1833 N SHERRY DR - RESID ADDITION CITY OF ATLANTIC BEACH
-� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Y
J
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ADDITION
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RADD-1191
Job Type: RESIDENTIAL ADDITION
Description: ADDITION 1ST 2ND FLOORS
Estimated Value: $125,000.00
Issue Date: 6/12/2015
Expiration Date: 12/9/2015
PROPERTY ADDRESS:
Address: 1833 N SHERRY DR
RE Number: 172020-0786
PROPERTY OWNER:
Name: GETSY, STEPHEN JEFF& DENISE,
Address: 1833 N SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: CHAPPELL CONSTRUCTION INC
Address: P O BOX 51112 QA RICHARD THOMAS BYRD
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $277.50
BUILDING PERMIT FEE $555.00
STATE DCA SURCHARGE $8.33
STATE DBPR SURCHARGE $8.33
Total Payments: $849.16
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
Building Department
j 900 Seminole Road
u Atlantic Beach,Florida 32233 P
:. (904)247_5500 Fl"' !. COPY
PLAN REVIEW COMMENTS
PermitApplication # /5-AMO-//9/
Property Address: lo'3.3 SAPrrr /A-;ye lVorA4 ,4.71T
Applicant: C�a//Wkl Con.Sl�ru cT.�
Project: Oddi earl
This permit application has been:
0 Approved
ad the following items need attention:
? �v,r V
lo �Sm
x 7 v F S ' < P/0-ki , by ory 1,4 ;
6
24.vpi e s i /71
Please re-submit your application when these items have been completed.
Reviewed By: /m ' yiDate: 6—/1 -/ S—
BUILDING PERMIT APPLICATION
FILE COPY CITY OF ATLANTIC BEACH R
800 Seminole Road,Atlantic Beach, FL 32233
- Office (904)247-5826 Fax(904)247-5845 MAY I
Job Address: 1S," ,e7kt!jr \V )r• IN1, Permit Num 1.i-6E/4" 0-1I
Legal Description x3/e-tel Oq 25 aq *10Mg LIn..rb Parce�08
# >-� 12
�� odor ETe� —Sq.m. —��
Valuation of Work$ 19,saiDW- Proposed Work heated/cooled <12. non-heated/cooledTp-
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): es o /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
QDtlrred Q,,,caNnc.lo�tlt-� fJOro1�Qcldrl,��n
Property Owner Information: / p
Name: S'Ee.P{Y/l Jci+` 'yt e4SS Address:
City Q3: Af-iLe F-ye-c 1, Stat¢'LZi Pbone
E-Mail or Fax#(Optional)
Contractor Infor
��m
yy ration: /�
Company Name:s�¢ I �(l r-Inc{ion Quali ing Agent: 1SAxrrt-r
Address:F0. 61112City c. I State FL Zip 40
Office Phone 6n1'- 7 Job Site/Contact Number (gosh 5<1-4'12'Z F"#
State Certification egistmtion# D
Architect Name&Phone# Yin srpsgp4 Z�
Engineer's Name&Phone#
Fee Simple Title Holder Name and Addresssp
Bonding Company Name and Address
Mortgage]ender Name and Address El I f}
Application is hereby made to obtain a permit to do the work and installations as indicated !certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will bape to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null
and void fwork is not commenced within six(6 months,or ifcomfruction or work is suspended or abandoned for a�veeriod ofsix//6)months at any time aft/ter
work is commenced I understand that separate permits most be secured for Electrical Work,Plumbing,Signs, Weis,Pool;Furnaces,BoUch,Heaiers,
Tanks and Air Conditioners,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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
!hereby cerlijy[hatlhave read and examined this plication and know the same tobe true andcorrect. Allprovisions oflows and ordinances governing this
type o work will be complied with whether sppeect ted herein or not. The granting of a permit does not presume m give authority to violate or cancel the
provisions ojanry other federal,stWmg ction or the performance ofcorstruction.
Signature of Owne,,are,
Signature of Contractor 6
�
Print Name .h.�....../t!.. _ Print Name_ . R> 1_�_yrs........ .... ..................... . . .
Sworn tq and subscribed before me Swom to and subscribed before me
this y of [\Af1U .20 0 this �Day of May 201
Notary Pohl f. cttmuaw.on ��w�v,,��,�.��Pu 1c
MV C(N,YAISSKIN.FF 110M �'*"'^+J•• CHa15 NOWAK
E
. s m�a,amia xs;aAymsu,zo�iez Notary Punlic State of Florida evised 01.26.10
�,q;,,Fs^ •p�My Comm.Expires Aug la,201111
DO NOT WRITE BELOW- OFFICE USE ONLY
pp ica e
Codes:
Review Result (circle one):
pproved Disapproved Approved w/ Conditions
Review Initials/Date: `/9/`
FILE COPY
Development Size
Habitable Space S Y�- S f- Non-Habitable
Impervious area _
Miscellaneous Information
Occupancy Group
Type of Construction y 1
Number of Stories 2-
Zoning
Zoning District Q V YD
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone A/#
Conditions/Comments:
City of Atlantic Beach
.� Building Department APPLICATION NUMBER
/I 800 Seminole Roatl (To be assigned by the Buildin De
AtIlob Beall,Florida 32233-5445
Phone(904)2475828 Pax(904)247-5845 (7
E-mail: building-dept�coab.us
Ciry web site http://v.iyw coab.us Date routetl:
A9 PLOCA` TON REV9EW AND TRACKING FORM
Property Addre s: MY.3 J`j£r P'
De artment review re wired Yes No
Applicant: Buildi
t . Planning&Zoni
PYOJBGt: a inistmtor
ublic Works
ilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection of Permit Verified B Date
Fiends Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaum t,
Division of Alcoholic Beverages and Tobacco
Other:
APPLIC TION STATUS
Reviewing Department First Review:
(Circle one.) Approved.
Comments: QDenied.
BUILDING /tv�C - /c�CdtC1E� ,
'LANNING&ZONING
TREE ADMIN. Reviewed by:
Second Review: Date: 6'i
PUBLIC WORKS Comments: ❑Approved as revised. ODenie .
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by;
FIRE SERVICES Third Review: Date:
QAPPmQDen
ved as revised.
Comments: ied.
Reviewed by:
107/27/10 Date:
,% +•",- City of Atlantic Beach
/•' Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Builtling Depanpmen[)
- �' Atlantic Beach, Florida 32233-5445
Phone(904)247.5626 Fax(9(M)247-5845
E-mail: building-tlept@Coab.us
City web-site'. http l/w Coab us Date routetl:
APPLLOCATION REVIEW AND `RACKING FORM
i-"roperty Addre 11
5 11: JF23 JtI /V De artmerit review required Yes No
Appiirant: Buildi
I an h' tanning&Zonin
Projeci: 1 51stmtor
ublic Works
lities
Public Safety
Fire Services
Review fee$ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Prot on of Permit Verified B Date
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:
(Circle one. �APProved. �Depietl.
) comments: � Aq4d
BUILDING W
PLANNING 8 ZONING
TREE ADMIN. Reviewed by: �[
Date:��f�/ r
Somme Review: QApJproved as revised.
PUBLIC WORKS Comments: f4 n7� . _/ / Denied
PUBLIC UTILITIES T " s0'
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES Third Review: rryye� Date: �.
KAas revised. ❑Denied.
Comments:
Reviewed by:
-Date: ` h �j
tree 07r27no
I
FORMS FILE COPY 1111111111111111111111111111111111111111111111111
FLORIDA BUILDING CODE,ENERGY CONSERVATION
FORM M-2010 Residential Building Thermal Envelape Approach ALLCLIMATE20NE5
6wpe'.Gompbance wIm SetOan a02 of the flapalulMMp G[de,flRrsy GPaurW(bn.sAall be demonsbafed bn iM1e use of Form d021orsingle-and multiple-family resioences of lmee
Sones Dr l¢SS In M1¢igAl,ddtlNDns lO evlSllrq r0sl00Mial WIWNOa,renovallons to•xi511ng 1esldentlal AUWlnaaS, a AeabnA oolNA,andiry water Aeatinn systems loon buildings,as
iomlll�iiaeeullelnA eaL's noti oomPryewm Mli mehoa orllAliernzte form 4111'mry Rill C.mpY dgdgIb04mg 0.5 olliReFlo tls re,0a9 LOOP UOvrm C.anservwM1on In ia�le dp2B of lois
PDOJECTNAME: Getsy Adl BUILDER: Chappell Construction
AND ADDRESS: 1833 Sherry Or PERMIITNG /J// // /
Atlantic Beach OFRDE: �%/ p yr/, �5 Atlantic Beach
OWNER: PERMIT NO.: tg�R4 - 1191 JURISDICTION NO.: 261100
General InahlMipn.New y 9 p
A¢at and a�IanM¢fe Ocostruction nee i0 moo arenlc6¢WdNlpns<8M aAAlrenaovaN era antl maps
ou4maY comely hY Mb megDO Ynrelh no[ep mS100 enl00t area,eleprit res5tlnce
2 FIII ler all me apgkable induced DI the'TO Be Installed"column on Table 101 the Information requested.All"iD Be Installed'values const A[equal to Dr more eflicienttM1an IM
too tared awls.
3.Complete peg•1 based on the"TD Be Insisted"eolumn efforpre lon.
9,R•a,I the requheme ed.1 Table 402B and check on box to indicate your intent to comply with all applicable items.
5.Read,sign and dale the'E mpaud By'taroposin n statement arms bottom of pace L The owner or music a00n1 must ata sign and date the roto.
Mesx P[IM CK
1. New construction,addition,or existing building 1. AddNon
2. Single-family detached or multiplelamily attached 2, Single-family
3. 1mu1NpM-family-No.of Verde covered by this submission 2.
A. la this a..,at race?hodur ) 4, No
s. Conditioned floor area(sq.k.) 5. 548
S. Glave type and area:
C-f, 6e.
I.SHGC Sb.
�.Cloo arch Be. 135 sel _
7. percentage of glass to floor area T 24,8 %
e. Floor type,area or perimeter,and insulation:
a,sr,n-on-grade(Rvalue) ea.R= 0 67.7 gn.k.
h wood.rawed(R-,all els.R=_ 13 94 sq.N.
e Wood eemmon(R-vnlue) 8q.R= sy.k.
d.Conceded,raised lR-value) W.R= ay,k, -_
e.Coate¢.dommon(F-value) Be.R-
9. Well type,eros end Insulation:
a.Exterior I. Mawnry(lnaulancro R-value) 91 R= ap.k.
wood Tamconglation R-vpu<0 ini R- 13 928.19 cd,.k.
In.Adjacent: I. Ndions,(Inauowb R-value) gli Be_ Ial
2. Wm al frame Norwegian R-value) W2. Be: 13 118.4 9.R.
- 10. coning type,area and insulation:
a.unadr nuc Unwlabnn R-relud 10a.Re 30 ml 288
h Single r-bly(In ion R-value) 10b.R- mi
11. Air distribution cyatem:Dud insulation,loadion,On
a.Door locaran.mammmd era R= 6
to ARU mcation 116.
c.On,Tort moon mmched I<003;yeahnal nc.Teg myon akeahed? Yart0l
12. Cooling system: Existing
u.TE" 12a.Type:
A.Ef idisey 12b.SEEWEER:
13. Honda,s,dern: Its.Type: Existing
I.Typd 13b.HSPFICOPIAFUE:
b.Ef icieday
14. HVAC sizing calculation:allached 14. Yeal
15. Hot water ayerom: Existing
a.Type 15e.Type:
b.Brunei 15b.EF:
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Enmpy Cp0. FrerpyCWe.Btlp,etwitry[tlpn'a wmgetM,MSAuibnO witl Ae lnspMeo to wmpllallu In
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DATE BMR.
mvxmnctxr.
CA 2010 FLORIDA BUILDING CODE-ENERGY CONSERVATION
z
FORMS
TABLE40fA
WiLg COMPONENTPERFORMANCE CMIEMA' IMTA MVLLUES:
,'...LLFedor=0.65
6HGo.3p U-Fr=
Wlrvbwa(me Nala 2) C=
%dCFAe=3" SHGC-
'SMlonle '..ILFacbr<0.]5 %HCFA= 24.6%
Doan'.Ed.—ami J._.., U-Fachor•0.65 LLFatlp•
Flaoa filet y df rvhrpulremeM RVMn• 0/13
L_—asrned R
a. atheam.{pperlm3_ 'i R.13
W
-Ed"dA( .Nge31:
i Frwne Pc19 FVelu= 13
Mess Iaee Nde 9
rmemdwLl: R].B RVyu•
EtleXmolwall' '0.e -VW-
..1m,
Valu
r..1m,(seak sJa 4) _... _....._..__ R30 RvNu• 30 T..
Rehc4Ma 0.35 WM1clarva= Mxbea'+.
Ap a
Al"'di o cn e"fro ne Neta 4)
Delevexaernanmhgnnn: gw;
cmwnfewedace alR.waewc. irvmalhwea Tal mlaot
ipaAnaa.m
Dem F-.ewe �Il Rrwe a6 6 ream^
Rvd =
I.axaae On 'an eo.m rn_
ria Nobs SEER.Is. 6EER=
XeeY ng aYRln�satvon s
He u1nolsee Nob B) Cool, 'I AMER=lot 0 SEER• E%IbgnQ
theme: '.,HSW-,.T HSFF=
G. lurvice AFUE 76% AFUE•
at minx¢ AFUE IBS AIDE=
E vend,mlebme:NM dewed Ieee Nom 5
W n
Elx Ineyaum lslora¢rype)
( rvda e) eEF=oaOaMta= Existing
be gad
sa l.EF=o.0d EF=
.as Nno(¢ee nova)). '',4o . EF=fee
GeILn.=
am"Wenriee): ..,509aI:EF=B.SB EI- I
(1)Each compared present in the As Proposed home must meet or exceed each of the apd[cabk performance c trona In okerto complywnn this carie using this method:
w houses¢Swim 405 mermidnes..at be used.
(2)Wiedowsard am...blyinges gbmd knestralion weramual comply with both Ne maximum U-Faclorand the maximum SHGC baclar Heal Gain Coefficient criteria
and have a mapmum roti windox area equal to or less than 20%W the nominated floor area(LFP):oNewnn Shemon 405 must be used Nr compliance.
Exception: Additions of 600 square feet(56 ma,or len may have a maximum glass b CFA of 50 percent.
(3)R-values we for invasion material only as applied in accordance with manufacturers'Irecallatbn lnslmcdone For mass welt,the Interior of wart'adulterated must be
met except t at past htys of the R-6 insulation reduced for%e'nterpr of war is imandi d doctor in or integral to,the wall.
(4)Duda 6 AHU installed substantially leak free per Se[non 403.2.2.1.Teed by Class 1 SERE rear required.
Exception:Ducts indeed onto an existing air distrpu"rrn system as part of an addltbn or renmalio¢duct must be R.6 installed per See 500.3 9.2.
(5)For all conventional unite wIM capacdies greabrlllan 30.003 BIUM[ For other When of equipment,ase Tables 50323(td).
Exception:The prohimaken on epclric resistance head tlxa not apply to additions,renovations and new heating systems inaabtl In evlstng bulMings.
(6)For other lectric storage volumes,minimum EF=D.97-(0.01)132 x volume).
st
(7)For hoer natural ow orage volumes,mMmum EF•D.67.(O.0019 x volume).
COkV011B1
CONFOR MAXOAMRY REWIREMENi4 _ ___ __ _ _ _
T6 6E4TIgl REOMRf .R CHECK
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CelnpMx walk 40521 -R19 apxe parmmin9, _ _ _ X
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A, .Oc- aded, t 40Sd1 Whaebrm]alrfumaceia plmary .afte,ducts nb�moSal is onQ.
Nr Otlrbutwn¢yGem 4033 Dua6ham6monr[alrtiodwedu Nd:amerauds RE Wcb tatletlm Q•6N bVe Case BERB abr. X
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bvinmhg pml8 sins 11...M an,,. rpalral as homers Mwm9
loarena .a (B2%Wels o.Neat wrap ifi I'eaursmblmin-un COF_Tilts.
adv¢Wplalm pxrmnWBWWtl,Mip Abaci,ho innard.W. ed,or
Me"caayeeriM1ctlio X
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E4cnc Mn»WW muslbadecan Imotw atmos,alma.
Larked Wuipme 400.1 Al bael50k of pe�meMrityiWtlinl lgMlnOfitluref and RFMnWicAy bmpa. X
2010 FLORIDA BUILDING CODE—ENERGY CONSERVATION C.6
Project Summa Job:
wrightsoft i pyre: sums
New Addition By: M.EIIis
Energy Design Systems, Inc.
12132WeeNem Es Ws Or W.A&wnWW,FL31333 R :909-ZW3670 F—& 2914370 ErnW.e]s.,:
Project Information
For. Getsy Addition
1833 Sherry or N,Atlantic Beach, FL
Notes: New addition to be added to the existing 4-ton HVAC unit already servicing the existing
residence.
Design
Weather: Maypon Ns,FL, US
Winter Design Conditions Summer Design Conditions
Outside db 39 °F Outside db 92 `F
Inside db 70 °F Inside db 74 °F
Design TD 31 °F Design TD 18 °F
Daily range L
Relative humidity 50
Moisture difference 58 gr/Ib
Heating Summary Sensible Cooling Equipment Load Sizing
Structure 9637 Stub Structure 6961 Stun
Ducts 1226 Btuh Ducts 1688 Btuh
Central vent(0 dm) 0 Btuh Central vent(0 dm) 0 Btuh
Humidification 0 Btuh Blower 0 Btuh
Piping 0 Btuh
Equipment load 10763 Btuh Use manufacturers data n
Rate/swing multiplier 0.97
Infiltration Equipment sensible load 8399 Stun
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 1 (Average) Structure 1028 Btuh
Ducts 378 Btuh
Heating Cooling Central vent(0 dm) 0 Btuh
Area(ft') 548 548 Equipment latent bad 1406 Btuh
Volume(ft') 4932 4932
Air changes/hour 0.85 0.32 Equipment total load 9805 Btuh
Equiv.AVF(dm) 70 26 Req.total capacity at 0.80 SHR 0.9 ton
Heating Equipment Summary Cooling Equipment Summary
Make Make
Trade Trade
Model Cond
AHRI ref Coil
AHRI ref
Efficiency 100AFUE Efficiency OSEER
Heating input 27735 Btuh Sensible cooling 0 Btuh
Heating output 27735 Btuh Latent cooling 0 Btuh
Temperature rise 65 °F Total cooling 0 Btuh
Actual air flow 389 dm Actual air Flaw 389 dm
Air flow factor 0.036 dm/Btuh Air flow factor 0.045 dm/Btuh
Static pressure 0 in H2O Static pressure 0 in H2O
Space thermostat Load sensible heat ratio 0.86
Calculations approved by ACCA to meet all requirements of Manual J 8th Ed,
wri htsoft- 201&10 -nmo:23
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P.D.
Alpine, an ITW Company tmww,wa
2400 Lake Ornaga Drive suite 150 Orlando F 32837 '.1I`S FL-P,
Flow0
rida Engineering Certificate ofAutlwnized..Number:0278 VV •/!r•
Florida Certificate ofAo .APProval#FL 1999 Q SF••a 1i
Page lofl Dncumem]D:1VGAd235-21018141938 5C
O. 8
imss Fabricmoc LmAer Un l im tedTj�j 11r 1 c*+
Job ldso eaeoa: 50152-(RICHARD BYRD )1333 SHERRY DR. N DUVAL -- ATLANTIC 0(ACH FL AfC' ARD'BYRT})13
C.Teass C10 cry A % ;
model Code: Florida Building Code 2014 or 2010 �p' A� P,. •kr
TT--cdteria: FBC201ORes/TPI-2007(STD) ,,.RFs•. OR\pGet'
Engineering Snfiware: Alpine Softeare,Version 15.01. ".rS�QNAI
Snacrmal Engineer,of AeccM: LUIS PORTICO 53311 °jww4ass e`er
Address: 496 OSCEOLA AVE JACKSONVILLE, FL 32250
mioinman Design corns: Roof - 37.0 PSI @ 1.25 Duration
05/16/2015
Floor - N/A
Rind - 130 NPH ASCE 7-10 -Closed
Noes:
1. Deterninatian as to the suitability of these truss conponents for the Douglas Fleming
structure is the responsibility of the building designer/engineer of -imseDesign Englneer-
record, as defined in ANSI/TPI 1
2. The drawing date sham on this index sheet must mtch the date sham 2400 Lake orange Dr,Stun 150
on the individual truss cmlporent drawing. Orlando FL,32837
3. The loads indicated on all referenced girder trusses are consistent with the truss layout provided
by Liner Unlimited for the above referenced job identification. Loads
applied by non-truss el counts and basic load parameters are to be reviewed and approved by the
EOR/building designer.
4. As sham an attached drawings; the drawing number is preceded by: NCUSR235
Details: -
A Ref Description DrawinBit _ Date _
1 62666--A1 15138107 05/18/15
2 62667--R2 15138108 05/18/15
3 62668--B3 15138109 05/18/15
4 62669--EJ4 15138110 05/18/15
5 62670--EJS 15138111 05/18/15
6 62671--HJ6 15138112 05/18/15
7 62672--HJ7 15138113 05/18/15
8 62673--CJS 15138114 05/18/15
9 62674--CJ9 15138115 05/18/15
10 62675--CJ10 15138116 05/18/15
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TREE & VEGETATION AFFIDAV
City of Atlantic Beach By
n Department of Community Development
Planning&Zoning Division
Go�U7�/ 800Seminole Road Atlantic Beach,FL 32233
(P)904247-580D (F)904247-5845 PERMIT0
SECTION I-APPLICANT INFORMATION YOwner(s) *. Legal Authorized Agent-
NAMEOFAPPLICANT Richard Byrd I�
NAME OF COMPANY Chappell Construction,Inc.
ADDRESSOFCOMPANY P.O.Box 51112 Jacksonville Beach,FL 322SO
PHONE (904)254-9722 CELL (900254-9722 EMAIL chappell constmctlon@yahoo.com
CONTRACTORCERTIFICATION NUMBER CGC059945
ATLRCH BUSINESS TAX RECEIPT NUMBER 4A
i SECTION II-SITE INFORMATION
STREET ADDRESS OF PROPERTY 1833Sherry Dr.N.
Iran aEErns Narortxn mtl9,xproaW gepbry,[mm[ttlieABaulld,ggpaMgnor(W 5e26rortpierm wdma
LEGAL DESCRIPTION 36-6109-25-29E SeNa Marina Unit 10-0 Lot 12
LOT 12 BLOCK Unit IOD SUBDIVISION nS.elve.Marl.
REAL ESTATE NUMBER 14321-01280 LOTOR PARCEL SIZE: S$ X100 SQ FT oDD AC
i
RESIDENTIAL X COMMERCIAL OTHER(SPECIFY)
I a01rm that I have revkwed dse provisions of Chapter 23, 'Protection of Trees and Nodw,Vegetation'of the Municipal Code of
Ordinances for the C/ry ofAdantk Beach,Fl and/or Inow portklpated N a pre-apphoodoa meaning with the Administrator of those
i regulations. Subsequently,I oMan that no regulated!mens andoo regulated vegetatlon MY be damaged,destmyedond/or removed
Iromthe a6ove-0esW6Moro,tcentP Verti¢s in con/urrctbn wtth MlsWoJett.
SIGNATUFIE PFM SIGNATUREOFOMMER
Signed andsvmm Woremeon this �tlayof t/ Vw+- ,y Statenf R,-ea -
CauntyM
Identification w6fied:
Gam sworn: r't/ps r No
FEV-rvAv I0 i1 My Commisslon lxplre5: I l
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is
MAP M, TING BOUNDARY VVEY OF
LOT 17- BLOCK-- AS SHOWN ON MAP OF
S VA Nl AL � 4 tAdf7-- /�/c /o- 8
AS ItECaWW JWPLAT BOOK -3& PAG£5 (al OF TIE PMX REcams a' WVAL Comry' FLQ4'DA
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YAP SI%, SING Bl)UNDARY VVEY OF
LOT /L BLOCK — AS SHO)PIV ON MdF' OF
S c-c Va MA,C� 611M- ,�/a ip R
AS RECORDED IN PUT 9DO( PADES U OF THE PURI.C RECORDSOF T#/VAL CO/NTY,, FLORIDA
:£R77F7ED FOR.
n/A S u E C k •Y
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
RFMA
800 Seminole Road,Atlantic Beach, FL 32233L'Office(904)247-5826 Fax(904)247-5845Yj .9
Job Address: ISM Sly MV bl - t�- Permit Num
Legal Description Ale-lel 09 -15 -AqF_
�1 ks1Y) nib irce�#$ L o� 12
— Foor nor- ,q.rt. �q.F
Valuation of Work$ 12,67,000Proposed Work heated/cooled 512- non-heated/cooled��
Class of Work(circle one): New Addition Alteration Repair Move Demolition pooVspa window/door
Use of existing/proposed structure(s)(circle one):. Commercial Residential
If an existing structure,is a fire sprinkler system installed?(Circle one): es o /A
Florida Product Approval#
For multiple products use product approval orm
£+ p—d
Describe in detail the type of work to be performed: � f! z oa-Q1C1elcf7,17n1' GXtS�na
QDkr-ed oreC. SAC I0v#tt-e.', P-01`6� QcVr tun (Ne-A
Property Owner Information:
Name: Address: 1833 _5. r-h4 6r•N.
City jq}IOsxlic Boea l' StueFLZi Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:yilagE I Quali ing Agent: KsC-�lwsl T �L.yrCi
Address:RO.i3 Ic I t City c, 3ek State rL Zip 40
Office Phone 6 t Job Site/Contact Number a¢ 4- 2' Fax# —
State Certificatio egistmtion# CD Al6
Architect Name&Phone# (Cl W ?Ail_-R*)n
Engineer's
2-
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address S+C hen S 'Sr_ e-+3 V
Bonding Company Name and Address IR
Mortgage Lender Name and Address N R
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null
and void ijwark is not commenced within six(d)months, or ijcomtructiort ar work is sus piled or abandonedfor a period ofsix/5)months at any time after
work is commenced. I understand that separate permits most be secured far Elecldca Work,Plumbing Signs, Wells,Pools,Pso moves,Boilers, Heaters,
Tanks and Air Conditioners,de
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 BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby cert jy that I have read and examined this plication and know the same to be true and correct. All provision oflaws act ordinances governing this
type of work will be complied with whether sppeeci ted herein or not. The growing of a permit does not presume to give authority to violate or cancel the
provisions ofany other federal,stale,o local lov regulating c wtruction or the performance ofcom ruction.
Signature of OwnerSignature of Contractor 412,07
aa
Print Name giL
._,:m'_7:.!.. ............. i ._........ Print Name _ A!...W....'.-r.....� 7,,4.......
Sworn hand subscribed before me Sworn to and subscribed before me
this y of M O.kk .20 \5 this L Day of tL4 ,201s
Notary Pu I isSis: cymxusxton pt9g�r,Public cxais xowks
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2015129584, OR BK 17191 Page 1728, Number Pages: 1 , Recorded
2015 at 09:27 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
ING $10.00
"KOTICE OF COMMENCEMEier
to of r10I7 CIN. -_ Tax Folio No._1 A+ C)C)12 1?0 _
inty of h1wa,i
Whom It May Concern:
undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section
Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
al Description of property being improved: (- q'._�.s
Iress of property being improved: 1$3 �h -fir Nt
eral description of improvements: —��o0f"_(X[ t'T►_On Cl lfl eD1e; ADrC�� _
Address: �� Sheer-r"�/ Dr�1t _L_ �
ier's interest in site of the improvement: t �jml�___—
Simple Titleholder(if other than owner):
Name: ------- —— ---L=1''-— -- jj—---- ----—---- ------
tractor: -Rt d, Tri --
Address: QO�I �ll.'LC �O_yi[�1�� �n.
Telephone No.:fq;n 4—q72a_ Fax No: _—
!ty(if any) — — — -- ---Address:------- ____ -_—_______ ____Amount of Bond S --
Telephone No: Fax No:
ie and address of any person making a loan for the construction of the improvements
Name: -
Address: — -----
Phone No: _ Fax No:
e of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents m;
:d: Name: ��_�ns � ---- -- ------- --- —
Address: ,()• _51(1 .— t�1>� �— 3'-'a
Telephone No:_�Q� -q'� —_ Fax No:_
idition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Se
)6(2)(b), FI 'da Statues. (Fil ' at Owner's option)
Name: klC-• ---- ---- -- --- - —
Address: 1]� _ �G t llr
Telephone No: q 4 — Fax No:
ration date of Notice of Commencement (the expiration date is one (I)year from the date of recording unless a different di
fied): — — — -
3 SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Datc: 4.
Before me t day of in the County41D�., J,/St
Of Florida,has personally appeared tS
tt+Y
LONCYNTHIABNNotary Public at Large.Stat o Flortd4,Count) of Duval.
g MY COMMISSION t FF 115400LZ
;s• EXPIRES:Apel 22,2018 My commission expires:
NBonded Thru Notary Publr Undewritrn Personally Known:
Produce Identification: `SkcenSCh
C^'16tvt'c, �Mvzln