800 SHERRY DR REMODEL ADDITION 2015 I 0.b. \ .
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1 73
3ob Type: RESIDENTIAL ALTERATION
Description: remodel/addition
Estimated Value: $150,000-00
Issue Date: 2/26/2015
Expiration Date: 8/25/2015
PROPERTY ADDRESS:
Address: 800 SHERRY DR
RE Number: 170393-0000
PROPERTY OWNER:
Name: EGGERS, WALTER E
Address: 800 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: THG GENERAL CONTRACTORS
Address: 634 S 2ND AVE TERRY GAUSE
Phone: - -
PER 1IT INFORMATION: PUBLIC WORKS:
Roll off container company must be on City approved list and container cannot be placed on
City Right-of-Way. (Approved: Advanced Disposal, Realco, Republic Services, Shappel's and
Waste Pro.)
A Right-of-Way Permit must be obtained for use of driveway.
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.
Full right-of-way restoration, including sod, is required.
FEES:
BUILDING PERMIT FEE $630.00
STATE DCA SURCHARGE $9.45
PLAN CHECK FEES $315.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
STATE DBPR SURCHARGE $9.45
Total Payments: $963.90
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH JgN
FILE COPY ' 800 Seminole Road,Atlantic Beach, FL 32233 JAN 2
-5845
Office (904) 247-5826 Fax (904) 247
Job Address: F00 '�kewveq D'A\y e RV go�je, 2 auk r-L —Permit Number: 15- 44,199 -17-3
_j 3?--L33
Legal Description i b+ 10,^1( 5, yj 9 5 A Ct-PAIZ &L to i t, Parcel#
Floor Area of Sq.Ft. Sq.Ft
non-heated/cooled
Valuation of Work 0, X Proposed Work heated/cooled
Class of Work(cirde one): New Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)f�irde one): Commercial 0 sidentia
If an existing structure, is a fire sprinkler system installed? (Cirde one�c Wes 4'io (N=/A)
Florida Product Approval#—_
For multiple products use pro(Tu—ct approval form
Describe in detail the type of work to be performed: 'Luolel -4ty4ov rJV_5(_, !A OAY�O.A (k
1
A d, uv e- +C2 LP-4 61"Ac_ bC"C_�
j � _:5" _ 171
Propein Owner Information:
Name: izvoi.) ,21 f�" , -P-Vf 14 '1 c- -Address:
city State—Zip Phone
E-Mail or Fax#(Optional)
Contractor Information- dot
Company Name. &u_,z_o
I -
7Zne_ Qualifying Agent: cwp4 c
Address: &-3q (Ive- , tJ. city �j State f-S- Zip _3zz_5&,
Office Phone Job Site/Contact Number 90q 113 V- <I z_!5� Fax#
State Certification/Registration# C(iC Q(oZ(2_5'9
Architect Name &Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Addres
Mortgage Lender Name and Address
A a �he e rtifv that no work ginstalkNon hawnimencAalor to thp,
"c �anm nil tru t u tj , rmit Qmes ripu
is K
On c V' ar"q5y1%r�0jj,'�10kd,mn0% sfiotj ,tl er,
a r r t't WIum ing, I ns, es,
w r� don
n
s
is m c
n
ht 0!
e . .
inc Lo ( I r
fn vQ15 I
or is c
n s a, n Xne
URE To
C*PM roft MCM6 R
'n d this 1, ation and know true and rrect. Al i?ns o a and ord' this
Wiherieb eqtft I have rgo w a 'lonfes ovenicnAthe
0 w e C8, "r9bonvies 0 g,le austhority Nil, ategor can
,�agg e r _,Ahe same to be
c ciff rein or not. . e nlp,2�06L a DernIlt a e t.
0 If in sgg S,
e i Nc n Rue e Pal in cons u ion opirfle once OL coon i n.
wje7 3z ;7
ov s so 'c' w
ovisrowns o any o erole era state,or ocalige gu
Signature of Owner Signature of Contractor
JAIAI
Print Name --- PrintName ------------------
Sworn to and subscribed bef gre me SwowAo and subscrib A before me
this I LP Day of e P rA 191( 2 ),4 this.1 Dav of . 20)
A AAA �,A A
V Yzlr V
AX/V�4ZI'A"&A iv I — 114V1
Not_a7�)Pub]46 U �&`Public _U
Revised 01.26.10
f Atlantic Beach APPLICATION NUMBER
j./ City 0 (To be assigned b the Building Department.)
Building Department �w
7
L'!�\ 800 Seminole Road
-5445
Atlantic Beach, Florida 32233
Phone(904) 247-5826 - Fax(904)247-5845 Date routed: 2.3
E-mail� building-dept@coab.us I
City web-site. http://wvvwcoab.us 7
APPLICATION REVIEW AND TRACKING FORM
Qap ent review required Yes Nd
en' review required
Property Address:
g &Z
ePlanning &Zonin
Applicant: r rn 1str tor
e ministrator
Wor
11ITublic
Project: ---;�� 'Purtic ultiliti��
-PMrF_Sa__fety
Fire Services
Review fee $ 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: pproved. DDenied.
(Circle one.) Comments:
Qi�F)
PLANNING&ZONING Reviewed by: Date-. 2,-do
TREE ADMIN. Second Review: DApproved as revised. [—IlDeni(id.
Jow PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
First Review- ZApproved
FIRE SERVICES Third Review: FlApproved as revised. DDenied.
Comments:
Reviewed by- Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
(To be assigned b the Building Department.)
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 11 JAN 2 6 2o15 7
6, Phone(904)247-5826 Fax(904)IA7-5845 i .1 Date routed 1/2.
E-mail: building-dept@coab.us
Cityweb-site. http://Vvvvwcoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: d6l JIMrl, Depai-tment review required Yes No
�'�'I ) lanning &Zonin
Applicant: re ministrator
ur_,7 111-u*b1i'c V-0-rks-11
p
Project: :Z�6
ru7i-c-Utilitie�s >
-PMTi c-Saf ety
Fire Services
Review fee $ 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: pproved. Denied.
(Circle one-) Comments:
BUILDING
PLANNING &ZONING by: Date:
Reviewed
Fi
____yApproved
rst Review-
TREEADMIN. Second Review: nApproved as revised. FIDenied.
0 S Comments:
C UTIL ES
Ty Reviewed by: Date:
JPU OLICSA ETY
FIRE SERVICES Third Review: OApproved as revised. E]Denied.
Comments:
Reviewed by: Date�
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building Department.)
73 800 Seminole Road -5445
32233
Atlantic Beach, Florida
6 - '-
-5845
Phone(904) 247-5826 Fax(904)247 Date routed: 2.3
E-mail: building-dept@coab-us
_;h i City web-site. http://wwwcoab.us
APPLICATION REVIEW AND TRACKING FORM
"2�� E�ep ent review required Yes No
Property Address:
LPIanning &Z�onin
Applicant: 7V4 I ree-Administrator
Project: :Av du Wu—b 71i 7 W o,�r
-pMTIC-7��a_f ety
Fire Services
Review fee $ 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: DApproved. XDenied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by. Date:
TREE ADM IN. Second Review: WApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES Reviewed by: Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by-.- Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
(To be assigned b the Building Department.)
-y
Building Department f CY,
KZ01 _D assign Q tneg�Wep,
.11, 800 Seminole Road /7 73
17
Atlant
ic Beach, Florida 32233-5445
1 4
- Fax(904)2471-J-A t�2 1015
Phone(904)247-5826 e routed: 2.311
E-mail: building-dept@coab.us Dat
Cityweb-site. http://wwwcoab.0
APPLICATION REVIEW AND TRACKING FORM
D p ent review required Yes No
Property Address: 4-B
Planning &Zonin
Applicant: I ree ministrator
Project: 111-6
P MT,c —fe t y
Fire Services
Review fee 2 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
D
Reviewing Department First Review: *Approved. enied.
(Circle one.) Comments:
BUILDING
Reviewed by: e-
PLANNING &ZONING Dat
TREE ADMIN. Second Review: DApproved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:_ Date�
FIRE SERVICES Third Review: nApproved as revised. oDenied.
Comments:
Reviewed by: Date:
Revised 07/27110
CITY OF ATLANTIC BEACH
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233
-5800
(904)247
PLAN REVIEW COMMENTS
Permit Application # 5- /Z 19P9 — /73
Property Address:
Applicant: 7-# C-
-3
Project: /-),7 0 C'/.q/-7Z X641�'/"0.111
This permit application has been:
El Approved
Reviewed and the 5 e a en ion:
82 Llqw o,-< ct cc,-;,,/alia' n C-e I-Ae-lXacl 9 LeLc- 1 r4
a N��a4ion -Cro rVIN J-,A-e F I cy-id e- Cc-,d-e .20ID--
8111 -K f, S) y /0/, 2 5jbm U-T/Ifk-e-
1--e
y
L e-tit. 3 64 r a /'10 '1 U.I Y'
4 ,,
r
+ V-f-\e /I od, 19 L-1 40 Iln 11' 710
,1,'^('
(,Or\ Pa 0 'Sp 0 f 12 ta pf J Iq
fV3�; Qack&�-e cy.IjA Eo �c-
Per- 2,:;0-1,
&
Please re-submit your application when these items have been completed.
Reviewed By: M /1, Date: 19-- 5'- C� 15-
61
NOTICE OF COMMENCEMENT FILE COPY
State of �VOPA Tax Folio No.
County of Vvq�,[_
To Whom It May Concern: r/71-1 r<
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: A4 70, 2� '% 72 S,�e,17�ej
.4
Address of property being improved: 9;0c' Pelvt- , A14,Vric
General description of improvements: 4t;
Owner: JAA�IW 640e4lAl Address: A19
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
<� Name:
C ntractor: _7W6z &6necml
Address: 4-S�
TelephoneNo.: Fax No:
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: j(&j�1i9A1_C *AIVK 9& 4&IOAIS m0je_r6_4,6,6 — Ae�IVAAI 27AV!�;
Address: 92;;AA 26159 19,4-alv,4� 61h';16j_
PhoneNo: 6/66 FaxNo: 977- '-715- 7-W3
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: 1-_7 0 I'S
Doc#20115005255,OR B K 17029 Page 7114, Before me tW b 41� dayof-JCO�A" A01 in the County of Duval,State
Number Pages:I Of Florida,has-personally appeared 6<bqJA
Recorded 01108/2015 at 02:42 PM, Notary Public at Large,State of Florida,County of Duval.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL 3
COUNTY My commission expires: 0
RECORDING$10.00 Personally Known: V/ "(4 w1l" Y-A 0,�JA or
Produced Identification:
NOUrY Public State of Florida
Jenifer Renee Berry
MY CommissiDn IFF 098805
Vlf'.j Expires 03/05/201 a
,felt.
FILE COPY .
ORDERED BY:
The Law Offices of Rod Schloth
2187 S Third St
Jacksonville Bch, FL 32250
904-372-9351
beach@rod-taw.com
=mow-
PROPERTY ADDRESS: 800 SHERRY DR ATLANTIC BEACH,FLORIDA 32233 SURVEY NUMBER:1410.0133
FIELDWORK DATE: 10/8/2014 REVISION DATE(S):(REV.0 10/9/2014)
1410.0133
BOUNDARYSURVEY 1/2'FIPC
L13#G888
DUVAL COUNTY @ B.C.
TA13LE:
L-1 5 5*1922"If 141.34'(M)
L-2 5 8*325G"Iff 2G.02'(M) 24-Cy
NOTE5:
LOT APPEAR5 TO BE 5ERVICED By CITY WATER AND 5EWEK 30.0
fENGf OWNER51-11?NOT DETERMINED.
110
VO
A 0
GOO T
0
0
00
-70
�0
0
0
\'0
0 vo G N'j.T 0111 'q
0-1 UIS\13\ *1-� bv
'-0, 0 50-
0 G
l�� 0
\60
OA -75
O\ y e.
I hereby certify, n
)6s ade A f the here
un ko
' '�r
described th�� dire.clon,
and to t f my1kriovAodgeand bell f,'t is a true
and accu en f, S ry
'ey
stanclar 0 OR 9 Flo' Board of
Pmfe iornall ey fid�Wpvrs in C r 5J-1 7 of
the F d tratimw.
3a 2a I a 0 is, 30 11
Ns 0
Wesley B.Haas
GWHIC 5CALE State of Florida Professional Surveyorand Mapper
1 inch = 30 feet License No.3708
Use of This Survey for Purposes other than Intendecl,Mthoutwritten verification,will be at the User's Sole Risk and Without Llabilityto the Surveyor
Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Cerdfied.
L
m non imP:r)l?RAATlr1K1- 111111111
�o po :-j 91, �A
ra Sj 0 EL
5 T ca. N UQ
cr
CD CD = eb
= E
UQ
(IQ C—D §
TO
C) C) CD
ra.
CD t-n
la. 5 CD t_n
>
EL-
CD
cr
Ei.
a: 0
CD
i
CA et (D
CD
P
CD
0 0
— CD
CD C.
n
p 0-4
LK t3
C<D
EL
CD
rrl
C"D C-03
CC==
go :--I
z c� > c) 0 M Z .1
8 CD
o o CD 0
Cl (D
sn
00
EO
CD n
CD
CD
w CD
qQ
TiliRL
eb
Ill iL ...... ...... ...... .......
Oil
go
cn
0
(01
CD
11:3
CD 0
M. ;; -1
tr
co
-q t.
cr
Fit;
CD CD
C). m z e—D
4�
fQ
CD
Co :�
co 0 CD
CD
cr
CD
CD
CD
cn 6.
CD
CD
E5
En
Q CD
ca.
0
C:L.
I'D
CD
CrQ CL
C)
CD CD
CD
CD
CD
CL
Qn
CD V3
1
0 L—JL—
o
CD
CITY OF ATLANTIC BEACH
DEPARTMENT OF PUBLIC WORKS
1200 SANDPIPER LANE
ATLANTIC BEACH, FLOFJDA 32233-4318
TELEPHONE: (904)247-5834
FAX: (904)247-5843
SUNCOM: 852-5834
www.coab.us
CONTRACTOR: DATE: 1-27-2015
THG General Contractors Inc. PERMIT# 15-RAAR-173
6342 nd Ave. ADDRESS: 800 Sherry Dr.
Jacksonville Beach, FL 32250
EMAIL: thgcontractors(ai),aoll.com
PERMIT APPLICATION FOR REMODEL AND ADDITION
Your permit application has been denied by the Public Works Department for the reasons listed
below. Please submit this information at your earliest convenience in order that we may
approve your application. If you have any questions, please contact Rick Simmons, Deputy
Public Works Director at 904-247-5834 or email .rsimmons@coab.us.
PUBLIC WORKS CORRECTION ITEMS:
(Submit the following information to the Public Works Department)
"Provide construction site management plan, including Right-of-Way Permit, if using unpaved
right-of-way for construction parking.
**A Right-of-Way Permit must be obtained for use of parking.
PUBLIC WORKS CONDITIONS OF APPROVAL:
(The following comments will be printed on your permit as Conditions of Approval)
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.
cc: Jennifer Walker, Bldg. Dept.
ORDERED BY
The Law Offices of Rod Schloth
2187 S Third St
Jacksonville Bch, FL 32250
904-372-9351
beach@rod-Law.com
PROPERTY ADDRESS:800 SHERRY DR ATLANTIC BEACH,FLORIDA 32233 R:1410.0133
)RK DATE REVISION DATE(S):tFiEv o iwmit)
1410.0133
BOUNDARY SURVEY 1/2,FIFC
UWGW8
DUVAL COUNTY
0
TA13LE:
L-1 5 8*1922'E 14 1.34'(M)
L-2 5 5*32'5G"E 2G.OZ(M) 240
NOTE5: 30.0
LOT AFFEAR5 TO BE 5MVICED BY CITY WATER AND 5EWEK.
FENCE OWNER!'5KIF WYT DETIMMINED-
0
G9
10 ev)
kp-5 r,4-1()2�
\O
ID'b'AO 0
16
-jo
0
Vo
r
0.0
V0
00 -00
\9 I hereby cerfily"Al oftehenton
described phbperty�iis biplipade�Ader my direction,
and to the best of my knoitile*and belief,A is a he
and amNate riepiwentation of a wrvey that meets the
standards of Wactice set forth by the Roriatt Board of
Professional�§jtrveyors Willi in ChilOtv 5J-1 7 of
the nodd.Adiii�� lir
20 to, 0 3C
N 1 WNW&NM
GRAPHIC 5CALr &FAWmdmww
I inch=30 fe--t U�114&31111
U�afThK Surwy kw Purp�othw tha�1,,tended.WfthM ft—vedriMln.�11 b..the U,-r%Sle FUsk and Wittioat Uabdity W the surn�w
hei—i Shall be�--d W rAv ANY w flawlits;W Any�Ottw than thow cmd1litit
FLOOD INFORMATION: POINTS OF INTEREST
NONE APPARENT.
UNICIP TYOR FE GOV,THE PROPERTY APPEARS TO BE
LOCATE IN ZONE X THIS P OPERTY WAS FOUND IN THE CITY OF
ATLA I BEACH,COMMUNITY NUMBER 120075,DATED 06,W13. a Rrown
DATE:10/9/2014 MikeBro\An32034@gmaj1,com
c: 904 206.1161
n and Debra Brown
RRY BROWN AND DEBRA BROWN;THE LAW
OFFICES OF ROD SCHLOTH;OLD REPUBLIC NATIONAL EXACTA
TITLE INSURAINICE COMPANY --ta ild—
Land Surveyors, Inc. PM6-735 1916-F.866 744 2882
FThis is page I of 2 and is inot valid without all page,s. LBS 7337 119W Fairvilit,Lzim Drivit Wk I-Ft Myen,Fl.33913
REPORT OF SURVEY 1410,0133 This is page 2 of 2 and is not valid without all P89M
LEGAL DESCRIPTION:
LOT 70 71 AND 72,SECTION 3,SALTAIR,A SUBDIVISION,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,PAGE 16,
OF TH�POBLIC RECORDS OF DUVAL COUNTY,FLORIDA.
JOB SPECIFIC SURVEYOR NOTES:
THE ASSUMED BEARING REFERENCE OF NORTH 65*30'49*EAST IS BASED UPON THE NORTHWESTERLY LINE OF LOT 70,SECTION 3,
SALTAIR,A SUBDIVISION,ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,PAGE 16,OF THE PUBLIC RECORDS OF
DUVAL COUNTY.FLORIDA.
GENERAL SURVEYOR NOTES:
1. The Legal Dewfiption used to perform this sum"was supplied byahen.This someydoe,irsordemonim or impiyowmirship,
I This sumay,onlyshows mapomments found abonn,ground Underground foofing%utilities and encroachments am not located or,this sumaY malt
I a them N a sephic tank or durin held,hown on thusmey,the location i,.pp..i—.an,he location was either shown to E.—by-bad Party or a was estimated by meral debechim,
pmbingmd�a��Kwiab�gr,,r�dillp�i'llnOY
4� This summy is�Iosavery for the use of the parties to whom it is certified.
5. Addition,w delehom sn this so meY arap,nd report by other than th,signing Party or parties K prohibited without written consent of thesigning party m parfie,
6. Diamnsion,am in feet and decionall therenif.
T Dm to—yang,c—tructicin,tandarrK houw diawmasno am appmaurnate.
8. Any FEMA flood zon,data contained on this wimey is for informational Purposes only.Research to couinsuch data was penfounimit a—.f—a.g—.
9. ml coam,,�marked as set,,at,minimum,wdiarmare,18-min mba,with a cap stamped Lai
to.ifyou am reading this,urvey in an electronic format th,information cormared on this document is onlyalid 0 this ocuomm is efectrimically,ignedpecifted in
Chapter 5J 17.062(3)cli Florida Adminisharow Code.The Bectrrunic ignatum File related to this document is prominently displayed on the ioice for this s,mey which is
sentimcler manually signed and ueided",of all sumey signaure W,am kept in th,,fficef the performing sumeyor.9 this document is in paper format
his�,alid��t�,,gmtumar,d�gi�l,,edwi,f,Fb,�,Licm�S,�,
i i.uniess otherwise noted,an touirnmatita,of the abstr,ct "ale was NOT perforosed by the signing wmvp,to determine which instruments,if any,,m affecting this property
11 The symbols reflected in the legend.nd onth,wmey may h,iw been enlarged or reduced for darity.The symbols hame been dotted at theo,merofthe 19,ld
'Mmy�mp�ntth'�t_l".Pe�'L,�.f,h�fe�,ure
asclefined by the panormilendithis sumeyThem may becicationisl PO4',whkh am not shown not calkid-outas PCH's,.r which amotherwise
unknown to the sw,w.TheaP0rsmay not mpoeserm,tlaeonsraintemst foi the liewer
14UNA�sh�mt�,uboOpmpertym,y�m,y�i�,awt�,,,istem,ofwmdedwm�ord,d�ilfty...—�.
15 The information contained on thi,surweyhas been performed iodl,ormiyarid ischi,soW—p—ibilayf Eana Survey—Additional lki�gcr-lef—es to third armlionn—for
informational Purposes only
16.P_aam to F-5,558.0035,an lodWidual empl-Y-or agera may not be held individually liable for negligence.
17.House meawnimeof,should nor be med for new,idismatruction or pliumang,W.,aerammis should be viadied prim to such adwity
LEGEND:
5UFVMR5 LfGEND
Uia demincAndi se-
.—a—
adr`d�_
o,be'eid
�oruae ct'. dagia Uiat. cuel,bed,
dae`ew"�
o— dindea.,,ecdepeod,
cui-
w,
MEDo'cuimatuee
eV1,0011�
cur duciandit 1.1�
"i:c
'c' re
mce—_
t T�
uporn—
ELECTRONIC SIGNATURE- PRINTING INSTRUCTIONS: OFFER VALID ONLY FOR:
1.Mile viog the mavey in Adobe Reack,,wiect the Terry BronArn and Debra Brown
me Ei,cto,a Sigww,,-f im crPord,Statumn%E-X 'Prunt"button nclw the"File'tb.
Charter W,if thiswas monmed elecorraically 4 PM ———————————--
a has nee, S'nedt IN, 2.Select.printer with legal sated p.1-
3.Under"Print Range",dick Wactttia,"AJI't
4.Under dw"Page Harkdiag"�on,sel=umlbel
dcwoo,dat
of op,in that you would like tc,coot.
ji,order to solisim,th,flacmanic sworumd'ry, -a air S.Undea dw'Page Scalmg�selection drop down m
tielrect"N" 2S% off
6 Unched,the'Auto Rotate and Center"checkbro, (UP TO$100)
or wwoomey.,_ 7.Check the'ChDm Paper sim by PIDI"ch—licbmi. ANY FU
fomthe W—fams TURE
a Click OK to print SURVEYING SERVICES
a-itumaddilla HIS PROPERTY
1+1,the main print,choose ON T
2.Choose-Quality'from the options.
thesimecroi.,....1c.
3.Change from'Auto Color'or"Full Color"to
"Cray Scal.*�
Ex cta Land SurveyQrs,InQ
PM6435-19164M&M-21111112
LEE):L(C w)A C T A LBO 7337 11940 Fbb IiAhas Drift Suite 11-Pt.hililiam FL 33913
111MMS Lumber design values are in accordance with ANSI/TPI 1 section 6.3
These truss designs rely on lumber values established by others.
MiTek
RE: J 150047 - Brown Addition MiTek USA, Inc.
6904 Parke East Blvd.
Site Information: AT R a,FL 33610-4115
Customer Info: Jax House Project Name: Brown Addition Model: THG Contra
Lot/Block: Subdivision:
Address: 800 Sherry Drive
City: Atlantic Beach State: FL
Name Address and License#of Structural Engineer of Record, If there is one,for the building.
Name: License #:
Address: State:
City:
General Truss Engineering Criteria & Design Loads (individual Truss Design Drawings Show Special
Loading Conditions):
Design Code: FBC2010[TP12007 Design Program: MiTek 20/20 7.6
Wind Code: ASCE 7-10 Wind Speed: 130 mph
Roof Load: 37.0 psf Floor Load: N/A psf
This package includes 2 individual, dated Truss Design Drawings and 0 Additional Drawings.
With my seal affixed to this sheet, I hereby certify that I am the Truss Design Engineer and this index sheet
conforms to 61 G1 5-31.003, section 5 of the Florida Board of Professional Engineers Rules.
ate
/1 3/015 SWOOP
/1 /01
U s Name D
10, 2 Owe
PJ T�68 3�65 9�41 TA rO 2S 2 3 5
A
The truss drawing(s)referenced above have been prepared by MiTek 44
Industries, Inc.under my direct supervision based on the parameters
N
provided by Manning Building Supplies.
39 0 S
Truss Design Engineer's Name: Albani, Thomas
a is February 28, 2017.
My license renewal date for the state of Florid
IMPORTANT NOTE:Truss Engineer's responsibility is solely for '.0 STA-TE OF Z
esign parameters shown 0
design of individual trusses based upon d A%
4 V
have not been verified ORk
on referenced truss drawings. Parameters
as appropriate for any use. Any location identification specified is 6; &/ONAC�� �%%%
for file reference only and has not been used in preparing design. I I WO"*
Suitability of truss designs for any particular building is the FL Cert. 6634
responsibility of the building designer, not the Truss Engineer,
per ANSI/TPI-1, Chapter 2. February 13,2015
Albani,Thomas I of I
Brown Addition T
Job Truss i Truss Type 6836593
Common Supported Gable
nc�.
A01 Job Reference tional)
0
J150047 Inc. Fri Feb 13 12 i08:59 2015 Page I
7 610 sJan 16 2015 MiTek Industries, mUQD2iRhxBBllblXlr UlTwrqzlZtl
Manning Building Supplies. Jacksonville,FL ID:2uOl878iO4BlvtZti2wNllyOYcT-IkGr1 izxt3u-eqt- -
20-" 22-0-0
2�
_2_0_0 10-0-0 10-0-0 2-0-�
2-" 10-0-0 Scale 1:41.1
4x4
4.00 rl 2 6 7
23
22 9
10 3x4 Z�
3x4 5-� 4 11
21 3 24 12
2
1
6 3x4= WO J 20 19 18 17 16 15 14 4X10 3 1 x4 Z�3x4
3x4
20-0-0
20-0-0
Plate sets(X,Y)-- [2:0-3-8i,Edgel 12:0-4-12,Ed el,f270-1-12,Edge),[1270-3-8,Edgel, 1 2�0-4-1 2,Edge],112:0-1-12,Edoel ----------
7� — PLATES GRIP
LOADING(psf) PACING- 2-0-0 CS1. DEFL. in (Ioc) Vdef] Ud
S 0 MT 244/190
_T n/r 9 20
Plate Grip DOL 1.25 TC 0.43 Vert(LL) -0-02 13 n/r 90 MT20
TCLL 20.0 13 n/r 80
m r I E
TCDL 7.0 Lumber DOL 1.25 BC 0.11 Vert(TL) -0.02 n/a n a
S V /r 1 0 We, t 91 20
T h lb FTO
Rep Stress Incr YES WB 0.03 Horz(TL) 0.00 12 n/a n/a
BCLL 0.0 * 13 n/r 120 Weight:91 lb FT=20%
BCDL 10.0 _1__CodjeFBC2010/TPI2007 (Matrix) Wind(LL) 0.01
BRACING-
LUMBER- TOPCHORD Structural wood sheathing directly applied or 6-0-0 oc purlins.
TOPCHORD 2x4 SP No.2 BOTCHORD Rigid ceiling directly applied or 6-0-0 oc bracing,
BOTCHORD 2x4 SP No.2 MiTek recommends that Stabilizers a d required cross bracing
OTHERS 2x4 SP No.2 be installed during truss erection,in accordance with Stabilizer
Installation guide--------
REACTIONS. All bearings 20-0-0.
(lb)- Max Horz 2=-55(LC 10)
Max Uplift All uplift too lb or less at joint(s)18,19,20,16,15,14 except 2=-194(LC 12),12=-194(LC 12)
Max Grav All reactions 250 lb or less at joint(s)17,18,19,20,16,15,14 except 2=271(LC 21),12=271(LC 22)
FORCES. (lb)-Max.Comp./Max.Ten.-All forces 250(1b)or less except when shown.
NOTES-
1)Unbalanced roof live loads have been considered for this design TCDL=4.2psf;BCDL=3.Opsf;h=25ft;B=4511;L=24ft;eave=2tt;Cat.11;
2)Wind:ASCE 7-10;VuIt=1 30mph(3-second gust)Vasd=1 01 mph
Exp C;Encl.,GCpi--O.18;MW IFFIS(directional)and C-C Comer(3)-2-0-9 to 0-11-7,Exterior(2)0-11-7 to 1 o-o-0,Comer(3)10-0-0 to
13-0-0 zone;cantilever left and right exposed;end vertical left and right exposed;C-C for members and forces&MWFRS for reactions
shown;Lumber DOL=1.60 plate grip DOL=1.60 wind(normal to the face),see Standard Industry 1
3) Truss designed for wind loads in the plane of the truss only. For studs exposed to
Gable End Details as applicable,or consult qualified building designer as per ANSI/TPI 1-
E N
4)All plates are 1.5x4 MT20 unless otherwise indicated.
5)Gable requires continuous bottom chord bearing.
6)Gable studs spaced at 2-0-0 oc. 3 38
ottOrn chord live load nonconcurrent with any other live loads.
7)This truss has been designed for a 1 o.0 psf b of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide wilt:
8)*This truss has been designed for a live load
fit between the bottom chord and any other members.
9)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)18,19,20,16,15, 1�4
411 Z
pt 61=1b)2=194,12=194. ATE
exce del was used in the analysis and design of this truss.
10)"Semi-rigid pitchbreaks with fixed heels"Member end fixity mo
0 4 0 R \ID
%
"r,110 N A\- 00
FL Cert. 6634
February 13,2015
4u
-7473 BF.FORB USE.
-t-—d RFAD NOT73S ONIWISAAU)INCLUDED#uTRKREFEREJVCB PAGE A91
WARAUNG-V_ify d—ig-P—'— rameters shown.and Is for an individual building component.
Design valid for use only with Mflek connectors.This design is based only upon pa A building designer-not tooss designer.Bracing shown
ameters and proper IncortDofation of component is responsibility c
Applicability of design par ability dLAIng construction Is the'responsibility Of the MiTek'
I for ajerat 9 respons"Itht of ff-�e building designer."general(
s I uppori of Inclividuat web members c"y. Additior"temporary bracing to Inskne st guidance regarding
erector. Additional permanent bracing of the overall strructuie is the =At ANSON I Quality Criteria,DSB-89 and BCSI-juilding component 6904 Parke East Blvd.
fabrication.quality control,storage.delivery.erection and bracing.CO Tampa.FL 33610-4115
e 781 N.Lee Street.Suite 312.Ajexcindr",VA 22314.
Safety Information available from Iruss Plate Institut. /2013byAtSC
tif ScKuthem wine(spi tumbef is specified,the design values me these effecttive 06 1
Brown Addlion
Job Truss i uss Type T6836594�
Common Job.Refe
J150047 A02
g"Wtust n., b 3,12:09:D0201 Pagel
7 610 a ja 'ia
g 80
Manning building Supplies,, ID:2uOi878iO4BlvtZti2wNllyQYcT-VwqEEe-gvo7;�' dn,,ilDe El kgkkGjp7i5hCTNGzlZtH
_0 14-7-2 20-0-0 2-0�O
0-0 �2
5-4-14 4-7-2 5-4-14
-7-
2-0-0 5-4-14 4 2
Scale 1:39.7
U4
4
4.00 F1-2
16 1.5x4 5�
E rU S— 1.5x4
AO2S
5
3
6
2 7 1�6
8
US 3x8 3X5
20-0-0
10-0-0 10-"
Plate Offsets(X,Y)-- [2:o:j�dqel,f670-2-8,Ed-------7-
--- DEFL. in (loc) Vdetl Ud PLATES GRIP
LOADING(pst) SPACING- 2-0-0 CS1. Vert(LL) -0.13 B-11 >999 240 MT20 244/190
L
LR'
TCLL 20.0 Plate Grip DOL 1.25 TC 0.31
C BC 0.96 Vert(TL) -0.34 B-11 >704 180 1
TCDL 7.0 Lumber DOL 1 25 1 WB 0.18 Horz(TL) 0.05 6 n/a n/a
C 0.0 Rep Stress Incr YES Weight:87 lb FT=20%
LBCLL
BCDL 10.0 Code FBC2010/TP12007 (Matrix-M)
BRACING-
LUMBER- TOPCHORD Structural wood sheathing directly applied or 4-7-4 oc purlins.
TOPCHORD 2x4 SP No.2 BOTCHORD Rigid ceiling directly applied or 2-2-0 oc bracing.
BOTCHORD 2x4 SP No.2 MiTek recommends that Stabilizers a required cross bracing
WEBS 2x4 SP No.2 be installed during truss erection,in accordance with Stabilizer
Installation guide
REACTIONS. (lb/size) 2=850/0-3-8,6=850/0-3-8
Max Horz 2=-60(LC 10)
Max Uplift2=-375(LC 12),6=-375(LC 12)
FORCES. (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown.
TOPCHORD 2-3=-1534/701,3-15=-1156/490,4-15=-11141498,4-16=-1114/498,5-16 1156/490,
5-6=-1534/700
BOTCHORD 2-8=-568/1421,6-8=-595/1421
WEBS 4-8=-1 17/471,5-8=-412/288,3-8=-412/288
NOTES-
1)Unbalanced roof live loads have been considered for this design.
2)Wind:ASCE 7-10;VUlt=1 30mph(3-second gust)Vasc1=1 Of mph;TCDL=4.2psf;BCDL=3.Opsf;h=25ft;B=45ft;L=24tt;eave=4ft;Cal.11;
Exp C;Encl.,GCpi=o.1 8;MWFRS(directional)and C-C Exterior(2)-2-0-9 to 0-9-12,Interlor(l)0-9-12 to 1 o-0-0,Exterior(2)10-0-0.to
for members and forces&MWFRS for reactions
13-0-0 zone;cantilever left and right exposed;end vertical left and right exposed;C-C
shown;Lumber DOL=1.60 plate grip D0L=1�60 E N
ith any other live loads.
3)This truss has been designed for a 10.0 pst bottom chord live load nonconcurrent w gle 3-6-0 tall by 2-0-0 wide will
4)*This truss has been designed for a live load of 20.Opst on the bottom chord in all areas where a rectan 3938
fit between the bottom chord and any other members.
truss to bearing plate capable of withstanding 100 lb uplift at joint(s)except Gt--lb)2=375Z
W.
5)Provide mechanical connection(by others)of
6=375. ru
ber end fixity model was used in the analysis and design of this t ss.
T
6)"Semi-dgid pitchbreaks with fixed heels"Mem
ATE
A,
-4 0 R X'O-"*
%
Jp"" ONM-�% %
�F�LCFebruary , 015
e�rt663�4 �
132
Vmjf, N AM INCLUDED JUTEK REFERENCE PA101E MI-7473 BEFORE LASE,
--cimm�d READ NOTES ON IWIS am
building component.
80
dl dual
a y dasign p� 'V07E and is for an in \,j
WARMNG d n rameters shown,
his design Is bored only upon pc Illy of building designer-not truss designer.Bracing shown
9---_'_'y
,In
Mirek'
of tL Ity,during construction Is the responsibility of ffv
_i'- to IML90 StatA
t the b(AcHng desigrv,For genefoi guidance regarding
e S. ,
-89 and BCSI Building Component 6904 Parke East Blvd.
pi I Quality Criteria,DSB Tampa,FL 33610-4115
exandria.VA 22314.
tive W01/2013 by ALSC
d— —d
k this d.-
W V-'f y P 7y -
sign v� for use-- t M --n—l-rs in
is 'V'W design o o
eraf n
nl- W_"__�_r
er for
�.afion 'fy co ir s'. c_
n ag
saf.ty".. all ir
777- g
>
m
>
0- z >
Sn 1p �n- > m --4
OD M m CD
> 0 3
z r-
0 j74 CD 0 0
F U.
(�D
X� m 0 > o
> 0
D C) 0
:3 1 0 00.
(D 5-a) -0- 0. z
a go -0 5�- 0 >000 >
a) 5'_(Q :3 0 5 .. 0 CT 5 Q (D - :3-0 M Z
!]�(Q 0 c ::v -:-T-1 (D 21, 02 ;1
c C) C , CL T
o,40:3 Q- :3 - g: V7 D , �
0 9-0 (D 0 0 :) =;-,< CD C'< :3 �D
CLROOO 0 3 0 3 o'O 5- (D (D a
wo 3 :) (D (D cr=t'o C) o < 'oD (RD 3 o N) 0
(DOO - a a
o-0 QL 0 se- j5 cr 0 T
- :3 ::1-T D 0_ (D U
o o CLO > (D Q- 3 TR -(D MZ
=:! :T(D --
0 5--OD C) 0- :T(D 0 0 (D :T Cy' 0 — 593 z FD (D
Cl-(o Ej ID _0 (D �< Z) u- a
6,::E -,(D 0 !�- (D (D 00 0
000 - 0 - (D 0 (D 5':) >
=�O 0 -- o 0 z
c En co o 0 FD ��Q 0 �T, :3 M 30 Q-U 5'0--
a- (D 0
0 8 CjEi; UD --03 0-U w a — —0 —0
(D Q.07 :3 0 0 T -?Q 5- 0
(D -60 --4() 5' D (T c D M :7
0 (D Z
0 (D r.-
- 0 OL?T:;_ o a 5w � C
OZ5,c - Q - SL S2-6 -
---,o :7 0 (D-0 7r 0 Q- CL :D
0 :) 0 0
(Q 0 a !�D (D (D (D (D
5'(D 0 Uo.:) T N) a M
(D (Q 0 :g 0 (D
00 0 w 0 U (D 0 CD
(D CL :3 - 0 -.00
w K 00 (D C -
50 =�- u(D
c 5CFQ 0 D
(p =!: C (D Q-
0 06 c—5- --
=:t— (a :7 0
0 (D
m -v z n TOP CHORD
�G S<n 0 ;a cn 0 C.
CD i U) 0 0 K o -02 CI 8
7�7 . a cu m Mc-
m -u�.
:E ZD' c: Cc, -�zo c:
t) 0 U)
m (D --4 --> mm
D (D(D >ZD cn M -0 0 mz m 0 3
(D ;pn co
0 m 0
(D (D D m M z
(D::3 OD (D ;O:E c m cr
Z;t---- 03 (A M
"- Z�- a m
=t>:) Ol(,3 " M cn> 0 (D
< to 01 U)-
(D F, 3 > ---1 ',%12,' a:
N 0 >
D m >-< 0
QL(-)(D E-(a 0
C/3 M
;p(n
Z
(D-0 C:)a (D ;o 0 m cl) (D
:D 'R Z E. n co -a D
0 Z' < z (7)� cf)
:-j >m 0
(D Oro '000 > ou :1
< (Dc: D OD F- 0
(A
&D W9 a
m
(D M_z:7 0 cn
le m CIO
03
ID U(D ;p
cnD- CA) 0- D :E
N) 2 m 0
(D < OD z m -
""I a 11) a m 6
-�j c -0
4� — > C,
> (D 05
z
0
n (D R"
iD' Q (n (D
5 :7 (D
C)
0 Zn
m
(D c" C4-5
a, w
(D TOP CHORD
(D
Q-
�o M
4 z a
i5D Z' i> OL>
c 0 all Ey CL
5--v 0 FD 0 =(D a (D a a U 3 c
a w 5" < 0'<(D.
>0 M-Q;o 'D(D 00 0 a -66 -0 c 0.0 62 02 m 0 Lzk
0 a 0�L< Q FD
z R -00 a -4 Qo (D 0 3 6- B'D 3 (D(D =±Q(D -(a- (D --- cr 0
:):) 0
0 00 0(D gsu -a :07 9- 3; (820 9 a D 0
U> 0 Q. - 0
--o 8) 0 (D p 3 5'j =t(D(D -Z (D (D 0 15.a 3 x. !�S-w�9- -:3 (D 0
a < 0 (D. - -w Z, 00
0_6 2 -0 Q'6 (D -0(0 -n
c 0 (D M,00 �,D M 0(D
6- :) ZD
0 =tea (D :1 92 - 30 5-Q - (D- SD 0 E-:- iD x(D
Q. a- 0 007 a.- 0(D Q -ZQ CD
D 0 i5' )L a
-0 Q.;R 0
--T (D (cD'L!�'D (D W (D CD @gS !� T��' V�
?D S, o a ?T 3 Pt aL (D 33 iB 3 (D (D
c 3 a Q Q a 0 OL(D D a 6 6"0 05 cr 0
0(D Q. :3 a 8 5i (D�� 3- Q :)
a8
M No (D .09 52 CL=2r,� 0, =ct cc 0'(D CF Cl:) (D (D 5-P 0 (D
--e a CD �y cl 0,0—cy 5 U ID
(D 0 -=F=t < (0-0 Q u c a B),M (a B
D
a 2 g2S w S. 00 3S g!�,- o"L (D-< 03 0.(6.
0 - :,!5 ,(I --.o 0
:3 moa -=:r 6 , 60 ado 0- OL c (D 5'
=c 0 :E 5'M -�PL -R
c CL (D Q-(D - a. u zo,o .0 SL o(O 0 Q
-Q 0
25 (D 5-0 (D vF I (D 'I
6 a 0 Q E 3 a 6�(D 0 30 u a (01 8 3 a
p o
E� c,:-0 3 (a OF CD -a 0 (D Q (D (D >ZO� a -0 D- M QL 0. cl
9�D,, a 03 PL 9 (D 5-:, 000 Z 0 =t (a -(Q -Z 5'
< (D (D a (a C, =t.7 a :: 6u
c �-a c 0 0 :1 Z
0-0" - M (D c �,D - 05 oo > :8:9-- 5' -0- (D F)
33 - :3
:E Z) - 8 - (D(D (D vV S Z,OCr ::a 0 4 �-D 0 C)
00 0 M 0 76
0 5-'::k C)0 0(7:3
0 (D il� z
0 0 on (D (v
g LIB
0 6 g 0 06 -10-0 0 a CL,
55 —:1 0
0 CL 3:5 9 0
a j =6�� --a :7 (D
CF a PL, p o-
(D a ID M (D OL '0 0 (D
0
P c i a a 0 0 (D(D (D(
!�� :-; O< (D D
0 ZD 0 =* vr(D 0
0 =r
0 (D 0 (D
:7 a =k �D
(D 0 0 (D a :3 0 00 -3 :3 0
0 (D -a Q. SQ
iE 0 c 'D Q (D?F tD I Q .
:1 a (D < (D
(D 0
=lr (D
(D (D 3
6 E 0
g 3
ID a (D
W
(ET/L)TZOE-9LT-SVS-MN
:ssaippV le:)isAqd
Z ez t :UUISIA[pqnS :101
-Aidde sluno:)sip a:)IAJOS oldilinVy spaou joiluo3 Isad jnoA lie jol sn 1:)eluo:)aseOld
@3110U Slqj 10 leAOW@J sl!q!qojd mel Aluno:)
:@Oelooi jeaull
:@OelooA ajenbS
:jole:)ilddV
:pailddV junowV
:Pasn leDlwaqD
:uo!le3ilddV jo aleCl
:uoilejidx] jewua�j
p
-je@A jaqioue jol Aliadoid jnoA uo uoll:)alojd
baj si uoil:)z)dsui lenuue ue pue Allenuue pamauai aq oi si puoq aqi -s@Oewep
@ql pualxa ol ped si wniwaid lemouai jal4e pajin
eN Aq N\el Aq paiinb@j se paleajl sem Aliadoid siq_L
paleposse pue s@l!wjal ue@uejjalqns Isuie0e p@lo@lojd si pue siap!e)A Isad s,'@P
IN3VYIV3kll 311VU131 NV3NVHH3nnsJO INION
ZSOZE 11 'VW13A 31NOd
S�HGVWAN-SSS woo-siopeilsadsiapeu iS3A/\ 'dG SSVdDN\VS 9900T
d..�. MOJJV ue
ue
SJBPM
v V IsOd
v V-) S, df Pv/�
29
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL GAS PIPE PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHG-908
Job Type: MECHANICAL GAS PIPING
Description: gas piping tanks water heater
Estimated Value:
Issue Date: 4/20/2015
Expiration Date: 10/17/2015
PROPERTY ADDRESS:
Address: 800 SHERRY DR
RE Number: 170393-0000
PROPERTY OWNER:
Name: EGGERS, WALTER E
Address: 800 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
Phone:
FEES:
Gas Pipe Outlets $22.00
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: $86.00
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: PERmrr#
PROJECT VALUE $
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit —
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
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: (%Aa5—PL1 U
six months.I hereby certify that I have read
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for
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.
Phone Number A-
A kQ 92-5
Property Owners Name Kk �S Office Phone:javj-9 44AFax-3 It-93,50
Mechanical Company
Co. Address: City �k �- .State�f—k Zip �3 22-1.
State Certification/Registration#
nt): Ile- 'I �CL
License Holder(Pri , �b�
Ider
Notarized Signature of License Ho is /37 tA- day of d 20 /5
Sworn and subscribed before me th —
a C
E,j,�Vpq� ay=b At�-- M ..- —
Notary puNic State of Florida
s S pt Signature of Notary Public
tephanie Renee McGuire Aa�
m y C mr.�0
A as n FF
y commi ion FF 033716
re
OF fV Expires o8/01=17