnp system
Maaltawo uyocily -.�.��.,i3O, Naw tnatattation(No ayllsm prwm"ly instail"i
a C Eat.nslort or add-on to"WIN syatam
Q Other—epaaty
[2 CasAq ti.wr Catwtlp tl�
Plot, eprtYU.n+ N0,.►w ad t•—••
I.3 a..Its, Q MwIAN C7 ia44b+-- Iaw1Yw} TNts IACs Pm omsce vu*NiLT
Q Gesell" Ianraiarl (s..ett+dl j
ta'v Iii arl swore !I
O Lee saals"wolataaberl
u 1 pwwsr4•awe
Q tiara r4m++a Appwwd by Date
--
0 011lw—sw.itr
1+ds►T A" AQUiPAtZUT
Aso CON=OAUM uM ■.IFRWAMATION ZQv: XWa
1hA"W Uaka D..orsyclow Ke"lrowiwlr liaautaslusNr ('lwll)T =bg
I MATO40 -FtTM4.Ts+ s011iful, F[ll nAM
]ftiMp Osdte D-arhAt— me"I NUM bow sGrWaeOrratr (7tS'V C=!
TANKS
ire1y�
we" nr.aw b dleut xir�t o,rA `
CITY OF ATLANTIC BEACH, FLORIDA
App-nvAPPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE. 1,a`7r 'i f7f�L�
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. .,
ELECTRICAL FIRM: MASTER ELECTRICIAN
gSIG A RE J JOURNEYMAN
NAME Y .l7f�f � �E>RES ! �I Lf� GS/' RFD BOX
BLDG.SIZE �`��� BETWEEN:
RES. (<,") APT.( 1 comm. ( ) PUBLIC ( ) INDUS. ( ) NEW( ) OLD( 1 HEW.( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( ) INCREASE( ) REPAIR ( ) FEE
CONDUCTOR SIZE a AMPS ISO COPPER ( ALUM. ( �'
SWITCH OR BREAKER /J AMPS / PH WL2q,,VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN I TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
O.]O AMPS. J1.f00 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OV EA
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT
Q1 AVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. I KVA I.I I NO. KVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH i FLASHER
EACH SIGN
FORWARDED
S
® TOTAL FEES
CITY OF ATLANTIC BEACH, FLORIDA
Approv.d by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:,
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.
?tiC�TRICAL FIRM: MASTER LECTRICIAN SIGNATURE JOURNEYMAN
MAN
NAME 4 � /)WDRESS: 7 RFD BOX
BLDG.S12 h BETWEEN:
RES.(A APT.( ) comm.( ) PUBLIC ( ) INDUS.( ) NEW( ) OLD( ) REW. ( )
ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS ( ) SCL FT.
SERVICE: NEW( 1 INCREASE( ) REPAIR ( 1 FEE
CONDUCTOR SIZE r AMPS IS-0 COPPER ( I ALUM. (X-)
SWITCH OR BREAKER f J Ly AMPS PH W 0VOLT I RACEWAY
EXIST.SERV.SIZE AMPS PHT W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. ]1•100 AMPS.
SWITCH ES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OV EA
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA I.I NO. KVA
NO.NEON TRANSF. NO. I MA. I I MOTOR SIZE SWITCH FLASHE
EACH SIGN
FORWARDED
S
TOTAL FEES
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
-- - -
_ __PERMIT INFORMATION �O LOCATION INFORMATION
Permit Number: 20862 Address: 78 SIXTH STREET WEST
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 74 Section:
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION;
Date Issued: 10/26/2000 Name: MAYPORT AFFORDABLE PARTNERS, LT
Total Fees: 43.00 Address: 645 MAYPORT ROAD SUITE 3-A
Amount Paid: 43.00 ATLANTIC BEACH, FL 32233
Date Paid: 10/26/2000 Phone: (904)241-0474
Work Desc: INSTALL HVAC
CONTRACTOR(S)_ _ _ APPLI-CATION FEES
ARLINGTON AIR CONDITIONING PERMIT 43.00
- -
Inspections Required
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
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.
443.88 14
Date: 18/27/88 81 Receipt: 0806877
CHECKS
88188883221888
ATLANTIC BtACHPUILDING DEPT.
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: 20863 Address: 80 SIXTH STREET WEST
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 74 Section:
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number:
Improv. Cost: _ OWNER
INFORMATION
Date Issued: 10/26/2000 Name: MAYPORT AFFORDABLE PARTNERS LT
Total Fees: 43.00 Address: 645 MAYPORT ROAD SUITE 3-A
Amount Paid: 43.00 ATLANTIC BEACH, FL 32233
Date Paid: 10/26/2000 Phone: (904)241-0474
Work Desc: INSTALL HVAC _
CONTRACTORS) ,_ - APPLICATION FEES
- _ PERMIT 43.00
SII
Or
- p q
_ w
Inspections Re wired
ROUGH MECHANICAL "y� `" 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.
$43.88 14
Date: 18/27/88 81 Receipt: 88858842&
CHECKS
88188883221888
ATLANTIC BEACH UILDI G DEPT.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA JaESJ
APPLICATION FOR MECHANICAL PERMIT -CALL-,N NUMBER
IMPORTANT—Applicant to complete all items in sections I, II, III, and IV.
LOCATION slr..f Address:
OF Infowcting streets: B.fvaen And
eulwlN�
se6-dt.rrran
II. IDENTIFICATION —To be completed by all applicants,
In co"dnafion of permit given for doing the r.ork as dercrlb•d in the above rte foment.•hereby ag ns to per( rm id-011,In eccardanc•
'lh Me att.c4J ple s and rp-ific.ti— Mhlch •n a part h_ol end in .c...... rllh the City of Jack—.ill. ordinances and standard.
of goodpractice listed therein.
N.me .f M.chanled Conine}on
Ce.Ma}er (►riot( 0^ L Med•r
Nem..f
Property O—r
Sig.aten of C..er A Signafun of -
or Authorised Ag:., (�(/ �� Arahifecf er Englne.r
III. GENERAL INFORMATION
A. Type of Mating fuel: E3.
IS OTHER CONSTRUCTION BEING CONK ON
❑. BecMc THIS BUILDING OR SITE1 (/G S
Q-Sas—❑ LI ❑ Natural ❑ Central Utility
IF YES. GIVE NUMBER OF CONSTRUCTION
[3 Oil PERMIT �
❑ Other—Specify
IV. WIIICH1 NIC–AL OQUI►LIMIT TO AN INSTALIFO NATURE OF WORK
(hovrde complete listof ce.eponenh on bad of this tone( 0 Residential or ❑ Commercial
Er"Heat ❑ Space ❑ Recessed B'!Contnl ❑ Roo. t7 Naw Building
ty Air Conddiening: ❑ Room Er-Ceettel dating Building
Q�DeH Systes.: matt..II/ ` AAThichne.s ❑ Replacement of existing system
M.xlmete eapdty I�� V� e.1.rw. -'New Installation(No system previously Installed)
❑ lefrlgereHon ❑ Extension or add-on to existing system
❑ Cooling Itrr: Capacity ❑ Other-Specify
❑ Rn spri.ile s: Nrrmb.r of h.ads
❑ Elev.ler ❑ Manlift ❑ Eeuleter (number) '
THIS YPACI)roll O"IC&US&ONLY
❑.Gasoline pumpg (.umbel) (Ross-k-d)
[] Tanks (number) l.meAs
❑ LIG cenMlners (number)
❑ Unfired preuun vessel
❑ Sellers Panni( Approved by Dais
❑ Other—'Specify P r it Fee .
LISP ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT -
Number Units Description Yodel Number Manufacturer Oboe). A
HEATING • FURNACES, BOILERS, FIREPLACES On Appto
rring
Number Units Description Wapellllmkper Manufa wbaresr (�TtT) AS—W
TANKS
now Many Nautical Capacity 'type LlQutd Nams Of Serw Approving
mad Dimensions Contained Xanufactuis No. Ag—y
BUILDING AND ZONING fNSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC 9EACH, FLORIDA Jax,s CALL-IN NUMBER
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT— /Applicant to complete all items in sections I, II, III, and IV.
LOCATION Street Add,.
And
OF Inlercecfing slree': 6.Meen
BUILDING $u6-thrid
II. IDENTIFICATION —To be completed by all applicants a p.rrerm ..id.er►In «erd.n<.
ork a+ dncri6ed In the .hoe. +re temenl..e nor by sgr.e
for doin the rr K.—i end <c orde.ce .rich th.--by
of Je<k+onrlll. wdinen<n end +Ienderdr
In <on+id.nlion of permit given 9 '"' n
rilh the etf.c Kpd glen+ nd +pecili<e tion+ whkh ere a pa
of good.pr.cdce IiJed Iharein. Cenfn clan f1—�
N.m.of Mechenlaol Mubr //
Cee heeler (►,Intl
Nein.of ` V ✓ .
Property O...r C Signefur. of
Slvaat.resf O..er Architect or Englneu
or A.therind Ag.nl
III. GENERAL INFOR ON
S.
A• Type of heating fool: IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE 7
Q Hectic
V Q N.hnl C] Control Utility �I
(] 6u—❑, IF YES, GIVE NUt)1 R�.RSTRUGTION�f�•r
PERMIT (� r
❑ Oil
❑ Other—Speclly
BeINIIALLSG NATURE OF WORK
IV. MECHANICAL ®/Raeldentlel OQUIPIAW(T TO or Commercial
1Provitle complete list of components OR back of this forml
❑
Q' most ❑ Space [3 il.c„wd
❑ Centr.l D Roar Q Naw Building
Q Existing Building
❑ Air Co.drlloning: ❑ Room 0' C"" Q Replacement of existing system
Q Dad System: MahrieL�2 ` 2 ❑ -New Installation(No sYetem previously Installed)
M.dmsm capocn? �(� ❑ Extension or add-on to existing system
. Q R.frigentien
❑ Other—913eclly
9-pin-
C3 Cooling toots- Capacity .
Q pre eprinNenr Number of hood US{ONLY
Eaul.ler ---lnrnlber) THIS WACII 0011,OR4C&
❑ 61-to' Q M"ll(t C3 (t<eeof.ed)
Q.Gaeelloo pve1pa.__�nrmber)
{emerrs
❑ T..ka,__ --(n.mberl
Q ilii numbed
. ❑ Unfired preuen"'Wis.rmit Approval bye Date-----
❑ {amts hrmil' -
Q Other--'Specify
uffT ALL EQUIPMENT
REPRIGEAATION EQUIPMENT �p{dty
A1ll CONDITIONING AND )
Vd I)eearlV�m Model Number AWWWWMN
][amutaafa�er
Number
BOILERS. FIREPLACES
I)�ATIIiG FURNACES, Maauleehtrer ($'SLJ)
Deecrlpttem MapelNumller C,
Number Valla b
vin
TANKS ApQro
SAN �
Name of No.
/►�en��
now Many N� O—c1I nod Yaaataatta+r
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_INFOR_MATION _ -T A".
Permit Number: 20457 Address: 78 SIXTH STREET WEST
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: TEMPORARY POLE Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 74 Section:
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number: _
Improv. Cost: €)WNER CI4Ft'If�IFA'11+t
Date Issued: 8/07/2000 Name: MAYPORT AFFORDABLE PARTNERS, LT
Total Fees: 25.00 Address: 645 MAYPORT ROAD SUITE 3-A
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 8/07/2000 Phone (904)241-0474
Work Desc: CS#2 100AMPS'1 PH 3W 240V 1-1/4 RW ALUM� TEMPORARY POLE - TEL#641 0868
57
VILANO ELECTRIC, INC. PERMIT 25.00
_77actions Re uired. 3:
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
"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. _ -- —
$25.0014
Date: 8'08/00 01 Receipt: 0078774
CHECKS 2114
"TI
00100003221000
H UILDING DEPT.
I
CITY OF ATLANTIC BEACH, FLORIDA
Approval by APPLICATION FOR ELECTRICAL. PERMIT D
�3 I�y1
1 C
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—S_ /
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.
�Aav'c EI""-CAv"C- LLMC.
ELECTRICAL FIRM: MASTER ELECTRICIAN
rSIGNATURE
^ �,,, JOURNEYMAN
NAME_ \ ADDRESS: , V"` �1 '- "`' -
i.C`� : - _ RFD BOX
BLDG.SIZE BETWEEN:
RES. ( 1 APT. C4 COMM. 1 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD ( 1 REW. ( 1
ADDITION ( 1 TRAILER ( 1 TEMP. V4 SIGNS ( 1 SO. FT.
SERVICE: NEW !/) INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE ?1 .: AMPS COPPER ( 1 ALUM. (l t,
SWITCH OR BREAKER AMPS PH W 2—WVOLT '?4 RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE I I NO. SIZE
LIGHTING OUTLETS CONCEALEDj JOPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
O.90 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 CE-IL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
CITY OF
r�d4aae Vega - 57&- da
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX (904)247-5805
- Lv. SUNCOM 852-5800
DATE g-1y cc,)
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
Pfease call me at 904-247-5826 if you have any questions.
Sincerely, q
6::��
ATLANTIC BEACH BUILDING DEPARTMENT
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: 20519 Address: 78 SIXTH STREET WEST
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Township: Range: Book:
Class of Work: NEW Lot(s):3 Block: 74 Section:
Proposed Use: SINGLE FMLY(ATT) Subdivision: SECTION H
Square Feet: Parcell Number:
Est.Value: _ --- ---------------
Improv. Cost: _ OWNER INFORMATION_
Name: MAYPORT AFFORDABLE PAR
Date Issued: 8/23/2000 TNERS, L
Address: 645 MAYPORT ROAD SUITE 3-A
Total Fees: 67.50
Amount Paid: 67.50 ATLANTIC BEACH, FL 32233 —
_ Date Paid: 8/23/2000 Phone: (904 241-0474
_Work-Desc: INSTALL PLUMBING —r------ APPL1CATION FEES
CONTRACTO R(S)� PERMIT 67.50
CHRISTY FIRST COAST PLUMBING
--- _.
— ------—-— __
___jn_jjjjjctions RequiredTO OUT
UNDER SLAB PLUMBING SEWER/WATER
FINAL l
i
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM WAY BIS OE THER CONTRACTOR OR OWNER
RK MUST NOT BE PLACED IN C
SPACE, AND MUST BE CLEARED U_HAULED _
F
AILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ACCORDING TO TO APPROVED PLANS WHICH ARE PART OF 7HIS PERMIT AND SUBJECT TO REVOCATION
ISSUED ACC -LAW. — -
FOR VIOLATION OF APPLICABLE PROVISIONS OF _
$67.5014
_ Date: 8/24/00 01 Receipt: 008.1 04
_ _ � CHECKS D60
45
ATLA TIC BEACH UILDING DEPT.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
i LOCATION INFORMATION
- PERMIT INFORMATIONL-Ad—d 80 SIXTH STREET WEST
Permit Number: 20520 ATLANTIC BEACH, FL 32233
Permit Type: PLUMBING : Range: Book:
Class of Work: NEW Block: 74 Section:
Proposed Use: SINGLE FMLY(ATT) on: SECTION H
Square Feet: mber:Est.Value: -- --- ----
Improv. Cost: OWNER INFORMATION
Date Issued• 8/23/2000 MAYPORT AFFORDABLE PARTNERS, LT
Total Fees: 67.50 Address: 645
L.ANTIC BEACHAYPORT , 3223SUIT3 3-A
Amount Paid: 67.50
Phone: (904)241-0474 _--
Date Paid: 8/23/2000
Work Desc: INS_----PLUMBING — — -
- APPLICATION FEES-
CONTRACTOX)___ PERMIT - 67.50
CHRISTY FIRST COAST PLUMBING
---- - ----_- -- ---------- Inspections Required — TOPOUT
UNDER SLAB PLUMBING 1 SEWER/WATER
FINAL
I
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM WAY BY EER CONTRACTOR OR OWNER PUBLICWORK MUST NOT BE PLACED IN _
SPACE, A_ND MUST B_E CLEARED UP AND HAULED A — _-_- _COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
FAILURE TO CO _
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS - PERMIT AND su6.1ECT To REVOCATION
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PE - -
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$67.
5014
14
Date: 8/24/88 81 Receipt: @6831584
CHECKS 6845
_ CGS
AT NTIC BEACH UILDING DEPT.
/�TQV /%7w
yr �s:CLEItY`l`1C: B�ACS
ApPLIMJ Trf]1T
JOB LOCATION:
I1LrfLTTiD nr TTI\T\T1TT..
M. 1 III
,,....L.il. WL riNvrr�z1-Z : /�/.gy/h -TfiVjWaG le-fit I TELEPHONE NO.
Al i .�• „ ... .Pa.
PLUMBING CONTRACTOR UYtS�lr'[tS�"Co�S�f�i[�nbiM 4'ltL
CONTRACTOR' S ADDRESS: 504V(p JA1f, Rte• 3a�;O SO
STATE L'll.E1VSE NUMBER: Lr � lt17! LHVL`ILJ. ,;�
TE�'DUIIR7L• 7= �7
HOW IwAlffy ^--w THZ rift's �s
-pIpZD OR Em
SINKS SHOWERS
j LAVATORY / WATER HEATERS
BATH TUBS j DTSHWASHE'RS
V AL%.L T n
lviSLDOJ[T'SLS
CLOSETS WASHING MACHINE
FLOOR DD.AINa SHOWER PANS
SEWER % WATER
DL—AIrE MILLST FIXTURES BRING RZPIPZD)
vTHER
^1 VIAlFIXTURES: $3. 50 + $15.00
MINIMUM PERMIT FEE - 215. 00
SIGNATURE OF OWNER:
cT��ramrt s ns .•r. TT `& CL:6
.sem.:,�vRE v L: C.vN t i[AC I OR: ("�ll.Kr�.
V
INS`1'ALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE Nl T RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AiiEAD TO SCHEDULE INSPECTIONS - (904) 147-5526
CITY OF ATLANTIC BEACH
,APPLICATION FOR PLUMING PERMIT
JOB LOCATION: '79 S' kA SM,,4' Wel-
OWNER OF PROPERTY: M -+ 4/���� �r �S TELEPHONE NO.
PLUMBING CONTRACTOR �yr ,_�"�uS�r!`rmb;`htc.
CONTRACTOR' S ADDRESS: t". l.�• f3pk
STATE LICENSE NUMBER: C�CoS(Lf Sal TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS SHOWERS
3 LAVATORY I WATER HEATERS
BATH TUBS r DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
C 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 IN ACCORDANCE
C WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD
PLUMBINGCALL 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: 19247 Address: 78 SIXTH STREET WEST
Permit Type: DUPLEX RESIDENCE ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 74 Section:
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number:
Improv. Cost: 53,411.00 OWNER INFORMATION t
Date Issued: 11/24/1999 Name: MAYPORT AFFORDABLE PARTNERS, LT
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
fi' CONTRA 17 „ 4APPf IC-AT DN FEES _ .x
�. � �,tip°.,• ^ ,.r. � •. #-; �"
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
ecti0 S- u�te
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: 1LANIER
Date: 11'28/00 81 Receipt: 0030240
Total Payment $431.85
A NTIC BEACH UILDING DEPT.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATIONS LOCATION INFORMATION
Permit Number: 19248 Address: 80 SIXTH STREET WEST
Permit Type: DUPLEX RESIDENCE ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s):3 Block: 74 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, LT
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 j Phone: (904)241-0474
Work Des&: CONSTRUCT NEW DUPLEX RESICENCE PER PLANS HSF 1186__^
CONTRA R S A PI f_ATiQN-FEES
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 itesm SCHARGE/ATL.BCH. 0.60
_. _. Xh ... . .ectrons Restits
FOOTING SLAB COVER UP
FINAL BUILDING I FINAL BUILDING INSULATION
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. -- --
Operator: ]LANIER
Date: 1/28/00 01 Receipt: 0030242
Total Payment X431.86
NTIC BCH BUILDING PT.
PROPERTY DESCRIPTION ED`````` yyyy
Lot # , Block # , Section ## ��■ r a '
Subdivision:Sec.
nor 2 9 1999
Street Name DESCRIPTION OF WORK
or Address: 80 4,iiy ci Atlantic each
(If in a FLOOD HAZARD
Flood Zone: X area complete page 3) 13r�ilding And ZaninR
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_, , J0
Exceptions or Variances Materials: Wood Frame Asphalt shingl
Granted: Yes
Solid or Filled
Ground: solid Roof:Asphalt shingle
Method of Heating:_ Heat Pump
OWNER INFORMATION
LTD.
Property Owner: Ma ort Affordable Partners , Phone: 904 241 0474
Mailing Address 645 Mayport Rd. A.B. ,F suite 3-A
Zip:
CONTRACTOR INFORMATION
Contractor: Brew Constr. , Inc. Phone: 904 241 7182
Mailing Address: 203 Sailfish Dr. Atlantic , Bbh. F . 3
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 TA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
Owner Signature DATE
Contractor Signature—.
j, DATE
SWORN SUBSCRIBED BEF04 ME BYn� �'-i�l (l.t/ LI ��{� �/►(= Z'H3S DAY
OF 199 .
�PaY Pue Jennifer L. Daniel
�o <� Commission#CC 767962 N UBLIC
Expires SEP, 13,2002
ATLANTIC BONDING CO.,INC.
1
CIT" OF ATLANTIC. BEACH PERM7" "ALC JLAR=ON SH T
Address 8 (• f C �A '
seated Square Footage a yLiUO per sq
i
G,rac /Shed 3 -S S 2 ��per sq =
TOTAL BUILDING SEE S C
Filing Fee S t L/U,OCJ
Fireolace�, @ Si5 . �;, S D -
BUILDING PERS__ 77
WATER IMPACT FEEO�—
SEWE" IMPACT F ES 1.2 ,3 p,no
:METER; T---
S-, ba_-
CAF-: AL IMPROVEMENT a2.�-0C1
SEWER TAP —
�� P4) RADON (HRS i . CQS ci , 3
SECT I ON..H PAVING 2 s ,' $ lr
HYDRAULIC SHARES S -a--
CROSS CONNECTION S ?r Ca
f t FIG.) SURCHARGE 0050
OTHER
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
F-xcure Unic Worksheet for Wacer I=paCc Fee
FIXTURE UNITS ARE 'ESTABLISHED AS THE N_EASURE:!EN- OF ;ATZR DE.ukND FOR
EAC3 61AT R FIXTURE UNIT INSTALLED AND CONNECTED TO TaE CITY WATER
SYSTy'!. THE- WATER SUPPLY CHARGE IS HEREBY FIYED AT T'NENTy DOLLARS
PER FIXTURE UNIT CONNECTED TO THE Cl—if WATER SYSTEM.
!`- BATHROOM GROUP CONSISTING OF Q SERVICE SiyK TRA? STAND
WATER CLOSET, LAVATORY & BATH (8)
TUE OR SHOWER STALL (6) / 2
' WATER CLCS7-
WAT?3 CLOSET, T uTX OF E?.ATE: (4VALVE OF ER.kTTD (2)
11AT,1 Un/SHclwER (z) j1 UR:NAL WALT. L:? (4)
SHC;JEI GROUP PER HE_kD (3) F OOR
SHOWF-2 STALL DC14.ESTI C (2) LAUNDRY 'f (:)
( LIVA70R (1) C:r:*.3:NA7:ON S:NK A.N!D
WASHING '.lC3INE (3) 3 PC':' SC:^. .ER': S::1K 1
DISH-WASH—El (:) Z WAST' S_VK ZACJ SET 07
O :AuCE'S (:)
r:7c E'�i S I?(x (Z)
DENTAL LAVATORY (1)
1 xi7rAFJ SINK WITs WAS= � MENTAL UNI:' OR CUSPIDOR (1)
GRINn P3 (3)
O 3ID (v} UR;IIAL STALL, ::ASHOU'I (4)
t
} KZSHISC Ir! SINK (8) _ COr_B7NATION SIYK AND TRAY WIT?:
FOOD DIS?OS. (4)
I �
URINAL, PIM ESTAL, S':?HCN
DRINKING FOUNTAZv (1/=)
ELOWOUT (Z)
LAVA70RT, L'R3ER/3F-k=L: L ICE `AKER (I/'_)
SHGP (Z)
SUR=NS SINK (3) LAVATORY, SURGEONS (2)
_JACUZZI (Z) URINAL STALL, WASHOUT (4)
TOTAL FIXTURE UNITS J
A $:a.ac E.4Ca S
.�
JOS
PLAN REVIEW CHECKLIST
PROPERTY DESCRIPTION. W T'
OWNER:
[V� 1. Determine Occupancy Classification of the structure. Select occupancy classification
which most accurately fits the use of the Building. (Chapter 83)
[� 2. Determine actual physical properties of building.
a. Determine building area each floor. (Area definition Chapter 132)
[ b. Determine grade elevation for building. (Grade definition Chapter 132)
[v�
C. Determine building height in feet above grade. (Height definition Chapter 62)
d. Determine building height in stories. (Story definition Chapter B2)
[� 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)
[✓jam 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 B5)
4. Check detailed Occupancy requirements. (Chapter B4)
[� 5. Check detailed Construction requirements
a. Fire Protection of Structural Members (Chapter B6 &Table 6600)
b. Fire Protection Requirements (Chapter B7 and Table 6700)
[r]'/ 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)
[VI 6. Review design as related to standards. (Chapters B16- B26)
F--] 7. Check other requirements as necessary.
PJ a. Construction projecting into public property(chapter 632)
b. Elevators and conveying systems (Chapter B30)
[..]
C. Sprinklers, standpipes and alarm systems (Chapter 69)
d. Use of combustible materials on the interior(Chapter 138)
[ e. Roofs and roof structures (Chapter B15)
[.� f. Light,ventilation and sanitation (Chapter B12)
[ ] g. Other
CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
_- Date
By:
_ ,(�— C - '-4
Don C. Ford, Building fficial
don/sb.1
�-2
PROPERTY DESCRIPTION
nv�>• 2 9 1999
Lot # Block # , Section # v I
Subdivigion:Sec. city of Atla;�jc; Beach
B-tii;dina and Zoning
Street Name DESCRIPTION OF WORK
or Address:
(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 , 044 . 00
Exceptions or variances Yes Materials: Wood Frame Asphalt shingl,
Granted:
Solid or Filled
Ground: solid Roof-Asphalt shingle
Method of Heating: Heat Pump
OW= INFORMATION
LTD.
Property owner: Mayport Affordable Partners, Phone: 904 241 0474
Mailing Address_ 645 Mayport Rd. A.B. ,Fl. . -ZTT3 suite 3-A
Zip:
CONTRACTOR INFORMATION
Contractor: Brew Constr. , Inc Phone: 904 241 7182
Mailing Address: 203 Sailfish Dr. Atlantic , ch. F . 3
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 TA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED.
Owner Signature DATE
Contractor Signature `. �4��. DATE /��
SWO TO SUs CRIBED BEFORE ME BY L Tf3is DAY
OF —`
ti%y pa8. Jennifer L. Daniel
r° Commission#CC 767962 T Y P LI
Expires SEP. 13,2002
BONDED THRU
`SOF PV ATLANTIC BONDING CO.,INC.
CIT" OF ATLANTIC BEACH PERMIT CALCULA'7=ON SHE—ET
Address w t l9
seated Sauare Footage
Gzraa i7Sheea ` / a 2 �Dper sq
q orb
6' A111
TOTAL BUILDING FEE
T L Filing Fee
Fireniace_
BUILDING PERM=' FE-
WATER IMPACT FEE
SEwIMPACT FEE S 1^ T"D•itQ .�
W :PETER; T -
CAP AL IMPROVEMENT
SEWER TAP _
1/ 004) RADON (HRS )
SECTION-H PAVING � '� S 3 Zl: 00
HYDRAULIC SHARES S -0—
CROSS CONNECTION $ ?r Go
t r(o) SURCHARGE
OTHER
GRAND TOTAL DUE 3 6 11 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
Flxcure Unic Worksheec for W'acer Impacc Fee
FIXiJRE UNITS ARE ESTABLISHED AS THE HEASURE::ENT OF WATER DFukND FOR
EACR WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYS 24— THE- WATER SUPPLY CH_�.RGE IS HEREBY FIXED AT 7,;EVTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CIT: WATER SYSTE.`!.
BATHROOM GROUP CONSISTING OF Q SERVICE' SINK Mk? STAND
WATER CLOSET, LAVATORY b BATH j (8)
TUB OR SHOWER STALL (6) f 2WATER 1
f WA= CLOSET, TA:ix OPERAT'rD (4) ' VALVE OPaR.;TTD (3)
1 r'
3AidTUE/SiiQL�R (3) URINAL GALL L:? (4)
SHCir'ER GROUP FER Hr kD (3)
r
SHOWER STA:_:. DCMESTI C (2) LAUNDRY (I)
( LAVATORY (=) i CCM2:`iA7:CN S:VK A!ID 77_2,%y
t 3
WASH:`lG hACH:NE (3) 3 _
:—lsH ASHza (-) Z WASH S--.NK EACH SE. or
/� FAUCETS (2)
v 1C:TCHEN SI'rx (Z)
DENTAL LAVATORY (i)
1 K:-11= :i S:.Xx WITH WAST
GR;?iD Ez (3) DEINTaL UNIT OR CUSPIDOR (I)
DiDET URINAL STALL, WASHOUT (4)
r
F-ZlsalxG ITM SINK (8) � cOri3I:IaT.aN s IY:{ A:VD TRrA Y w I T H
FOOD DIS?OS. (4)
PRIMAL. PTS'£S:AL, SY?ECN JETS
DRZNKZNG FOUiNTaiv (12/_)
ELOWOUT (Z)
LAVATORY, LV,3cR/3EAUT'' ICE `!-.KEic (►/_)
SHOP (Z)
1
SURGZONS SI:7K (3) LAVATORY, SURGEONS (2)
°� 1ACUESZ (Z)
URINAL STALL, WASHOUT (4)
00 x . 08
�TAL FIXT'JR? UNITS SI0. EAC:i S�
JOS I?iFORutAT ION O C J OLS T l�
i
PLAN REVIEW CHECKLIST
PROPERTY DESCRIPTION: O L 7—,
OWNER:
[v� 1. Determine Occupancy Classification of the structure. Select occupancy classification
which most accurately fits the use of the Building. (Chapter 63)
[� 2. Determine actual physical properties of building.
[Vill a. Determine building area each floor. (Area definition Chapter 62)
[� b. Determine grade elevation for building. (Grade definition Chapter 62)
[of C. Determine building height in feet above grade. (Height definition Chapter B2)
d. Determine building height in stories. (Story definition Chapter B2)
[� 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 65)
4. Check detailed Occupancy requirements. (Chapter 64)
(� 5. Check detailed Construction requirements
(� a. Fire Protection of Structural Members (Chapter B6 &Table B600)
b. Fire Protection Requirements (Chapter B7 and Table B700)
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)
[✓j 6. Review design as related to standards. (Chapters 616- B26)
[►ter 7. Check other requirements as necessary.
[�J a. Construction projecting into public property (chapter B32)
[..� b. Elevators and conveying systems (Chapter 630)
[..]
C. Sprinklers, standpipes and alarm systems (Chapter 69)
d. Use of combustible materials on the interior(Chapter 68)
[ e. Roofs and roof structures (Chapter B15)
[.� f. Light, ventilation and sanitation (Chapter B12)
[ ] g. Other
CITY OF ATLANTIC BEACH BUILDING DEPARTMENT
Date
By: LQ ce, �� 1r
Don C. Ford, Bui ding Office
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.
Owner: Jurisdiction Number:
Climate Zone: North
1. Now construction or existing New -. 12. Cooling systems
2. Single family or multi-family Multi-family - u/h
a. Central Unit Cap:36.0 kBtr
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(fE) 1186 ftT c. N/A -
7. Glass area&type - -
a_ Clear-single pane 0.0 ft' - 13. Heating 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/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=19.0,26-02 - -
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 fF - EF:0.88 ._
b.N/A - b.N/A -
c. NIA - -
d.N/A - c. Conservation credits
- I
e. N/A (HR-Heat recovery,Solar
10. Ceiling types - DIP-Dedicated heat pump)
a. Under Attic R=30.0,606.0 iF _ 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 - MZrC-Multizone cooling,
b.N/A MZ-H-Multizone beating)
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
Energy Code. calculation indicates compliance
1� with the Florida Energy Code. 4F "°
PREPARED BY: J Before construction is completed a
DATE: 2.2 this building will be inspected for
I hereby certify that this building, as designed, is in compliance with Section 553.908 o
compliance with the Florida Energy Code. Florida Statutes. c v tea
OWNERIAGENT: BUILDING OFFICIAL:
DATE: DATE:
EnergyGauge®(Version: FLR1 PA 2.02)
t �/I♦Ifs VVVI"�'VI
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, Ft Permit Number.
Owner. Jurisdiction Number.
Climate Zone: North
I, New construction or ocisting New — 12. Cooling systems
2. Single family or multi-fetnily Multifamily — 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 _
S. is this a worst case? No _
6. Conditioned floor arcs(fe) 1186 ft' c. N/A _
7_ Glass arca dt type _ —
a. Clear-single pane 0,0 ft' _ 13. Heating systems
b.Clear-double pane 147.0 ft— a. Electric Heat Pump Cap:36.0 kBtu/hr _
e. TirNotber SC/SHGC-single pane D.0 ft' _ HSPF:7.40 _
d.Tintlother SCMHGC-double pent 0.0 fe b.N/A
S. Floor types — —
a. Slab-Oo-C3rsde Edge insulation R=0.0.98.0(p)R — c. N/A —
b.Raised Wood,Stem Wall R=19.0,26.Ofe — _
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.NIA _ b.NIA _
c. N/A — —
d.N/A _ C. Conservation credits _
e. N/A (HR-Nest recovery,Solar
10. Ceiling types _ DHP-Dedicated beat pump)
a. Under Attic R-30.0,6D6.0 fP _ 15. HVAC credits _
b.NIA _ (CF-Ceiling fen,CV-Cross ventilation,
c. N/A HF-Whole house fan,
11. Ducts _ PT-Programmable Thermostat,
a. Sup:Unc. Rat:Con. All:Interior Sup.R=6.0,75.0 ft — M&C-Multizone cooling,
b.N/A MZ-H-Multizone beating)
GlassJFloor 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
ta
by this calculation are in compliance with the Florida specifications covered by this � �'��
Energy Code. calculation indicates compliance
PREPARED BY: with the Florida Energy Code.
DATE' ti 2'Z Cf Before oonstruction is completed
this building will be in s
spaded for
i hereby certify that this building, as designed, is in compliance with Section 553.908
compliance with the Florida Energy Code. Florida Statutes.
OWNER/AGENT: BUILDING OFFICIAL:
DATE: DATE:
EnergyGauge®(Version: FLR1 PA 2.02)
FORM 6GOA-97
SUMMER CALCULATIONS
Residential Whole Building Performance Method A - details
ADDRESS: 5,6,7th 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 0.55 112.5
Double,Clear E 1.5 15.0 15.0 40.22 0.99 60D.1
Double,Clear N 1.5 16.0 54.0 1922 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 34.5D 0.66 886.1
Double,Clear E 1.5 6.0 6.0 4D.22 0.91 220.3
Double,Clear N 1.5 6.0 30.0 19.22 0.94 541.2
A94auIN Total: 147.0 3668.9
WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
Adajcent 0.0 RO 0.0 Frame,Wood,Exterior 13.0 1400.0 1.50 210D.0
Exterior 1400.0 1.70 2380.0
Base Total: 1400.0 2380.0 As43u1R 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: 21.0 128.1 As$ultl 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: 606.0 383.6 As43ullt Total: 606.0 363.6
FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points
slab 98.0(p) 37.0 3626.0 Slab-On-Grade Edge Insulation 0.0 98.0(p) -41.20 4037.6
Raised 26.0 3.99 -103.7 Raised Wood,Stem Wall 19.0 26.0 -1.50 -39.0
Base Total: 3729.7 As 13ullt Total: 4076.6
INFILTRATION Area X BSPM = Points Area X SPM = Points
1186.0 10.21 12109.1 1186.0 10.21 12109.1
EnergyGaugeO DCA Form 60DA-97 EnergyGaugeV1ResFREE'97 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 Mutiiplier Points Component Ratio Multiplier Multiplier Multiplier Points
14194.0 1.000 0.970 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 60DA-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 Omt Len Hgt Area X WPM X WOF = Points
As 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 1.5 160 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.D4 56.5
Double,Clear N 1.5 6.0 30.0 14.30 1.00 430.1
As-Built Total: 147.0 1617.6
WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Adajaent 0.0 0.0 0.0 Frame,Wood,Extenor 13.0 1400.0 3.40 4760.0
Exterior 140D.0 3.70 5180.0
Base Total: 1400.0 8180.0 As8uift Total: 1400.0 4760.0
DOOR TYPES Area X BWPM = Points Type Area X WPM = Points
Adjacent 0.0 0.00 0.0 Exherior Wood 21.0 12.30 258.3
Exterior 21.0 12.30 258.3
Base Total: 21.0 268.3 As$ulit Total: 21.0 258.3
CEILING TYPESArea X BWPM = PDints Type R-Value Area X WPM = Points
Under Attic 606.0 1.20 727.2 Under Attic 30.0 606.0 1.20 727.2
Base Total: 606.0 727.2 As-Buitt Total. 606.0 727.2
FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points
Slab 98.0(p) 8.9 872.2 Slab-On-Grade Edge Insulation 0.0 98.0(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-Built Total: 1863.2
INFILTRATION Area X BWPM = Points Area X WPM Points
1186.0 -0.59 -689.7 1186.0 -0.59 -899.7
EnergyGauge®DCA Foran e00A-97 EnergyGsuge8/ResFREF97 FLR1 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 1 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 0.982 0.461 1,000 3858.7
8447.5 0.5340 4511.0 8526.6 1.00 0.982 0.461 1.000 3858.7
EnergyGaugeT" DCA Form 600A.97 EnergyGaugeVResFREE'97 FLR1PA 2.02
FORM 60OA-97
WATER HEATING & CODE COMPLIANCE STATUS
Residential Whole Building Performance Method A - Details
ADDRESS: 5,6,7th Ave,Atlantic Beach, Fl, PERMIT#:
BASE AS-BUILT
WATER HEATING
Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total
Bedrooms Volume Bedrooms Ratio Multiplier
3 2746.00 8238.0 40.0 0.88 3 1.00 2746.00 1.00 8238.0
As$ulK 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 3868.7 8238.0 16368.6
EFPASS:]
yon T»sT`�
0
y o
EnergyGaugeTM DCA Form 600A-97 EnergyGauge®/ResFREE'97 FLRIPA 2.02
FORM 60OA-97
Code Compliance Checklist
Residential Whole Building Performance Method A - Details
ADDRESS: 6,6,7th Ave,Atlantic Beach, FI, PERMIT#:
6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST
COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK
ExWtor Windows&Doors 606.1.ABC.1.1 Maximum:.3 cfmlsq.fL window area .5 cf .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 Ovalis and floor.
EXCEPTION:Frame walls where a continuous infiltration banier is installed that extends
from and Is sealed to the foundation to the top plate.
Floors 606.1 ABC.1.2.2 Penetrations/openings>118"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 606.1 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
installed that is sealed at the dmeter,at penetrations and seams.
Recessed Lighting 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 6D6.1.ABC.1.2.5 Alr barrier on perimeter of floor cavity between floors_ _
Additional Infiltration regts 6D6.1.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 dearly marked circuit
breaker elecVk or cutoff as must be provided.External or built-In heat trap required.
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 76%.
Shower heads 612.1 Water flow must be restricted to no more than 2.5 galk►ns 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 Controls 607.1 Separate readily accessible manual or automatic thermostat for each system.
Insulation 604.1,602.1 Ceilings-Nn.R-19.Common walls-Frame R-11 or CBS R-3 both sides.
Common ceiling&floors R-11.
EnergyGaugeT"r DCA Form 60DA-97 EnergyGaugeA/ResFREE'97 FLR1 PA 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
Multi-family - a. Central Unit Cap:36.0 k 11.00 -
2. Single family or multi-family SEER:1 I.00 _
3. Number of units,if multi-bamily 20 -
4. Number of Bedrooms 3 - b.N/A
S. Is this a worst case? No - -
6. Conditioned floor area(ft) 1186 fl c. N/A -
7. Glass area&type - -
a. Clear-single pane 0.0 ft, - 13. Heating systems
147.0 fe a. Electric Heat Pump Cap:36.0 kBtu/hr -
b. Clear-double pane - HSPF:7.40
c. Tint/other SC/SHGC-single pane 0.0 - -
d. Tint/other SC/SHGC-double pane 0.0 ftfe 2 b.N/A -
8. Floor types -
s. Slab-On.Grade Edge Insulation R=0.0,98.0(p)ft ` c. N/A -
b.Raised Wood,Stem Wall R=19.0,26.Of= -
c. N/A 14. Hot water systems
e. Electric Resistance Cap:40.0 gallons -
9. Wall types - EF:0.88
a. Frame,Wood,Exterior R=13.0,1400.0 fl- -
b.N/A - b.N/A -
c. NIA a Conservation credits
d.N/A -
C. N/A (HR-Heat recovery,Solar
10. Ceiling types - DHP-Dedicated heat pump)
a. Under Attic R=30.0,606.0 ft2 - 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. AR:Interior Sup.R=6.0,75.0 ft - RB-Attic radiant barrier,
aN/A M7,C-Multizone cooling,
b. MZ-H-Multizone beating)
I certify that this home has complied with the Florida Energy Efficiency Code For Building �Kg sT
Construction through the above energy saving features which will be installed(or exceeded) OQ
d
in this home before final inspection. Otherwise,a new EPL Display Card will be complete '!
based on installed Code compliant features. '
Builder Signature:
Date: �
Address of New Home:_
City/F7,Zip: c0D we
*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 US EPAIDOE Energy&JP designation),
your home may qualify fur 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.ucf.edu 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.
EnergyGauge®(Version:FLRIPA 2.02)
DATE: 10/22/99
MANUAL nJn
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 72
Wet Bulb 78 62
Daily Range 19 Daily Swing 3
Latitude 30 Elevation 29
Safety Factor (%) 5
Latent Factor (%) 29
***********************************************************************
Sensible
Room Heating Heating Cooling Cooling
Name BTUH CFM --BTUH- --CFM--
WHOLE HOUSE
----
24577819 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
----------------------------------------------
TOTAL
WALLS
----------
--------------------------------------------
AREA 1400 1400
3500
COOLING 3500 5600
HEATING 5600
------------------------------------------
TOTAL
DOORS
21
AREA 21 277
COOLING 277 435
HEATING 435
------------------------------
FLOOR AREA COOLING HEATING
--------------------------------------
SLAB 98 3567 23
RAISED WOOD 26 57
------------------------------------------
CEILING AREA COOLING HEATING
------------------606 939----------------
UNDER ATTIC 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
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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***