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595 Coastal Oak Ln 2015 new home docs I' U C," ! S CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J - � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 SINGLE FAMILY DWELLING NEW MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SFR-13 Sob Type: SINGLE FAMILY RESIDENCE Description: new home Estimated Value: $350,000.00 Issue Date: 1/27/2015 Expiration Date: 7/26/2015 PROPERTY ADDRESS: Address: 595 COASTAL OAK LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: RIVERSIDE HOMES OF N FL Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS Phone: - - PERMIT INFORMATION: FEES: BUILDING PERMIT FEE $1,230.00 STATE DCA SURCHARGE $18.45 ENG REV RESIDENTIAL BLD $100.00 PLAN CHECK FEES $615.00 SEWER SDC-SYSTEM DEV CHG $4,050.00 STATE DBPR SURCHARGE $18.45 UTIL REV RESIDENTIAL BLDG $50.00 fflI tRsC0M 0TfFA'P I& ME-6@9NCI$$d�'0.QLL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �Jiil WATER CROSS CONNECTION $50.00 WATER SDC-SYSTEM DEV CHG $1,140.00 Total Payments: $7,641.90 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH s} 800 SEMINOLE ROAD � yr ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-DWAY-15 Job Type: DRIVEWAY Description: PAVER DRIVEWAY Estimated Value: Issue Date: 1/27/2015 Expiration Date: 7/26/2015 PROPERTY ADDRESS: Address: 595 COASTAL OAK LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: RIVERSIDE HOMES OF N FL Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS Phone: - - PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS: Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. All runoff must remain on-site. Cannot raise lot elevation without measures to retain runoff. Any utility cuts in the road must be repaired using COJ Standard Detail Case X and must be overlaid 10 feet in each direction from the center of the cut. Repair must be shown on the plans. Full right-of-way restoration, including sod, is required. Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact Public Works (247-5834) for Erosion and Sediment Control Inspection prior to start of construction. 6" cut not acceptable for erosion control. Install silt fence along front. PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA CITY OF ATLANTIC BEACH. 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 FEES: Fence/ROW $35.00 ENG REV BLDG MOD OR ROW $25.00 UTIL REV MODIF OR ROW $25.00 Total Payments: $85.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � City of Atlantic Beach APPLICATION NUMBER -, =�. Building Department (To be assigned by the D7 /✓Building Deppartment.) 7c —J/ 1 `1800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904) 247-5826 " Fax(904)247-5845 / E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �! ��/IQ�T1�1 11�,� 1-r� D ment review required Yes No p g . Applicant: ✓rLl'�QG /1I anning�&Zo " ,�/ C Administrator Project: /V E� �G ubl" Wo 'ublic Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiptof Permit Verified By Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: �pproved. [-]Denied. (Circle one.) Comments: BUI DIN PLANNING &ZONING Reviewed by: Date:-/-c,76 � TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127/10 RC F,1VED City of Atlantic Beach + APPLICATION NUMBER r \ Building Department JAN 0 8 2015 (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-54451$Y- �� Phone(904)247-5826 Fax(904)247--5845— / �za %/ E-mail: building-dept@coab.us Date routed: City web-site: http:J/wvvw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Q /� �� Department review required Yes No [r ` Building Applicant: VG! G ( �I'1 rJ Planning &Zoning Tree Administrator Project: ubIic Works is Utilities Public Safety Fire Service Review fee $ r Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ]Approved. ❑Denied. (Circle one.) Comments: / BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. ❑App Second Review: roved as revised. ❑Denied. Comments: PUBLIC TILITIES P BLIC SAFE Y Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 CITY OF ATLANTIC BEACH — I CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 �- Fax 904-247-5845 Atlantic Beach,Florida 32233-5445 PLEASE SUBMIT(3)COMPLETE SETS OF PLANS WITH APPLICATION. Date �)K �1+ 1 � � �� PERMIT# �9 5 �� , ^ �j Lo-Nk ISSUED BY THE CITY Job Address -}�]t ( �`I / Permitee:pIVCXS,J( -4ynles U+ t, t 10( �CkA WC- Telephone# "//� �l/-[ - 5L;5"2�i�� Permittee Address: 1 ��vct j )a�,��CtGICSQNV t (> {e�L aaa3 (C Requesting Permission to Construct: `.SIN Je Location: (Reference to Cross-Street)LC X,,. 403 Oa-1� CQ-N Q 0NC4 + '� l 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes( ) No ( -�' Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No ( .) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach�ppr Florida Department of Transportation Standards and be performed under the supervision of r�k ooj Cr beLT (Contractor's Project Superintendent)located at -_� MQ S ee_ Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of WaV are to be included with this application. 7. This permittee shall commence actual construction In good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large.State of Florida,County of Duval. My commission expires: Personally Known: Produced Identification: R.O.W.Permit Attachment of for R.O.W.Permit# issued 200_ Atlantic Beach,FL 32233 Owner's Name: Property Address: 5q 5 C of SA o� oc,e La A4 tatAiC &c,o_6,rL 3.2233 Subdivision: )} aLt C OQCH Lot#/Block#: R.E.#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of _' 200_ 200_, by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and 12iye n' icIQ 4--I0unkS O-C Nu"A'% 'Fiat Ic of A 41a*ie-$eaeh;Florida,hereinafter referred to as"USER". ",j 1f- WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers noted above(copies attached). This work is generally described as: N LW CQ\LS-ELA C_4J0N " 3p6�_ Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days notice by CITY to the USER,said notice to USER shall be given by certified mail, return receipt requested, to the following address: L2-2-7(p SaN JSA 8146, P0,Jacl�s The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code,and all other land use and code requirements of the CITY,including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials, but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall,at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of 200_. By: Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day of , 200_1 personally appeared before me, a Notary Public in and for said County and State, , the property owner of , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. Notary Public in for said County and State CITY OF ATLANTIC BEACH,FLORIDA,a municipal corporation: Approved: Ricky L. Carper,Public Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson,City Manager Page 2 of 2 SITE PLAN LOT 90 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS RECORDED IN PLAT BOOK 67, PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. to.5 GRAPHIC SCALE \11.2 30 0 15 30 �o } PANEL/0406H C� 6.63' f� PANEL j0408H hS� ————— !`'?. I inch FEET30 )ft. OL 'FrJ 210.12' � •? 10.8 Q DENOTESti6 CHEMICAL TOILET 11.0 DENOTES PROPOSED CONCRETE �C;l mj• :�SI J :•'/ DENOTES PROPOSED PAVERS v� 11.8 J�� BOC — DENOTES BACK OF CURB 4.63' EOP — DENOTES EDGE OF PAVEMENT lip DENOTES FUTURE 4" TREE 6.63' 6.63' \ a h 2.4 ro ' ?'e �•:�� 11.6 •/ 6.63' o, ,4r •aob p� --`. pG••. soa' aKC IMPERVIOUS COVERAGE -p 3.29' v MPERVIOUS Sq.FL LOT Sq.Fl. z f. B '7H0 •• Or �� 4,272 Sq.Ft. 1 7,20D Sq.Ft. 12% Qo 15.13' 413 S � /y 8� 15.13 LO 6� • LINE TABLE �(��(1.jq� • \ UNE DIRECTION LENGIH LI(P) N54*IW06•W 60.00 L2(P) S54.10'06'E 60.00 12.2L 1p� A7 � �3S �' mss• �cl ao _ COASTAL OAK LANE GENERAL NOTES 1.BEARINGS ARE BASED ON THE CENTERUNE OF COASTAL OAK LANE AS BEING N54'IW06•W. 2.ORALAGE ELEVATIONS SHOWN HEREON ARE BASED ON NAVD 1988. 1 THE LANDS SHOWN HEREON LIE WITHIN FLOOD ZONE'X'AS DEPICTED ON THE FLOOD INSURANCE RATE MAP (F.I.R.M.)COMMUNITY NUMBER 120077,PANEL NUMBER 0408H.DATED,JUNE 3,2013,THE FLOOR ZONES SHOWN ON THIS SITE PLAN ARE SCALED OFF OF THE F.E.M.A FIRM.MAPS ANO ARE FOR REFERENCE ONLY.THE FARM. INFORMATION AND OEUNEATION'S ON THIS STE PLAN ARE VALID ONLY FOR DATES UP TO AND INCLUDING THE DATE OF THIS SITE PLAN.THERE MAY HAVE BEEN SUBSEQUENT REVISIONS AFTER THIS DATE THAT WILL SUPERSEDE SAID SOD BREAKDOWN INFORMATION.INOUIRIES SHOULD BE MADE TO THE COMMUNITYS FLOOD PLANE MANAGEMENT REPOSITORY, DEPARTMENT OF PUBLIC WORKS,DUVAL COUNTY. TOTAL LOT AREA 500 Sq.Ft. 4.FLOOD MAPS REFERENCED HEREON ARE BASED ON NAVD 1988. -RTW TO CURB 810 Sq.Ft. S.NO UNDERGROUND FOUNDATONS OR UTIUTIES A NO IMPROVEMENTS.OTHER THAN THOSE SHOWN WERE LOCATED UNDER THE SCOPE OF THIS SITE PLAN. GROSS SOD AREA 8,010 Sq.Ft. 6.ADDITIONS.DELETIONS AND/OR ANY WRITTEN INFORMATION ADDED TO THIS MAP AND/OR REPORT IS PROHIBITED p AND IS NOT AUTHORIZED BY THE SIGNING SURVEYOR. FOUNDATION SLAB 3,470 Sq.Ft. 7.THIS MAP IS INTENDED TO BE VIEWED AT A SCALE OF 1'=30'OR SMALLER. DRIVEWAY 878 Sq.Ft. &ENTRIES&PATIOS DEPICTED AS EXTENDING INTO THE BUILDING RESTRICTION LIMITS MUST REMAIN UNCOVERED ec NOT ENCLOSED. STEPS 81 Sq.Ft. 9.UPLAND BUFFERS ADJACENT TO WETLANDS ARE TO REMAIN NATURAL.VEGETATIVE.AND UNDISTURBED. SIDEWALK AREA 194 Sq.Ft. 10.DIME SONS ARE IN FEET AND DECIMAL PARTS THEREOF. EASETHISE PLAN MENTS OR FREEDOONLY M OF FOR ELANDS AS DESCRIBED.IT IS NOT A CERTIFICATE OF TITLE,ZONING, A/C PAO(S)&GARAGE 9 Sq.Ft. 12.THIS SITE PLAN WAS NOT INTENDED TO DEUNEATE OR DEFINE ANY WETLANDS,ENVIRONMENTALLY SENSITIVE ENCUMSERVICE DOOR SLAB AREAS,WILDLIFE HABITATS OR JURISDICTIONAL ONES OF ANY FEDERAL.STATE,REGIONAL OR LOCAL AGENCY. WATER/CONSERVATION 0 Sq.Ft. BOARD,ANO COMMISSION OR OTHER ENTITY AND ANY UABIUTY RESULTING THEREFROM IS NOT THE RESPONSIBILITY OF THE UNDERSIGNED. T T 11 V 4,63 q. t. 13,UNLESS A COMPARISON 15 MADE,MEASURED BEARINGS AND DISTANCES ARE IDENTICAL WITH PLAT VALUES. NET SOD AREA 3,378 14.THIS SITE PLAN 15 BASED ON INFORMATION AS PROVIDED BY THE CLIENT. 15.BUILDING AND IMPROVEMENTS,IF ANY,AS DEPICTED HEREON ARE PERPENDICULAR TO THE PARCEL PROPERTY LINES. ALL BUILDING TIES ARE SHOWN TO THE FOUNDATION. 15. THIS IS NOT A BOUNDARY SURVEY. 17.PUBLIC SIDEWALKS DEPICTED HEREON ARE BASED ON THE CONSTRUCTION PLANS. THEY ARE SHOWN FOR INFORMATIONAL PURPOSES ONLY AND ARE NOT TO BE RELIED UPON FOR CONSTRUCTION. FOR CORRECT LOCATION AND/OR DIMENSIONS REFER TO THE MOST CURRENT SET OF CONSTRUCTION PLANS. THERE IS A MAXNUM 2% SLOPE ON ALL SIDEWALKS.ALL SIDEWALK AND FLATWORK SHALL•AT A MINIMUM.MEET CURRENT DUVAL COUNTY AND ADA STANDARDS.CROSS SLOPES SHALL BE NO MORE THAN 2X.THE PORTION OF THE SOEWALK WHICH --SETBACKS.. TRANSVERSES THROUGH THE DRIVEWAY APRON SHALL ALSO MEET THIS REOUIREMENT.ALSO,PLEASE NOTE THAT FRONT-20 FEET FROM FACE OF GARAGE TO BACK OF RIGHT OF WAY AND UMLTIES(METER BOXES,VALVES•ETC.)SHALL NOT BE INSTALLED WITHIN THE SDEWALK. 15 FEET FROM BUILDING FACE OR PORCH TO BACK OF RIGHT OF WAY. I&A/C PADS MUST MAINTAIN 2•AWAY FROM ANY PROPERTY LINE AND CAN NOT ENCROACH INTO A DRAINAGE EXCEPT CORNER/DOUBLE-FRONTAGE LOTS,FOR WHICH THE NON-ADDRESS - EASEMENT DUE TO DRAINAGE PURPOSES. FRONT/SDE MINIMUM YARD SHALL BE 10 FEET FROM GARAGE OR BUILDING 19.DRAINAGE STRUCTURES DEPICTED MAY VARY N SIZE. REFER TO ENGINEERING PLANS FOR CORRECT FACE TO BACK OF RIGHT OF WAY. DIMENSIONS. PREPARED Fox:RIVERSIDE HOMES CERTIFIED To:RIVERSIDE HOMES . IUED City of Atlantic Beach APPLICATION NUMBER Building Department 2015 (To be assigned by the Building Department.) JAN 0 8 %- 800 Seminole Road Atlantic Beach, Florida 32233-5445 d Phone(904)247-5826 - Fax(904)25 / E-mail: building-dept@coab.us - Date routed: z—ill City web-site: http://www.coab.us I IF APPLICATION REVIEW AND TRACKING FORM Property Address: Q /� C� Department review required Yes No Building Applicant: 1 V�rS7d L m S Planning &Zoning ` Tree Administrator Project: Y A!rulblic Works is Utilities Public Safety Fire Services y Review fee Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: /S TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 07/27/10 �s Comp. By: RLS , tir Date: 1/9/2015 Public Works Department City of Atlantic Beach Permit No: 15-dway-15 Address: 595 Coastal Oak Ln. Required Storage Volume Criteria: Section 24-66 of the City of Atlantic Beach's Zoning, Subdivsion, and Land Development Regulations requires that the difference between the pre-and postdevelopment volume of stormwawter runoff be stored on site. Volume of Runoff is defined as follows: V=CAR/12 Where: V=Volume of Runoff C= Coefficient of Runoff A=Area of lot in square feet R=25-yr/24-hr rainfall depth(9.3-inches for Atlantic Beach) Predevelopment Runoff Volume: Lot Area(A) = 7,200 ft Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 4,632 7,200 1.00 0.64 Pervious 2,568 7,200 0.20 0.07 Runoff Coefficient(C)= 0.71 Runoff Volume V= 0.71 x 7,200 x 9.3 / 12 V= 3,988 ft Postdevelopment Runoff Volume: Lot Area(A) = 7,200 ft2 Runoff Coefficient Area Lot Area Description (ft) (ft) "C" Wtd "C" Impervious 4,632 7,200 1.00 0.64 ISA= 64.3% Pervious 2,568 7,200 0.20 0.07 Runoff Coefficient(C)= 0.71 Runoff Volume V= 0.71 x 7,200 x 9.3 / 12 V= 3,988 ft Required Storage Volume DV= Postdevelopment Runoff Volume- Predevelopment Runoff Volume DV= 3,988 - 3,988 DV= 0 ft3 Retention 595 Coastal Oak Ln.-DWAY 1/9/2015 Comp. By: RLS Date: 1/9/2015 Public Works Department City of Atlantic Beach Permit No: 15-dway-15 Address: 595 Coastal Oak Ln. Provided Storage: Elevation Area Storage (ft) (ft) (ft) 0.0 0 0 BOTTOM 0.5 0 0 TOB Elevation Area Storage (ft) (ft) (ft) 0.0 0 0 BOTTOM 0.5 0 0 TOB Elevation Area Storage (ft) (ft) (ft) 0.0 0 0 BOTTOM 0.5 0 0 TOB Inground storage=A*d*pf A=Area= 0.0 d=depth to ESHWT= 3.0 pf= pore factor= 0.3 Inground Storage= 0.0 ft3 Required Treatment Volume= 0 ft3 Supplied Treatment Volume= 0 ft3 Retention 595 Coastal Oak Ln.-DWAY 1/9/2015 rf CITY OF ATLANTIC BEACH ' CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 800 Seminole Road 904-247-5800 'i •„ Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(3)/�COOMM 1P�L.EETE SETSOF PLANS WITH APPLICATION. Date 1)c)o—Qj \r-C� �U�,k)14 PERMIT# �9 5 f+ ( i/ L0.�Q ISSUED BY THE CITY Job Address1595 ,^� rr n t•,�' (; Permitee:Plye rS l& --�OMZS c�� l VcX�h r"�%6d`�IrJ�• Telephone# "/ 50�).-7059- Permittee -7059Permittee Address: I oW-7CQ SaN -3� ��vC1-� )ate'--�'l CSONV l (�e� 1"L_ 3 as 3 `rG Requesting Permission to Construct: Si liQ LA Y P s 1 k N Z Q - NQ-.0 C nWlilUChb VC ttt"' r�� Q ©a.>< �ONQ � aK mc�f�-hme I Location: (Reference to Cross -Street)u rnv 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities/Municipalities: Jacksonville Electric Authority Yes( ) No ( ) Date: Bell South Telephone Company Yes( ) No Date: Ferrell Gas Yes( ) No ( ) Date: Comcast Yes( ) No Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all,or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permittee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach r Florida Depart ent of Transportation Standards and be performed under the supervision of 0-1 (Contractor's Project Superintendent)located at ITCLMQ ee Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee. 5. All city property shall be restored to its original condition as far as practical,in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the cid Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right,title and interest in the land to be entered upon and used by the holder,and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four (24) hours prior to starting work and again immediately upon completion. OWNER Signed: Date: Before me this day of in the County of Duval, State Of Florida,has personally appeared Notary Public at Large,State of Florida,County of Duval. My commission expires: Personally Known: Produced Identification: R.O.W.Permit Attachment of for R.O.W.Permit# issued 12.00 Atlantic Beach,FL 32233 Owner's Name: PropertyAddress: 595 Cnmio& Dme-N &(o-rAic&o, h,rt- 32233 Subdivision: }Ia4iC Lot#/Block#: R.E.#: REVOCABLE ENCROACHMENT PERMIT THIS REVOCABLE ENCROACHMENT PERMIT, issued on this day of 200 , by Atlantic Beach, Florida, a municipal corporation organized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and Q ige uilclk 4-fomes oC NU(+ti, -Flt,( I d a of Florida,hereinafter referred to as"USER". JO.0 ` N v,11e WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property of the City of Atlantic Beach for the purpose as described in the City of Atlantic Beach Right-of-Way/Easement permit numbers notedabove(copies attached). This work is generally described as: /�(1Z,(.t.) CCNSU1 C--60N - 5F V_ - Any facility maintained, repaired, erected, and/or installed in the exercise of the privilege granted remains subject to relocation or removal on thirty(30)days notice by CITY to the USER,said notice to USER shall be n by certified mail, return receipt requested, to the following address: 1 777r o , ive Snw -'a lao,JaGv-stkvyi 11P & 3 The depositing of said notice of cancellation in the United States mail shall constitute the notice of cancellation and the burden is upon USER to keep the CITY informed of USER's proper address. The USER shall promptly make any and all necessary repairs to any facility erected or maintained in the exercise of the privilege herein granted and shall at all times maintain said facility in good and safe condition. In the event it is necessary for the CITY or the City's approved representative or other franchised utility to enter upon the above-described property of the CITY, the USER shall replace at the USER's sole expense, any and all material necessarily displaced during the action of maintaining, repairing, operating,replacing,or adding to of the utilities and facilities of the CITY or franchise utility provider. The facilities allowed by the permit shall meet the current requirements of the City Code, Building Codes,Land Development Code,and all other land use and code requirements of the CITY,including City Code Section 19-7 (h) which states "Driveways that cross sidewalks: City sidewalks may not be replaced with other materials,but must be replaced with smooth concrete left natural in color so that it matches the existing and adjoining sidewalks." Page 1 of 2 The USER, prior to making any changes from the approved plans and/or method, must obtain written approval from the City of Atlantic Beach, Public Works Department, for said change. The USER shall,at the discretion of the CITY,be requested to submit as-built drawings showing the change within thirty(30)days after the day of completion. This permit shall insure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terms and conditions of this permit and to all of the applicable State and CITY laws and/or specifications, to include utilities locate requirements and use limitations/requirements of public rights-of-way and other public land. USER further agrees that the CITY and its officers and employees shall be saved harmless by the USER from any of the work herein under the terms of this permit and that all of said liabilities are hereby assumed by the USER. DATED and SIGNED this day of ,200_- By: 00_By: Property Owner (to be signed in presence of the Notary) STATE OF FLORIDA COUNTY OF DUVAL On this day of 200_, personally appeared before me, a Notary Public in and for said County and State, , the property owner of , Atlantic Beach, Florida, known to me to be the person(s) described in and who executed the foregoing instrument; who acknowledged to me that he or she executed the same freely and voluntarily and for the uses and purposes therein mentioned. Notary Public in for said County and State CITY OF ATLANTIC BEACH,FLORIDA,a municipal corpor do Approved: Ricky L. Carper, is oris Director Sirnnro'j!;' � For Permits where city sid is impacted, City Manager approv equired: Ji anson,City Manager Page 2 of 2 r-j r,J\f r �J CITY OF ATLANTIC BEACH PUBLIC UTILITIES 1200 Sandpiper Lane ATLANTIC BEACH,FL 32233 (904) 270-2535 or(904)247-5874 NEW WATER/SEWER TAP REQUEST Date: '/ Project Address: � �' ( � s�i�lL �- /✓ No. of Units: _Commercial Residential y Multi-Family New Water Tap(s) &Meter(s) I Meter Size(s) y New Irrigation Meter Upgrade Existing Meter from to (size) u 3�. New Connection to City Sewei k1Z C f e-t nn ep 1P Name: Applicant Address: City: State: FL Zip: Phone Number: Cell Number: Email Address Fax: Signature: (Applicant) CITY STAFF USE ONLY Application# /-S — SFK — 13 Water System Development Charge $-11400, OO Sewer System Development Charge $y, O rb• no Water Meter Only $ Water Meter Tap $ Sewer Tap $ Cross Connection $ oD Other QkGA U;m Ids $ TOTAL - APPROVED: Donna Kaluzniak 9/4/14 (Utility Director or Authorized Signature) ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED City of Atlantic Beach rA.JEDAPPLICATION NUMBER ` Building Department (To be assigned by the Building Department.) 800 Seminole Road 2015 �5 �) Atlantic Beach, Florida 32233-5445 '� Phone(904)247-5826 • Fax(904)247-5845 ,�; :•, , ,�;.- E-mail: building-dept@coati-us Date routed:_ �M. J City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �! �/la� � L Panning ent review required Yes No p Y � qL Applicant: JAI grS-7 uG /� &Zon' ,a/ C rrgU Administrator A Project: e U) �G ubli Wor Ublic U Public Safety Fire Services Review fee $ y Dept Signature Receipt Other Agency Review or Permit Required Review or Dateof Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: &ryproved. [-]Denied. (Circle one.) Comments: BUILDING C 4 PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. S Comments: ePUBLINCILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 RECEI'`TED S�Lyy City of Atlantic Beach APPLICATION NUMBER ( Building Department JAN 0 8 2015 To be assignedy b the BuildingDepartment.) `A 800 Seminole Road /,r— Atlantic �`� _ p/3 Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904) I r E zs- -mail: building-dept@coab.us Date routed: Jill City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Address: /)Q��3! �/�� Z- Property 7 D ment review required Yes No B Applicant: lel l/�Gl��b� nI anning&Zo e Administrator Project: /V �G ubl' Wo ublic Public Safety Fire Services � Review fee $ /oa Dept Signature ,� Receipt Other Agency Review or Permit Required Review or Dateof Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [-]Denied. Comments: Reviewed by: Date: Revised 07127110 li;r.,__ City of Atlantic Beach APPLICATION NUMBER . Building Department (To be assigned by the Building Department.) „ f//L.- �J 1 800 Seminole Road S Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 / E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: O ment review required Yes No B Applicant: (- /I? anning &Zon' ,�/ C Administrator /V Project: e� �G ublic Wor Llblic Utlfie Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: �pproved. [:]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: !/ Date: 3 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110 FILE Ly. CITY OF ATLANTIC BEACH COPY r Building Department r800 Seminole Road J �) Atlantic Beach,Florida 32233 (904)247-5800 J;3J�' PLAN REVIEW COMMENTS Permit Application # / 5 - 3 FK - 3 Property Address: .Sc? 5 CoaS•/a� Oak Ln Applicant: ljer 5lC4 �S Project: IV 2 ,�v S'fi Q This permit application has been: Approved Reviewed and the following items need attention: c A IM S 3 It _ S„ a S r f�nAi n r r w� 311• .7 i4dne — Ah � •Pc c cr� G f rv w 1 � . SA al Jd:--a" -, S a e r i c k-. ty iS \ /- •/ Please re-submit your application when these items have been completed. Reviewed By: Date: FILE COPY CITY OF ATLANTIC BEACH Building Department & - � 800 Seminole Road J Atlantic Beach,Florida 32233 (904)247-5800 PLAN REVIEW COMMENTS Permit Application # / 5 - FK - /3 Property Address: 5-c?5- 0,71c Ln Applicant: Q, liar Sfo4 Project: IVCD '-v SP'o This permit application has been: El Approved Reviewed and the following items need attention: J414 A tyS- y 77Pc <::e �' -r S'A �r .fid o , , Please re-submit your application when these items have been completed. Reviewed By: >"' Date: ` / m } BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FP1F I COPY 800 Seminole Road,Atlantic Beach,FL 32233 �� ______ Office(904)247-5826 Fax(904)247-5845 �`5 �S�j QQk ��1• �t20.eh,K.Permit Number jJ Job Address: Legal DescriptionParcel# B — 001 tea o q.I. A. q. t Valuation of Work$31W 0Q Proposed Work heated/cooled Z) q5 non-heated/cooled Class of Work(circle one): (" Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures)(circle one): Commercial ti If an existing structure,is a fire sprinkler one): es No system installed. (Circle /A Florida Product Approval# _.. For multiple products u itct.approva o Describe in detail the type of work to be performed:NQ3,kl Property Owner Information: Name: ---Address:------ City _ Address --- City State_Zip Phone E-Mail or Fax#(Optional) _ S ol�lnonn 2.CU Contractor Information: CONTRACTOR EMAIL ADDRESS: �,�.0�.-4••.l�her r (y��r tu�+r i t�•� Company Name: Si Q OF Wry ^t Qualifj'utgAgent:l�- �1� Qrtil C Address:12271� SCLU �1CA L31 12o City jg0.0 Nei l e Fax#State _Zip 3 3 Office Phone 904 50 •— li 2Sc' Job Site/Contact umber State Certification/Registration# 1 GL�saw;/t� O 3t 9 Architect Name&Phone# L Qsi i 1� SaW Engineer's Name&PhoneJ. # Fee Simple Title Holder Name alt Address Bonding Company Name and Address Mortgage Lender Name and Address :Ipp/ication is hereby nmde ro nhlnin a permit fo ilo the work aad irns,a!(utinrts qs tndieated. 1 ecrviJi dwt rw xork or itshas commenced prior to the issuance nJ a pertui!and tint nll work will hr prrfnrmerl m mee!the smndards of oll laws regulat/ng construction in this jurisdiction. This permit becomes null mal void iJ.p k is not cnatmenced was (6)motnlns,or if concrruclinn qr work is susprnded or aharrdonert fora enrxl of sic t6l nronrlus at am'time yNer work is ciumn+enced. 1 understood Ihuf se/xrrurr permits mull be securrd.Jur F"leclrien!Wnrk,Plumbing.Srgns, {fells,Pon/s.Furnaces,Boilers,Hrrrars, Tanks mid Air Candnintrers,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFR E EYOUR CORDING YR NOTICE OF COM I herebv certih,than 1 hm=e r d nd ex mined this pltcatton and know the some to be true and correct. All provisions of laws and ordinances governing this n�re+jwurk+til(he comp ea viii r sppeeci+rd herein or ni. The grarli of a permit does not presume to give authority to violate or canerl the provisions•ofanv other fe er state r l al!aw e I g con uction at the performance nfconstntction. Signature of Ow r Signature of Contractor � __.____ Print Name «5........v ...... .. Print Name _(!-'tkhQ ,J._.....Q �' ... Befoe \ Before ne 20 this�_Day of s�p�N��¢r _ 20 thisa}of o Public Nota a is Revised 01.26.10 F1dn nvs Notary Public State of Florida �rF:r nye Notary Public State of Florida Amber Atteberry [ `�; Amber Atteberry F, ; oz h4y Commission EE 850279 0.` " c my commission EE 850279 ''t�K Ftoa Expires 11/0812016 d Sy o SOK F� Expires 11/0812016 6�ry DO NOT WRITE BELOW - OFFICE USE ONLY Applicable Co es: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: / Development Size Habitable Space ,� 395. S• Non-Habitable /o 63 S. F. Impervious area Miscellaneous Information Occupancy Group 9-3 Type of Construction V 13 Number of Stories Zoning District ,PV O Max. Occupancy Load Fire Sprinklers Required Flood Zone >C ,- S v r vim/ Conditions/Comments: COVER PAGE Job Name: Atlantic Beach Country Club lot 90 Address of Project: 595 Coastal Oak Lane, Atlantic Beach, FL 32233 Occupancy Class: Group R-3 Included Hereto: Building Permit Application ✓ Notice of Commencement + DQeci Right of Way and Easement Permit Application Revocable Encroachment Permit Application 2 sets architectural plans 2 sets energy calcs t- 2 sets product approval L/ 2 sets truss and structural engineering D 15 L 0 5 copies site plan � JAN 0 5 By____— Architect Contact Info: Northeast Florida Design, Inc. -"- 12627 San Jose Boulevard Jacksonville, FL 32223 904-260-3319 FILE COPY ,.�. :�.�. ..�._.._.. � . SITE PLAN LOT 90 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS RECORDED IN PLAT BOOK 67, PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. 10.5 GRAPHIC SCALE \11.2 30 0 15 so Ckl — A- PANEL#0406HC' PANEL p40et4 �� ————————— 6.63' f IN (•"? 1 inch FEET 30 )ft. OL �('�i 210.12' ❑ DENOTES CHEMICAL TOILET �' ,r cr72popib 11 0 DENOTES PROPOSED CONCRETE Qj. s9 DENOTES PROPOSED PAVERS BOC – DENOTES BACK OF CURB 4.63' J 1 \ EDP – DENOTES EDGE OF PAVEMENT I! – DENOTES FUTURE 4- TREE 6.63' \ OL•� .�. Xs 54 "'N \ �r 6.63' h .� ,v �e}y rb 144.r 2.4 � •• 7 �7'� �. '+ca � 6.63'116 S IMPERVIOUS COVERAGE , '... 4.00• .0 3.29' '53 �•. IMPERVIOUS 5a.Ft. LOT Sq.Fl ; 4 6• C C1 S, ( 4.272 Sq,Ft. 7,200 Sq.Ft. 597L 15.13' 15.13 LINE TABLE LINE DIRECTION LENGTH v- \ `• �s LI(P) N541W06'W 80.00 L2(P) S54-18.05-E 80.00 Q�Ri 12.2 \ 114S "4Y�'� 2j8�626�CJ 60i P.1. COASTAL OAK LANE GENERAL NOTES: 1.BEARINGS ARE 8ASE0 ON THE CENTERUNE OF COASTAL OAK LANE AS BEING N5478'08'W. 2.ORAINAGE ELEVATIONS SHOWN HEREON ARE BASED ON NAVD 1988. J.THE LANDS SHOWN HEREON LIE WITHIN FLOOD ZONE'X'AS DEPICTED ON THE FLOOD INSURANCE RATE MAP (F.I.R.M.)COMMUNITY'MIMBLR 120077,PANEL NUMBER 0408H,DATED,JUNE 3,2013,THE FLOOD ZONES SHOWN ON THIS SITE PLAN ARE SCALED OFF OF THE EE.M.A.F.I.R.M.MAPS AND ARE FOR REFERENCE ONLY.ME F.I.R.M. INFORMATION AND DELINEATION'S ON THIS SITE PLAN ARE VALID ONLY FOR DATES UP TO AND INCLUDING THE DATE OF THIS SITE PLAN.THERE MAY HAVE BEEN SUBSEWENT RENSIONS AFTER 145 DATE THAT WIU_SUPERSEDE SAID SOD BREAKDOWN"".':"'" INFORMATION.INQUIRIESW SHOULD BE MADE TO THE COMMUNITY'S FLOOD PLANE MANAGEMENT REPOSITORY, DEPARTMENT OF PUBLIC WORKS,DUVAL COUNTY. TOTAL LOT AREA 7,200 Sq. Ft. 4.FLOOD MAPS REFERENCED HEREON ARE BASED ON NAVO 1988. R TO CURB 810 S Fl. 5.NO UNDERGROUND FOUNDATIONS OR UTILITIES!NO IMPROVEMENTS,OTHER THAN THOSE SHOWN WERE LOCATED q UNDER ME SCOPE OF THIS SITE PLAN. GROSS SOO AREA 8,010 Sq.Ft. 8.ADDITIONS,DELETIONS AND/OR ANY WRITTEN INFORMATION AWED TO THIS YM ANO/OR REPORT IS PROHIBITED DEDUCTIONS AN IS NOT AUTHORIZED BY THE SIGNING SURVEYOR. FOUNDATION SLAB 3,470 Sq.Fl. 7.THIS MAP 15 INTENDED TO BE HEWED AT A SCALE OF 1'=30'OR SMALLER. 0 ENTRIES k PATIOS DEPICTED AS EXTENDING INTO THE BUILDING RESTRICTION LIMITS MUST REMAIN UNCOVERED& DRIVEWAY 878 Sq.Ft. NOT ENCLOSED. STEPS 81 Sq.Ft. 1 UPLAND BUFFERS ADJACENT TO WETLANDS ARE TO REMAIN NATURAL.VEGETATIVE,AND UNDISTURBED. t0.DIMENSONS ARE IN FEET AND DECIMAL PARTS THEREOF, SIDEWALK AREA 194 Sq.FL 11.THIS STE PLAN IS ONLY FOR THE LANDS AS DESCRIBED.IT IS NOT A CERTIFICATE OF TITLE,ZONING. A/C PAD(S)A:GARAGE EASEMENTS OR FREEDOM OF ENCUMBRANCES. 9 Sq Ft. 12.OROS SITE PLM!WAS NOT INTENDED TO DELINEATE OR DEFINE ANY WETLANDS,ENVIRONMENTALLY SENSITIVE SERVICE DOOR SB MEAS,WILDLIFE HABITATS OR JURISDICTIONAL UNES OF ANY FEDERAL,STATE,REGIONAL OR LOCAL AGENCY, WATER/CONSERVATIONO Sq.Ft. BOARD.AND COMWSSION OR OTHER ENTITY AND ANY UABIUTY RESULTING THEREFROM IS NOT THE RESPONSIBILITY OF THE UNDERSIGNED. T T L E TI 4, q.Ft. 13.UNLESS A COMPARISON IS MADE,MEASURED BEARINGS AND DISTANCES ME IDENTICALU WTH PT VALUES. NET SOD AREA 3,378 Sq.Fl. 14.THIS SITE PLM IS BASED ON INFORMATION AS PROVIDED BY THE CLIENT. 1S.BUILDING AND IMPROVEMENTS,IF ANY,AS DEPICTED HEREON ARE PERPENDICULAR TO THE PARCEL PROPERTY LINES. ALL BUILDING TES ARE SHOWN TO THE FOUNDATION. 15.MIS IS NOT A BOUNDARY SURVEY. 17.PUBUC SIDEWALKS DEPICTED HEREON ARE BASED ON THE CONSTRUCTICN PLANS. THEY ARE SHOWN FOR INFORMATIONAL PURPOSES ONLY AND ARE NOT TO BE RELIED UPON FOR CONSTRUCTION. FOR CORRECT LOCATION AND/OR DIMENSIONS REFER TO ME MOST CURRENT SET OF CONSTRUCTION PLANS. THERE IS A MAXIMUM 21G SLOPE ON ALL SIDEWALKS ALL SIDEWALK AND FLATWORK SHALL,AT A MINIMUM,MEET CURRENT DUVAL COUNTY AND ADA STANDARDS.CROSS SLOPES SHALL BE NO MORE THAN 2S THE PORTION OF THE SIDEWALK MACH 'SETBACKS'- TRANSVERSES THROUGH THE DRIVEWAY APRON SHALL ALSO MEET THIS REQUIREMENT.ALSO,PLEASE NOTE THAT FRONT-20 FEET FROM FACE OF GARAGE TO BACK OF RIGHT OF WAY AND UTILITIES(METER BOXES,VALVES,ETC.)SHALL NOT BE INSTALLED WITHIN THE SDEWAUO 15 FEET FROM BUILDING FACE OR PORCH TO BACK OF RIGHT OF WAY, 18 A/C PADS MUST MAINTAIN 2'AWAY FROM MY PROPERTY LINE AND CAN NOT ENCROACH INTO A DRAINAGE EXCEPT CORNER/DOUBLE-FRONTAGE LOTS,FOR WHICH THE NON-ADDRESS EASEMENT DUE TO DRAINAGE PURPOSES, FRONT/SIDE MINIMUM YARD SHALL BE 10 FEET FROM GARAGE OR BUILDING 19.DRAINAGE STRUCTURES DEPICTED MAY VARY IN SZE. REFER TO ENGINEERING PLANS FOR CORRECT FACE TO BACK OF RIGHT OF WAY. DIMENSIONS. PREPARED FOR:RIVERSIDE HOMES CERTIFIED T0:RIVERSIDE HOMES Doc # 2014278963, OR BK 17003 Page 491, Number Pages: 2, Recorded 12/11/2014 at 03:59 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 DEED DOC ST $8631.00 JILE COPY �' Prepared by and return to: Atlantic Beach Partners,LLC 414 Old Hard Road,Suite 502 Y Fleming Island,Florida 32003 ��'� �A` File 14-0687 SPECIAL WARRANTY DEED THIS SPECIAL WARRANTY DEED made as of the 10th day of December, 2014, by ATLANTIC BEACH PARTNERS,LLC, a Florida limited liability company, whose address is 414 Old Hard Road, Suite 502, Fleming Island, FL 32003 (hereinafter called "Grantor") and RIVERSIDE HOMES OF NORTH FLORIDA,INC.,a Florida corporation,whose address is 414 Old Hard Road, Suite 502,Fleming Island,Florida 32003 (hereinafter called"Grantee"). WITNESSETH: That Grantor, for and in consideration of the sum of Ten and no/100 Dollars ($10.00)and other valuable consideration, the receipt whereof is hereby acknowledged,by these presents does hereby grant, bargain, sell, alien, remise, release, convey and confirm unto Grantee, its legal representatives and assigns,all that certain real property situate in Duval County,Florida, described as follows: Lots 90, 103, 152, 153, 154, 155, 168,Atlantic Beach Country Club Unit 2, according to the plat thereof recorded in Plat Book 67,Pages 132 through 137,in public records of Duval County,Florida. Parcel Identification Numbers: TOGETHER WITH all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD,the same in fee simple forever. And Grantor hereby covenants with Grantee that except as set forth below at the time of the delivery of this deed, the Property was free from all encumbrances made by Grantor; and that Grantor will warrant and defend the same against the lawful claims of all persons claiming by, through or under Grantor,but against none other. By acceptance and recording of this deed,Grantee,for itself and its successors and assigns, agrees to join in and support and to execute all documents and papers necessary to accomplish the annexation of the Property conveyed hereby into the City of Atlantic Beach, Florida. Grantee acknowledges that the foregoing agreement is a condition of this conveyance by Grantor and shall run with the title to the Property. JAX ACTIVE 3453587.3 OR BK 17003 PAGE 492 This conveyance is subject to covenants, easements and restrictions of record and to ad valorem taxes levied or which may become a lien subsequent to December 31 of the calendar year next preceding the date hereof. IN WITNESS WHEREOF,this deed has been executed as of the date first above written. Signed, sealed and delivered GRANTOR: in the presence of: ATLANTIC BEACH PARTNERS,LLC, P nt Name: a Florida limited liability company dat&k By: The Wood Development Company of Print Name: Carol Anders Jacksonville, its Managing Member By. /� .G�:� � N : James Ricky ood Title: President STATE OF FLORIDA } }SS COUNTY OF DUVAL } The foregoing instrument was acknowledged before me this 10th day of December,2014,by James Ricky Wood as President of The Wood Development Company of Jacksonville, a Florida corporation, the Managing Member of Atlantic Beach Partners, LLC, a Florida limited liability company,on behalf of the company. NOTARY PUBLIC M ' Mrcol nssiAS av 27 State of Florida at Large _�+ F EXPIRES:June 25 2018 BmkWTruNotwyPvbkUndewUr% Printed Name: DALLAS ATKINSON Commission#FF 127457 My Commission Expires: June 25, 2018 Personally known XX or Produced I.D._ [check one of the above] Type of Identification Produced JAx_ACT1vr 3453587.3 2 Doc # 2014278965, OR BK 17003 Page 497, Number Pages: 2, Recorded 12/11/2014 at 03:59 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $18.50 i Prepared by and return to: Brent R.Newton,Esquire Newton&Newton,P.A. j 10192 San Jose Blvd. Jacksonville,FL 32257 File No.14-0687F Permit Number: ORIGINAL Tax Folio Number: State of: Florida County of. Duval NO'T'ICE OF COMMENCEMENT The undersigned hereby gives notice that improvement will be made to certain real property,and,in accordance with Chapter 713,Florida Statutes(revised 10-1-96),the following information is provided in this Notice of Commencement: 1. Description of Property: Lot 90,Atlantic Beach Country Club Unit 2, according to plat thereof as recorded in Plat Book 67,Pages 132 through 137, of the public records of Duval County,Florida. 2. General Description of Improvements: construction of single family dwelling 3. Owner Information: a. Name and Address: Riverside Homes of North Florida,Inc. 414 Old Hard Road,Suite 502 Fleming Island,FL 32003 b. Interest in property: Fee Simple C. Names and address of fee simple title holder(if other than owner): 4. a. Contractor Riverside Homes of North Florida,Inc. 414 Old hard Road,Suite 502 Fleming Island,FL 32003 b. Contractor's phone number: 904-264-6553 Fax number: 5. Surety: a.Name and address: b.Phone number: c.Amount of bond: 6. a. Lender: Regions Bank 1042 Main Street,2nd Floor Dunedin,Florida 34698 b. Lender's phone number: 800-734-4667 7, a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7).,Florida Statutes. b. Phone numbers of designated persons: 8. a. In addition to himself,Owner designates Candace Wolfe of Regions Bank,1042 Main Street,2nd Floor, Dunedin,Florida 34698,to receive a copy of the Licnor's Notice as provided in Section 713.13(1)(b),Florida Statutes. 727-466-2334 b. Phone number of person or entity designated by Owner: M199.fatk9 & 9. Expiration date of Notice of Commencement(the expiration date is I year from date of recording unless a different date is specified): OR BK 17003 PAGE 498 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. V SI OMrSOFNO FLORIDA,INC. her B.Wood Vice President POST A COPY OF RECORDED NOTICE AT JOB SITE. The foregoing instrument was acknowledged before me December 10,2014,by Christopher B.Wood,the Vice President of Riverside Homes of North Florida,Inc.,who is personally known to me. Nota Public ems---s My Commission Expires: 10S L� i�'FB-MMEW M. ISS"Ot�E.�:.kuoe 25.2018 i i i i O b W V W U A W N p O b W V W U A W W W N m W U a W N D N 0 9 N 7 N� G1�L7�0mm m U1 v N' 3�vDT000OS U) O c xmm (n m mD n o 3 0 m N T o a D 0 co c o N f ° w w w > > `2_ o m x < m' m'm' O > j 3 N �' a m - z D m n°� ° -' n c z m'° -;a S D GI ,°c c m o w o-° S o w m' m 3 3 3 0 0 v c ° ,� S m 0 '^ c m o�^ 3 m'_ �' - 00 1 n 3 v o o '^ c O < E; o a IN D O m 3 a w m(7S P _ c o 5 c° 0 O ° A - z d y n N o m z w z z z z z i z 3 D o DDD➢D D D D s D D D D D D D-D 0 D D D p n a D D D f o m 'm v o v oo m D 0 o A v m O m m `� D v °v 3 D -1 oo v < ° 3 c 3 o m `° p D m f D E;0 v u 3 _ c o N D 3 rn m m" z x `�m 4 N m m o v D m T Z O _ ° d 2 m n y o - o o 2 o o o w o o ' 3 " m v go o o �3 =- t/1 a 0 - o 0 ovo W o oc n Q 3 n o �� 0 D o ao 03 oav n o D oo- v w O m n S S N<O n R _ N U 6 N N W p z 3 < g� w 0< n n c o ° < S 2 m. 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New construction or existing New(From Plans) 9. Wall Types (2342.5 sgft.) Insulation Area a.Frame-Wood,Exterior R=19.0 2112.50 ft' 2. Single family or multiple family Single-family b.Frame-Wood,Adjacent R=13.0 230.00 ft' 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft' 10.Ceiling Types (2563.0 sgft.) Insulation Area 5. Is this a worst case? Yes a.Under Attic(Vented) R=22.5 2395.00 ft' 6. Conditioned floor area above grade(ft') 2395 b.Knee Wall(Vented) R=19.0 168.00 ft' c.N/A R= ft2 Conditioned floor area below grade(ft2) 0 11.Ducts R ft2 7. Windows(352.0 sqft.) Description Area a.Sup:Attic,Ret:Attic,AH:Attic 6 178 a. U-Factor: Dbl,U=0.34 352.00 ft2 SHGC: SHGC=0.27 ft2 12.Cooling systems kBtu/hr Efficiency b. U-Factor: N/A a.Central Unit 36.0 SEER:15.00 SHGC: c. U-Factor: N/A ft2 SHGC: 13.Heating systems kBtu/hr Efficiency d. U-Factor: NIA ft2 a.Electric Heat Pump 36.0 HSPF:8.50 SHGC: Area Weighted Average Overhang Depth: 6.531 ft. 14.Hot water systems Area Weighted Average SHGC: 0.270 Ca 1 gallons a.Natural Gas Tankless P 9 8. Floor Types (2395.0 sgft.) Insulation Area EF:0.590 a.Slab-On-Grade Edge Insulation R=0.0 2395.00 ft2 b. Conservation features b.N/A R= ft2 None c.N/A R= ft' 15.Credits None Total Proposed Modified Loads: 26.58 PASS Glass/Floor Area: 0.147 Total Standard Reference Loads: 48.78 c�1"SI £� I hereby certify that the plans and specifications covered by Review of the plans and O � this calculation are in compliance with the.Florida Energy specifications covered by this Code. �., " ". calculation indicates compliance CfIStNla MCAiial y ' with the Florida Energy Code. PREPARED BY: �-L Before construction is completed d DATE: this building will be inspected for 0 _ compliance with Section 553.908 Florida Statutes. I hereby certify th this building,a signed, is in compliance CC $� with the Florida ner de. BUILDING : OWNER GE OFFICIAL DATE: Compliance requires completion of a Florida Air Barrier and Insulation Inspection Checklist 12!29/2014 3'35 PM 9Y 9 Ener Gau eG USA-FlaRes2010 Section 405.4.1 Compliant Software Page 1 of 6 PROJECT Title: Atlantic Beach Country Club Lo Bedrooms: 3 Address Type: Street Address Building Type: User Conditioned Area: 2395 Lot# Owner: Total Stories: 1 Block/SubDivision: #of Units: 1 Worst Case: Yes PlatBook: Builder Name: Riverside Homes Rotate Angle: 45 Street: Permit Office: Cross Ventilation: County: Duval Jurisdiction: Whole House Fan: City,State,Zip: Atlantic Beach, Family Type: Single-family FL, New/Existing: New(From Plans) Comment: Anastasia-Coastal CLIMATE IECC Design Temp Int Design Temp Heating Design Daily Temp Design Location TMY Site Zone 97.5% 2.5% Winter Summer Degree Days Moisture Range FL,Jacksonville FL_JACKSONVILLE_INT 2 32 93 70 75 1281 49 Medium BLOCKS Number Name Area Volume 1 Block1 2395 23950 SPACES Number Name Area Volume Kitchen Occupants Bedrooms InfilID Finished Cooled Heated 1 1st Floor 2395 23950 Yes 4 3 1 Yes Yes Yes FLOORS # Floor Type Space Perimeter R-Value Area Tile Wood Carpet 1 Slab-On-Grade Edge Insulation 1 st Floor 228 ft 0 2395 ft2 __-- 0 0 1 ROOF Roof Gable Roof Solar SA Emitt Emitt Deck Pitch # Type Materials Area Area Color Absor. Tested Tested Insul. (deg) 1 Hip Composition shingles 2594 W 0 ft2 Medium 0.96 No 0.9 No 22.5 22.6 ATTIC V # Type Ventilation Vent Ratio(1 in) Area RBS IRCC 1 Full attic Vented 300 2395 ft2 N N CEILING # Ceiling Type Space R-Value Area Framing Frac Truss Type 1 Under Attic(Vented) 1 st Floor 22.5 2395 ft2 0.11 Wood 2 Knee Wall(Vented) 1 st Floor 19 168 ft2 0.11 Wood 12/292014 3:35 PM EnergyGauge(D USA-FlaRes2010 Section 405.4.1 Compliant Software Page 2 of 6 WALLS Cavity Width Height Sheathing Framing Solar Below Adjacent Space 0 Omt To Wall T�pe _ Fz , Ft In Ft In AreFj 1 N=>NE Exterior Frame-Wood 1 st Floor 19 20 0 10 200.0 ft' 0.23 0.75 0 _ 2 E=>SE Exterior Frame-Wood 1st Floor 19 15 4 10 153.3 ft2 0.23 0.75 0 _ 3 N=>NE Exterior Frame-Wood 1 st Floor 19 4 9 10 47.5 ft2 0.23 0.75 0 _ 4 NE=>E Exterior Frame-Wood 1 st Floor 19 4 4 10 43.3 ft2 0.23 0.75 0 _ 5 E=>SE Exterior Frame-Wood 1 st Floor 19 4 8 10 46.7 ft2 0.23 0.75 0 _ 6 N=>NE Exterior Frame-Wood 1st Floor 19 18 8 10 186.7 ft2 0.23 0.75 0 _ 7 E=>SE Exterior Frame-Wood 1st Floor 19 32 10 10 328.3 ft' 0.23 0.75 0 _ 8 SE=>S Exterior Frame-Wood 1st Floor 19 3 6 10 35.0 ft2 0.23 0.75 0 _ 9 S=>SW Exterior Frame-Wood 1st Floor 19 6 6 10 65.0 ft' 0.23 0.75 0 _10 SW=>W Exterior Frame-Wood 1 st Floor 19 3 6 10 35.0 ft' 0.23 0.75 0 _11 S=>SW Exterior Frame-Wood 1 st Floor 19 5 6 10 55.0 ft' 0.23 0.75 0 _12 SE=>S Exterior Frame-Wood 1 st Floor 19 3 6 10 35.0 ft' 0.23 0.75 0 _13 S=>SW Exterior Frame-Wood 1st Floor 19 2 2 10 21.7 ft2 0.23 0.75 0 _14 E=>SE Exterior Frame-Wood 1st Floor 19 12 8 10 126.7 ft' 0.23 0.75 0 _15 S=>SW Garage Frame-Wood 1 st Floor 13 23 10 230.0 ft2 0.23 0.75 0 _16 W=>NW Exterior Frame-Wood 1 st Floor 19 37 2 10 371.7 ft2 0.23 0.75 0 _17 S=>SW Exterior Frame-Wood 1 st Floor 19 2 0 10 20.0 ft2 0.23 0.75 0 18 W=>NW Exterior Frame-Wood 1 st Floor 19 34 2 10 341.7 ft2 0.23 0.75 0 DOORS # Ornt Door Type Space Storms U-Value Ft WidIn Ft In Width In Area 1 S=>SW Insulated 1st Floor None .46 3 8 24 ft2 2 S=>SW Wood 1st Floor None .46 2 8 8 21.3 ft2 WINDOWS Orientation shown is the entered orientation(=>)changed to Worst Case. Wall Overhang # Omt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening 1 N=>NE 1 Vinyl Low-E Double Yes 0.34 0.27 49.5 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds None 2 N=>NE 3 Vinyl Low-E Double Yes 0.34 0.27 19.3 ft2 3 ft 9 in 1 ft 0 in Drapes/blinds None 3 NE=>E 4 Vinyl Low-E Double Yes 0.34 0.27 19.3 ft2 5 ft 0 in 1 ft 0 in Drapes/blinds None 4 E=>SE 5 Vinyl Low-E Double Yes 0.34 0.27 19.3 ft2 10 ft 0 in 1 ft 0 in Drapes/blinds None 5 N=>NE 6 Vinyl Low-E Double Yes 0.34 0.27 96.0 ft2 11 ft 9 in 1 ft 0 in Drapes/blinds None 6 E=>SE 7 Vinyl Low-E Double Yes 0.34 0.27 6.0 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds None 7 SE=>S 8 Vinyl Low-E Double Yes 0.34 0.27 13.8 ft2 7 ft 9 in 1 ft0 in Drapes/blinds None 8 S=>SW 9 Vinyl Low-E Double Yes 0.34 0.27 27.5 ft2 7 ft 9 in 1 ft 0 in Drapes/blinds None 9 SW=>W 10 Vinyl Low-E Double Yes 0.34 0.27 13.8 ft2 7 ft 9 in 1 ft 0 in Drapes/blinds None 10 S=>SW 11 Vinyl Low-E Double Yes 0.34 0.27 16.0 ft2 8 ft 0 in 0 ft 0 in Drapes/blinds None 11 SE=>S 12 Vinyl Low-E Double Yes 0.34 0.27 13.8 ft2 10 ft 4 in 1 ft 0 in Drapes/blinds None 12 E=>SE 14 Vinyl Low-E Double Yes 0.34 0.27 8.0 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds None 13 W=>NW 16 Vinyl Low-E Double Yes 0.34 0.27 33.0 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds None 14 W=>NW 16 Vinyl Low-E Double Yes 0.34 0.27 4.0 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds None 15 W=>NW 18 Vinyl Low-E Double Yes 0.34 0.27 6.0 ft2 1 ft 0 in 1 ft 0 in Drapes/blinds None 12/292014 3:35 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 3 of 6 WINDOWS Orientation shown Is the entered orientation(=>)changed to Worst Case. / Wall Overhang V # Omt ID Frame Panes NFRC U-Factor SHGC Area Depth Separation Int Shade Screening 16 W=>NW 18 Vinyl Low-E Double Yes 0.34 0.27 7.0 ft' 1 ft 0 in 1 ft 0 in Drapes/blinds None GARAGE # Floor Area Ceiling Area Exposed Wall Perimeter Avg.Wall Height Exposed Wall Insulation 1 606.58 W 606.58 ft' 64 ft loft 19 INFILTRATION # Scope Method SLA CFM 50 ELA EgLA ACH ACH 50 1 Wholehouse Best Guess .0003 1884.6 103.46 194.58 .231 4.7214 HEATING SYSTEM # System Type Subtype Efficiency Capacity Block Ducts 1 Electric Heat Pump None HSPF:8.5 36 kBtu/hr 1 sys#1 COOLING SYSTEM # System Type Subtype Efficiency Capacity Air Flow SHR Block Ducts 1 Central Unit None SEER:15 36 kBtu/hr 1080 cfm 0.75 1 sys#1 HOT WATER SYSTEM # System Type SubType Location EF Cap Use SetPnt Conservation 1 Natural Gas Tankless Exterior 0.59 1 gal 70 gal 120 deg None SOLAR HOT WATER SYSTEM FSEC Collector Storage Cert # Company Name System Model# Collector Model# Area Volume FEF None None ft' DUCTS —Supply-- –Return--- Air CFM 25 CFM25 HVAC# # Location R-Value Area Location Area Leakage Type Handler TOT OUT QN RLF Heat Cool 1 Attic 6 178 ft2 Attic 75 ft2 Default Leakage Attic (Default)c(Default)c 1 1 12/292014 135 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 4 of 6 TEMPERATURES Programable Thermostat: N Ceiling Fans: Cooling [ ]Jan [ ]Feb [[ ]Mar [ ]Apr [ ]May [X]Jun [X]Jul [X]Aug rj Sep [ ]Oct Nov Dec Heating X]Jan X]Feb [X]Mar [ ]Apr [ ]May [ ]Jun [ ]Jul [ ]Augg Sepp [ ]Oct X Nov Dec Venting ]Jan ]Feb X Mar [X]A r [ ]]]Ma [ ]Jun [ ]Jul [ ]Au Se [X1 Oct X Nov Dec Thermostat Schedule: HERS 2006 Reference Hours Schedule Type 1 2 3 4 5 6 7 8 9 10 11 12 Cooling(WD) A 78 8 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 78 78 78 Cooling(WEH) AM 78 78 78 78 78 PM 78 78 78 78 78 78 78 78 78 78 78 8 78 78 78 78 Heating(WD) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 Heating(WEH) AM 68 68 68 68 68 68 68 68 68 68 68 68 PM 68 68 68 68 68 68 68 68 68 68 68 68 MECHANICAL VENTILATION Type Supply CFM Exhaust CFM Fan Watts HRV Heating System Run Time Cooling System None 0 0 0 0 1-Electric Heat Pump 0% 1-Central Unit 12292014 3:35 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 5 of 6 FORM 405-10 Florida Code Compliance Checklist Florida Department of Business and Professional Regulations Residential Whole Building Performance Method ADDRESS: ,,JAI - L�rl-� PERMIT#: Atlantic Beach, FL, - MANDATORY REQUIREMENTS SUMMARY-See individual code sections for full details. COMPONENT SECTION SUMMARY OF REQUIREMENT(S) CHECK Air leakage 402.4 To be caulked, gasketed, weatherstripped or otherwise sealed. Recessed lighting IC-rated as meeting ASTM E 283. Windows and doors= 0.30 cfm/sq.ft. Testing or visual inspection required. Fireplaces: gasketed doors&outdoor combustion air. Must complete envelope leakage report or visually verify Table 402.4.2. Thermostat& 403.1 At least one thermostat shall be provided for each separate heating / controls and cooling system. Where forced-air furnace is primary system, programmable thermostat is required. Heat pumps with supplemental electric heat must prevent supplemental heat when compressor can meet the load. Ducts 403.2.2 All ducts, air handlers, filter boxes and building cavities which form the primary air containment passageways for air distribution systems shall be considered ducts or plenum chambers, shall be constructed and / sealed in accordance with Section 503.2.7.2 of this code. J 403.3.3 Building framing cavities shall not be used as supply ducts. Water heaters 403.4 Heat trap required for vertical pipe risers. Comply with efficiencies in Table 403.4.3.2. Provide switch or clearly marked circuit breaker (electric) or shutoff(gas). Circulating system pipes insulated to= R-2 +accessible manual OFF switch. Mechanical 403.5 Homes designed to operate at positive pressure or with mechanical ventilation ventilation systems shall not exceed the minimum ASHRAE 62 level. No make-up air from attics, crawlspaces, garages or outdoors adjacent J to pools or spas. Swimming Pools 403.9 Pool pumps and pool pump motors with a total horsepower(HP) of= 1 &Spas HP shall have the capability of operating at two or more speeds. Spas and heated pools must have vapor-retardant covers or a liquid cover or Pc other means proven to reduce heat loss except if 70% of heat from site-recovered energy. Off/timer switch required. Gas heaters minimum thermal efficiency--78% (82% after 4/16/13). Heat pump pool heaters minimum COP= 4.0. Cooling/heating 403.6 Sizing calculation performed & attached. Minimum efficiencies per Tables 503.2.3. Equipment efficiency verification required. Special J equipment occasion cooling or heating capacity requires separate system or variable capacity system. Electric heat >10kW must be divided into two or more stages. Ceilings/knee walls 405.2.1 R-19 space permitting. 12/29/2014 3:35 PM EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Page 6 of 6 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE INDEX* = 54 The lower the EnergyPerformance Index,the more efficient the home. 4111111111111 , Atlantic Beach, FL, - 1. New construction or existing New(From Plans) 9. Wall Types Insulation Area 2. Single family or multiple family Single-family a.Frame-Wood,Exterior R=19.0 2112.50 ft2 b.Frame-Wood,Adjacent R=13.0 230.00 ft2 3. Number of units,if multiple family 1 c.N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 10.Ceiling Types Insulation Area 5. Is this a worst case? Yes a.Under Attic(Vented) R=22.5 2395.00 ft2 6. Conditioned floor area(ft=) 2395 b.Knee Wall(Vented) R=19.0 168.00 ft' c.N/A R= ft2 7. Windows- Description Area 11.Ducts R ft2 a. U-Factor: Dbl,U=0.34 352.00 ft2 a.Sup:Attic,Ret:Attic,AH:Attic 6 178 SHGC: SHGC=0.27 b. U-Factor: N/A ft2 SHGC: 12.Cooling systems kBtu/hr Efficiency c. U-Factor: N/A ft2 a.Central Unit 36.0 SEER:15.00 SHGC: d. U-Factor: N/A ft2 13.Heating systems kBtu/hr Efficiency SHGC: a.Electric Heat Pump 36.0 HSPF:8.50 Area Weighted Average Overhang Depth: 6.531 ft. Area Weighted Average SHGC: 0.270 8. Floor Types Insulation Area 14.Hot water systems Cap:1 gallons a.Slab-On-Grade Edge Insulation R=0.0 2395.00 ft2 a.Natural Gas EF:0.59 b.N/A R= ft2 b. Conservation features c.N/A R= ft2 None 15.Credits None I certify that this home h c pli d with the Florida Energy Efficiency Code for Building ��KI1t S74�, Construction through e ve nergy savin features which will be installed (or exceeded) _ p in this home before al pec o therwi e, a new E L Display Card will be completed based on installed o�1e om li eatures. ' y Builder Signatur : Date: 11 a Address of New City/FL Zip: (( � e�D W't *Note: This is not a Building Energy Rating. If your Index is below 70, your home may qualify for energy efficient mortgage (EEM) incentives if you obtain a Florida EnergyGauge Rating. Contact the EnergyGauge Hotline at (321) 638-1492 or see the EnergyGauge web site at energygauge.com for information and a list of certified Raters. For information about the Florida Building Code, Energy Conservation, contact the Florida Building Commission's support staff. **Label required by Section 303.1.3 of the Florida Building Code, Energy Conservation, if not DEFAULT. EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software TABLE 402.4.2 AIR BARRIER AND INSULATION INSPECTION COMPONENT CRITERIA Project Name: Atlantic Beach Country Club Lot 90 Builder Name: Riverside Homes Street: Permit Office: City,State,Zip: Atlantic Beach,FL, - Permit Number: Owner: Jurisdiction: Design Location: FL,Jacksonville COMPONENT CRITERIA QHECK Air barrier and thermal barrier Exterior thermal envelope insulati for arced walls is in tall d in substantial contact and conti us nment with buil g envelope air barrier. f Breaks or joints in the arrier ar filled repaired. Air-permeable insul on i of used sealin .haterial. Air-permeable i lation ii I side of a air b ffier. Ceiling/attic Air barrier in any dropped cei g/soffit is bstant y ig with insulation and any gaps are se led. Attic access (except unvented a tic), kneeyv I d or, or dro dow stair is sealed. Walls Corners and headers are i Ibted. Junction of foundation nd sill plate\is eale . Windows and doors Space between wind w/door jambs raming is sealed. Rim joists Rim joists are insulat and includ p air barrier. Floors (including Insulation is installed to rmanent contact with underside above-garage and cantilevered of subfloor decking. floors) Crawl space walls Insulation is permanently attached to walls. Exposed earth in unvented crawl spaces is covered with Class I Shafts, penetrations Duct shafts, utility penetrations, knee walls and flue shafts opening to exterior or unconditioned space are sealed. Narrow cavities Batts in narrow cavities are cut to fit, or narrow cavities are filled by sprayed/blown insulation. Garage separation Air sealing is provided between the garage and conditioned spaces. Recessed lighting Recessed light fixtures are air tight, IC rated, and sealed to drywall. Exception—fixtures in conditioned space. Plumbing and wiring Insulation is placed between outside and pipes. Batt insulation is cut to fit around wiring and plumbing, or sprayed/blown insulation Shower/tub on exterior wall Showers and tubs on exterior walls have insulation and an air barrier separating them from the exterior wall. Electrical/phone box on Air barrier extends behind boxes or air sealed-type boxes are installed. Common wall Air barrier is installed in common wall between dwelling units. HVAC register boots HVAC register boots that penetrate building envelope are sealed to subfloor or drywall. Fireplace Fire lace walls include an air barrier. EnergyGauge®USA-FlaRes2010 Section 405.4.1 Compliant Software Project Summary Job: atlantic beach country cl... -fd- wrightsofte Date: 2014 Entire House By: Plan: anastasia-coastal A/C Designs of St. Augustine Inc. 103 Liberty Center Place,St.Augustine,FL 32092 Phone:904-829-8898 Fax:904-829-6587 For: My Riverside Homes Notes: faces south west Design Information Weather: Jacksonville Cecil Field NAS, FL, US Winter Design Conditions Summer Design Conditions Outside db 34 °F Outside db 95 °F Inside db 70 °F Inside db 75 °F Design TD 36 °F Design TD 20 °F Daily range M Relative humidity 50 % Moisture difference 40 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 26312 Btuh Structure 27181 Btuh Ducts 3124 Btuh Ducts 3423 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 29436 Btuh Use manufacturers data n Rate/swing multiplier 1.00 Infiltration Equipment sensible load 30604 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality AverageBtuh Fireplaces 0 Structure Ducts 2�4� Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ftp 2395 2395 Equipment latent load 3060 Btuh Volume (ft3) 23950 23950 33664 Btuh Air changes/hour 0.32 0.16 Equipment total load Equiv. AVF (cfm) 128 64 Req. total capacity at 0.75 SHR 3.4 ton Heating Equipment Summary Cooling Equipment Summary Make Goodman Mfg. Make Goodman Mfg. Trade GOODMAN, JANITROL, AMANA DISTI... Trade GOODMAN, JANITROL, AMANA DIST[... Model SSZ140361 B Cond SSZ140361 B AHRI ref 5722692 Coil ASPT42D14A AHRI ref 5722692 Efficiency 8.5 HSPF Efficiency 12.5 EER, 15 SEER Heating input Sensible cooling 25650 Btuh Heating output 32000 Btuh @ 47°F Latent cooling 8550 Btuh Temperature rise 26 °F Total cooling 34200 Btuh Actual air flow 1140 cfm Actual air flow 1140 cfm Air flow factor 0.039 cfm/Btuh Air flow factor 0.037 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.91 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2014-Dec-29 15:35:38 wrightsoft` Right-Suite®Universal 2015 15.0.05 RSU01648 Page 1 ...specificWtlantic Beach Country Club Lot 90.rup Calc=MJ8 Front Door faces:SW Job: atlantic beach country club I... + wrightsoft Right-JO Worksheet Date: 2014 Entire House By: AIC Designs of St. Augustine Inc. Plan: anastasla-coastal 103 Liberty Center Place,St.Augustine,FL 32092 Phone:904-829-8898 Fax:904-829-6587 1 Room name Entire House Fist Floor 2 Exposed wall 163.0 ft 163.0 It 3 Room height 10.0 ft 10.0 ft heat/cool 2395.0 x 1.0 ft 4 Room dimensions 2395.0 ft' 5 Room area 2395.0 ft' Ty Construction U-value Or HTM Area (ftp Load Area (ft) Load number (Btuh/ft'-°F) (Btuh/ftp or perimeter (ft) (Btuh) or perimeter (R) ( ) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 UIJ 12E-Osw 0.068 ne 2.45 1.52 435 269 659 410 435 269 659 410 t_G 61A 0.590 ne 21.24 38.59 166 0 3526 6406 166 0 3526 6406 UU 12E-Osw 0.068 a 2.45 1.52 43 24 59 37 43 24 59 37 -- 61A 0.590 a 21.24 43.46 19 0 404 826 19 0 404 826 11 W 12E-Osw 0.068 se 2.45 1.52 655 630 1542 960 655 630 1542 960 c-G 61A 0.590 se 21.24 40.25 25 0 531 1006 25 0 531 1006 W 12E-Osw 0.068 s 2.45 1.52 70 42 103 64 70 42 103 64 L--G 61A 0.590 s 21.24 21.09 28 0 595 591 28 0 595 591 12E-Osw 0.068 sw 2.45 1.52 162 94 230 143 162 94 230 143 61A 0.590 sw 21.24 40.25 44 0 935 1771 44 0 935 1771 D 11J0 0.600 sw 21.60 18.90 24 24 518 454 24 24 518 454 12E-Osw 0.068 w 2.45 1.52 35 21 51 32 35 21 U1 51 32 t-G 61A 0.590 w 21.24 43.46 14 0 297 608 14 0 297 608 12E-Osw 0.068 nw 2.45 1.52 714 663 1623 1010 714 663 1623 1010 W t-G 61A 0.590 nw 21.24 38.59 51 0 1083 1968 51 0 1083 1968 12E-Osw 0.068 2.45 0.95 230 212 519 202 230 212 519 202 �D 11 DO 0.390 sw 14.04 12.28 18 18 253 221 18 18 253 221 P 16CR-19ad 0.049 1.76 2.20 168 168 296 370 168 168 296 370 C 16CR-38ad 0.026 0.94 1.17 2395 2395 2242 2802 2395 2395 2242 2802 F 22A-tpl 0.989 35.60 0.00 2395 163 5803 0 2395 163 5803 0 0 0 6 c)AED excursion 212691 1988011 21269 19880 Envelope loss/gain 5043 1401 5043 1401 12 a) Infiltration 0 0 0 0 FAirrequired(cfm) oom ventilation q 1000 4 1000 l gains: Occupants @ 250 4900 4900 Appliances/other tal(lines 6 to 13) 26312 27181 26312 27181 0 0 0 0 xternal load 0 0 0 0 transfer 0 0 0 0 tribution 26312 27181 26312 27181 tal 12% 13% 3124 3423 12% 13% 3124 3423 oads 29436 30604 29436 30604 room load 1140 1140 1140 1140 quired(cfm) Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2014-Dec-29 15:35:38 wrightsoft` Right-Suite®Universal 2015 15.0.05 RSU01648 Page 1 AGCA specific\Atiantic Beach Country Club Lot 90.rup Calc=MJ8 Front Door faces:SW Level 1 s" 73 Efrn Owners 73 6' 19 36 O/Mb fn 4 4 \ 74 ale CN Bath 14' a. 11 IIIL�.JIII I 933 7' rfm 111 ctm O/WIC 69 6' Kitchen 7, Family \ 4 114 d 111 Cfm 6 7" Bed 2 B9. `_7 111 cfm dm 32 9' 4. 68 Foyer 3 m Dining 6" Bath 2 d Bath 3 4 Hall 17 4 d 2 4- 6. Bed 3 q Be Lam dm 29 Crm Dare q-• Job#: Scale: 1 : 137 AIC Designs Performed for: Page 1 Riverside Homes 103 Liberty Center Place Right-Suite(g)Universal 2015 Saint Augustine,FL 32092 15.0.04 RSU01648 Phone:904-829-8898 Fax:904-829-6587 2014-Dec-18 08:58:40 ...ES\Riverside Homes\Anastasia.rup Duct System Summa Job: -�+i- W�`ightsoft y Summary Date: 2014 Entire House By: Plan: Anastasia A1C Designs 103 Liberty Center Place,Saint Augustine,FL 32092 Phone:904-829-6898 Fax:904829-6587 Project • _ For: Riverside Homes Heating Cooling External static pressure 0.22 in H2O 0.22 in H2O Pressure losses 0 in H2O 0 in H2O Available static pressure 0.22 in H2O 0.22 in H2O Supply/return available pressure 0.110!0.110 in H2O 0.110/0.110 in H2O Lowest friction rate 0.100 in/l 00ft 0.100 in/l00ft Actual air flow 933 cfm 933 cfm Total effective length (TEL) 178 ft Supply Branch Detail Table Design Htg Clg Design Diam =W1 Actual Ftg.EgvName (Btuh) (Cfm) (Cfm) FR (in) Ln (ft) Ln (ft} Trunk FBathz C 92 2 3 0.100 4.0 Ox 0 VIFX 33.6 135.0 st33 C 465 16 17 0.100 4.0OX0 VIFx 43.2 135.0 st3 2 h 2861 69 60 0.100 6.0 Ox0 VIFx 21.2 115.0 st2 3 h 2822 68 58 0.100 6.0 OX0 VIFX 40.8 135.0 st3 c 2071 57 74 0.100 6.0 Ox 0 VIFx 9.1 115.0 st1 Dining h 4589 111 85 0.100 7.0 OX 0 VIFX 37.2 115.0 st2 Family h 4589 111 104 0.100 7.0 Ox 0 VIFx 17.3 115.0 st1 Family-A h 4589 111 104 0.100 7.0 Ox 0 VIFx 24.6 115.0 st2 Foyer h 1301 32 28 0.100 4.0 Ox 0 VIFx 29.4 115.0 st2 Hall C 1910 66 68 0.100 6.0 OX 0 VIFx 33.5 135.0 st3 Kitchen c 3197 8 114 0.100 7.0 OX 0 VIFx 18.9 115.0 st1 Laun C 823 29 29 0.100 4.0 OX 0 VIFX 40.6 135.0 st3 0/Bath C 1009 22 36 0.100 4.0 0x0 VIFx 15.3 115.0 stl O/wc c 509 15 18 0.100 4.0 Ox 0 VIFx 19.3 115.0 st1 Ot Wic h 2827 69 47 0.100 6.0 0x 0 VIFx 29.7 115.0 st2 Owners h 3025 73 43 0.100 6.0 OX 0 VIFx 27.3 125.0 st1 Owners-A h 3025 73 43 0.100 6.0 Ox 0 VIFx 16.5 115.0 sti Wic 3 C 42 1 1 1 2 0.100 1 4.0 Ox 0 VIFx 37.3 135.0 st3 2014-Dec-18 08:58:00 ,y wrightsoft` Right-Sufteo Universal 201515.0.04 FS1.101648 Pagel /fi.+l+i1 ...lghlsoft files ES\Rtverside Homes\Anastasia.rup Calc=MJ8 Front Door faces: Supply Detail Table Trunk Htg ClgDesign I Veloc I Diam I H x W I Duct Type I (cfm) I (cfm) I FR (fpm) (in) (in) Material I Trunk Name I st3 Peak AVF 182 177 0.100 334 10.0 0 x 0 VinlFlx st2 st2 Peak AVF 574 501 0.100 537 14.0 0 x 0 VinlFlx SO Peak AVF 359 432 0.100 404 14.0 0 x 0 VinlFlx TableReturn Branch Detail Grill I Htg I Clg I TEL (Design Veloc Diam H x W Stud/Joist Duct Name Size (in) (cfm} (cfm) (ft) FR I (fpm) I (in) I (in) Opening (in) Matl I Trunk rb1 Ox C) 933 933 0 0 0 0 Ox 0 VIFx 2014-Dec-18 08:58:00 wrig ItSOft' Mght-Sulte(D lniversal 2015 15.0.04 F6U01648 Page 2 z6 ..ightsofl files ES Riverside Homes\Anastasia.rup Calc=MJ8 Froni Door faces: cICC EVALUATION c SERVICE ICC-ES Evaluation Reports ESR-3375 F I L E Reissued May 1, 2013 .r, This report is subject to renewal August 1, 2014. www.icc-es.org 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 07 00 00—THERMAL AND MOISTURE pcf. The insulation's liquid components are supplied in PROTECTION nominally 55-gallon drums, labeled as "A" component or Section: 07 21 00—Thermal Insulation "B" component. The insulation components have a shelf life of six months when stored in unopened containers at REPORT HOLDER: temperatures between 70°F (21°C)and 90°F (32°C). SES FOAM 3.2 Surface-burning Characteristics: 4008 LOUETTA ROAD,#538 At a maximum thickness of 4 inches (102 mm) and a SPRING, TEXAS 77388-4405 nominal density of 0.5 pcf, the insulation has a flame- (713)239-0252 spread index of 25 or less and a smoke-developed index of www.sesfoam.com 450 or less when tested in accordance with ASTM E84. Thicknesses of up to 111/2 inches (292 mm) for wall EVALUATION SUBJECT: cavities and ceiling cavities are recognized based on room corner fire testing in accordance with NFPA 286, when SES FOAM 0.5 Ib SPRAY: SPRAY-APPLIED the insulation is covered with a minimum 1/2-inch-thick POLYURETHANE FOAM PLASTIC INSULATION (12.7 mm) gypsum board installed in accordance with the applicable code. 1.0 EVALUATION SCOPE 3.3 Thermal Resistance (R-values): Compliance with the following codes: The insulation has thermal resistance(R-values) at a mean ■ 2012 and 2009 International Building Code(IBC) temperature of 75°F(24°C)as shown in Table 1. ■ 2012 and 2009 International Residential Codee(IRC) 3.4 Air Permeability: ■ 2012 and 2009 International Energy Conservation The insulation, at a minimum thickness of 3 inches Code(I ECC) (76 mm), is considered air-impermeable in accordance ■ Other Codes(see Section 8.0) with IRC Section R202, based on testing in accordance with ASTM E283. Properties evaluated: 4.0 INSTALLATION ■ Surface-burning characteristics 4.1 General: ■ Physical properties SES Foam 0.5 Ib spray insulation must be installed in ■ Thermal resistance (R-values) accordance with the manufacturer's published installation ■ Attic and crawl space installation instructions and this report. A copy of the manufacturer's published installation instructions must be available at all ■ Air permeability times on the jobsite during installation. 2.0 USES 4.2 Application: SES Foam 0.5 Ib spray polyurethane foam plastic The insulation is spray-applied at the jobsite using a insulation is used as a nonstructural thermal insulating volumetric positive displacement pump as identified in the material in buildings of Type V-B (IBC) construction, and in SES Foam 0.5 Ib spray application manual. The insulation dwellings built under the IRC. The insulation is for use in components must be stored at temperatures between wall cavities and floor/ceiling assemblies, and in attics and 70°F (21°C) and 90°F (32°C) for several days before crawl spaces when installed as described in Section 4.4. application. The insulation must not be used in areas Under the IRC, the insulation may be used as air- that have maximum in-service temperatures greater than impermeable insulation when installed as described in 180°F (82°C). The insulation must not be used in Section 3.4. electrical outlet or junction boxes or in contact with water 3.0 DESCRIPTION (e.g., rain, condensation, ice, snow) or soil. The substrate 3.1 General: must be free of moisture, frost or ice, loose scales, rust, oil, grease or other surface contaminants. The insulation can SES Foam 0.5 Ib spray foam insulation is a two- be installed in one pass to the maximum thickness. The component, open cell, one-to-one-by-volume spray-applied spray-applied foam insulation must be protected from polyurethane foam system with a nominal density of 0.5 weather during and after installation. ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There it no warranty by ICC Evaluation Service,LLC,express or implied,as INS to any finding or other matter in this report,or as to any product covered by the report �7oo7hao a Copyright®2013 Page 1 of 3 ESR-3375 I Most Widely Accepted and Trusted Page 2 of 3 4.3 Thermal Barrier: 5.0 CONDITIONS OF USE SES Foam 0.5 Ib spray insulation must be separated from The SES Foam 0.5 Ib spray polyurethane foam plastic the interior of the building by an approved thermal barrier insulation described in this report complies with, or is a Of '/z-inch-thick (12.7 mm) gypsum wallboard or an suitable alternative to what is specified in, those codes equivalent 15-minute thermal barrier complying with, and listed in Section 1.0 of this report, subject to the following installed in accordance with, IBC Section 2603.4 or IRC conditions: Section R316.4, as applicable. Within an attic or crawl 5.1 The insulation must be installed in accordance with space, installation must be in accordance with Section 4.4. the manufacturer's published installation instructions, 4.4 Attics and Crawl Spaces: this evaluation report and the applicable code. If there are any conflicts between the manufacturer's 4.4.1 Application with a Prescriptive Ignition Barrier: published installation instructions and this report, this When SES Foam 0.5 Ib spray is installed within attics and report governs. crawl spaces, where entry is made only for service of 5.2 The insulation must be separated from the interior of the utilities, an ignition barrier must be installed in accordance building by an approved 15-minute thermal barrier, as with IBC Section 2603.4.1.6 or IRC Section R316.5.3 or described in Section 4.3. Installation in an attic or R316.5.4, as applicable. The ignition barrier must be crawl space must be as described in Section 4.4. consistent with the requirements for the type of construction required by the applicable code, and must be 5.3 The insulation must not exceed the thicknesses noted installed in a manner so that the foam plastic insulation is in Sections 3.2 and 4.4. not exposed. SES Foam 0.5 Ib spray insulation at a 5.4 The insulation must be protected from exposure to the minimum thickness of 3 inches(76 mm)may be installed in weather during and after application. unvented attics in accordance with 2012 IRC Section R806.5(2009 IRC Section R806.4), as applicable. 5.5 The insulation must be applied by contractors certified 4.4.2 Application without a Prescriptive Ignition by SES Foam. Barrier: Where the spray-applied insulation is installed in 5.6 Use of the insulation in areas where the probability of accordance with this section (Section 4.4.2) or Section termite infestation is "very heavy' must be in 4.4.3, the following conditions apply: accordance with 2012 IBC Section 2603.9 (2009 IBC Section 2603.8)or IRC Section R318.4, as applicable. a) Entry to the attic or crawl space is to service utilities, 5.7 Jobsite certification and labeling of the insulation must and no storage is permitted. comply with IRC Sections N1101.4 and N1101.4.1 b) There are no interconnected attic or crawl space and IECC Sections R303.1.1 and 303.1.1.1, as areas. applicable. c) Air in the attic or crawl space is not circulated to other 5.8 SES Foam 0.5 Ib spray polyurethane foam plastic parts of the building. insulation is produced in St. Louis, Missouri, under a quality control program with inspections by Quality d) Attic ventilation is provided when required by IBC Control Consultants, LLC(AA-727). Section 1203.2 or IRC Section R806, except when 6.0 EVIDENCE SUBMITTED air-impermeable insulation is permitted in unvented attics in accordance with 2012 IRC Section R806.5 or 6.1 Data in accordance with the ICC-ES Acceptance 2009 IRC Section R806.4. Under-floor (crawl space) Criteria for Spray-applied Foam Plastic Insulation ventilation is provided when required by IBC Section (AC377), dated June 2012, including reports of tests 1203.3 or IRC Section R408.1, as applicable. in accordance with Appendix X of AC377. e) Combustion air is provided in accordance with 6.2 Report of room corner fire testing in accordance with International Mechanical Code®Section 701. NFPA 286. In attics, the insulation may be spray-applied to the 6.3 Report of air permeance testing in accordance with underside of roof sheathing or roof rafters, and/or vertical ASTM E283. surfaces, and in crawl spaces the insulation may be spray- 7.0 IDENTIFICATION applied to the underside of floors and/or vertical surfaces Components of the SES Foam 0.5 Ib spray polyurethane as described in this section. The thickness of the foam foam plastic insulation are identified with the plastic applied to the underside of the top of the space manufacturer's name (SES Foam) and address; the date must not exceed 12 inches (305 mm). The thickness of the of manufacture or the lot number; the product trade name foam plastic applied to vertical surfaces must not exceed (SES Foam 0.5 Ib); the mixing instructions; the density; the 111/2 inches (292 mm). The foam plastic may be installed without a covering or coating. The insulation may be flame-spread and the indice ; the name of installed in unvented attics in accordance with 2012 IRC the inspection agency (Quality Control Co_ );nsultantsand Section R806.5 (2009 IRC Section R806.4). The ignition the evaluation report number(ESR-3375). barrier in accordance with IBC Section 2603.4.1.6 or IRC 8.0 OTHER CODES Section R316.5.3 may be omitted. In addition to the codes referenced in Section 1.0, the 4.4.3 Use on Attic Floors: SES Foam 0.5 Ib spray products in the report were evaluated for compliance with insulation may be installed exposed at a maximum the requirements of the following codes: thickness of 111/2 inches (292 mm) between joists in attic ■ 2006 International Building Code®(2006 IBC) floors. The ignition barrier in accordance with IBC Section m 2006 International Residential Code®(2006 IBC) 2603.4.1.6 or IRC Section R316.5.3 may be omitted. The insulation must be separated from the interior of the ■ 2006 and 2003 International Energy Conservation building by an approved thermal barrier. Code®(2006 IECC) ESR-3375 I Most Widely Accepted and Trusted Page 3 of 3 The products comply with the above-mentioned codes as provided in accordance with Sections 701 and 703 of described in Sections 2.0 through 7.0 of this report, with the 2006 IECC. revisions as noted below: ■ Protection against Termites: See Section 5.6, except ■ Application with a Prescriptive Thermal Barrier: See use of the insulation in areas where the probability of Section 4.3, except the approved thermal barrier must termite infestation if"very heavy" must be in accordance be installed in accordance with Section R314.4 of the with Section R320.5 of the 2006 IRC. 2006 IRC. ■ Jobsite Certification and Labeling: See Section 5.7, ■ Application with a Prescriptive Ignition Barrier: See except jobsite certification and labeling must comply Section 4.4.1, except an ignition barrier must be with Sections 102.1.1 and 102.1.1.1, as applicable, of installed in accordance with Section R314.5.3 or the 2006 IECC. R314.5.4 of the 2006 IRC. ■ Application without a Prescriptive Ignition Barrier: See Section 4.4.2, except that combustion air is TABLE 1—THERMAL RESISTANCE(R-VALUES'Z) THICKNESS(inches) R-VALUE(°F•ftz h/Btu) 1 4.0 2 7.6 3 11 3.5 13 4 15 5 19 6 22 7 26 g 30 9 33 10 37 11 41 12 44 For SI: 1 inch=25.4 mm, 1°F•ft'.h/Btu=0.176 110K•m2/W. 'R-values are calculated based on tested K values at 1-and 3.5-inch thicknesses. 2R-values greater than 10 are rounded to the nearest whole number. ICC EVALUATION SERVICE Most Widely and Trusted ICC-ES Evaluation Report ESR-3375 Seal and Insulate with ENERGY STAR°Supplement Issued October 1, 2012 This report is subject to renewal August 1, 2014. www.icc-es.orq 1 (800) 423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 07 00 00—THERMAL AND MOISTURE PROTECTION Section: 07 21 00—Thermal Insulation REPORT HOLDER: SES FOAM 4008 LOUETTA ROAD, #538 SPRING, TEXAS 77388-4405 (713)239-0252 www.sesfoam.com EVALUATION SUBJECT: SES FOAM 0.5 Ib SPRAY: SPRAY-APPLIED POLYURETHANE FOAM PLASTIC INSULATION 1.0 EVALUATION SCOPE Conformance to the following: Seal and Insulate with ENERGY STARE Program—Definitions and Testing Requirements for Residential Insulation, Version 1.0 Properties evaluated: ■ Thermal resistance ■ Surface-burning characteristics 2.0 PURPOSE OF THIS SUPPLEMENT This supplement is issued to certify that the insulation products described in Sections 2.0 through 8.0 of the master report ESR-3375 have been reviewed for compliance with the requirements of the Seal and Insulate with ENERGY STARE Program, as set forth in the document Definitions and Testing Requirements for Residential Insulation, Version 1.0. The insulation product covered by this supplement is defined as"Spray or Pour Foam Insulation." The requirements for testing laboratory qualification and product sampling, as well as the specific material and test standards and editions used in this evaluation, are as set forth in the applicable documentation noted in Section 6.0 of the master evaluation report. 3.0 DEFINITIONS The following definitions are from Definitions and Testing Requirements for Residential Insulation, Version 1.0, and are applicable to the subject of this report. 3.1 General Definitions: Insulation: Any material mainly used to slow down heat flow. It may be mineral or organic, fibrous, cellular, or reflective (aluminum foil). It may be in rigid, semi-rigid, flexible, or loose-fill form. 3.2 Insulation Product Definitions: Spray or Pour Foam Insulation: A thermal insulating material that is sprayed or poured (as a gel or foamy liquid) into place, and expands or sets into a cellular foam and cures at the point of installation through a chemical reaction. Foamed materials include, but are not limited to polyurethane, polyisocyanurate, phenolic, and cementitious insulation. 3.3 Insulation Performance Definitions: R-value: The inverse of the time rate of heat flow through a body from one of its bounding surfaces to the other surface for a unit temperature difference between the two surfaces, under steady state conditions, per unit area. For the purposes of the Seal and Insulate with ENERGY STARE program, Imperial units will only be accepted [(h ftZ•°F)/Btu]. /CC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed n" as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by!CC Evaluation Service,LLC,express or implied,as gln to any finding or other matter in this report,or as to any product covered by the report. aoocoi..n Copyright 0 2013 Page 1 of 6 ESR-3375 I Most Widely Accepted and Trusted Page 2 of 6 Smoke-Development Index: The characteristic of a material to emit smoke when exposed to flame or fire compared to red oak and inorganic cement. Flame-Spread Index: The characteristic of a material to resist the spreading of flames when exposed to flame or fire compared to red oak and inorganic cement. 3.4 Thermal Resistance: The insulation has the thermal resistance R-values as noted in Table 1 of ESR-3375, based upon testing. 3.5 Installation: 3.5.1 General: The installation of the insulation must be in accordance with the requirements set forth in Sections 4.0 and 5.0 (as applicable) of ESR-3375. The insulation is manufactured on-site by spray polyurethane foam applicators meeting the qualification requirements of SES Foam. The following information on personal protective equipment and ventilation requirements is reprinted from the SES Foam published installation instructions: "F. SAFETY 3. PERSONAL PROTECTIVE EQUIPMENT(PPE): a. Skin: Wear gloves, coveralls, apron and boots as necessary to prevent contact of liquid components or partially-cured SPF with skin. When handling liquid components, gloves should be made of nitrile, neoprene, butyl or PVC. b. Eyes: Protect eyes while handling liquid components or spraying with safety goggles or safety goggles and a face shield. During spray application, eye protection may be provided by a full-face or hood respirator. c. Respiration: Firms engaged in the application of SES Foam systems must have a written respiratory protection program for employees engaged in handling or applying SES Foam materials. Depending on the situation, respiratory protection may include dust masks, air-purifying respirators (APR), powered air-purifying respirators (PAPR), or supplied- air respirators (SAR). 4. VENTILATION: Provide ventilation and other engineering controls to exhaust vapors from work areas and to protect building occupants and other trades." 3.5.2 Occupancy Time after Installation: The re-entry or re-occupancy time shall be in accordance with the manufacturer's installation instructions, which state the following: "E. RE-ENTRY SES Foam 0.5 Ib Spray reacts and cures within seconds of application. Re-entry times will vary depending on factors including ventilation. Typically, ventilation is continued for 24 hours following the conclusion of spray application and re-entry may occur at that time." 3.5.3 Figures: The figures shown represent general installations of the insulation in the following applications: above-grade wall, below-grade wall, vented and unvented crawl space, unvented cathedral ceiling, and vented and unvented attic. These figures are for illustration purposes and are not to be construed or used as construction documents. This supplement expires concurrently with the master report, reissued May 1, 2013. ESR-3375 I Most Widely Accepted and Trusted Page 3 of 6 0°°00° o0°popO °°O°° o0°po°°o0° 00°000°00° °°00°00°°o°O°0° 00°O°°°°°°O°pOO°°00°°a0°°O 0°°°0°°0000000 °Oo°00 o0°°°0°°°0°° 000000°000 °a°° o 0°°00 pQo0°°o 00000°0 °00000 0000000 opo o0° aa000oo °°00°00 000 00 0 00 Interior Partition 00 a° 0°°pop°o 00 po 00°00° 0°°00°°c Interior Finished Surface 0 °0000000 (1/2-inch Sheetrock) 00pO00° a a00 0°00 Oa000a0 p° O 00 Qoo00 SES Foam 0.5 Ib Spray a°°00°°0 pOoo°°o 00 0 oo0Aoa0 Exterior Sheathing 0 00°00°°0 Oa 00p0 SES FOAM 0.5 LB SPRAY ABOVE GRADE WALL INSULATION SES 05-1 071812 ESR-3375 I Most Widely Accepted and Trusted Page 4 of 6 00 00 Masonry Block (Typical) ° Interior Finish Surface (1/2-inch Sheetrock) o 2"x 4"Studs ° ° SES Foam 0.5 Ib Spray ° ° ° SES FOAM 0.5 LB SPRAY BELOW GRADE WALL INSULATION SES 05-2 071812 (Insulation on Interior Side of Wall) Baffle to provide air space between Thermal insulation and roof Barrier' deck. (as required by local code) o°°° . . . o°o°o ° ° ° ° ° ° ° o ° ° ° ° ° ° ° ° ° ° oo ° o ° ° ° ° ° ° 00 00000°0°0°000°0°0°0° 00°00000°000°°°°000°0°0° 00o0o0oOo0o0o0000000 0°00000000°000000000000 00,0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0°000000 0 0 0 0 °o000°o00°o °0°0°000°00 00 SES Foam 0.5 Ib Spray 0 0 0 0 000000°0 000°0°0° 0°0°0°0° °0 000°000° 0 0 0 0 00000000 00000000 °0000000 o°o°o°o° Vented Soffit ° o°000°o° °°°0°g° 0 og000goo 'Where attic entry is for the °00000°o service of utilities only,thermal SES Foam 0.5 Ib Spray °°°°°°°° 0°000° go and igniton barrier on the attic °° °o ° °°°° side of the spray foam surface may be omitted. SES FOAM 0.5 LB SPRAY VENTED ATTIC:FLOOR/SOFFIT SES 05-3 071812 ESR-3375 Most Widely Accepted and Trusted Page 5 of 6 Subfloor SES Foam 0.5 Ib Spray Header oe8ga Sill Joist Floor Cross Section Thermal Barrier" (as required by Exterior Grade local code) 6" An Footer` Vapor Barrier •. .•_,'• N�//��///\// 'Where crawlspace entry is for the '-,`i•' ••+ \\\/\\\/\\\/ service of utilities only,thermal and igniton barrier on the crawlspace side of the spray foam surface may be omitted. SES FOAM 0.5 LB SPRAY CRAWLSPACE:VENTED SES 05-4 071812 Subfloor Header Sill Joist vovoe Thermal Barrier' (as required by Exterior Grade local code) SES Foam 0.5 Ib Spray Footer---., ooter 6"Min Vapor B rrier *Where crawlspace entry is for the service of utilities only,thermal and igniton barrier on the crawlspace side of the spray foam surface may be omitted. SES FOAM 0.5 LB SPRAY CRAWLSPACE:UNVENTED SES 05-5 071812 ESR-3375 I Most Widely Accepted and Trusted Page 6 of 6 Note:In cold climates,embed metal connector plates in spray foam to prevent winter-time condensation. OO OO O°O° °OO°O °00°O 000 SES Foam 0.5 Ib Spray °000°°°° ° °OO°O°o0°° 000° o°O° 0 0 0 0 000 0 00 Roof Sheathing o°o° o0 o ° 0°0000°00 n Truss Top Cord/ °°o°° o°o Rafter Goo °O000o nnnnn o 0o n nnnnnn Thermal Barrier' (as required by local code) Note:Local building code may require the use of a vapor retarder .n cold climate zones. Ceiling/Thermal Barrier -Where attic entry is for the as required by local building code. service of utilities only,thermal and igniton barrier on the attic side of the spray foam surface may be omitted. SES FOAM 0.5 LB SPRAY UNVENTED ATTIC/INSULATED ROOF DECK SES 05-6 071812 0 0 000 O000 SES Foam 0.5 Ib Spray O O O O O O O O to specified thickness. O O O O O O 00O000p O Roof Sheathing 00000 0 Thermal Barrier as Rafter 0 0 0 0 required by code. O Note:The local building code may require the installation of a vapor barrier in cold climate zones. SES FOAM 0.5 LB SPRAY CATHEDRAL CEILING SES 05-7 071912 t EVALUATION SERVICE c c Most Wideiy Accepted and Trusted ICC-ES VAR Environmental Report VAR-1030 Reissued July 1, 2013 This report is subject to renewal September 1, 2015. www.icc-es.org/ep 1 800-423-6587 1 (562) 699-0543 A Subsidiary of the International Code Council° DIVISION: 07 00 00—THERMAL AND MOISTURE high-pressure, plural component SPF application PROTECTION equipment. The bio-based content is as set forth in Table 1 Section: 07 21 00—Thermal Insulation of this report. 4.0 CONDITIONS REPORT HOLDER: 4.1 Code Compliance: SES FOAM See ICC-ES report ESR-3375 for compliance of the SES 4008 LOUETTA ROAD,#538 Foam 0.5 Ib Foam S Polyurethane Foam Plastic Insulation SPRING,TEXAS 77388-4405 with code requirements. (713) 239-0252 wvuw.sesfoam.com 4.2 Green Codes, Standards and Rating Systems Eligibility: EVALUATION SUBJECT: The information presented in Tables 2 through 5 of this report provides a matrix of areas of evaluation and SES FOAM 0.5 Ib SPRAY POLYURETHANE FOAM corresponding limitations and/or additional project-specific PLASTIC INSULATION requirements, and offers benefits to individuals who are assessing eligibility for compliance. 1.0 EVALUATION SCOPE The final interpretation of the specific requirements of the Compliance with the following environmental criteria: code rests with the Authority Having Jurisdiction. ICC-ES Environmental Criteria for Determination of Compliance for items noted as "Verified Attribute" is Bio-based Material Content(EC102), dated March 1, 2012. subject to any conditions noted in the tables. Decisions on Compliance eligibility with the applicable sections of compliance for those items noted as "Eligible for Points" in the following codes and standards: Tables 2 through 5 rests with the user of this report, and those items are subject to the conditions noted. The user is ■ 2012 International Green Construction CodeTM (IgCC) advised of the project-specific provisions that may be (see Table 2 for details) contingent upon meeting specific conditions, and the ■ ASHRAE Standard 189.1 – 2009 (see Table 3 for verification of those conditions is outside the scope of this details) report. ■ National Green Building Standard (ICC 700-2008) (see Due to the variability of costs and volume, the bio-based Table 4 for details) content percentage listed in this report is based upon weight (mass). The use of cost or volume as the method ■ ANSI/GBI 01-2010, Green Building Assessment for calculation is outside the scope of this report. Protocol for Commercial Buildings (see Table 5 for 5.0 BASIS OF EVALUATION details) The information in this report, including the "Verified 2.0 USES Attributes," is based upon submission of documentation SES Foam 0.5 Ib Foam S Polyurethane Foam Plastic demonstrating compliance with the requirements set forth Insulation is used as nonstructural thermal insulating in ICC-ES EC102. (Evaluation applies to IgCC Section material in wall cavities, floor/ceiling assemblies, or in 505.2.4, item 3; ASHRAE 189.1 Section 9.4.1.3, ICC 700 attics and crawl spaces. See ICC-ES report ESR-3375 for Section 606.1; ANSI/GBI-01 Section 10.1.2.2.) more information on uses and applications. 6.0 IDENTIFICATION 3.0 DESCRIPTION Containers of SES Foam 0.5 Ib Foam S Polyurethane SES Foam 0.5 Ib spray-applied polyurethane foam plastic Foam Plastic Insulation are identified by a label bearing the insulation is a two-component, open-cell, water-blown, SES Foam name and address, product name, spray-applied polyurethane foam (SPF) with a nominal manufacturing date, manufacturing location and the VAR density of 0.5 Ib/ft3. The foam is sprayed in place using Environmental Report number(VAR-1030). ICC-ES Verification of Attributes Reports are issued under the ICC-ES VAR Environmental Program.These reports are not to be construed as representing aesiheficsor�n other H� attributes not.specifcally addressednor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warren h ICC '=r Evaluation Service,LLC,express or implied,as to any f nding or other matter in this report,or as to any product covered by the report , Page 1 of 2 Copyright®2013 VAR-1020 1 Most Widely Accepted and Trusted Page 2 of 2 TABLE 1—BIO-BASED MATERIAL CONTENT SUMMARY PRODUCT NAME %MEAN BIO-BASED CONTENT METHOD OF DETERMINATION . SES Foam 0.5 Ib Spray Polyurethane Foam Plastic InsulationASTM D6866 Note: 'Based on precision and bias cited in ASTM D6866. TABLES 2 THROUGH 5 Section Possible Finding Number Section Intent Points Conditions Of Use To Qualify For Points 9 TABLE 2—SUMMARY OF AREA OF ELIGIBILITY WITH THE 2012 INTERNATIONAL GREEN CONSTRUCTION CODE Bio-based materials shall be those materials that comply with one or more of the e ents following: USDA 7CFR 2. 505.2.4 Bio based content N/A ements of Note:3. eUSDAreq r7 CFR Part 2902§290717 settsart 0a minimum bio-based content of 7%(10% • +/-3%). SES Foam 0.5 Ib Spray exceeds this minimum. TABLE 3—SUMMARY OF AREA OF ELIGIBILITY WITH THE 2009 ASHRAE STANDARD 189.1 A minimum of 5%of building materials used,based on cost,shall be biobased products. Biobased products shall comply with the minimum biobased contents of the USDA's Designation of Biobased Items for Federal Procurement[7 CFR Part 29021,contain the "USDA Certified Biobased Product"label,or be composed of solid wood,engineered 9.4.1.3 Biobased products N/A wood,bamboo,wool,cotton,cork,agricultural fibers,or other biobased materials with at least 50%biobased content. Note:USDA 7 CFR Part 2902§2907.17 sets a minimum bio-based content of 7%(10% +/-3%). SES Foam 0.5 Ib Spray exceeds this minimum. TABLE 4—SUMMARY OF AREA OF ELIGIBILITY WITH THE 2008 NATIONAL GREEN BUILDING STANDARD(ICC 700) The following biobased products are used: (h)products with the minimum biobased contents of the USDA 7 CFR Part 2902 3 (i)other biobased materials with a minimum of 50 percent biobased content(by weight 606.1 Biobased products 8 max or volume) __[ Note: USDA 7 CFR Part 2902§2907.17 sets a minimum bio-based content of 7%(10% +/-3%).SES Foam 0.5 Ib Spray exceeds this minimum. TABLE 5—SUMMARY OF AREA OF ELIGIBILITY WITH THE ANSI/GBI–01 (2010)STANDARD Bio-based products accounted for 1%or more of the materials used in the building. Percentage= 100 x A=B,where: A=Total cost or weight of bio-based products B=Total cost or weight of all building products Materials content– 1 10.1.22 7 max Cost or weight must be used consistently Assemblies For USDA-designated products, products meeting or exceeding USDA's bio-based content,criteria or qualifying as USDA"Bio Preferred"were used. Note:USDA 7 CFR Part 2902§2907.17 sets a minimum bio-based content of 7%(10% +/-3%).SES Foam 0.5 Ib Spray exceeds this minimum. • =Verified attribute CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD +j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jail>`' MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-418 Job Type: MECHANICAL HVAC ONLY Description: 3 tons, 36K btu's, 1200 cfm duct Estimated Value: Issue Date: 3/2/2015 Expiration Date: 8/29/2015 PROPERTY ADDRESS: Address: 595 COASTAL OAK LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: A/C DESIGNS OF ST AUGUSTINE Address: 103 LIBERTY CENTER PL QA EDWARD DOUGLAS TENNANT Phone: - - PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to inspection. Failure to comply will result in a failed inspection and reinspect fees. No exceptions. FEES: Furnaces and Heating $20.00 AC and Refrigeration $24.00 Air Duct System $20.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $123.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 595 Cfo PS-r19L OAK LAI P-rLiU TIC &ROH 3,423 PERMIT# 15-5F9_13_ PROJECT VAL UE $ `f 1P5 O. D O ARI# 57o?-?Oa REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit 3 /5 Heat: Unit Quantity BTU's Per Unit 3 to K— Seer Rating; Duct Systems: Total CFM la 00 REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.or Property Owners Name � t v r S l D e W D T E S Phone Number 9 D�-`><4? -1 to 50 qo�F� Mechanical Company A�C DESIGNS 0 F ST AU60S?t1JE TAI, Office Phone Fax Co. Address: Oj L.i B ERT y CE/J TCP, r it--ST RL)6t)ST/A) E State FL Zip License Holder(Print): eb b)Ae D T *��State Certification/Registration# CAC 19/33702 N t i der GUY 0.PRICE - U 20 ptPpv P B''i �; Notary Public-State of Florlefore me th' day ofMy Comm.Expires Sep 5,2Commission#EE 94995ignature of Notary Public Bonded Through National Notary A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 MECHANICAL GAS PIPE PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MCHG-465 Job Type: MECHANICAL GAS PIPING Description: gas piping new home Estimated Value: Issue Date: 3/10/2015 Expiration Date: 9/6/2015 PROPERTY ADDRESS: Address: 595 COASTAL OAK LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: AEI INTERNATIONAL CORP. Address: 7709 ALTON AVE QA LEWIS SPRADLIN Phone: - - FEES: Gas Pipe Outlets $12.00 Gas Piping Vented Units $5.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $76.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 fOB ADDRESS: 51915 pak,S L`N _PERMIT# PROJECT VALUE $ ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only JEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED ; EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED Z IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) Z IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets l Boilers BTU's Elevators/Escalators kLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets 44 Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters t _ Solar Collection Systems Tanks (gallons) Wells )THER: S i wo h r 'r4 Inc `c ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read its application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners NamesPhone Number �?14 — �g'>N dechanical Company A t I /r J 6o r D Office Phone 222-9�IFax� l ;o. Address: 11-7c)'? �//vr) Avis. City bac k,ror►v� 11 � State r- I Zip � �� .icense Holder(Print): i� I I hdctdacadjiln State Certification/Registration# Cy� Notarized Signature of License HolderO «OM0190M03q,+t efore me this -7 day of azeh 20 15 9&[£E0dd uass!wua� n aoom aauaa a,uwais � ignature of Notary Public epugj;o ate7s*!IQnd+MMON