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Atlantic Boulevard 715 (4) CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 744 CAVALLA ROAD PERMIT# 1247 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION ROYAL PALM U OWNER NAME WATSON PROPERTIES PHONE (904)246-4964 zLEGAL DESC: LOT BLOCK SECTION PERMIT TYPE ELECTRICAL w CLASS OF WORK REPAIR a CONTRACTOR EARLY ELECTRIC COMPANY INC. PROPOSED USE APARTMENTS z a z �OW WORK DESCRIPTION EXIST lOOAMPS 1PH 3W 240V SEV RACEWAY INSTALL GFI TO KICH/BAT 2 U. INSPECTION REQUIRED 12 FINAL ELECTRIC INSPECTOR AM DATE INSPECTED ' BY G.hla4''4iz APPROVED REJECTED ❑ COMMENTS sF- r, CITY OF ATLANTIC BEACH, FLORIDA A ►owd b TRI � Y APPLICATION ICOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN_CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. I ilL e e-o U 2 'w& ELECTRICAL FIRM: MASTER ELEC IC,IA,N�/IG A -TURE JOU NAMEOr�f Ro �,e ADDRESS: f'7 C-(IU, LG // RFD BOX. BLDG.SIZE BETWEEN: RES.( ) APT.( T COMM.( 1 PUBLIC 1 ) INDUS.( 1 NEW( I OLD(-r REW.( ) ADDITION( ) TRAILER I I TEMP.( ► SIGNS ( ) SO.FT. SERVICE: NEW( 1 INCREASE( ) REPAIR FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH 3 W VOLT' SZ RACEWAY FEEDERS NO. SIZE IND, SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OYER APPLIANCES I I BELL TRANSFr AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS I.LANEOUS 6 .jr:TiZIr✓� .t r CITY OF ATLANTIC BEACH {` 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000571 Date 4/27/09 Property Address . . . . . . 746 CAVALLA RD Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc lift up condensor and place on stand ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Wilburth, Jon AIR EXCELLANCE INSTALLATION 746 CAVALLA ROAD AND SERVICE INC ATLANTIC BEACH FL 32233 3813 BALD EAGLE LA JACKSONVILLE FL 32257 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . LIFT UP CONDENSOR AND PUT ON S Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/24/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL � — t1 141 � CITY OF ATLANTIC BEACH 09� I I I L I J $ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 K''p OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1 JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE: -7c1C>� c040 YE ^7 ❑YES PERMIT#: �'-�2. /'- PROPERTY OWNER: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: A i.A1MECHANIC CONTRACtOR: 7.NA E OF CQJl9PA�N6 8.ADDRESS.., 9.ST .E OF FLORID A 111 : � 10.fELL HONE: ' 11.F NO.: 1 ✓ -A, 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. v Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any ' e after work is commenced. CONTRACTORS SIGNATURE: 'or' 15 CLASS OF WORK: 16 BUILDING: 17'.`4ERVICE 1 S.CURRENT CODE: O NEW INSTALLATION ❑NEW NPESIDENTIAL 4Vb6 FLORIDA BUILDING CODE ❑REPLACEMENT OF EXISTING SYSTEM AWEXISTING ❑COMMERCIAL MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM EPAIR El OTHER MECHANICAL EQUIPMENT TO BE INSTALLED: 19.HEAT: ❑SPACE ❑RECESSED ENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ROOM gCENTRAL 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: Cfm 22.REFRIGERATION: MAX CAPACITY: Cfm 23.COOLING TOWER: CAPACITY: gpm 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑PUMP 13 WELL ❑PIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. IVALUE FOR OTHER ITEMS: 31.COOLING EQUIPMENT: AIR CONDITIONING REFRIGERATION EQUIPMENT CONDENSORS ETC. NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY VC 2&V5_Q AAl IKIY 6odr�1�,I� �S 32.HEATING EQUIPMENT: FURNACES,BOILERS FIRE LAES AIR HANDLERS ETC. 11 OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY 33.TANKS: I'MUTI - APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Mech:REVISED:12/18/2008 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000564 Date 4/24/09 Property Address . . . . . . 746 CAVALLA RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2300 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STEWART, LEWIS ALL JAX ROOFING 746 CAVALLA ROAD 5533 OLIVER STREET N. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 219-2818 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 61 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2300 Expiration Date . . 10/21/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61 . 00 61 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 61 , 00 61 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. t CITY OF ATLANTIC BEACH o9� i6 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 r } OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1'JOB 4RRRESS ., j :. :_ w 2-AL'U6j10N OF;WORK y,;. '3 SO FT UNDER ROOF, 5r CLASSOF,WORK`.. , ',,..,;+._ . '-; 6;U.$E,OFSTRUCTURE , _<: 0 NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL .;7:.RESCRIFTION 01?;N10RKr, ,, y ;;,, w ` ElALTERATION 11ACCESSORY BLDG. $:FIRE SpRlNKLE(t , ❑REPAIR ❑POOL/SPA ❑YES Q WA ❑MOVE ❑OTHER ❑NO 'PRQP...ERTYOWNER, ;; r .:�` 5�:..; .,,..� ".CONTRACT OR,'w' ARCHITECRIE GINEE 9.NAME: 15.COMPANY NAMEp 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: / ccc 13179a 5 7 I ,N/ C'4k4i( 18.ADDRESS: 26.ADDRESS: 11.OFFICE PHONE 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 2 (If a-;,I k G I R fr'3G-Z yf EHON / ' �� 21.CELL PHONE: [��S-� 29.CELL PHONE WLY 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: d 30.EMAIL ADDRESS: "".P FEE SfloPLERToEOE�LDERx °3 T t r BONDING COMPANY ' + MORTGAGE LENDER:— 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: t YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR'AWATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NER or AGENT CON��2ACTOR (If,Agent of Atlome Agenc,Letter R uire, 1 k Y ar Y. . eq ) (Quaueer Oniy) Signed: Date: Signed: _Date: r O Before me this_ day of 2009 14the my f Before me this :2 day of 2009 in the county of Duval,State f Florida,h personally,apMlkj4k Duval,State of Florida,has personally appeared r N I me 1 L • TrvI N .5C , herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. gel_ Notary Public at Large,State of—,l- County of VA, Notary Public at Large,State of ! County of DV�~ Personally III Known rL ` ❑Per ovally Known / 6/ ` /` n duced Identcat on- u roduced Identcat n- 7 K ( a Notary Signa re: Notary Signature: RYp r; •`�=, Notary Public-State of Florida *'=My Commission Expires Feb 14,2010 Commission#DD 518533 �VAv 0 Notary Public State of Florida Bonded B National Nota ry Assn. Nancy E Bailey BLD i Pem+it Applica�ion dg: y My Commission DD745822 or vt Expires 02/0812012 * / CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 746 CAVALLA ROAD PERMIT# 1208 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION ROYAL PALM OWNER NAME WATSON PROPERTIES PHONE (904)246-4964 " LEGALDESC: LOT BLOCK SECTION PERMIT TYPE ELECTRICAL CLASS OF WORK REPAIR CONTRACTOR EARLY ELECTRIC COMPANY INC. PROPOSED USE APARTMENTS W a a WORK DESCRIPTION EXIST IOOAMPS 1PH 3W 240V SEC RCWAY INSTALL GFI TO KITCHIBATH z INSPECTION REQUIRED 12 FINAL ELECTRIC INSPECTOR AM r look 0 DATE INSPECTED a� BY""ddZZ APPROVED 12 REJECTED ❑ COMMENTS ` CITY OF ATLANTIC BEACH, FLORIDA Approwdby APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. D IMPORTANT NOTICE; IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. c G J /* ELECTRICAL FIRM: M R ELECTRICIAN SIQMTURE JOURNEYMAN NAME,V/r� N ADDRESS: J�� 5S&d4: d- _RFD BOX BLDG.SIZE / BETWEEN: RES.( ) APT.( '? comm.1 ) PUBLIC I i INDUS.1 1 NEW( I OLD(-' REW.( ► ADDITION ( ) TRAILER ( i TEMPA i SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( ► REPAIR (- FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PHW VOLT RACEWAY EXIST.SERV.SIZE AMPS PH S W -0 VOLT G RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 1 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPUANCEs BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS C S 0 ..�•LI,r�.. .__ _. _._._ . CITY OF ATLANTIC BEACH Opp 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PT@ COAG.U S ELECTRICAL PERMIT APPLICATION DUVAL COUNTY ,:, v.. �a,I•,r,.., . ! 201r1� I. Ai;SUB:PERMI �: a, �r, rtPf . .r, g Q ��- 'f"` � �� l �, � 1 ❑YES PERMIT#: � �� :�. t^.;..�13�`ur(t �hre .�C. N. ) 4 ( 4°h Cs l w�,b<,,..:-�11,a, .r•i�.Wx .x<,I;',�yn4,.� 1.,Y 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: _-ala 1f� e a I a 6»"u t .Isr- NJRACTOt2, . ,4t.., • 4 `tY ..:,. ..,M{ ?.,,.,=,1 <,, , :.,1 f „n.,v..t, 7.NAME OF COMPANY: 8.ADDRESS.: ,J 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.: RI 12.EMAI ADDRESS: 13.OFFICE PHONE: 14, 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at-"e after work is co enc . CONTRACTORS SIGNATURg: ?CLAB,OFYIIC k, E.k .' tip °, BE �,• 1 ,,SE �� ,, n .,€r. _ 8t11YIRr..,,. , ,w _� ❑ ATI FAMILY-#OF UNITS: CkRESIDENTIAL Ef SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19 . iIJ« '. t ;, .., CQDE„ ✓ ❑ALTERATION ❑SIGN LD ❑NEW '05 NATIONAL ELECTRICAL CODE ❑REPAIR p ❑POOL/SPA ❑REWIRE ❑OTHER: FSERVICE: LI <v OF SERVICE: VERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON WER IS OFF OF CONDUCTOR: AMPACITY: ❑COPPER LUMINUM CH OR BREAKER SIZE: AMPS: a PH:� W: VOLT: '2+0 RACEWAY SIZE: ING SERVICE SIZE: AMPS: PH: W: VOLT: � RACEWAY SIZE: DERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: 7777,7771111 7*a NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: r.. ., 34.TRAN,SFORMIER �„ UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: , 35.MISCELANEQV§'REP x .+"� •�.» 1.w . ..,ate a4�«J. �`, ..•da � a,.`ti. _3+�i�+ ,3'r!`�'a.�"`,�,.a 'Hr'+a�"rx`' DESCRIBE IN DETAIL: COAG FORM BLDG02:REVISED:1/10/2008 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001182 Date 8/27/08 Property Address . . . . . . 280 CAMELIA ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TEMPORARY POWER POLE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BENNETT, REUBEN MCCLURE ELECTRICAL CONTRACTORS P.O. BOX 806 Q/A:MCCLURE, ROBERT ATLANTIC BEACH FL 32233 PO BOX 51368 JAX BEACH FL 32240 (904) 249-9061 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/23/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I % �� it *rrll-'^ - ° w f . "t " ,Pk "v - �11� ti a, G_ ""t i t � x ,0 o M ,, .�.°. P'* t«� k Vit} "F $ "_ c: �3( " '`.:v sem, .�' '" rt w ;'� ^z Po�11d t 'w 4 � j�AM1 'f "T k' 3>. i '{M .E`,}+ yF Sir AY „^ � A n h� �ti r a y !.�� tw11 # v ya + R` �-' f 3 m hh ', 4 fi, e,, i "` nr� ° t"s a ,i `a x. �,��f tt1. .rF Y#� a �5"' ,& s `�. r 3 M .'SY; 'fl k. g k F i �} $»' rp ay .p4 r r ,�3 ^� J ,. �, ' 4 F, C t' F l�Yn P M+� l 4 if ; } P *� ,., , f " ,� �^4 d t t* ' La F° `'4#s�; ,4 5 .p t k 7f ,, k , T 11 ' ,. P y Y, �" *� h> ` 'X_ :v ,�,, y t r" i + t L e v f x F "y° °w, r ''as - f 4 t -, a 3�r• c, `�lg � IAw� .,,,, C, ti 4 m.,,,a r Y 6 k ' _ `z, .a"_ `+ tp -..,„. "Y*Sr1,1"z x'h, fin* ,�Y �' < s �r t F 6 4 t, -w.0 :� - "� s a A ^.c n a am'AZi i dd 1'�a x � , ° , y �" vs G y ,x,,U'Yz g''#sl I T '�ATI „��W;�; may x� 11 i x,#f 111.1 1,¢ Y ` ” s .,+` i'�- lil*ib y ,L,�.J,..t R ,F ur l *.,k"( ° `� '` `a. man� �'4 u. '�' ��. i j" ?' 4 4w T ^5 t ` 5 '`gr k w.'"4 j,. NA ��{a '2 '. c�..'t a t,;a W �,t+t' ' R" "' '+n's °% '�� "x a ai .. sy2 '' ""' ",�, �', r . f {; �''�-ilI.r A< ? p. VS,w.d � ` xb.' +a�' ""!t �h''.�y'ri�ad' �:4 L "��'., � ,y��, k " ' ` 17C °' �F' '',re v '*' "' �� t +;k bi' +"�x&' * h�rsr x I 1� > ��A � a ' , ao kms.d}1i ;�" >. - �:,11K�f FJ r �=" "�y,' '* s'F R. ' � .f ° ( i t " a'F - W-W ��`�a.`*' zl>'��c > 'v n a' y y sn k•wa s a� a:11 kdc0s �11,4'p a � kf ' Cytr i ' ' �' Y.«yaw �C.,' d�k{e t1��a+ u`F« - 'r +oma, .�"�' ,&-� v,+yM n N Y # ,kk. ` ffg, kr '"F ',til r d y a s ' CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001217 Date 10/06/10 Property Address . . . . . . 92 W 13TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------- Application desc 1 FIXTURE -------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- EVANS DAVID GRAY PLUMBING INC. 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/04/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ----------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC 13EACH ORDINANCES AND THE FLORIDA BUILDING CODES. Oct 05 10 02:12p DAVID GRAY PLUMBING 904 723 5668 p.1 Mar 08 10 12:54p Informatior SysternsCITY O 904-247-5845 p.1 PLUMBING PERMIT APPLICATION CITY OF ATLANZTC BEACH 0 800 Seminole Rd Atlantic Beach,FL 32233 I O Ph(904)247-5826 Fax(904)247-5845 JoB ADDRESS: _ �l t5 !v�f?/l cs PERN[IT# NEW OR REPLACENMNT INSTALLATION: Project Value$ TYPE OFFD:rURE QTY TYPE OF FEVrURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower -Dishwasher Shower Pan L DrinldnFountaLin Floor Drain Three mpartment Sink Floor Sink Toilet dose ftibs Urinal Kitchen Sick Vacuum Breakers Laundry Tray Water Connected AppIim=s La, Water Heater mer F"extures Water Treating System Rlrt?IPE: TY,E of Fa=AE QTY TYPE op FL rrrTR—F QTY Be..htub Septic Tank&Pit Clothes Washer Shower . Dishwasher Shower Pan Drinking Fountain SLop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Fiiose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected AFpIiances Lavatory Water Heater Other Fixtures Water Treating Systern YM CELLANEOILIS: ❑ Sewer Replacement ❑Back Flow PreFenter ❑ Grease Intezc;,Vtor(Trap) gallons(Requires 3 sets of pilaus) Lawn Spx nkler System Nrmiber of l^ieaes C Weil ** t* SJ)UWD Well Cu.npl n Form. Completed form to be submitted to the Building Depart hent for final inspection.** ©O;�r /��Pu0c� SiFfd�v e? l2+fly �►�9 P-..rrnii becomes void if work docs not commence within a six month period or wart is suspended or abandonce for six months.I hereby cc.L-ifv Chas.I Lave ra3 L s shpt cation and]mons the same to he true mrd correct. AU pmvisioos of Jaws and ordirm=s gov=ning this work will be complied with whediar spec-ifi°d or not The p=raiit does-not give anrhnrhy in violate the provisions of any other stare or local law regulation mostruction or tx performance of eonsGZrction. P`operty Owners Name 6 �� f� 5�/fib` Phone NumberJ!?U6 900 ray Plumbing, Inc.Pi rtnbing Company Office?hot= 79�- ZSR Fax�:�3-568 Co.Address:_ ..ta�kso[>�gs.o,Aosida 3221 City Stere Zip License Holder(Print): �,yJv X- 4�2a�' Stats Certificationaegistrador.# CFg 0AXS 4 Notarized Si6mature of License Holder Sworn and subscribed be£xe roe tms day of [- 20 /6 Signature of Notary Public N ry Public Stale of Florida Neei R f °• My Commiss on DD602560 �'an°t � Ez ices 1212012010 \,.,`J .jti Ly�, I CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001205 Date 10/06/10 Property Address . . . . . . 5103 POLARIS CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 ---------------------------------------------------------------------------- Application desc renovate bath/shower ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 848 AILY CHURCH LANE SEVIERVILLE TN 37876 (904) 662-1528 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . DAVID GRAY PLUMBING INC. Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/04/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 34 STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 34 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 8 . 68 8 . 68 . 00 . 00 Grand Total 77 . 68 77 . 68 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Information SystemsCFFY O 904-247-5845 p,1 PLUMMING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: .Sr6-; (P61-09(!r �'t PERMrF# NEW OR REPLACEMMMT INSTALLATION: Project Value s TYPE of FzrruRE QTY TYPE of F)xruRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Diskrwasher -ShowerPan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater -Other Fixtures i Water Treating System RE-PIPE; TSE of FivRE QTY TYPE of FL%7 RE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain _ Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray- Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System AUSCELLANEOUS: ❑ Sewer Replacement ❑Bank Flow Presenter ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System- umber of Heads ❑ Well ** ** &TAWD Well Comple n Form. Completed form to be submitted to the Building Department for renal inspection.** y ❑ Other. _ JC.�PL�C.f ..�i�6Gt/�fl ��►4tX' l¢'�c) �G✓`� . 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. Property Owners Name i=,- 1,44fV/ ` Phone Number0'0 Plumbing Company —Waiv-id Gray Plumbing, Inc. Office Phone 71x4-1ys� Fax Co. Address: Jac sowhile, Eiacida 32216 City State Zip License Holder(Print): P"10 i� 4'"'IZf State Certification/Registration# Notarized Signature of License Holder Sworn and subscribed before me this i day of 20 Signature of Notary Public P Notary Public State of Florida k Neal R Major c My Commission DD602560 '}of" Ex fires 1212012010 From:American Electrical Contract 9047371099 10/07/2010 13;23 #100 P.001/001 EARLY POWER AGREEMENT & RELEASE CITE'OF ATLANTXC BEACH Electric power is requested now under the conditions and terms of this fully executed Agreement&Release Job Address: Ind 5613 661-7 Fl-er - 1-undlrl,�lyd A+la.ni- r t3 2 _ 33 Permit No. twl qn� / '� Service Type(Circle One): Overhead Underground We,the undersigned General Contractor and Electrician,understand and agree: 1. "Early Power" is purely for our construction convenience, it is not required by Codes,, and does not substitute for Final Inspections or the C/O(Certificate of Occupancy3—15at must be issued before occupancy, and as such is at the discretion of the Building Official. 2. The City of Atlantic Beach will make a special inspection prior to,the early power energizing. All rough inspections must have prior Approval,including meter base connections. 3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of theearly electric service. Such action is expressly prohibited and penalized by The City of. Atlantic Beach Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service after a twenty-four hour notice. 4. -Early Power"release authority is the Electrician and/or the Contractor and must not occur before: a. Equipment,devices and fixtures are installed(or blanked o�safely. b. Pane]is complete with breakers and cover,and(labeling required at final inspection). c. Service connection and grounding is complete. d. The electric system has safely passed through electrical check. e. Meter can is Permanently marked with address. f. Temporary address numbers displayed(Permanent numbers are required for C/O). 5. .Pay$300.administration fee,any reinspection fees and any outstanding requirements must be satisfied prior to release. 6. This fully completed form is to be submitted to the Building Department by hand,mail or fax. 7. Future sarch Agree tints 'll not be accepted from those who violate any one of the above items. CONTRACTOR _ DATE I f--7 — I Q PRNTNAM �{tY S. dri Ltr� l� ELECTRICIAN DATE PRINT NAME 900 Seminole Road,Atlantic Beach Fr 32233 Phone:(904)247-5826 Fax:(904)247-5845 http„//NyAmroab.us revised 11.29.06 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ,., ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000964 Date 10/07/10 Property Address . . . . . . 280 CAMELIA ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc patch concrete ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BENNETT, REUBEN OWNER P.O. BOX 806 ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/11 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible . Revocable Encroachment Permit not required - plain concrete. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 25 . 00 25 . 00 . 00 . 00 Grand Total 60 . 00 60 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ,L1 Cit of Atlantic Beach �> APPLICATION NUMBER Y d e assigned by the Buildin Department.) Building Department �� r > 800 Seminole Road'.' Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us ate routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: D Q �l �- d Department review required Yes No p Building Applicant: /,��'� �— Planning &Zoning Tr Aoltnit�ist for Project: �L , -14 �,I,1 ) ( rf tilit� Public Safety Fire Services ' De t St'nature t Review fee 0"""dk; Review or Receipt Date Other Agency Review or Permit Required 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: ;Klpproved. ❑DenW (Circle one.) Comments: FIL BUILDING ear PLANNING &ZONING Reviewed by. Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBA17VORKS Comments: ICUT IT low/ /o PUBLIA ETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 REC- City of Atlantic Beach '.IVED APPLICATION NUMBER Building Department OCT ZQ�d (To be assigned by the Build' Department.) 800 Seminole Road r Atlantic Beach, Florida 32233-5445 `7 ' Phone(904)247-5826 • Fax(904) E-mail: building-dept@coab.u's Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: h, �,/ / �- d Department review required Yes No Building Applicant: Planning &Zoning Tr for Project: ,}Z{f �� r�if, till Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt DW 3 ] 11J of Permit Verified B Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Aa Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: pproved. (Circle one.) Comments: G k BUILDING ezvuca PLANNING &ZONING Reviewed by: Date: 16//10 ! TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: i Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH �. CONSTRUCTION PERMIT WITHIN CITY RIGHTS OF WAY AND EASEMENTS 904-247-5800 800Seminole Road Fax 904-247-5845 Atlantic Beach,Florida 32233-5445 PLEASE SUBMIT )COM ETE SETS OF PLANS WITH APPLICATION. Date C> / PERMIT# r ISSUED BY THE CITY Job Address Permitee: Telephone# o2Y — -SS103 i Permittee Address: f� Requesting Permission to Construct: Location: (Reference to Cross-Street) 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 (jam 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 AtlanticBeach r or part m sportation Standards and be performed under the supervision f (Contractor's Project Superintendent) located at l3 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. S. 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 Way are to bg 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. S. 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:f/! 2j"_ F�� r , 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: 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 inure 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_, 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 r � � �� e� _ _ �� _, ` � ' �r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD rJ ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000978 Date 10/07/10 Property Address . . . . . . 1335 ROSE ST Application type description RIGHT-OF-WAY PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc see application ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BENNETT OWNER ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/11 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Avoid damage to existing water main. All ground disturbed must be resodded. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . ENG REV BLDG MOD OR ROW 50 . 00 UTIL REV MODIF OR ROW 25 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 75 . 00 75 . 00 . 00 . 00 Grand Total 110 . 00 110 . 00 . 00 . 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 Building Department.) ) 800 Seminole Road /d 9 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)2 . 5 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /�b� Department review required Yes No Property Address: /31� Building Applicant: Planning &Zoning T trator Project: �� D lJq_V-7, ltn'I Pu Wor fic-Utilities Public Safety Fire Services Review fee $ Signature55, ., ` 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: �pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. BLIC WORKS Comments: PUBL C UTILITI f 'LE CO PY P BLIC AFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: I Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach RECEIVED APPLICATION NUMBER Buildin Department (To be assigned b the Building Department.) `� nt 9 p OCT 0 � ZOtO 9 Y 9 800 Seminole Road // q n Atlantic Beach, Florida 32233-5445 / Phone(904)247-5826 • Fax(904) 45 A E-mail: building-dept@coab.us Date routed: (� Zo City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /315' De artment review required Yes No Building, Applicant: 60- Planning &Zoning trator Project: �� ,p� ��,c� ,•-� Pu Wor s- r Utilities Public Safety Fire Services 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- 1 ,�N ) _ y�l v BUILDING ,4' 7� 7 'i` PLANNING &ZONING Reviewed bY: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES + i PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 R.O.W.Permit Attachment - of for R.O.W.Permit# issued ,200_ Atlantic each, FL 32233 Owner's Name: .r. Property Address: Subdivision: 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 of Atlantic Beach, Florida,hereinafter referred to as"USER'. WITNESSETH: That the CITY does hereby grant the USER pennnission 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 generally described as: f / oven xoe 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: 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 malting 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 inure to the benefit of, and be binding upon, the USER and their respective successors and assigns. USER shall meet the terns 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 fiuther 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_, 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,P b Works Director For Permits where city sidewalk is impacted, City Manager approval required: Jim Hanson, City Manager Page 2 of 2 r / G , yam• _� r / t r7 nr 1 U�I-e s rte_ Mt — u dvsr t�% R L.S No 3295�� i... f PRQV A- R iS No,3235 Y` CD CD oir I-STOaY 10.5 �3 ST4M-0 WtAME N Itod 1335 �j { (q N sss 4 ' !fi5 !4- PAD4�jeco -� o-GR:VEco ! y t ZLIJ 1 - m I�cS s i !n ica • NOTE' �ib .BEAR!NG AS PER P3 A; iIA.N25` OF 2-NO BRL 125 ! " LOT 5 3 7H1z 1 z t.. BOU-NDARY a)ptE'i I .(3T 54'MEAS.) ►. ' FNo.t!z"L P 1 fi t0. 37.5 PLT _ 2QT.54 RDD lie[P N V 1*2 112.1 P FNQ [/2"1 P No 3295 No.3295 37.50 Na- 3295 — ROSE $TREE f PAYED ) . 50 R / W ,. �. 3 s y 1.r3s�1>_' INE •:-r)7�,!�';`Y f z -WN! :!NR�t`;LW- 1`( FIT'- i17) i.. -.T�i?..-iF- RELJ 3T.�N & SAIRtitSi E. BEEMI i s MAIM. F-MEPtL• S_^�'.�a(I�L��` AND r:�.��s' £=�'•'� '✓-.}�$�e '-i- `�:Af_.`r.'-! ''D ` MILLE t tf�IiliR £�� i1 i'�.�i1�^ .�.7%0Z!E—YF+ V.G`E I.A. ED-S ._iZ r•- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22086 Address: 1993 COLINA COURT Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: _ OWNER INFORMATION Date Issued: 6/05/2001 Name: JOHN & SUSAN KING Total Fees: 32.50 Address: 1993 COLINA COURT Amount Paid: 32.50 ATLANTIC BEACH, FL 32233 Date Paid: 6/05/2001 Phone: (904)249-7548 Work Desc: NEW FIXTURES FOR ADDITION. , CONTRACTOIrt S . "" APPLICATION FEES CHRISTY FIRST COAST PLUMBING--" ERMUT 32.50 41 r 1T . 41, " .x+ FINAL 'i x y, NOTICE- INSPECTION`S BE REQUESTED AT LEAST 24 HOURS PW R TO 4PECTION AF z` BUILDING MATERIAL; 2UBBISH At4p DEBRIS FROM THIS WORK IMUST06TBE PLED IN PUBLIC SPACE, AND MUST BE"CLEARED ND HAULED AWAY BY EITH ONTRACTtR OR OWNER "FAILURE TO COMPLY W H C. t'NS'1 C> 1AVV RF„�'ULT IN THE PROPERTY OWNER PAYING- 1 F0 1 _ 41 r ISSUED ACCORDING TO APPROVED PLA C'IfAF F `PAA'T ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF'�>�117t1°""""""`"" r f32.58 14 ATLA IC BtACH BUILDING DEPT. Date: 6/65/81 61 Receipt: M62418 CHECKS 6889 1 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING gQ0 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-582e-Fax 247-5877 ELECTRICAL PERMIT MF M TIO 11 M Address: 1993 COLINA COURT permit Number: 22246 ATLANTIC BEACH, FL 32233 permit Type: ELECTRICAL Township: Range: Book: Class of Work: ADDITION Lot(s): Block: Section: Proposed Use: SINGLE FAMILY Subdivision: Square Feet: Parcel Number: _- - 1 Est.Value: T I ( Improv. Cost: Name: JOHN &SUSAN KING 6/28I2�11 Date Issued: 5Address: 1993 COLIN 2 .00 A COURT Total Fees: 25.00 ATLANTIC BEACH, FL 32233 Amount Paid: Phone: 904 249-7548 Date Paid: 6/28/2001 -- 4� 1iNorlc Disc: NEW SVt(CTCHES, REC TAEP CLES&OUTLE 5 25.00 PERMIT JACKS ELEGTRIC r� a p ` y a NOTICE- INSPECTIO T BE REQUESTED AT LEAST 24 HOUR P. OR TO 1hiSPECTION BUILDING MATERIALrUBBISH A, DEBRIS FROM THIS WORK MUST NOT BE . CED {N P#3BLIC SPACE,AND MUST BE CLEARED UO-AND HAUL _AWAY BY EITHER CONTRACTOR ORO ER STRUCTION LIEN, ,CQN RESUIfT IN THE "FAILURE TO COMPLY, TI S �- ` PROPERTY OWNER PAYING EO _. XE. ISSUED ACCORDING TO APPROVED, WPAtT�F �P T AND SUBJECT TO REVOCATION S FOR VIOLATION OF APPLICABLE PRO 1 ,3 $25.0014 rDate: 6/28/81 81 Receipt: 6863182 ATLANTIC CH B DI G DEPT. _ CHECKS LOA CITY OF ATLANTIC BEACH, FLORIDA RE App.ov.06y APPLICATION FOR ELECTRICAL PERMIT 1 JuN /i .LL f TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19��/tsv {C,(c`J lei !-�ii�i,.ot. i....- �,.• � IMPORTANT NOTICE: "`a = ' IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. C J° � i ELECTRICAL FIRM: MASTER ELECTRICIAN SIG TUBE JOURNEYMAN NAME ADDRESS:. RFD BOX BLDG.SIZE 0 BETWEEN: RES.( APT.( ) COMM.( ) PUBLIC ( ) INDUS.( 1 NEW( ) OLD( 1 REW.( 1 ADDITION ( TRAILER I ) TEMP.( 1 SIGNS I ) SO.FT. SERVICE: NEW 1 I INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( I ALUM. ( I SWITCH OR BREAKER AMPS PH I W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH I W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL --� RECEPTACLES (r.> CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. RULED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT al OVER MOTORS H.P. VOLTAGE PHS NO. i H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN FORWARDED � S i TOTAL FEES CITY OF ATLANTIC BEACH MECHANICAL PERMIT 1100 SENBNOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 2474MB-FAX 247-6877 Permit Number: 22287 Address: 1993 GOLINA COURT Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: Date Issued: 7/013=01 Name: JOHN &SUSAN KING Total Fees: 74.00 Address: 1993 COLINA COURT Amount Paid: 74.00 ATLANTIC BEACH, FL 32233 Date Paid: 7/06/2001 Phone: (904)249-7548 Work Desc: REPLACE HVAC, AIR HANDLERS,,N9W- -DUCK WO K LICA I E FLORIDA WEATHER INC. PERMIT 74.00 , x a - =orw` x. r NOTICE-,INSPECTI ST BE REQUESTED AT LEAST 24 HOURS PRI �I TO INSPf-CTION BUILDING MATERIAL;,,RUBBISH IRIS FROM THIS WORK MUST NOT BE CED IN PLIC SPACE,AND MUST BE CLEARED UPIND HAU AWAY BY EITHER CONTRACTOR ORO R "FAILURE TO COMPLVTH-T STRUCTION LIEN CSN RESI1`'f IN THE PROPERTY OWNER PAY*G O ERIE : S" ISSUED ACCORDING TO APPRO" HE AAT" F'f�P AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PL'�- (' n - RO CIF �rW. $74.00 14 ATLANTIC BEkCIII BUILDING DEPT. Date: 7/09/91 01 Receipt: 09711K CHECKS 27 6 0610 07/06/2001 09:48 9042494276 FLORIDA WEATHER INC PAGE 02 n BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLAIITIC ieACH,/t.0110A eases APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, 11, 111, and IV. I. ip13 ,1rV.� L-+ - Ii,OCATILIM Ifs" Addrett• CIS Intersecting$60641: set".. - —And WII.DN6 Sv4-/Irldae I1. IDENTIFICATION—To be completed by all applicants. In consideration of permit gi»h for doing the work as described in the above statament we hereby agree to perform said work In oceordanea with the attechjd plane and specifications which are a pert hereof end in accordance with iha City of.tacktonville ordinances and standardt of goed.pror ics listed therein, IdMle d Meebaalul r+— GM..cten ce111ra i.r Well Nana of Prepnry Owner V V-1 Y/salera a1 Owner • al M Aa111.1eo/Agent A.ehil.et or Engfa..r III. NWIAI.MPORMATION A• Type ; f3, ss 0111911 CaHTRUCT10111 e111Ns 00eR t lapel- TH19 OU 1lOINa OR$1T9f \.,. , O On—O u O Nam 13 Central UNIV J tv vts,siv9 milImut Or causTM1e"On a ON PrAMIT Q 0911e1,—fpasdlp IV,NEX60lcllf.019UPN NT TO N WITAY✓q NATUR OF WORK ,C 1;(►1w/i/a eawplale Nal of sawlpa.a 1 on Mal d_MM/final fY Waidantlal or ❑ Commmial w 3 : O apses 13 B«a.d O'Caeh.l O wr ❑ N�nr evilm"I Q AM Caa�Ixgs C7 9wla O Central Iy �;Nxv—:W-'1nstslIrAlhM / Ig sulldlrig eanant of axlattng iyalem(No system provioUety Wahl s4 ❑ exteinslal or add-on to misting syelem 13 Roh%mliea ❑ other—8Wft O 00064 Ewer.cap"h g sal 13 fiat aindallonr Number all beach O www O memo O lraatete, 1"sl"Mrl THIS WA=MR OPP=ON 0WV D.Il uAn pumps It>Nbrl IBew»+1 0 Tesis Jsaarb.r) Itaear O Lfi oslsGua +ttltmbar) O UAW W 0--were D Noble ►op"A ApPMWW bT Bat._ 4 pBy, SP40h perm Res LW r ALL*Qurieux T AN agiNit TIOMNO AND R9/R)K PATiON 9WWbWff meal re�wlrr �Q xvo* USSR Dns%"M a&"NOONAN mbwft%dr l'Majr AAEMW CR I� V Y \ aftlmtpl'tlTeRa >Iawxaw >tralRtltsebea.lr tIS'a'V) '�.�' UM lyse mm"my �Dllernf�� '�ieae� irk NNW CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-8877 PERMIT INFbRMATION _T L(QA-TION-INFORMATION Permit Number: 21953 Address: 1993 COLINA COURT Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number:_ _ Improv. Cost: 65,000.00 ANE INIMMATION Date Issued: 5/14/2001 Name: JOHN & SUSAN KING Total Fees: 642.58 Address: 1993 COLINA COURT Amount Paid: 642.58 ATLANTIC BEACH, FL 32233 �- Date Paid: 5/14/2001Phone: 904 249-7548 Work Desc: ADDITION, FAMILY,BEDRC30 & BATH LAUNDRY 8� GARAGE SPACE GONTRhCTOR PLICATION FEES PROPERTY OWNER , 'PERMIT i 480.00 WATER IMPACT FEE 120.00 I ACK GAS-H.Rs . 3.60 RADON CAB5°!o 0.19 IRfB CONNECTION 35.00 C6NST.SURGh#AROE 3.41 I � ,.CHARGE/ATL.BCH. 0.38 . 5" " aS r ,�- r aA F�" SLAB ROUGH ELECTRICh M CKANIGAI,.^ ;p TOPOUT INSULATION EFLTI / 1N+CY �L �3 NOTICE-INSPECTIO t _ ' ST BE REQUESTED ATLEAST 24 HOURS PRIER TO INSPECTION BUILDING MATERIAL, RUBBISH ANDD DEBRIS FROM THIS WORK MUST NOT B CED IN PUBLIC SPACE,AND MUST BE CLEARED UP'AND HAULED�AWAY BY EITHER CONTRACTOR OR ER "FAILURE TO COMPLY WITH T t�?�JGTfON W SAN RE TIN THE j PROPERTY OWNER PAYING 1Fk6E fOR. ILC 1Ihi I" ISSUED ACCORDING TO APPROVED'PbA4. �*HI . RE Pq T( MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISION9�W. " Operator: ASMITH NT1C BEA BU ING DEPT. Irate: 5/17/@1 01 Receipt: @I#58480 1 Total Payment $6422.58 � CITY OF ATLANTIC BEACH PERMIT �C^ALCULATION SHEET Address 19 3 0 L( A) A- C7-- a12/ 770 Date — //-0 Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch V @ $ per sq ft = $ Deck � @ $ per sq ft = $ Patio v O @ $ per sq ft = $ TOTAL VALUATION: S �i 000 S 600 a 4 © $ Total aluation 1st $ �0 600 lS n o0 (4 $ Go RemairCing Value $ per thousand o portion thereof TOTAL BUILDING FEE $ ,S' 2 O + 1/2 Filing Fee $ f Cci d ( ) Fireplaces @ $15 . 00 $ •--0 BUILDING PERMIT FEE $ WATER IMPACT FEE $ /2 d SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SE_W. R TAP $ fl4y ) RADON (HRS) . 0050 S _ 0 SECTION H PAVING ( ) $ O HYDRAULIC SHARES $ Q CROSS CONNECTION $ (7jr SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ C9 y) S(� ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: TY OF ATLANTIC BEACH ARFurlVED PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS, MOVING, DEMOLITIONS MAY 4 �dQI Owner(s) N,70 0/75�50,17 CitY O# Job Address/993191"nd Gf 4��n�i� ,ReG7 Phone 249- Lot# 3 3 Block or Unit# Subdivision Contractor State License# Address Phone City State Zip Describe work to be done ,v �/D 7j -Z--Z-c/aclrS CIc9f�1 �c�lrllR//t/ rain-� c'nu`cel 1<«�d�GIarQ � space. Present use of building Valuation of Proposed Constructio/nom DDG,G G Proposed use Is this an addition? If yes, what are the dimensions of the added space: 33 Y2 ft. x 2.5- ft. Will the added area be heated and cooled? )4f-6 New electrical (or increase) P.5 New plumbing fixtures? 4e6 New fireplace? /70 New Heat/AC? I e5 SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/ CONTRACTOR AFFIDAVIT, IF WNER IS.� NTRACTOR. Signature of OWNER Date: S /o/ Signature of CONTRACTOR_,! F_ti_ Date STATE OFF IDA COUNTY OF ✓—t Sworn to(or affirmed)and subscribed before me this , �r� day of ! , 200 AS TO OWNER: Notary's Signature 922i4ze�t 3,111" Personally known KAREN LYNN FOLDS ❑ Produced Identification NOTARY PU -STATE OF FLOki0A CONMMSSION S CC92490 BONDF-D TMAA EXPIRES 888-NOTARY, Type of identification produced Sworn to(or affirmed)and subscribed before me this day of , 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced NOTICE OF COMMENCEMENT TO WHOM IT MAY CONCERN: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of Property r�sfd'r� General Description of ImprovementsOyi-o S ' �� tndvlYgo ��' 7una� "6 .14,1 //C*7,1 ra SDac� In j2Qf,fqe Owner A , ZIA Address: Owner's interest in site of improvements: //0Ine 6U.)".7 Nr Fee Simple Title Holder(if other than owner) Name Address Contractor101,,9 kh Address Surety (if any) Address Amount of Bond $ Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name /7,11 Sasa q 14, 1C1i,A Address 1,9, '3 C.� i7 a �f 1�11d nTic` , &Oe-4 /-Z- .3-2-233 In addition to himself, owner designates the following person to receive a copy of the Leinor's Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option). Name Address: r caner Sworn to and subscribed before me this ` 3 day of KAREN LYNN FOLDS Not Public NOTARY PUguC.STATE OF FLON IDA COMM'S3"S CC924948 BONDED VOIRES 4/4/2004 U ASA 1'866-NOTARYI r.�� rn+r�• • 77 Mf'.R\RT• 1f 7gFi!{l MAF' SHOWING BOUNDARY SURVEY Of= LOT ___ .-�.�._____- BLOCK _._.__ AS SHOWN ON M/\I ' O[ AC RFC 0RDED IN Pt-AT ROOK._,. PAGE F PIJBI_IC RECORDS OF' DIJV ni C0 , I I is+.-f" F"F.t!S'G{l'l .�•'/'i'.H,'t:' .5�f•S'f7�A.' ,G'F!:.G' � '+ ��'l ' f ',�j. l~` �'�t/6%r>7 .<i!'�?.G" /.!C' .�. E�QrJ lEla 1V." _/tlAIAI A-0(7N0AJY' � 4ils9�✓' •-tG!�/ Kiv14j El?ArCllosTr.Al ..rq- .._._...___,._„_T..,•_....,_�•_,,.,,,_-..,.. fjG�4'_ T/T4E �;ai rir;P'?s,i['f (•�'Mf�.v,<.iy, Ar vl_-51e f_ e,A/ [.e-T �3. !c.••i��r i[�p ,I f / '� Q' �/"'"! wr� ♦�� / l Fisv a,^n !-9 ?<'� 1 - -- - IA 4 kn l jx �p1�1 t G/7' 7Q ;e 37d 1 ul ,civ, f[,ccTr h �j fL" �l V _S:f1T•LEVEc_. 0';e,4Mt(/0.75) Oi t ti nom.• � I•Nnnn _.. St i,n.�c.�. .•. Q ^'!. G"�,'P/1/.t/.^�'i%'f f.f/'•Sf w,..i�,--r O 1 n N • .�OVNO C c r s n f � P t / 1 1993 COLINA CT. ATLANTIC BEACH, FL 32233 (904) 249-7548 FAX: (904) 241-531 5 May 1, 2001 City of Atlantic Beach Building Department 800 Seminole Rd. Atlantic Beach, FL 32233-5445 To Whom It May Concern: In reference to the application for a building permit for an addition to our residence located at 1993 Colina Ct. in the Selva Norte subdivision of Atlantic Beach,I do hereby certify that no trees on the property will need to be cut down as a result of the proposed addition. Sincerely, Susan A. King CITY 4F �t��ic i►'earl - ��C>lnida 800 SEMINOLE ROAD ATLANnc BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I -CONSTRUCTION CONTRACTING' REQUIRES OWNER/BUILDER To ACKNowLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRE;i CONS7RUCTLON TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN ExEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT As YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL.BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USAF AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT MORE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND TONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE L I,�CEN9ES REOUiRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE 774CIR QWN PROPERTY WHEN 1T 15 FOR PERSONAL OR FAMILY USE. AND LIKEWISE REQUIRE ALL WORK (EXCEFwr MAINTENANCE UNDER $2,COO) BE UNDER A HULLOING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT-ALL T/MES WHILE WORK 15 IN PROGRESS BY UNLICENSED TRADES PEOPL.E.' 7k1S DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING%PRJW5M BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES, UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCE:5. OWNERS BEING SUBJECT Tp $5,000 PENALTY UNDER FLORIDA STATUTE No, 455-228(l). AN '.OccuPAT1oNAL LICENSE' IS NOT ADEOUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CERTIFICATE OF COMPETENCY" OR THE FLORIDA 'CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247- 5826) IF IN DOUBT. I HEREBY AcKmov LEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT 1 COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-Buiumm PERMIT. PROP OWN ILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE'ME THts,3 2:( DAY OF ,. N ARY PUBLIC NOTE: PHRASES UNDERuNED ABovE MY C MISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING KAREN LYNN FOLDS DEPARTMENT. NOTARY PUBLIC-STATE OF FLONIDA COMMISSION 0 CC924L14LL EXPIRES 4W2004 BONDED THRU ASA 1400.NOTARYI CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number. 22086 Address: 1993 COLINA COURT Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 6/0512001 Name: JOHN &SUSAN KING Total Fees: 32.50 Address: 1993 COLINA COURT Amount Paid: 32.50 ATLANTIC BEACH, FL 32233 Date Paid: 6/05/2001 Phone: (904)249-7548 Work Desc: NEW FIXTURES FOR A Df I - CONTkACTO S EES APPLICATION F CHRISTY FIRST COAST PLUM INC ` ERMIT 32.50 10 Y J '57 ws R 5 � ^:roS l> .'fir' .'..A� �•.:=' ._ FINAL gi NOTICE- INaPECTlO BE REQUESTED AT LEAST 24 HOURS P OR TO INSPECTION BUILDING MATERIAL,%RUBBISH �Q DEBRIS FROM THIS WORK MUST,6T BE PLANED IN PUBLIC SPACE, AND MUST BE CLEARED ND HAULED AWAY BY EITH , ONTRACTOR OR OWNER "FAILURE TO COMPLY WITH4fte CNStUCT LIV R> lLT IN THE R PROPERTY OWNER PAYtN 1 FO 1 PFC? ISSUED ACCORDING TO APPROVED PLA AR1=PAtT ERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS 0Ft�t1' ATLA IC BLACH BUILDING DEPT. Date: 6/85/81 01 Receipt:!32-58 14 W24CHEW 18 / 8818�83P�1888 ' 6RM 60OA-97 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Whole Building Performance Method A Project Name: King Addition Builder: Susan King Address: 1993 Colina Ct. Permitting Office: Atlantic Beach City, State: Atlantic Beach,fl 32233- Permit Number: Owner: John&Susan King Jurisdiction Number: 261100 Climate Zone: North 1. New construction or existing Addition - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap: 18.0 kBtu/hr _ 3. Number of units,if multi-family I - SEER: 10.00 _ 4. Number of Bedrooms 1 - b..N/A _ 5. Is this a worst case? No _ 6. Conditioned floor area(ft2) 758 ft2 c. N/A 7. Glass area&type _ _ a. Clear-single pane 0.0 ft' _ 13. Heating systems b.Clear-double pane 120.0 if - a. Electric Heat Pump Cap: 18.0 kBtu/hr c. Tint/other SC/SHGC-single pane 0.0 W _ HSPF:6.80 d. Tint/other SC/SHGC-double pane 0.0 ft, b_N/A _ 8. Floor types _ a. Slab-On-Grade Edge Insulation R=0.0,102.0(p)ft , c. N/A _ b.NIA _ c. N/A 14. Hot water systems 9. Wall types _ a. N/A a. Frame,Wood,Exterior R=11.0,502.0 ft b.Frame,Wood,Adjacent R=I 1.0,258.0 fF _ b.N/A _ a N/A d.N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types _ DHP-Dedicated heat pump) a. Under Attic R=30.0,758.0 fF _ 15. HVAC credits _ b.Under Attic R=19.0,31.0 f12 (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Garage Sup.R�6.0,90.0 ft _ MZ-C-Multizone cooling, b.N/A MZ-H-Multizone heating) Glass/Floor Area: 0.16 Total as-built points: 7699.20 PASS Total base points: 9554.50 i hereby certify that the plans and specifications covered Review of the plans and zto sT by this calculation are in compliance with the Florida specifications covered by this o� _ '�r8 Energy Code. calculation indicates compliance PREPARED BY: C� 9QO„L_ with the Florida Energy Code. Q Before construction is completed DATE:y 1� n I this building will be inspected for I hereby certify that this building, as designed, is in compliance with Section 553.908 compliance with the Florida Energy Code. Florida Statutes. OWNERIAGENT: BUILDING OFFICIAL: ` DATE:. DATE: EnergyGaugeQD(Version: FLR1PA 2.02) FORM 60CA-97 SUMMER CALCULATIONS Residential Whole Building Performance Method A - Details ADDRESS: 1993 Colina Ct.,Atlantic Beach,fl, 32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BSPM = Points Overhang Floor Area Type/SC Ornt Len Hgt Area X SPM X SOF = Points .18 758.0 33.05 4610.0 Double,Clear E 1.5 8.0 29.0 40.22 0.96 1116.9 Double,Clear N 1.5 10.0 72.0 19.22 0.98 1358.6 Double,Clear N 1.5 7.5 12.0 19.22 0.96 221.8 Double,Clear W 1.5 4.5 7.0 36.99 0.85 219.9 As-Built Total: 120.0 2917,2 WALL TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Adajcent 258.0 0.7 180.6 Frame,Wood,Exterior 11.0 502.0 1.70 853.4 Exterior 502.0 1.70 853.4 Frame,Wood,Adjacent 11.0 258.0 0.70 180.6 Base Total: 760.0 1034.0 As-Built Total: 760.0 1034.0 DOOR TYPES Area X BSPM = Points Type Area X SPM = Points Adjacent 20.1 2.40 48.2 Exterior Wood 20.2 6.10 123.2 Exterior 20.2 6.10 123.2 Adjacent Wood 20.1 2.40 48.2 Base Total: 40.3 171.6 As-Built Total: 40.3 171.5 CEILING TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Under Attic 758.0 0.60 454.8 Under Attic 30.0 758.0 0.60 454.8 Under Attic 19.0 31.0 1.10 34.1 Base Total: 758.0 454.8 As-Built Total: 789.0 488.9 FLOOR TYPES Area X BSPM = Points Type R-Value Area X SPM = Points Slab 102.0(p) -37.0 3774.0 Slab-On-Grade Edge Insulation 0.0 102.0(p) -41.20 -4202.4 Raised 0.0 0.00 0.0 Base Total: 3774.0 As-Built Total: -4202.4 INFILTRATION Area X BSPM = Points Area X SPM = Points 758.0 10.21 7739.2 758.0 10.21 7739.2 Summer Base Points: 10135.4 Summer As-Built Points: 8148.4 Total Summer X System = Cooling Total X Cap X Duct X System X Credit = Cooling Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 8148.4 1.000 1.047 0.341 1.000 2911.7 10135.4 0.3573 3621.4 8148.4 1.00 1.047 0.341 1.000 2911.7 EnergyGaugeTM DCA Form 60OA-97 FORM 60OA-97 WINTER CALCULATIONS Residential Whole Building Performance Method A - Details [ADDRESS: 1993 Colina Ct.,Atlantic Beach,fl, 32233- PERMIT#: BASE AS-BUILT GLASS TYPES .18 X Conditioned X BWPM = Points Overhang Floor Area Type/SC Omt Len Hgt Area X WPM X WOF = Paints .18 758.0 9.76 1332.3 Double,Clear E 1.5 8.0 29.0 9.09 1.02 268.9 Double,Clear N 1.5 10.0 72.0 14.30 1.00 1030.0 Double,Clear N 1.5 7.5 12.0 14.30 1.00 171.8 Double,Clear W 1.5 4.5 7.0 10.77 1.04 78.6 As-Built Total: 120.0 1549.3 WALL TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Adajcent 258.0 3.6 928.8 Frame,Wood,Exterior 11.0 502.0 3.70 1857.4 Exterior 502.0 3.70 1857.4 Frame,Wood,Adjacent 11.0 258.0 3.60 928.8 Base Total: 760.0 2786.2 As-Built Total: 760.0 2786.2 DOOR TYPES Area X BWPM = Points Type Area X WPM = Points Adjacent 20.1 11.50 231.2 Exterior Wood 20.2 12.30 248.5 Exterior 20.2 12.30 248.5 Adjacent Wood 20.1 11.50 231.2 Base Total: 40.3 479.6 As-Built Total: 40.3 479.6 CEILING TYPESArea X BWPM = Points Type R-Value Area X WPM = Points Under Attic 758.0 1.20 909.6 Under Attic 30.0 758.0 1.20 909.6 Under Attic 19.0 31.0 2.00 62.0 Base Total.: 768.0 909.6 As-Built Total: 789.0 971.6 FLOOR TYPES Area X BWPM = Points Type R-Value Area X WPM = Points Slab 102.0(p) 8.9 907.8 Slab-On-Grade Edge Insulation 0.0 102.0(p) 18.80 1917.6 Raised 0.0 0.00 0.0 Base Total: 907.8 As-Built Total: 1917.6 INFILTRATION Area X BWPM = Points Area X WPM = Points 758.0 -0.59 -447.2 758.0 -0.59 -447.2 Winter Base Points: 5968.3 Winter As-Built Points: 7257.1 Total Winter X System = Heating Total X Cap X Duct X System X Credit = Heating Points Multiplier Points Component Ratio Multiplier Multiplier Multiplier Points 7257.1 1.000 1.064 0.501 1.000 3872.1 5968.3 0.5340 3187.1 7257.1 1.00 1.064 0.501 1.000 3872.1 EnergyGaugeTm DCA Form 60OA-97 FORM 60OA-97 WATER HEATING & CODE COMPLIANCE STATUS Residential Whole Building Performance Method A - Details ADDRESS: 1993 Colina Ct.,Atlantic Beach,fl, 32233- PERMIT#: BASE AS-BUILT WATER HEATING Number of X Multiplier = Total Tank EF Number of X Tank X Multiplier X Credit = Total Bedrooms Volume Bedrooms Ratio Multiplier 1 2746.00 2746.0 1 1.00 2746.00 1.00 2746.0 As-Built Total: 915.3 CODE COMPLIANCE STATUS BASE AS-BUILT Cooling + Heating + Hot Water = Total Coaling + Heating + Hot Water = Total Points Points Points Points Points Points Points Points 3621.4 3187.1 2746.0 9554.5 2911.7 3872.1 915.3 7699.2 PASS EnergyGaugeTm DCA Form 60OA-97 I FORM 60OA-97 Code Compliance Checklist Residential Whole Building Performance Method A - Details ADDRESS: 1993 Colina Ct.,Atlantic Beach,fl,32233- PERMIT#: 6A-21 INFILTRATION REDUCTION COMPLIANCE CHECKLIST COMPONENTS SECTION REQUIREMENTS FOR EACH PRACTICE CHECK Exterior Windows&Doors 606.1.ABC.1.1 Max1mum:.3 aftn1sq.ft.window area;.5 cfrn/ .ft.door area. Exterior&Adjacent Walls 606.1.ABC.1.2.1 Caulk,gasket,weatherstrip or seal between:windowdoors&frames,surrounding wall; foundation&wail sole or silt plate;joints between exterior wall panels at comers;utility penetrations;between wall panels&top/bottom plates;between wails and floor. EXCEPTION:Frame wails where a continuous Infiltration barrier is installed that extends from and is sealed to the foundation to the top plate. Floors 606.1.ABC.1.2.2 Penetrations/openings a1/8"sealed unless backed by truss or joint members. EXCEPTION:Frame floors where a continuous infiltration barrier Is installed that is sealed to the perimeter penetrations and seams. Ceilings 606.1.ABC.1.2.3 Between walls&ceilings;penetrations of ceiling plane of top floor;around shafts,chases, soffits,chimneys,cabinets sealed to continuous air barrier;gaps in gyp board&top plate; attic access.EXCEPTION:Frame ceilings where a continuous infiltration barrier is installed that is sealed at the perimeter,at penetrations and seams. Recessed Lighting Fixtures 606.1.ABC.1.2.4 Type IC rated with no penetrations,sealed;or Type IC or non-IC rated,installed inside a sealed box with 1/2"clearance&3"from insulation;or Type IC rated with<2.0 cfm from conditioned space,tested. Multi-stoa Houses 606.1.ABC.1.2.5 Air barrier on Perimeter of floor cavity between floors. Additional Infiltration refits 606.1.ABC.1.3 Exhaust fans vented to outdoors,dampers;combustion space beaters comply with NFPA, have combustion air. 6A-22 OTHER PRESCRIPTIVE MEASURES must be met or exceeded by all residences. COMPONENTS SECTION REQUIREMENTS CHECK Water Heaters 612.1 Comply with efficiency requirements in Table 6-12.Switch or clearly marked circuit breaker efectric or cutoff as must be prWded.External or built-in heat trap required. Swimming Pools&Spas 612.1 Spas&heated pools must have covers(except solar Heated).Non-commercial pools must have a pump timer.Gas spa&pool heaters must have a minimum thermal efficient of 78%. Shower heads 612.1 Water flow must be restricted to no more than 2.5 00ons per minute at 80 PSIG. Air Distribution Systems 610.1 All ducts,fittings,mechanical equipment and plenum chambers shatf be mechanically attached,seated,insulated,and installed in accordance with the criteria of Section 610. Duds in unconditioned attics:R-6 min,insulation. HVAC Controls 607.1 a readily accessible manual or automatic thermostat for each system. Insulation 604.1,602.1 Ceilings-Min.R-19.Common walls-Frame R-11 or CBS R-3 both sides. Common ceiling&floors R-11, EnergyGauge-DCA Form 60OA-97 EnergyGaugeS/ResFREE'97 FLR1 PA 2.02 ENERGY PERFORMANCE LEVEL (EPL) DISPLAY CARD ESTIMATED ENERGY PERFORMANCE SCORE* =82.4 The higher the score,the more efficient the home. John &Susan King, 1993 Colina Ct., Atlantic Beach, fl, 32233- 1. 2233-1. New construction or existing Addition - 12. Cooling systems 2. Single family or multi-family Single family - a. Central Unit Cap: 18.0 kBtu/hr 3. Number of units,if multi-family 1 _ SEER: 10.00 - 4. Number of Bedrooms 1 - b.N/A - 5. Is this a worst case? No - - 6. Conditioned floor area(ft2) 758 fF c. N/A - 7. Glass area&type - - a. Clear-single pane 0.0 fF - 13. Heating systems b.Clear-double pane 120.0 ft2 - a. Electric Heat Pump Cap: 18.0 kBtu/hr a Tint/other SCISHGC-single pane 0.0 ft2 _ HSPF.6.80 - d.Tint/other SC/SHGC-double pane 0.0 fF b.N/A - 8. Floor types a. Slab-On-Grade Edge Insulation R=0.0, 102.0(p)ft _ c. N/A b.N/A c. N/A 14. Hot water systems 9. Wall types _ a. N/A a. Frame,Wood,Exterior R=11.0,502.0 fF b.Frame,Wood,Adjacent R=11.0,258.0 ft2 _ b.N/A _ a N/A d.N/A _ c. Conservation credits _ e. N/A (HR-Heat recovery,Solar 10. Ceiling types - DHP-Dedicated heat pump) a.Under Attic R=30.0,758.0 ft2 - 15. HVAC credits - b.Under Attic R=19.0,31.0 ft2 _ (CF-Ceiling fan,CV-Cross ventilation, c. N/A HF-Whole house fan, 11. Ducts - PT-Programmable Thermostat, a. Sup:Unc. Ret:Unc. AH:Garage Sup.R=6.0,90.0 ft _ RB-Attic radiant barrier, b.N/A MZ-C-Multizone cooling, MZ,H Multizone heating) I certify that this home has complied with the Florida Energy Efficiency Code For Building Construction through the above energy saving features which will be installed(or exceeded) �g-tin sT,gpF in this home before final inspection.Otherwise,a new EPL Display Card will be completed �Y �,; __ 0* based on installed Code compliant features. `',� ys r• �� Builder Signature: Date: y t Address of New Home: City/FL Zip: cpD WU *NOTE. The home's estimated energy performance score is only available through the FLARES computer program. This is not a Building Energy Rating.If your score is 80 or greater(or 86 for a US EPA/DOE EnergyStaP designation), your home may qualify for energy efficiency mortgage (EEM)incentives ifyou obtain a Florida Energy Gauge Rating. Contact the Energy Gauge Hotline at 407/638-1492 or see the Energy Gauge web site at www.fsea ucf edu for information and a list of certified Raters. For information about Florida's Energy Efficiency Code For Building Construction, contact the Department of Community Affairs at 850/487-1824. EnergyGauge®(Version:FLRIPA 2.02) DATE: 4/27/01 MANUAL "J" SUMMARY REPORT -------------- Prepared For: Prepared By: King Addition R.B. Ellis Energy Design Systems Job Name: 1993 Colina Court *********************************************************************** DESIGN CONDITIONS For Atlantic Beach OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 95 32 72 72 Wet Bulb 78 62 Daily Range 19 Daily Swing 3 Latitude 30 Elevation 29 Safety Factor 5 Latent Factor ($) 29 Sensible Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM ------- ------- ------- ------- WHOLE HOUSE 19878 663 12892 537 ------- ------- ------- ------- HEATING COOLING DELTA T 40 DELTA T 23 NOTE: **Calculated air flow is based upon load requirements Verify that air flow calculated is compatible with selected equipment requirements. *** PREPARED BY ENERGY DESIGN SYSTEMS 904-287-5339 DATE: 4/27/01 MANUAL "J" DETAILED REPORT FOR ADDITION Prepared For: Prepared By: King Addition R.B. Ellis Energy Design Systems Job Name: 1993 Colina Court ************************************************************************ EXPOSURE GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ TOTAL ------------------------------------------------------------------------ AREA 84 29 7 120 COOLING 2100 2146 518 4764 HEATING 2688 928 224 3840 ------------------------------------------------------------------------ WALLS TOTAL ------------------------------------------------------------------------ AREA 760 760 COOLING 1900 1900 HEATING 3040 3040 ------------------------------------------------------------------------ DOORS TOTAL ------------------------------------------------------------------------ AREA 40 40 COOLING 532 532 HEATING 834 834 ------------------------------------------------------------------------ FLOOR AREA COOLING HEATING ------------------------------------------------------------------------ SLAB 102 3713 RAISED WOOD ------------------------------------------------------------------------ CEILING AREA COOLING HEATING ------------------------------------------------------------------------ UNDER ATTIC 758 1175 1137 SGL ASSEMBLY KNEE WALL 31 71 84 ------------------------------------------------------------------------ MISCELLANEOUS COOLING LOADS --------------------------- People Sensible Load 600 Latent Load 1850 Lights & Appl. Load 1200 Latent Safety Btuh 93 Ventilation Load Duct Heat Gain 957 Infiltration Load 1124 Sensible Safety Btuh 568 TOTAL SENSIBLE LOAD 12892 TOTAL LATENT LOAD 1943 Summer ACH 0. 5 Temp. Swing Mult. 1. 00 *** Total Cooling Load 16318 BTUH Or 1. 36 Tons *** MISCELLANEOUS HEATING LOADS --------------------------- Infiltration Load 5681 Ventilation Load Duct Heat Loss 632 Safety Btuh 916 Winter ACH 1.2 *** Total Heating Load 19878 BTUH Or 1. 66 Tons*** 1993 COLINA Cr. ATLANTIC BEACH, FL 32233 (904) 249-7548 FAX: (904) 241-53 15 May 1,2001 City of Atlantic Beach Building Department 800 Seminole Rd. Atlantic Beach,FL 32233-5445 To Whom It May Concern: In reference to the application for a building permit for an addition to our residence located at 1993 Colina Ct. in the Selva Norte subdivision of Atlantic Beach,I do hereby certify that no trees on the property will need to be cut down as a result of the proposed addition. Sincerely, Susan A.King n or r(7Rg R 77 M,'R147+ n r pgrl In MAF' SHOWING BOUNDARY SURVEY OF LOT __ __ . _____ BLOCK AS SHOWN ON MAI ) 01 AS P CORDED IN Pt AT ROOK 9PROF_ 9� �« OF PUBLIC RE;C0RDS OF DLIV ht. FOR is+rr<.' i!'fAFf/.(l'{ �.'/.Ji?ff,!f/ ,S/rF4�FC>nJ ,{'E6/,4' Tip �'.�i/!' f'7j,,S?,�- /�,J c;f.'/. L':`'ri� .f/l��r'7F /,!!,'• , ' + ;! . E,(Z1lFrED �.' -..,fe•.7N.c,/ .4.tir%NaNY � _flsp.v' .�,v../ K/-e/iy7 j .e!'.4nvC,d►,nS'Tl7e./ ;,t•;''/`9'�.n.r._ �:?.c.*�.•ti'.n-:.,,.. {t_.._._..-_..- .�.... �j 2'c.1� .�/rG.f_' l':4/.f!/%QA�.I.,,C[G (.:�✓/,f�.O.CI)•" �t�v,,�rr�'a./s .sfvo<a:�� renis. : lio.�a).�,�� rr2�.�f� ro �/�,�': �,��riiu1 ._f�•.. "i��fF'F e1,PF Jcfcv/5l.c9CF_ F./PSEfuIfn/T' FxCF.r7" ,'4'.S ,�'h't1�'vn�' <^nf $R'it? GDi" ,J 3. .e ar rc,�.,/e cs Jc+�r �// ,rfr� ,//f*•/'/►fes oe c 5 p4, � / S• ro 77 rr• - (�( Yli� m, ,\ 1 M � �• o y G, !ul FiX. f1..FC.e•r \ � � � � f� ell,t6/�/Q.78) Sr"C/T•LFVE� F,P.aMG- fav C) � � n�z.• � l��fl' v✓/s,-e,,•r F.ec+.vr ?O.Z/ 1� � ' �`,} � /c+" ti 13.3 o 01tl lk l ` a Ter,.vp if 9,~- tS•t""P I 6 � 'C9f•.+I�T/•�'/G'.Q 7lt>.1/ Ci/e./i*v �i7.�C_#r e n 1,• .-... _._._.__._-_._ �___. PROPERTY DESCRIPTION Lot #—,-3_:3_, Block # , Section # Subdivision: 6elUr4 /1r7fl/' c'_ Zln,-f G�� Street Name /� �+� A l �( j DESCRIPTION OF WORK or Address: �Q9_3�_e'/i/1e1 (7r /7` Ld'q/fG '1-► (If in a FLOOD HAZARD Flood Zone: area complete page 3) Brief Description g4/D�� cvGtgr�/arj a,1 ,407;�// *M AetAnoMt 176M . Idanr/rcl Class of Work: ( w/ Remodel/Addition: A[W11/ars ZONING INFORMATION Type of Construction: ,,,p Zoning Proposed , District: s— z Use: Re6le(All Estimated Value $ 6's'/"'-0 Exceptions or Variances Materials: &Zed Aram& Granted: Solid or Filled Ground: Roof: f r!�/ Irr7 Method of Heating: ee4l rA/ Nit OWNER INFORMATION Property Owner: Z-7,4 do /f1 Phone: (�) 2Vg- Qfgg- Mailing Address 3 o ji'r7A se'AC r Zip: &.2a, 3 CONTRACTOR INFORMATION Contractor: Phone: Mailing Address: Zip: Expiration STATE LICENSE NO: Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTIN9 DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature 3/ DATEy �� Contractor Signature DATE SWORN XP AND SUBSCRIBED BEFORE ME BY � . I THIS DAY OF , Y--9-9 ��. EN LYNN FOLDS NOTAR PUBLIC XTARY PUBLIC-S TATE OF FLOMOA COMMISSION•CC9249" EXPIRES 4M/2004 OONDED THRU ASA 1.N"OTARYt CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL,ADDITIONS, OR ALTERATIONS, MOVING, DEMOLITIONS Owner(s) \I' 61 5.04 d• 4 h Job Address/993Zo�/in6 C�, 0 fi e-' &e Phone Lot# 33 Block or Unit# Subdivision-!5e kd /I/orf�' ar7,`/ c41n f- Contractor State License# Address Phone City State Zip Describe work to be done rsS'Ur Sg/�f Gt�✓G+'.`fi�.� �ri e,ri sfi7r li�r'�HrN , /aa,-,1gp 54 ce. _Z'; /acfs Yt�m, �P L,2 , lcJwnzli't/ rda�i7 c�n�d<lwl;e�ne —v Present use of building fe-511671&-17 a1 Valuation of Proposed Construction G DOD•GG Proposed use Is this an addition?-- &J If yes, what are the dimensions of the added space: 33 Yz ft.x 2,5 ft. Will the added area be heated and cooled? �= New electrical (or increase) RS New plumbing fixtures? )Le-6 New fireplace? 40 New Heat/AC? V&S SUBMIT THREE (COMMERCIAL)TWO(RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT,AND OWNER/ CONTRACTOR AFFIDAVIT, IF WNER IS'CNTRACTOR. Signature of OWNER( Date:_ u3/6/ Signature of CONTRACTOR Date STATE OFF IDA COUNTY OF I,t Vaj Sworn to (or affirmed)and subscribed before me this �r� day of --12001 AS TO OWNER: Notary's Signature I5taPersonally known KAREN NOTARY PUBUCSTATEOFF ONIDA 11 Produced Identification COMMMION 0 CC92494e eoNDEDE EXPIRES 4W2004 Type of identification produced ASA -888-NOTARY? Sworn to (or affirmed)and subscribed before me this day of , 200 AS TO CONTRACTOR: Notary's Signature ❑ Personally known ❑ Produced Identification Type of identification produced CITY 4F llhotic &eac - 57&va a 800 SMAMIOLE ROAD ATLANIZC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 459, FLORIDA STATUTES. PART I CONSTRUCTION CONTRACTING" REOUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SEcnoN 489. 103(7), FLORIDA STATUTES: STATE LAW REOUIRE5 CONSTRUCTION TO BE DONE BY UCEN$ED CON MORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE E mmPTION ALLOWS YOU, As THE OWNER OP YOUR PROPERTY, TO ACT AS YOUR OWN CONTRAcroR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAYA SO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SA(E OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH Is IN VI0LAT/0N OF THIS EXEMPTION. YOU MAY NOT HIRE AIV UNLICENSED PERSON As TOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND zoNING ReouLATiONs. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOSI HAVE LICENSES RgoU1REa BY STATE LAW ANa BY COUNTY fL MUNICIPAL. LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR 4WN pROPERTY WHEN IT IS FOR PERSONAL on FAMILY USE,AND LIKEWME REQUIRE ALL WORK(EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSIPECTTONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE-jQ4 AM ALL 77MES WHILE WORK 15 IN PROGRESS BY UNLICENSED TRADES PEOPLE." 7)4IS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKzRs THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING YIpRKERs BECOME EMPLOYERS AND smout-D ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES, UNL.ICENSEQ CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO, 455-228(1). AN "OCrUPATIoNAL LICEDIsE" Is NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 582®) IF IN DOUBT. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT 1 COMPLY WITH ALL THE REQUIREMENTS FOR THE ISsuANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWN ILDER ++ ADDRESS 'TELEPHONE SWORN TO AND SUBSCRIBED BEFORE'ME THis,3 ra:t DAY OF ►�9_,. N ARY PUBLIC 14117 NOTE: PHRASES UNDERLINED ABOVE MY C MIS3ION EXPIRES: _ ARE EMPWASaED BY THE BUILDING KAREN LYNN FOLDS DEPARTMENT. NOTARY PUBLIC-S TATE OF FLOklOA COMIMOSION 0 CC924048 EXPIREBONDED TH ASA 1888-lOTARYI CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5626-FAX 247-5877 PEf IVII #. FORMATION LC3CATtt?N INr ORMAT10 Permit Number: 21953 Address: 1993 COLINA COURT Permit Type: BUILDING ATLANTIC BEACH, FL 32233 Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 65,000.00 ' OWNER INFORAltAT#ON Date Issued: 5/14/2001 Name: JOHN & SUSAN KING Total Fees: 642.58 Address: 1993 COLING COURT Amount Paid: 642.58 ATLANTIC BEACH, FL 32233 Date Paid: 5/14/2001 .....Phone: (904)249-7548 Work Desc: ADDITION, FAMILY,BEDROO & BATH LAUNDRY& GARAGE SPACE CONTRACTOR S` PLICATION FEES PROPERTY OWNER PERMIT � 480.00 WATER IMPAjCT FEE 120.00 1 # -GA '"H.Rs,' 3.60 RADON CAB`51% 0.19 ad CROSS CONNECTION 35.00 CONST.SURCHAROE 3.41 SC0IARGE/ATL.BCH. v 0.38 A 4 d W6P --- SLAB fRAMING3, ROUGH ELECTRIC _ ,`"OUT �C# ANIL . INSULATION FIINAt. e 4 vie NOTICE-`#NSPECTIO ST BE REOUESTECI AT LEAST 24 HOURS PRIER TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT B AGED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULEDAWAY BY EITHER CONTRACTOR OR ER ' "FAILURE TO COMPLY WITH Tt",&#STR, CTION _W CAN REW, LT IN THE PROPERTY OWNER PAYING Ti E;IFO 1Il_[ 1 1 Pf V �' ISSUED ACCORDING TO APPROVED yiNHIR FPPT MIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISICSN91,4W , M, _ Operator: DSMI1N NTIC BEA BU ING REPT. Hate: 5/111/01 K Receipt: 0058480 Total payment 1;4 •58 CITY OF Dead - �7&uW4 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-23% February 8, 1985 The Minimum Lowest Floor Elevation for Lot 33 SELVA NO= UNIT I is 10.30' A Survey indicating the "Lowest Floor Elevation" shall be submitted to the Building Department "Immediately" after the slab has been poured. No further inspections will be made until the survey is on file. No Final Inspection will be made and No Certificate of Occupancy will be issued unless the Minimum Elevation Requirement is met. Building Departm n Representative CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT r 7S"7 /yyo,7 !C e Owner Address � 24 ZZ Phone ,�L/�- �7/? Architect x;— Address Phone Contracto Address If Phone License Number GQo B C)qg�� Expiration Date U to e / 5 Lot # Block # Subdivision SJ,4„4 4)eoning Res Street �'�1 j 4 a gT Between} �L,i, �„�j �a�fid ,y/,,�o�(o /� side '' Valuation $ Purpose of Building ides Type Const.E4�n(' Dimensions : Building Lot ` Sz .Footings 8!)C $�S Sz.Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists �10 Distance on Centers zy`'Greatest Span Sz.Floor Joists Distance on Centers Greatest Span //'v/ Sz.Rafters ax G Distance on Centers 2-q" Greatest Span Heating 4L�,4T �(fn� Solid-Filled Ground x Roof Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, rough plumbing and fire place is completed and ready to cover up . 5 . Rough electrical. 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement , we hereby agree to perform said work in accordance with the attached plans and specif��p*8q1, k1hich are a part hereof, and Q~ a in a(fti6 dax1T1G7_btftHthe building regulations m •O -__ ----- - - o of the-��Gft�'�d�'�A�lantic Beach. 10-85 rt 59 `4� f D t (D LL S ature OWNER Cv Signature BUILDER A XUZ Front Lot Line Vty t;1'11 Uf Lt-AUH APPLICATION FOR PLU`"IBING PERMIT DATE NEW TYPE OF BUILDING OWNER'S NAME REPIPE RESIDENTIAL LOCATION ADDITION COMMERCIAL PLUMBING FIRM MASTER PLUMBER please print CITY/COUNTY OCCUPATIONAL LICENSE NO. STATE CERTIFICATE NO. BUILDER OR CONTRACTOR - ---------- ------------------------------------------------- -------------- SINKS LAVATORY -Z BATH TUBS URINALS FLOOR DRAINS CLOSETS SHOWERS WATER HEATERS l DISHWASHERS DISPOSALS WASHING MACHINE OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) l BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UN TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY (1 UNIT) KITCHEN SINK COMBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN SINK W, DRINKING FOUNTAIN (11 UNIT) DISHWASHER (2 UNITS) WASTE GRINDER FLOOR DRAINS (1 UNIT) _' LAVATORY (1 UNIT) LAVATORY, BARB; LAVATORY, SURGEONS (2 UNITS) BEAUTY PARLOR SHOWERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY URINAL, PEDESTAL, SYPHON JET SINK (4 UNITS) STAND (3 UNITS) URINAL STALL, BLOWOUT (8 UNITS) URINAL, WALL LIP (4 UNITS) WASHOUT (4 UNI' URINAL TROUGH EACH 2' WASHING MACHINE RES. WASH SINK EA S1 SECTION (2 UNITS) (3 UNITS) OF FAUCETS WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS C �Q 3°Z 0~ MECHANICAL PERMIT# ADDRESS PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # _ TEMPORARY ELECT . �k Heated Square Footages per sq ft = Garage/Shed �� @ $ , per sq ft = $ Carport @ $ , per sq ft = $ Porches _ @ $ �_ per sq ft = $ Deck @ $ per sq ft = $ Patio �b @ $ ? Per sq ft = $ - � - TOTAL VALUATION $ ' Total Valuation Data 1st Remainder Valuation @ $ / . per thousand or portion thereof TOTAL BUILDING FEE $ � + 2 FILING FEE FIREPLACE @15 . 00 $ TOTAL BUILDING PERMIT --------=------------------------------------------------------------------------ PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE TOTAL WATER METER CHARGE $ A p p R o V E D TOTAL SEWER IMPACT FEES $ l 6) 3S66 D TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ FED , �, GRAND TOTAL DUE: $ FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION 3 SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3 This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9 of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is provided in Section 10 of this Code.Only dwellings which are above ground frame(wood siding,brick veneer,etc.)or concrete wall type construction may be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential buildings shall comply with the requirements of Section 10 of this Code.Detailed information on how to complete this form may be obtained from your local building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301. PROJECT NAME PERMITTING OFFICE: AND ADDRESS: CIRCLE CLIMATE ZONE: 1 2 3 BUILDER- PERMIT NO.: OWNER: JURISDICTION NO.: nIF MULTIFAMILY,NO.OF UNITS GLASS AREA AND TYPE L� DETACHED COVERED BY THIS CALCULATION: F= CLEAR TINT,FILM,SOLAR SCREEN u SEPARATE CALCULATIONS ARE REQUIRED SGL SGL FOR EACH WORST CASE UNIT TYPE.CHECK IF ❑ATTACHED THIS CALCULATION REPRESENTS A WORST DBL DBL CASE CONDITION. NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL.ASSEMBLY ME m.[] R= =.E] R= m.El COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM ❑CENTRAL NONE ❑ ELECTRIC STRIP ❑GAS El NONE ❑ ELECTRIC RESISTANCE ❑SOLAR ❑ ROOM l�J OIL 1-1 SOLAR El HEAT RECOVERY ❑ GAS ❑PACKAGE TERMINAL AC ❑HEAT PUMP:COP = ❑ ❑ DED.HEAT PUMP:COP = ❑ EER/SEER= m ❑ ❑OTHER: ❑OTHER: CALCULATED E.P.I.: ❑ CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indi- and specifications covered by this calculation are in compliance with the Cates compliance with the Florida Energy Code. Before construction is Florida Energy Codecompleted, this building will be inspected for compliance in accordance with Section 553.908, F.S. OWNER/AGENT: BUILDING OFFICIAL: DATE:— DATE: 9A I PRESCRIPTIVE MEASURES(Must be met or exceeded by all residences.) MINIMUM REQUIREMENTS CHECK TO INDICATE COMPONENTS REOWREMENTS COMPLIANCE WINDOWS(903.1) MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK. DOORS 903.1 MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS. EXT.JOINTS&CRACKS 903.1 TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED. CEILING INSULATION(903.9) MINIMUM OF R-19. WATER HEATERS(903.2) MUST BEAR ASHRAE STANDARD 90-80 LABEL ORA MAX.4 WATT/SQ.FT.STAND-BY LOSS.SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE PROVIDED. SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS. ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER. HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4). SHOWER HEADS 903.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE. HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE. 903.6) DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2. HVAC CONTROLS 903.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM. 1 FORM 900-A-84 CLIMATE ZON S 1 2 3 9C DESIGN CREDIT POINTS CP 9D HEATING SYSTEM CREDIT POINTS CEILING FAN IN COND.SPACE(max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0 MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING 12.8 CROSS VENTILATION(1 CP per room) 1 WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5 WOOD STOVE 7 9E DESIGN PENALTY POINTS FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE 3 TOTAL GLASS OPENS LESS THAN 400/o 5 9C TOTAL(not to exceed 12 points) FIREPLACE WITH INSIDE COMBUSTION AIR 5 9F WINTER OVERHANG FACTOR WO 9F SUMMER OVERHANG FACTOR SOF FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW 0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00 2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98 3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95 4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91 5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88 6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85 7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83 8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81 9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79 10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77 11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76 12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 t12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 9G HEATING SYSTEM MULTIPLIER HSM COP 2.5-2.6 2.7-2.8 2.9-3.0 3.1-3.2 3.3-3.4 3.5&UP HEAT PUMP HSM 40 .37 .34 .32 .30 .29 SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM) ELECTRIC STRIP HEAT 1.0 NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS) PTAC&ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2- 2.4= .45. SEE TABLE ABOVE FOR COP>2.4 9H COOLING SYSTEM MULTIPLIER CSM ELECTRIC EER/SEER 7.8-7.9 8.0-8.4 1 8.5-8.9 9.0-9.4 9.5-9.9 10.0-10.4 10.5-10.9 11.0-11.9 12.0-UP CSM .83 .81 0.76 0.72 0.68 0.65 0.62 0.59 0.54 GAS COP 0.40-0.44 0.45-0.49 1 0.50-0.54 0.55-0.59 0.60-0.64 1 0.65-0.69 0.70 A UP CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89 MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC. FOR ROOM UNITS AND PTAC CSM FOR EER 7.5- 7.7=.87.SEE TABLE ABOVE FOR EER>7.7. 91 1 HOT WATER CREDIT POINTS HWCP ELECTRIC RESISTANCE WATER HEATER 0 GAS WATER HEATER 10 INSTANTANEOUS WATER ELECTRIC 4.5 HEATER GAS 12.6 HRU(A/C)WATER HEATER ELECTRIC BACKUP 6.7 GAS BACKUP 13.9 HRU(HP)WATER HEATER ELECTRIC BACKUP 9.7GAS BACKUP 14.5 HEAT PUMP WATER HEATER COP 1.60-1.89 1.90-2.19 2.20-2.49 2.50-2.79 2.80-3.00 (DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4 OVERALL SOLAR FRACTION' 0.1 0.2 0.3 0.4 0.5 1 0.6 1 0.7 0.8 0.9 1.0 SOLAR W* ELECTRIC BACKUP 2.4 4.6 7.2 9.6 12.0 1 14.4 1 16.8 19.2 21.6 74.0 HOT WATER 'fig GAS BACKUP 11.4 12.8 14.2 15.6 17.0 18.8 19.8 21.2 22.6 24.0 *PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM_100=OVERALL SOLAR FRACTION 4 rte. DEPARTMENT OF BUILDING - CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.6,9 1 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 3T4��'� T Date February 8. 19�_ 91 . 5CKT { ss r { l 1 I/F! I Valuation$ 100,455.20 Fee$ 371.25 65.91 *nQCAC 2561 1 2'!11!8 This permit not valid until above fee has been paid to City Treasurer,and is 1010 i subject to revocation for violation of applicable provisions of law. This is to certify that AW9000M G6M CONSTR 14409 Iasi Keg Ct. Jacksormille 32224 has permission to build S419le Family HOW aS PP-r TIMIs Classification Ras idmj,al -Zone—&fi�l j Owned by jdm Axidresmt j Lot 33 Block Unit I S/DSelva Norte House No. 1993 (Mina Gmn-t- According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4---00 4------► O Building material,rubbish and debris z from this work must not be placed 1 in public space, and must be cleared auled away by either con- tra o ner, Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.��Q -i PERMIT TO BUILD 66v0CCKT 4 -.8 1 3/01/0 THIS PERMIT MUST BE POSTED ON JOBS 000C Date FSB.$ 19$5 666E 1 A 3/C1/0 Valuation$ PLLMTHC Fee$ 66.W 1000 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that B&' FUMDU CO.'1C'ANY has permission to d B=1_T P.L1-1,4R= Classification Zone Zone Owned by .TCW ,ANDREW Lot 33 Block S/D SMVA iERM House No. 1933 COLVIA C7= According to approved plans which are part of this permit = NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE --10 4 O Building material, rubbish and debris ii from this work must not be placed in public space, and must be cleared = u hauled away by either con- rac,/ r owner. Building Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER - Imo. CITY OF ATLANTIC BEACH AP CATION FOR PLUMBING PERMIT i OWNER'S NAMEl. LOCATION i MASTER PLUMBER STATE/COUNTY OCCUPATIONAL LICENSE N0. l.� ' / /O • O�� OQ/ CERTIFICATE NO. 3 CONTRACTOR TYPE OF BUILDING SINKS SHOWERS SHOWERS �, J LAVATORY / WATER HEATERS BATH TUBS __LDISHWASHERS l URINALS __LDISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER /_�_TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH.THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF ATLANTIC BEACH FLORIDA Approv"by APPLICATION FOR "ELECTRICAL PERMIT J TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-�� ' 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE 'WORK AS DESCRIBED IN THE FOLLOWING, WE HERESY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IWACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. E624t-ic Eeoopq ELECYRICAL FIRM: gh thdTIBICIAN fjGNATUjjE NAMEADDRESS L'I. ti � RFD6©X BLDG.SIZE BETWEEN: RES.( APT.t ) COMM.( ! PUBLIC( ) INDUS. ) NEW(tj,,--'OLD t ADDITION( I TRAILER ( ) TEMP.'(` ) SIGNS I` ) SO. FT. SERVICE: N W C* , INCREASE f I REPAIR( `! FEE pLIOT Z AMPS COPPER I ALUM. SWITCH OR DR ER AMPS I PH VII , GOT cAdQBMEWAY EXIST.$ERV.SIZE: AMPS PH W 'tel T RACEWAY. FEEDERS ' NO. SIZE 11110. SIZEI-NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.84 Ah4P8. �Fi.tflf?AMPS, 8WI't"C1k�S IN,GOI�tAESCEttIT-,., nr r AIR H.P. RATING H.P.RATING CflNlOiT10NING COMP.MOTOR OTHER MOTORS AMPS.' CEIL HEAT: KW-HEAT 0-1 QV�i1 MOTORS H.P. VOLTAGE PHS NO. 'I`N.P. VOLTAGE PHS r -MISCELLANEOUS 1 RANSF�RWIE#S: ' UNDER sm V.' OVER 800 V. CITY QF ATLANTIC BEACH, FLORIDA 3 roved bY. APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: r A C*&'7 N&TER ELECTRICIAN NAME I ADDRESS: , 77 �,T-. / /. f" RFD BOX BLDG.SIZE BETWEEN: RES.(�) APT.( ) COMMA ) PUBLIC( ) INDUS. ( ) NEW( ) OLD( 1 REW. ( 1 ADDITION I ) TRAILER ( 1 TEMP.c SIGNS ( 1 SQ. FT. SERVICE: NEW( I INCREASE ( ) REPAIR l 1 FEE CONDUCTOR SIZE *Y1d -)Ve)AMPS COPPER I ALUM.OCT SWATCH OR BREAKER AM PH W ' VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO.- SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED I 0.100 AMPS. Y OVER A['f'LlANCES BELL TRANSF. Mme.`�'� H.P.RATING ..' ,, , CONDITIONING COMP.MOTOR OTHERMOTORS AMPS CEIL NEAT: 1CW=4ECT� 0-1 OVER MOTORS H.P. VOLTAGE PMS NO. IN-P- VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER Boo v_ CITY .OF .ATLANTIC BEACH FLORID � A ►orb PPLICATION FOR ELECTRICAL PERMIT TOTHECHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE:WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ol ge f-'kj 4 ELECTRICAL FI ER jLECTRICIAN NAME ADDRESS: 5 P/Itu'no RFD BOX BLDG.SIZE BETWEEN: RES.! I APT.( I COMM.( 1 PUBLIC! I INDUS.( ) NEW( ) OLD( 1 REW.'( ) ADDITION ( ) TRAILER 1 1 TEMP.N SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE ( REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS_ NO. SIZE NO._ SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.50 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OYER J►l .1,lANC&S BELL TRANSF. ,A , ,. A' I „'M.P.RATING CONDITIONINGµf COMO.'MO'T`OR OTHER MOT(3R5 AMPS C El HEAT. KW M1EA'f'f w ' O.1 OVER 1 MOTORS H.P. VOLTAGEPHS_ NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER SM V_ It*[t0�tiN♦77 wcasm A R 206370 MAP SHOWING BOUNDARY SURVEY OF LOT 3 BLOCK -z-- AS SHOWN ON MAP OF G . e " Jam' AS RECORDED IN PLAT BOOK .09 PAGE W-W f OF PUBLIC RECORDS OF DUVAL CO.. FLA. FOR 42W& s ih/r v me~w 4--L-rER Tb SArO PLAT dF SEC dA .6/O,VTE- -/A//T OAle N /R APLIf/ iQ,fV V Pt ss 9! 7s:/L Ar It Q :AA•• 4c t Siel, �.i � � Fou.�l�Rri��.f r,r. Ae.59/ o � aAO, � a o . 1 � 1 ro� 4 .t Z5" o,PAivgGE Ei✓BE�E.vT �r �.rd.v ra ilbv ;.V --^. •s• /yam BUILDING AND ZONIMG INSPECTION DIVISION CITY OF ATLANTIC HACH, FLORIDA w ` APPLICATION FOR MECHANICAL PERMIT IMPORTANT--/%pplioenf to cornpla)e all items in tocfionl I, II, III, and IV, l• O. Sid. of "r %/-=-'� 'Il-`�•`6' L' k»h+.. _ sf. .r d_ se. LOCATION (1,16A.Scotts,East,West) IAddr..al (Intv-wctiwq Streets) AU ILDING Los Ne Hod No Subd:s.m (Stat. portion of leo if fess than full bf--.Athd I.yal d.acript:oo per CI�J in dYpliul. if "CONS it. TYPE OF PROPOSED MEC 4MICAL WORK - M applicants complala Parts A - D A. USE OF WILDING 1. OWNE�IP r RESIDE I'Al IS. ►rrvatelindi»dwl,terporefom. .onpmf;f institution,etc.) 1. Dae family 11. ❑ Utility 1Is. ❑ Public(Fader.l,Stele p(DCII gO-er.rn.et) 2. ❑ Teo or more Lenity- 12. Q School,G.rery, Enter nvo,ber of morn, of .duuf'aool C NATURE�f WORK 2, ❑ Traatia.t,hotel.motel• 17. Ne.Building mominq 1w.0- 12, ❑ Stem.morcanfle Enter number of units Otl`w IB. ❑ E:isthsg avitdi.q. 4. ❑ Other rasideatiel __,�_ 14, ❑ OTHER-SPECIFY _- 11. Q 'Rerlacemeaf of•eirfi4q eysterm . 20. ❑ Ne. insb)tation (No,tys/erw pre+:o.aFy fasieJW) NON-RESIDENTIAL - 21. O Eetew0ie0.r.66.04 to existing rystw. S. ❑ AmYsame.t,mcra.tionel 22. ❑ Other-Specify a. ❑ CJIYICh.*A"religious 7. ❑ Industrial a, ❑ Garage,--;co Station E TrPE OF BUILDING 1, ❑ Hospital,intlifutional 10. ❑ Office,beak,profosf;oasl 2a. ❑ Number of.feria: )7. Q Wood frome D. MECHANICAL EQUIPMENT TO RE INSTALLED 2g. ❑ f titanry end ecod (Pro.ida comps/!*list of components on beck of this form) 1 39. ❑ Reinforced concrete 22. Fvmece: ❑ Space ❑ Recessed 0}Central O floor 40, ❑ Structural Steel 24. (Ej Air Co.ditioaiag: (3 R`-�oe 0`Central , tat. ❑ Other25. t['f ,Duct System: Motorial MaslmYm capacityJ5 .,.. c.f.m• 24, ❑ RoGigvatioo THIS SPACE POR OFFICE USE ONLY 27. Q Cooling te.er: Capacity 9•p.m• (Ra.e:ved) 29. Q Fero sprWiers: Number of head- 21. ❑ Elo.ator ❑ M..lift ❑ Ex.lafor Imumber) 20. Q Gawlial pump- Im.mber) )I. ❑ �T�onni, (number) Remoris 12. ❑ LPG cenlaiaer- (mumbo/) 22. Q Unfired pressure wuel Permit Appro.ad by pati. 24. Q Boilers Isif 2S. 13Other-Specify III. GENERAL INFORMATION A. Type of keeji.g fuel: ` /'� IS OTHER CONSTRUCTION BEING DONE ON s[ 4T. M -' THIS BUILDING OR SITE G'c fy 42, ❑ Gas•-❑ V ❑ Natunf ❑ Central Utility IF //.YES, GIVE NUMBER Of CONSTRUCTION 44, ❑ Oil PERMl7 (c.`i•+t I-/� 4S. ❑ Other -Specify N. IDENTIFICATION - To be completed by ad apprcantt In ce.s:doration of permit qr.M ler do'roq the .ori as deocribed i. IN. above statement we Mreby agree to perform Said.ori is ecc.rdance th the eH.C"d Ions a.d spadfiufioos.kick are a part kereef and in accordance with the City of Jociteaville ordiaaacee and standards of good practice fisted tkerein. Nara cf Mscho.lul - " `�, Sig.4tura of Contractor IFrint) r2/ 'r SCJ.-/�. ISG. Cmintlor Agent Nares of Ower(trims) tJjy1 �sTarJf!G'�- %rL% Address ac r S,q.ah•a of O.nor Signature of or Acrno:Sid Agent � � Architect or Engineer vu::•rACTORS r ,r� LICENSE NUMBER IZ/1!?I,fl/-1%S°'r1 CITY OF 716 OCEAN BOULEVARD _ --- - - -- - -- P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32239 TELEPHONE(904)249-2396 July 18, 1985 Pre-Service Section 3rd Floor JEA 233 West Duval Street Jacksonville, Florida 32202 The following final inspection has been made and is satisfactory: Permit JYM3 - 1993 Colina Court Permit issued to Raymond Electric Conpany Sincerely, "John M. Widdows Building Inspection Supervisor JM:ra 46. 0 TL 9454 P, 4122.18 DEPARTMENT OF BUILDING be jlC CITY OF ATLANTIC BEACH,FLORIDA PEI W NO.- PERMIT TO BUILD I Doc) : THIS PERMIT MUST BE POSTED ON JOB Date kms. 19 85 Valuation$ 'FJOHAMCAL Fee$ 46,M This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. I This is to certify that AFS ENGILEIRS IW. has permission to N§d INSTA,I.t., BEAT & AM 00MIT'ICN3W j Classification W..SIDENTI'AL Zone Owned by J0M ANORI'-SFS Lot 33 Block s/D SMA NORM House No. 1993 CMMA 0131 1 According to approved plans which are part-0 this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 4-0 4-0 0 Building material,rubbish and debris _ from this work must not be placed in public space, and must be cleared up and hauled away by either con- acro" owner. _ , s 411 } / Building Official. FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER INSPECTION LOG JOB ADDRESS lc?f,3 �" _1 CONTRACTOR OWNER BUILDING PERMIT ELECTRICAL PERM ~-- PLUMBING PERMIT TEMPORARY POLE PERM , MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .E .A. Temp Pole �! 3 �p _ `3 LO Footing � / �� 9 Slab Framing Plumbing (R) ;3/e 3 Electrical (R) (5-11,C) i j / Mechanical z/L) Fireplace Top outj� / 3 Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued CO121ENTS : AT wrtifiratr of COrrupattry CITY OF �le�ttx�mpn� n� �niZDtn� ,�n��rertinn This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building�cmistruction or use. For the following. / Use Classification '�} Bldg.permit No. ' Gmup 'type Construction 3:k'A P Fire District Owner of Building J071Ii AL1&e3er1 _ -1 —Address— Building ddress— —� 93 Colina CG' rt elva Dbrte BuildingAddtrss Locality By:___� Jt7 rat �•n. yi as building Official Date:_ July 18, 1985 MWT IN A ca"SPICUOUt ►LACE'. ` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �Jjilt Application Number . . . . . 10-00001184 Date 10/07/10 Property Address . . . . . . 490 E SAILFISH DR Application type description SHED PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1260 ---------------------------------------------------------------------------- Application desc NEW SHED ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RADTKE WILLIAM OWNER 490 SAILFISH DRIVE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . SHED Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1260 Expiration Date . . 4/05/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *CALL FOR FINAL INSPECTION WHEN SHED COMPLETE AND ANCHORED TO MEET 120MPH WIND LOAD. Shed must be a minimum of five feet from rear and side lot lines . ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 64 . 00 64 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAP SHOWING BOUNDARY SURVEY OF LOT 13, BLOCK 10, AS SHOWN ON MAP OF REPLAT OF PART OF ROYAL PALMS UNIT TWO A AS RECORDED IN PLAT BOOK 31, PAGE 16, OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLA. CERTIFIED TO: WILLIAM RADTKE; UNIVERSAL LAND TITLE; FIDELITY NATIONAL TITLE; WELLS FARGO SCALE: 1"=20' DATE: 05/25/10 SEP 2 7 2010 SAB60L0wRl VE By S85'37'27"E(P) S85 27'38»E(ACT) 95.03'(ACT) FNO. 1/2•I p NO CAP ' NDCAP D2'LP. I I I d Z N e a° e° _ p — — N J 1 -Z— — 25' B.R.L /� .. 435.1' °'< ° . o 0 0 y (n t.J3 I I X�X ... L. 0) 0 O ' 26.0' ° 02�e Q tJ �X A 4 .` V• 0 U3 ^� 4 N D dt= .� I I p �� M M C7 t.6 T1 Irn I Z Ln 4 _' A 0 J l00 I 2.1' �k((.0 rn �. a- . ' � � M v + l° J9) t) too) 103.6 Z y v 7- 5'5' I r m z 11.6 38.1' m z a' 26.0' X A '(= ZO� ,ZI LUL z ~i fA'1 v�o0o f Atl Beach _ Piargrr�.911b Department I 58" I �r �P) r— m mI o N S82 43 This approval v t? omplianee with applicable i zonir:g. subdivision an other local land —+ I development regulations, b t does not constitute approval for the issuance otj permits. Compliance U' with Floa Building Code and all other applicable 10' EASEMENT FOR IoLOTS e and Federal pekmitting requirements I DRAINAGE & UTILITIES must be verified by signaturetof the City of Atlantic Beach Building O al prior to the issuance of a Building Permit. II Approved By: R 0 Date: J., m�t n tx eve opment rea' w �/P7 THERE MAY BE ADDITIONAL EASEMENTS AND/OR RESTRICTIONS THAT ARE NOT SHOWN BEARINGS BASED ON PLAT AS SHOWN ON THIS MAP THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS cnl wTY 11Kinronon11.1„ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ' 800 Seminole Road ,r 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: pep#4pient review required Yes No Applicant: elz) _)7 le— tanning &Zoning f Tree Administrator Project: ubIic Utilities Public Safety Fire Services 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: LDING (LANNING &ZONING Reviewed by: """ Date: TRE€-ADMI N 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: I Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road j Atlantic Beach, Florida 32233-5445 ` <r ' Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: ! .T City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Pgpartnnent review required Yes No Applicant: QUtanning &Zoning Tree Administrator._. Project: � / �bJ;cv�rlss ublic Utilities Public Safety Fire Services Y s a < r�„ _DeptsSignaturet r . t .� ..az 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: 6UILDIN PLANNING &ZONING 9' �o 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 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) q 800 Seminole Road 2 2010 Cj? /iQ j r Atlantic Beach, Florida 32233-5445 ! !0 f ` Phone(904)247-5826 • Fax(904) 2 �5 _J,3 E-mail: building-dept@coab.us Date routed: ! 7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 i141A Qgparlment review required Yes No Applicant: SPlanning &Zoning Tree AdminiWafor Project: �/Y _i.ibl,c WnrJss� ublic Utilitie's�� Public Safety Fire Services Revievtt feet$ r t . . _ DeptSigna#ure 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: 0 v TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. Comments: 20 PU IC Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERNIIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 Job Address: 3� � ,��5� J/Ji!/6 >`ase 444an4,tC 0ac Permit Nu Legal Description S4yraae 6ke, 9 S f Parcel# oor Area ot Sq.Ft. t Valuation of Work$ 17-(ao Proposed Work heated/cooled -heated/cooled By Class of Work(circle one): 6v Addition Alteration Repair Move Demolition poo spa win r Use of existing/proposed structure(s) (cirinstalled? one): Commercial esidden If an existing structure,is a fire sprinkler system (Circle one): Yes No Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: ?Ia °rLG 64rrn�,e 6464 in. j1,k uafd. Ab Property Owner Information: Name: Al`/l f rr? ? Address: re City "r n hc_ tea&C S,t�ate&Zip LG s" Phone ioY' 11:3 A', E-Mail or Fax#(Optional) �//.//s..r . iS:�1,�i(z 6e t/S,.4iMMc/.irliG Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as inI certafy that no work or installation has commenced prior to the Issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction This permit becomes null and void f work isnot commenced within six(6)months, or if construction or work is suspended or abandoned for aerlod of szx6)months at anytime after work is commenced I understand that separate permits must be secured for Electrical Work;Plumbing Signs, ells,Pools, urnaces,Boilers,Heaters, Tanks and Air Conditioners,eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMAMNCEMENT 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. I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 certify will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Ls/� -- Signature of Contractor �,_./— Print Name //�� c✓ °............................ Print Name - �h sr� it...�✓. ... i. .t.��n..... Sworn to and subscribed before me Sworn to and subscri ed bee me this P?- Day of tan this.2-3 Day of ........ ... 9 ` Y '% JASON DRACH JASON DRACH rida is Not u M Comm.Expires Aug ,2014 Notary •'= y p g do MY Comm.Expires Aug 9,2'14 Commission EE 14543 , iseci tW EE 14543 CITY OF ATLANTIC BEACH ~. h OWNER / BUILDER AFFIDAVI , �. TOG L-1 I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PAR 59N"YgTOON 7 CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LA DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTE BY STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. 111. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. M_,,�Ul S4 pr"Ve ADDRESS PHONE NUMBER Wrll., Q� -lbt,Pi PRINT NAME 2'7ja4�20/6 SIGNATURE DATE—r Before me this 2A7day of S �CGrv*bei ,20(0 in the county of Duval,State of Florida,has personal appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of F(,W I Psi ,County of PV Y O` '�. JASON DRACH ❑Personally Known _ �.�rµv��ei,''. Q �r° °. NotaryPublic State 01 Florida toducedldentfication- 1`L /EBS -14�'/N�L` Expires Aug My Comm. ExP • r Commission EE 14543 s, o; Notary Signature: F:BLDG/Owner-Builder Affadavit;REVISED: 4/16/2009 ..' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001225 Date 10/07/10 Property Address . . . . . . 177 SAILFISH DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------------------------------ Application desc install gas line and logs for gas fireplace ------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- FLY' S TIE FERRELLGAS L. P. 177 SAILFISH DRIVE 922 9TH STREET SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 246-7316 ------------------------------------------------------------------------ Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/11 ---------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 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: Z 72 4:5/�c PERMIT# PROJECT VALUE $ NEW 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 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# Air Conditioning: Unit Quantity Tons Per Unit REQUIRED 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 OAX-LOTHER: L i'7i i- � _4 S c a (E 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. Property Owners Name_ %�y �S ��Q -L/'� .ski �y� Phone Number Mechanical Company , / Office Phone` Fax Co. Address: 5 G�� S- t��"U City .0 �'I State/7/ zip&2z U License Holder (Print): Stote Certification/Registration# Notarized Signature of License Holder Orry Sworn and subscribed before in 1 20/D Signature of Notary Public _ w lsslo o s 0 Rt., B° N blit UndenKilers `£ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001204 Date 10/O1/10 Property Address . . . . . . 422 SARGO RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4500 ---------------------------------------------------------- Application desc REPLACE ROOF PRODUCT APPROVAL CODE FL 459 ------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAAS, ELIZABETH MANN'S ROOFING AND WATERPROOFI 422 SARGO RD NG LLC ATLANTIC BEACH FL 32233 2114 UNIVERSITY BLVD W JACKSONVILLE FL 32217 (904) 419-1010 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . REROOF Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4500 Expiration Date . . 3/30/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1`tLtC,d BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: a RGtO6 Lodi �410n�,C ?6 ,h �1_1_5-3 Permit Number: -( 2z) g P _ R?C " Parcel# Legal Description -1 g S -agF_ PIP P►r f { � , (�(�,/. Floor Area ot Sq.Ft. I Sq.Ft Valuation of Work$ Proposed Work heated/cooled non-heated/cooled 1d g Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial esiden If an existing structure,is a fire sprinkler system installed? (Circle one): es No N Florida Product Approval# EL Li 7'7 For multiple products use product approval form _ ^ Describe in detail the type of work to be performed: re�-rr��1) Property Owner Information: Name: lrns- (FItzQ4e4_h )_)6Qs Address: q)-a csotan j2d City /I 00it_ j (ih State rLZip 3 3 Phone 9CJ�-1 -(p�7 E-Mail or Fax#(Optional) Contractor Information: Company Name: n�S Qualifying Agent: PIYIC/!' G f"7. ES� Address: G City C k State_e Zip .tea 1 Office Phone - - Job Site/Contact Number N # State Certification/Registration# Architect Name& Phone# 1� Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells,Pools, urnaces, Boilers,Heaters, 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. I hereby certify that I have read and examined thisapplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether spped ted herein or not. The granting of a permit does not presume to gave authority to violate or cancel the provisions of any other federal,state,or local iaw regulating construction or the performance of construction. 1_s4nature of Owner Signature of Contractor , � Print NameAS��reata��b�ltltttt� tit�t `�•''° �1.E . ly °ri,, Print Name ....1..t.. .!' �'?�R �......... ... .... . \.... ..55.,..E .� Gt tC.............C� �' �,�Gp� 24 NFfA»'t� •'6©� 24,0 S 5 Sworn to and subscri d be ore e r ; , av 20, Swo to and subscr ed before me s •y \aY °�,� . this Da of _� •2� �v "9m 1 �,, _ this Day f 0 '� "'+ :*_ /�� '� #DD 995030 o #DD 995030 ;oe Notary Public 9y:� ndedthN Q Notary Public '��9�'•. ey aid' O 7 /��iiB�� ►i�ii�ii��` Revised t�1't �P��°�•�` Doc # 2010229083, OR BK 15383 Page 856, Number Pages: 1, Recorded 09/30/2010 at 03:44 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain rcsi property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. l.Description of property ftar dvcrlplfo): -a PT ! 1931 C6 a)Shroet(job)Address: 2.Genersl description of improvements: f 3.Owner Information a)Name and address: , CG�h� x.133EInboAnRL b) Name and address of fee simple titleholder(if other than owner) &/I) c)Interest in property 4.Contractor Information n a)Name and address:��CQ AnG d �r RI" i y, Ll� SOORokd6n1201 Z9ft.�e1U14, b)Telephone No.: r N- •! -/01 D ( Fax lidd.(Opt.) I -/ S.Sw*V Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: N Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: NV b)Telephone No.: Fax No.(Opt) i 8.1n addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b) Florida Statutes: a)Name and address: a b)Telephone No.: Fax No.(Opt.) 9.Expirstlon date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): 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 1,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FU ST INSPECTION. IF YOU INTQTW� AIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK YOUR NOTICE OF COMMENCEMENT. �'? IMISS/p�•� �� srATE of rwahuA ? f i�t 2�,?0 �g;�9 COUNTY OF PINELLA.S *.� �iS ✓tO. w. z Signature of or Owners Authorized Orflav/Directer/Panner/Man or ODD AAj5' Print Name The foregoing instrument was'd t �efore me this A day of 20�by _1 rz6OU4 1-60S as /)Id)n_0'r (type or authority,e.g.officer,trustee, attorney in fact)for (name of party on behalf o w m trumeut was executed). Personally Known_OR Produced ldcntitication r Notary Signature Type of Identification Produced I la id LE!I U7 f I iQ/i7S2 Name(print) �1�illr,/�e �•�IIEC� OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,l declare that t have read the foregoing and that ii the facts stated in it are true to the best of my knowledge and belief. taaMsmcc,r„moto Signature or Natural Pelson Signing(in line 9 10-)AN)" 3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD - ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001221 Date 10/06/10 Property Address . . . . . . 1229 MAYPORT RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 AMPS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DOMINOS PIZZA KIM' S ELECTRIC, INC 2739 TOWNSEND BLVD. PO BOX 28792 JACKSONVILLE FL 32211 13619 MAIN STREET JACKSONVILLE FL 32218 (904) 757-6633 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 60 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/04/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 60 55 . 60 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59 . 60 59 . 60 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 1, Ph(904)247-5826 Fax(904)247-5845 ( ZZ .TOB ADDRESS: a AIU2 r R -PERMIT# NEW SERVICE ❑Overhead ❑ Underground ❑Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of?Meters ❑Commercial(Main) Service 00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: l 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps J A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG ❑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. j� n Property Owners Name `✓U k 1 V U ) S !✓ 1 Z-z A- Phone Number Electrical Company (S Ei c I _<C_ C_ Office Phone cfo 4 J S-7"W o 3 �ax 7 S 15 3 75- Co.Address: �/ 3 Y 1 i � /�^'[Mjai ) S �" City 3�f State F1$-Zip 3 Za at License Holder(Print): K I K f1 s✓Il.,Je A- 34-r✓ Statertificatio gistration# C C-Aoo u Notarized Signature of License Holder y p qy HIRL L RAH Sworn,and subscrib e MM I #0 2' y 2 N I' Underwriters Signature of Notary Pu CITY OF ATLANTIC BEACH s� 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00002045 Date 10/07/10 Property Address . . . . . . 2405 MAYPORT RD Application type description COMMERCIAL NEW CONSTRUCTION Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 1200000 ----------------------------------------------------------------- - Application desc NEW WALGREENS DRUGSTORE ----------------------------------------------------------------- - Owner Contractor - ------------------------ ----------------------- ADAMS, FRED EC KENYON 2405 MAYPORT ROAD 10028 SAN JOSE BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 389-2353 ------ Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . BUSINESS Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . WALK IN COOLER Permit Fee 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/11 -------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . 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 . Tapping of existing water main must be done by a Florida Licensed Underground Utility Contractor. Coordinate with City prior to completing work 2 247-5834 . Fire lines must be metered with a Sensus touch-read meter. Meters larger than 211 must be installed in a vault as noted in JEA specifications. Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . Fire lines must be metered with a Sensus touch-read meter as shown 'ton plans . QQ,,��Meters nlarger ffthan '' 211 must be installed PERMIT IS:►PPRQWEDYW.4'tIN��C&"qA 'M+H`W" C�'�A'Y'i'. WAHORDINANCES AND THE FLORIDA BUILDING CODES. ♦ r' l Ja CITY OF ATLANTIC BEACH 1 j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00002045 Date 10/07/10 ---------------------------------------------------------------------------- Special Notes and Comments Contact City to have inspector observe tap at least 48 hours prior to construction at 247-5834 . Roll off container company must be on City approved list and cannot be placed on City right-of-way. SWPPP and Erosion Control Plan must be available on site at all times for inspection. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE 3 . 62 ST CONSTRUCTION SURCHARGE 65 . 15 AB CONSTRUCTION SURCHARGE 7 . 24 STATE DCA SURCHARGE 2 .70 DEV REVIEW-COMMERCIAL/IND 300 . 00 ENG REV COMMERCIAL BLDG 150. 00 ENG REV PRE APP CONSTR PN 150 . 00 STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 STATE RADON SURCHARGE 68 . 77 STATE DBPR SURCHARGE 2 . 70 SEWER SDC-SYSTEM DEV CHG 9437 . 00 UTIL REV COMMERCIAL BLDG 75 . 00 WATER CONNECT/METER ONLY 330 . 00 WATER CROSS CONNECTION 50 . 00 WATER SDC-SYSTEM DEV CHG 4560 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 15206 . 18 15206 . 18 . 00 . 00 Grand Total 15296 . 18 15296 . 18 . 00 . 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: A L(::�,Z- W\Q p`- ,l Lk!e- e en_r J PERMIT # (6 q ®� s 11,939e- won PROJECT VALUE $ NEW 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 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI# Air Conditioning: Unit Quantity Tons Per Unit _ REQUIRED Heat: Unit Quantity BTU's PPS-TT Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System .. -es 3 sets of plans) Fire Standpipe 1 es 3 sets of plans) Underground Fire Main t :�s 3 sets of plans) Fire Hose Cabinets s 3 sets of plans) Commercial Hoods 3 sets of plans) Fire Suppression Systems 3 sets of plans) FIRE PLACES TS: Prefabricated Fireplace Qty Gas Piping Outlets BTU's ALL OTHER GAS PIPING Quantity of Outlets #Vented Wall Furnaces .. - crndenser BTU's # Water Heaters _. -:Vection Systems anks (gallons) n Wells OTHER: -Lr-,S-t&tl \ 54^w�ec o�pl �cQ 1 r�St e �i 4 110&4k-,a Cce%�Greezer C��,6c �t�,,f - f�ffiG�ia kap alfechu beE. S'�-kb*%Xttt& 1.144 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.11 hereby certify that Ihhave 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. Property Owners Name A ar e A A i 4-A-tti e. �e nc � LLC _ Phone Number Mechanical Company 0iCA � 4C ,c ZA MEl-- G 6knl'cc. j ��T �, r Office Phoneay6 --5,Yq Fax tie 0_a 44 -ko` Co. Address: �ArA5 -r-0-2 �uc, City ®r 1 CA-clo State F,- Zip 3aYo4 License Holder(Print): Te, c,r r State Certification/Registration# C!M Q 0 q�P P y n Notarized Signature of License Holder Sw n n day o —20 tQ No, Public 8t of Florida Signature fr"�, k l i6nn L `ery My Commis OF aq Expires 061 12012 ADVANCED MECHANICAL SERVICES 2475 Regent Ave. Orlando,FI 32804 Ph. (407)246-0589; (407)246-8071 Heating&Air Conditioning Commercial Refrigeration October 1, 2010 Subject: Power of Attorney To Whom It May Concern: I hereby authorize Sba r r to pull a mechanical permit in The City of Atlantic Beach, FL in my place for refrigeration installation to be performed at Walgreens #13028 located at 2405 Mayport Road in Atlantic Beach, FL. Sincerely, c Jerry J. Sharr, President ADVANCED MECHANICAL SERVICES OF CENTRAL FLORIDA, INC. State of: FLORIDA County of: ORANGE Sworn& Subscri ed before me this 1 st Day of October, 2010. E"If .No y PubliKristi 10)reA "" 4yGomm" v s06° I CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00002045 Date 10/05/10 Property Address . . . . . . 2405 MAYPORT RD Application type description COMMERCIAL NEW CONSTRUCTION Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 1200000 ---------------------------------------------------------------------------- Application desc NEW WALGREENS DRUGSTORE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ADAMS, FRED EC KENYON 2405 MAYPORT ROAD 10028 SAN JOSE BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32257 (904) 389-2353 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . BUSINESS Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc LOW VOLTAGE, DATA, CCTV, SOUND Sub Contractor AURORA FIBER & COMM. , CORP Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/03/11 ---------------------------------------------------------------------------- Special Notes and Comments Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . 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 . Tapping of existing water main must be done by a Florida Licensed Underground Utility Contractor. Coordinate with City prior to completing work 2 247-5834 . Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must be installed in a vault as noted in JEA specifications . Avoid damage to underground water/sewer utilities . Verify vertical and horizontal location of utilities . Hand dig if necessary. If field coordination is needed, call 247-5834 . aaFiiree�}}.��lines must be metered 1wiith a }S�ennsus touch-read meter PERMIT IS APPROVED'%; LQ�I P004ARANCE`�`i' �li L �4V%P ►T> R� I4�ICR11 roMN. E9- aIIFI"RIDA BUILDING CODES. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Page 2 Application Number . . . . . 09-00002045 Date 10/05/10 ---------------------------------------------------------------------------- Special Notes and Comments in an vault as noted in JEA specifications . Contact City to have inspector observe tap at least 48 hours prior to construction at 247-5834 . Roll off container company must be on City approved list and cannot be placed on City right-of-way. SWPPP and Erosion Control Plan must be available on site at all times for inspection. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Oct 041011:32a Aurora Fiber 8138862494 p.1 I- Municaums FACSIMILE TRANSMITTAL SHEET TO: City of Atlantic Beach FROM: Rob Kirk COMPANY: DATE: 10/4/10 FAX NO.: 904.247-5845 No.OF PAGES WITH COVER: 5 YOUR REF.NO.: SENDER'S REF.NO.: Electrical Permit Application RE: Master Permit# 0900002045 "Correction to Application" NOTES/COMMENTS: Please find the following application and necessary documentation to be added to the above referenced master permit number. If you should have any questions, please feel free to contact our office. Thank you. Rob Kirk 6011 Benjamin Road,Suite 106 Tampa,Florida 33634 P:813-886-2621 F:813-886-2494 www.aurorafiber.com Oct 041011:33a Aurora Fiber 8138862494 p.2 ELECTRICAL PERMIT APPLICATION CPTY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(9-0144)24,7L-.5826 Fax (904) 247-5845 �(P Q'7oo00 � C,Ll5- JOB ADDRESS: 7 d-S AtLy e c�"t T 0.n 1 L L ` ,PERMIT# , , �72 X-77 NEW SERVICE ❑Overhead ❑ Underground ❑Underground up Pole FResidential(Main) Service 00-100 amps 7101-150amps ❑151-200amps 0 amps #of Meters ❑Commercial(Main)Service 00-100 amps 0101-150amps D 151-200amps C amps DCT Service amps Conductor Type Size _IMulti-Family(Main)Service DO-100 amps C 101-150amps J 151-200amps ❑ amps #of Unit Meters DTemporary Pole ❑ amps SERVICE UPGRADE D amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) x1100 amps O 150amps 200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200arnps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 1.1 Swimming Pool 0 Sign CSmoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK S REPAI RS/N11I SCELLANEOUS Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG �ther: � ��tT"hl)E..P �&A C�C i 1, Wn&4 ]n Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby comfy 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 %pccified or not. The permit does not give authority to violate the provisions of any other state or local lacy regulation construction or the performance of construction. Property Owners Name k—A-).A L&12,4 /V S Phone Number t� Electrical Company Aol?, ZA Ci�.� *-Cr, snw�.�.�:e�rS Office Phone — 2-1Fax �..2 �d�11 /fin 3/tm.,v 99 Af& City ,� State t ez Zip 3____� Co. Address: �,, License Holder(Print): -f Are,4 32 State Certification/Registration# ECA -CC�1(o3 7 Notarized Signature of License Holder J ♦.�i. Ft-,�NROBERT A K5W0 fMd subscribed before me this da of L.Gr 20� - �ntissionDl� nature of Notary Public x= •.nnn"ion � .. Les-- Lgus123.20 Oct 041011:05a Aurora Fiber 8138862494 p.2 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach; FL 32233 Ph(904)247-5826 Fax (904)247-5845 JOB ADDRESS: 6�Y O S AO_V e ortA f-i r L / PERMIT# Y2 a-77 NEW SERVICE ❑Overhead ❑ Underground ❑Underground up Pole Residential(Main) Service -�0-100 amps D101-150amps E151-200amps 0 amps #of Meters ❑Commercial(Main)Service 00-100 amps 0101-150amps D151-200amps C amps QCT Service amps Conductor Type Size ]Multi-Family(Main)Service �10-100 amps ❑101-150amps 151-200amps ❑ amps #of Unit Meters C Temporary Pole ❑ amps SERVICE UPGRADE C amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100 amps ❑150amps 0200amps []_____amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS OSwimming Pool L Sign ❑Smoke Detectors____Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist) Qty volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS F Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change C OH to UG L7diher: 4e:nk1 l In t-"hf� i✓ t Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certif}that 1 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. Property ON%mers Name `.�.� Itjl'��.�S Phone lumber c� t. Electrical Company JILU�/f ��>QiS� fi'Gl".�rinrs,• hz-wS Office Phone Z Fax Z!§/ Co. Address: 60211 /&W 5,bn.A-) R-0 A`�Y� City "'1 State 42- Zip -_�3� License Holder(Print): S.i4rsr-f:2 Ae AVIK-4 S, Y2 State Certification/Registration G� &37 Notarized Signature of License Holder a►Y ItogERT A. u�t5i °"d td subscribed before me this day c f LAG 1p; - 20Z °/ �,�� •.misSiCfl SDG � . .nmiasion lure of Notary Public _.- ugust 23,20 i s CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD +J =` ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001205 Date 10/04/10 Property Address . . . . . . 5103 POLARIS CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 ---------------------------------------------------------------------------- Application desc renovate bath/shower ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 848 AILY CHURCH LANE SEVIERVILLE TN 37876 (904) 662-1528 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50 Issue Date . . Valuation . . . . 7000 Expiration Date . . 4/02/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 50 131 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. May it 10 12:30p 4 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 804 Seminole Road,Atlantic BeWA FL 32233 Office(904)247-5826 Fax(904)247-5$45 Job Address: -51 l) PO I._.pr R 11 CT Permit Number: © Sr- Legal Description S Parcel# Floor Of q. t t valuation of work S ? 0 bb, Proposed Work heate&wel ed non-heated/cooled Class of Work(circle ome): New Addition Alteration ( Move Demolition pool/spa window/door If as a i"a sysne):inshi&C iv. (Mri lei osm):_" �No /A Florida ProductApproval# For multiple p acts an preaud approval Form Describe in detail the type of work to be performed:_LZ EN 1)0 ATE R I'►"i"I i/�5 Ho 1)612 Sla 1-412GGM EMII)AiE d IUCLU -4 IN LL. dP,'qWRLL-'RE 1Z0 '1E F-L Property!Owner Information: i.1;1 ►2 I N& Name: Address:_C)N E ft. E'I L=AN_D( I-G City JAILPrN I(- i Stater L Zip s Phone &Mail or Fax#(Optimal) Contractor Informa>r<: Company Name:_ 5'ri CrE P)u I L-D E f2-_5 Qualifying Agent: J u TT I1 CJ U 1`1 C C P<-01,aq Address: E. J City NOTA N E- Y3[✓(mak 1 Stabs V l Zip 3�lc Office Phan - 5Q, Job Site/ J O State CertificgdonMggistration# C o 5 to Architect Name&Phone# ^ � , :TM -<- -- ,,fes--•, Engineer's Name 8t Phone# i Fee Simple Title 1161der Name and Address Bonding Company Name and Address E Mortgage I.Ander Name and Address �lppluaruiarr is made m obtain a�to da the worE a►rd iitstallatiovas as iirdirated I �x.,„ s��.�.•,•,Y.�.�;,`��•,.�,.,M aSalaa7tL16 a p�and tAlnt ail worn will be rID neaet the.staaa&ands of at7laws regrla<ibig�uta �� '_��i T7ata � �Ji and void �rorA is Hat r�oed wit�lae srs�or tf�ol•warh lar or abtardoraed for a_pas�d of aLx,�[b�m �, C�� mSP�'�'Pr+wfis Haat be a for War#,P�en�.�a�, >►"�s,,�o�,� :B• � �i� sr�r m WARNING TO O'PV]NER: YOUR FAILURE TO RECORD A NOTI `O • TFNH J��••; .� COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IlVIPR F TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING ON YOUR LENDER OR AN ATTORNEY BFFoRE RECORDING YO COhuE \\ C7IE T. �TIt NO '4�yy,�.(.(.�•° .�' ��'..•,, "WI`s` \\\��` •J�,tl'II11111\\\\ f here aatefy tHat I base stead amd esarratned day ardX�raw the saint to be tyre mld correCt. .ltl prwisioars of laws sad aedis'ameeas g this type o}waryTr wi/t be card wide whsdier d hersire orr awl T7aa gr+c�tbeg of a Ptrm#does raviP^ 2 +�uY to vialme or the Pr°�sio�v�'anJ'�ta'.fed�a�sJtat�alocal a+egulatiag eaatna�on or t�poet of r.�rsia�,:Yion. Signature of Owner_ L6--C , Signatm+s of T�U.- C)\-� Print Name /a-t'og Y,J _ j5—�- �.__. Print Name �J uu r , , �I C 20 Sworn to and subscribed:before me Sworn to and sub before me this�Day of a 20/O 20 (D I at Notary Public No ••�••••. EUZASETH TESKE SEE PERMITS g $ 6.10 Nofsry Pwic.Side of Flo W REQUIREME . • My Comm.ExWra Apr S.2018 N'IS AND CONDITIONS. cam muw#00 OO1M REVIEWRD BY: SoeAN T1rarA MNioeY Mogty Ase DATE: a ^/ Doc#2010229768,OR 13K 15384 Nage 743, NOTICE OF COMMENCEMENT Number Pages:1 Recorded 10%01'2010 at 11:51 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL �� e �a D � COUNTY Permit No. RECORDING$10.00 Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description): U p—l S Cr . C 14 �- a)Street(job)Address: IS I P 0 R —1 L - L 2.General description of improvements: W r' bE- G 3.Owner Information a)Name and address: Iii -C RONE E LZ f;i Lb N b I PA& 6"t>; h 1 LXX NTI L-��f FL b)Name and address of fee simple title older(if other than owner) c)Interest in property ME J i M1 P L E _ ,4.Contractor Information a)Name and address: Pp C6TIl: &t 1 L-be Q2� ✓✓T J EP—1 U N E 4 t FL b)Telephone No.: ; Fax No.(Opt.) S.Surety Information a)Name and address: A b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: No Ne Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: NONE b)Telephone No.: Fax No.(Opt.) 8.In addition to himself;owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): 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 L SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PINELLAS 10 Signature of r Owner's uthormed Officer/Dmztor/Partner/Manager Print Name i The foregoing instrument was acknowledged before me this - J day of � U M F ,20)�by I�- -1 F �� N1N Cc�'� (type of authority,e.g.officer,trustee, attorney in fact)for, ��C (name of party on behalf of whom instrument was executed). Personally Knowny OR Produced Identification Notary Signature c Type of Identification Produced Name(print) OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are a p, LIA E H SKE r a� Notary Public-State of Florida ,o FoxrdsmroC,Nsdzoio : My Comm.Expires Apr 5,2013 r: gnature of Natural rso Signing(in line#10.)Above gP••• Commission#DD 867829 Bonded Through National Notary Assn APPENDIX 13-D' FLORIDA ENERGY EFl1gENCY CODE FOR BUILDING CONSTRUCTION FORME SING-04 PAOWMMM Limited Appikofic ns Pniaarlptive,Method C SOUTH 18 9 Small Additions,Nenaivations i Gilding Sym Compliance with ikYsd Cot Sue42opte BdNe haft Energy EffxbFW Cade eery be dated by the vee ori harm 600G04 foadilt+ars of 600 sWm feet or less,srte-irstalled components of manufactured heroes,and emevatiors to siepbr and mudtipb-tarriy rte..Mentodive rmft s are provided tvr Millions by vat of Fam 601004 or 6004-04_ PROJECT NAME C M LDER: u I L. r— AND AODRESS: pERBI1MNG CLIMATE L OFF14'.E: ZONE. 7❑ 6 ❑ 9 OWNER: NCL-RE FIEiMdT NO.: JU DlCtiQwF N0.: SMALL ADDITIONS M MSM RMODIC6S OW square feet or less of coslitieavad area).Prescriptive r in Tables 6GL CIC-Z and 6C3 appy only to the components of the addition,not to ft*existrg bwkiw spate paodrq,cooling,and e!r heading equiprnenttrgtM leads mug he met Only opopment is installed speediiiailly,44 serve the addftism or is being installed in conjunction with the addition cosbection.ibrnpenes separating uncoaddianarl spaces from conditioned spaces rued and the prescribed ardainttuntn hesuktiar levels.RE)WATtONS(A"whal buildings undarli tq nesroliers casting more Vain=%of the assessedveies of ft huiding).Prescrptim mini evair is in Tables 6C-1 and 6C-2 apply only to ft can;ponents and equipment being renovated or reppcnd,f AWACTURED HOMES MW BUILDINGS.Only,slit4i"bled ca op neift and fedoras aetaavrad tq,Ilas firer,BUILDING SYSTEMS Connpy when complete,new"ern is installed. Pesase Prim CK 1. Renovatloar,Addition,Hewn or Mataadftchesd tloraae 1•_ 5 - 2. Singk-hmiyy,detected or Waite-iaent`ly herd 2. 3. 3, N MuRipin8y-Na tat covered by Ofts4shssi+oss 4. 4. Cordoned flavor area(sq.IQ 5. f -- 6. la edontinant eave overhang(If.) e. Glass type Wad atretic Single Pane Double Pane a Clear glass se, ate.n sq.ft. b.Tad,Mrn or solar scxYien 6111_ _ sq.It. sq,11. 7. Penperd"m of giass to boar ar lda 7. = �% S. Floor typo and Yasutation: a Slab-on-grade(R-vakirej 8e, R=_._QA Un-ft. b Wood,raised(Ft-value) W R=--_� _ sq,ft_ c.Wood,common(R-WAM) ft R=----- ----sq.ft. d.Concrete,raised(R-value) &L R=- --T�sq.ft. e_Concrete,common"us)us) 6e. R=_--- -----sq.ft. 9. Wali type and iraanaletton: a- ET:lerior, 1. Masonry(insulation Fl-value) 99-1 R=-- -- -sq.ft. 2. N+dDOd frame(insulation Fl-value) 984 R= tl--- -T sq-ft- b. Adm 1. Masonry(Insulation R-value) 9b-1 R=----- 1 sq.ft. Z Wood trarne(Insulation R-valine) 9b-2 R=_1l_.-- _se,.It c.Marriage Walls of Mldipi9 Units`(Yes(ND) 9c' ------ — 10. Ceiling type and irasulation: a.Under attic(Insulation Ft-value) 10a. R= _ sq.ft. b-Single assembly amort R-value) lob. R=._J�_ sq.tt. 11. Coos"svoin m- (TYpes:central,room reel,package terminal r4,.C_,gas,existing,nom) Tom.-`__ '�t SEERIEER• Q�r4 12. Heating � T per,exec stop,natural gas,LP-gas,gas n,p.,roam or PTAC, 12. Type: N E H i- PLtM t->u ffidsling,none) (z K 13. Air distrillIildon System' a.Bat damper or Stele package system'(Yes No) 13a. b.Ducts on mamage weft adequately sealed*(YestNo) 14. Mat ivadew system►: 14. Type: (Types_.elec-,natural gas,tuner,existing,money EF: "Pertains to manufactured homes wiM site-instafted components. f hereby certiry thraf ttve piens and tevarnnd by the cw10W260"ate in compliance with Review of plans and specifications covered by this cakolation indicates compliance with the Honda the Fbrida Enncrgy Cade- Energy Cede.Before co strttctial is completed,this tenting will be inspected for compliance it r o aecadantse with Section 5ss.9M FS. __ 1 hereby certify buildirnp in can vwth Florida Energy Code tMa WNB O�IdAL! -- OWWR ABEar p ate. FLORIDA SUR DM coin-8UKJDING 13-0.37 APPENDIX 13.0 Climate Zones 7,8,9 ueLE 6c-1:PSE a8111A Ellellt POp>111111R1.AaBIUM flit/era.FL all Ln*.REO WITI Ma 1811ARAiUlBMU fit ME-IwMMI C011MM Of K4KW MD Hoo toomm afSflLATION MINNUM INSTALLED e mo"TM DMALLED EFFICIENCY EFFiCI MY Concrete Block. R•5 - __.---. Frame,2,x r R-,1 .ri j --_-- z jCrvdmdA$G -SpR SEER=mo SEER=_ Frame,Z x er R-19 -Single Phg. SEER=3.7 SEER= ,--- C mmon,Frame R-11 '-- -_.__- O Roan unk or PTAC EER =.8.5' EER Under AtPC R_30 Recut ReS"kmm ANY titpumo-Sall HSPF=6.8 = Frame EnclosedR 19 sZ- Plug HSPF=6.6 A Pans M13 Roamta*orPTHP Coe =2.7' _.- --- SlrVIsAssembirOpen R-10 Camion,Frame R-11 -- 0 Gas;relieved or priVene AFUE=,78 AF JE_- - -- -- a Fuel ON ARSE=.78 - Slab-on-grade 00 hft*num Qso - O Bam d Wood R-11 farIsed Concrete R-5 W Common,Franc Will #_to t3adtec ttlrtcw EF=.W EF=^_ F Vq iyae,reHAgaf or LP EF=59 EF= OIn unmrd6ared ap me R-6 _....__. _._.._-. 3 Find CK EF=M EF. In cond oned space tea ernknum ME OC-2:PIESCMPM REQU11111911119M FM a=AMU IN ADS OKI See Talak 13807.1 ABC.32 and 13-6MI ABC.3z Ma*Mm qlass to Soar area arbwed is selected by 4Ve,overhang lef1p,and sow thea VM coriffichent Maximum%=_--Insi d% GLASS TYPE,OVERHANG,AND SOLAR HEAT GAIN COEFFICIENT REOL1111RIED FOR GLASS PERCENTAGE ALLOWED LIP TO 20% UP TO 90% UP TO Off% UP TO 50% Sheye Double SIM}e Double Single Double Sktgle Doubl OH-SHGC OH-CU40C am-SHOC OK43NM OH-SHGG 0141,040C iC 0H-SHGC OH+SHGC 1'-.67 V--78 2'-_87 t"-_78 S-.87 2-_78 4'-.87 3'-.78 9-.75 V-.75 0_.61 2'--75 1'_.61 3-.75 2-.61 0r-.57 V-57 0'-.44 7-.57 V-.44 0-AD V-.39 0'-.35 0'-30 Oat csrtlled EH139C ftota the rtere hater or tee ddatft Sktle dear SHOC=.75 double dear SHGC-.86,and*I*Unt SHOC=.64 TABLE SC-3 MMMM REWREMEMS FOR ALL PACKAGES C01101120"E S SECTiDN RE FS CHECK I!Xw r,loenls i cmdm 606.1 To be CmAked,gsskeladL weagior-sb ppect or otteirmse sealed, y� Exted"TroK ms i Doors 606.1 flea-0.3 drrVsq.R,window area;.5 chrL%q.tt.door area, V sole 8 Top PDMS 806.1 Sao plates and penalrabom 1ao+gh toP plates of exhsdor waft must be sealed. y "Moe"d Ljow y 806.1 Type PC rated wilt no panesaions(two ahernobv s Wkr&WQ ✓ lilultlaiory tfohwsa 606.1 Air barrier an perknene of Not cavity between floors. ExhmM Fath 806.1 t fans vended to space stray leve datmpers,s)aeW fa combustion devices vv111 irdn"exhaust ductwork.. Combusl{en Haedleg 806.1 Combus ton speoe and wells hea ft systems Must be pawvilad wNr otAside combuslim air,®coapt for diad vend Watr tlaetars 6121 G-*wNh 0111110moCY wryuiremWft in Table 812A.ABC 8.2 Swfth or dearly nmrmd dm*breakoretacbtc ora" lases)mut be provided.Estarrai or buk-in heat trap regWWJtx veedcal pipe rt ars. Sud mrrdno Poets a spas 612, Spas a heated pools Mang twwo covers(exoso solar heaeada.Algra�tvmftlet POW haaffirs must ureas mbhkaan themed a tiny of 78°k, pods rant flava a ixtrrttr tkrher,t;as spa a Not Warr Piques 8121 kshumion Is required tar het vteaet cimdetk,g syse ane(txax*Q hear recovery te). &rower Heade 612, tfilrar Inv mat be aeol4cted in no rate thea,2$goorw par MW W m 6D priHVAC Dud CamdemMor, g ulated NI 61(11 All duets,fittings,-henioel atlte(inerd area Plenum chambers SW be -houdlowtiled in accalden0s wdlr ttl he aanto of Section 610.1.Duds i!asks mast be hindeteA rt t of R8 and ✓ HVAC Cordaote 607.t SepIrate readily accede mares or autareUC therrnMM to each sysktm. GENERAL DIRECTtOMS: 1. On Table 641 b'ft ie fba W"alue of fhe insablian bft added to each tea and lora nfr"ncy Ie1e1s Of the"*OW i All R•x#uea orad fnsia{le8 must meat or exceed the minfmwn valine kht CMVOrleris and OSOMM golfer belt added nor mwlmftd a"be left blank. 2. ADDIold hemasnod TIONSaWy teelraiea the pwm4p daesylaea to Whorred s el e a kt Ise additbn as fWiows.Hilal tis attire Ofall glass windows.skkV�s doors and glass door pared.Double the eubha ln'd from the moi 9�ma-Mid add l Nee t toss hotel.► le muakng ade6or rralls fs being removed or enclosed by ftte ad "],an amount crone to the laid area of this glass may be GMIffwd oa area.Divide the adlmied gess area tont by the ilxadiloftmf furor area of the adddion. Ig oe rots on Tatae eat.rtesm'a.ae ata siwan W fim lupe of alaas chute)and ate ltol>(gy H)to gal the psuMM Fmd the larges)glass percentage under which your filar cadieiaR allowed is fsemte a dounre pain caelf,,Wni(SHBG).F.,a given p{qe ty9rs a overfanq,the miregasrt sow heat speciMd.Ao""M wiWom and doors Chep K Peaati Of V a soar next to comply with the overhang and Solar tall gate dant reguhsm�on T is 2.AH new gins in the rua�the atm the a the house aw being rarswtaa n pe addition do nor wave YOU indicated-The evolving(OH)dim is ahaas lei parm,,diceled,bar,iha taxa d the glass is a lx7iM dkealy under the athrt„ Ment%I ate M ire t+Pliotus in its t percertfege catega,y 3. RENOVATIONS Otl,Y stent glass Moi is acct tts t edge of the troufterrg. and whose swat edge dons rot onend hnasw thin a hat,roam ueaie �4�s type and solar heti govt wafhdW may be feed for glass am which are under at least a 2-foal overt" double-paw brined f%W Gras 8ro being renovated that do not" rhis crude must ba either-VIS Pane tinted,double-pane Meer or 4. 8UILDIMG SYSTEMS Comply when new$10,1,sasiafkd)a system Mia W 5. Complete the ptreon s fe*wsted on tae me to at page 1. 6 Read'Minimum Re'lleramente kx Small AdAkaes and Hertmratioru.`"fafaly 6V,3..mut rhe*all appncabie ff$ms. 7. Read,sign opal data ft Uvmp4,,,ff c,,,eft1k,,Wemnt on page 1. 13-D.38 FLORIDA BUILDING CODE-BUILDING Q Aillr`i City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) =~ r 800 Seminole Road /D 1 Atlantic Beach, Florida 32233-5445 /2 d Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: / J City web-site: http://Www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: J*�IdJ / °C- jS C. ►� De artment review required Ye No Building Applicant: W66g-71 7 L O� g &Zoning Tree Administrator Project: ?JAI'd Public Works Public Utilities Public Safety Fire Services � �!!� 1+" ��`�'t�� Gr�t��2�u � S . ��r �iT�i� `'��' �M11✓ ` � '� wm b'`4t� r� sem` M ¢,' d,t�'� 4 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: TREE ADMIN. Second Review: ❑Approved as revised. EID49ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. [-]Denied. Comments: Reviewed by: Date: Revised 05114109 CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 " INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001205 Date 10/07/10 Property Address . . . . . . 5103 POLARIS CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 ---------------------------------------------------------------------------- Application desc renovate bath/shower ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 848 AILY CHURCH LANE SEVIERVILLE TN 37876 (904) 662-1528 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . BARKOSKIE ELECTRICAL SERVICE, Permit Fee . . . . 58 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58 . 00 58 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 62 . 00 62 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I-AA Ut 1U U9:28a BARKOSKIE ELECTRIC (904)249-8017 p.1 ELEcmucAL PERMIT APPLICATION CrrY OF ATLAN-nc BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-3826 Fax(904)247-5845 TOB ADDRxss: _/ 41 3 p L j2 i s 7 PERMT NEW SERVICE ❑Overhead ❑ Underground ❑Underground up Pole ' ❑Residential(Maim) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 00-100 amps ❑101-150amps 0151-200amps C1 amps OCT Service amp Conductor Type Size OMulti Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑'Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200arnps ❑ amps OCT Service amps ADDMONS,REMODFLS REPAMS,BMD-OUTS,ACCESSORY STRUCTURES,ETC. Oude&Switches: :Y _0-30amps 31-100atnps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swumiming Pool D Sign ❑Smoke Detectors____Qty ❑Transformers KVA ❑Motors FIRE ALARM SYSTEM (Requires 3 sets of plains&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK S REPAIRSIMMCELLANEO US ❑Replace—B�urntlDamaged Meter Can ❑Safety Inspection C❑OPanel Change DOH to UG (Other:_ l��t_A-C.t :ala PLAY �J��C&S k_� iCCF� 207c/JrJ,4r— Pelma 1, =1 void if work does not commence within a sur month period or work is suspended or abandoned for sic months. I hereby certify that I have read this application and know the same to be true and eormet. An provisions of laws sad ordin®ccs governing this work will be complied with whether spxified or not The permit does not give mrthorhy to violaw the provisions of anyr other staff or local law regulation construction or the performance of construction. Property Owners Name LA.\ 271 N C� Phone Number Electrical Company K05 K I L= CZ-�FG--M i C-_. Office Phone ZW(- `f73! Fax Co.Address:.� sg�;� /-�nny iks- City Ji17c ,1 State r-L- zip 37Zsz License Holder(Print): State Certification/Registration# Notariked 5ignaWre of License Holder Sworn and scribed be ore me this day of %�"?6f.y ?0/' •w Nola pvVie Stat: n.;!orida r+u8us\ ab ,n Signature of Notary Public t )l._. !— +J1y Co;nmission DD 1 �� a��9f2612�' a� `SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD +} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 �h Application Number . . . . . 10-00001210 Date 10/04/10 Property Address . . . . . . 92 W 13TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4750 ---------------------------------------------------------------------------- Application desc reroof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EVANS SHORE ROOFING COMPANY 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-8842 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4750 Expiration Date . . 4/02/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w 09— CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Job Address: 91;L i A S7 mwof_P ty. 4 ,. f r,<,I4r,�,f r.�lyn�, ��x i, �3 I1�,�.:� ;�.I�,�// 2/1y 3a�U Address: AA/AFV -, ��f► ' c .y 1r�( � ��.,k:J Telephone: 9/3 '/ZG�1.� Roof Com: SA o rt State Ucense Number: C C e- Or-Y-511 CoMuacboes Address: Telephone: " Sf`d ti 2 Faz N 1 _ 'iYl Emaik scope of work: 2 t 2 u I= Roofing Material 30Ze h• %*9 P?`o Ft Product Approval# /q S valuation of work S Required inspections: Slxm"g/in Rogress-DrY In /Final If ne-roof: Assawed Value of structure:✓<$300,=/>$3W,0:Roof4oali►all improvemerts tegrdreR (AppNes to single famRy seructures only) "WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR UNPROVEJNENTS Tn R PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORD®AND POSTED ON THE JOB SITE BEFORE THE INSPECTION. W YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER ORANATTORNEY CORDING Y CEOFCOMMENCOWENT- ----------------------- SIGNATURE OF OWNER: \\µY P 4 JASON DRACH AS TO OWNER: ,F� = NotaryPublic .State of orida Sworn to and subscrlbed before me this day,of20 • •- -fi �Jo•Gr— �s . M ; oma; y Comm. Expires Aug 912014 State of Florida CDUrTLY of ) '�:,�� ;° Commission #EE 14 3 Notatys Signature: 0 Type of Identification produced i GvrrlG� !�'L�IiE�S /�)—I—&I G -----SIGNATURE-OE.CONTRACTOR:-- - Date: AS TO CONTRACTOR: Sworn to and subscribed before me this 4�dWof v� .20 l� . State of Florida,County of Duval Notary's s 10 DD 9571 ary 14,2014 800 Seminoe Road Atiandc Reach Florida 32233-5446 Teiepiwm 1904)247--5800•Fa,c(904)247-SUS F.VW perm*sppkatn Ak= 7/2" NOT1CZ OF Co tC 'rP MplPlCl11� Perrwlfia T,otFobNa I70 8S—ddGO s111"a "! oou*a ,.sr To Mfrosa RmW aft .. 'nMtltdKf1�A MblMiyoo*ItitiwlpOMMNIIii9/bfasuftbsedeft elplupN1116mdfu aoeorrlerresteflAalloUM dttMst4orldealeMrleertlasiaraNot OF cieraa�onaf�opa�rarnotrnprar.d: /:g —3 y 3 W—ISS G 9-7 Ad*M ofpropm caWA"deeorrpI Ofbvwoenwft Ta�oU OwgrIVN�✓ G Pi✓ `fi C r`+ l`/Ir a^i Arldroes oo olviFidd V IA Owaerir iadseet lFr rails attre fmprarrenaatt Fes t3lrrtpelfUetaalderQrotlfaerthen owner; trenre Addeee� Addwees All S •. �� / L G Photos Na_,2 rl l —i 44 Fel Na L - Addlsss Armrsltarborw s Plaorrs fro Fmr Na fame end aftsw crane person nleldng s toes arils oonehucrforr al f�i�npaoMemeatfe frena Addlemn t�irmre ffa Fax No. H, mats — 11111" 1111jefilliftafFft III 1&deefpnebdbjawrerapw -1-n nra15, arolim dom mismelthesexed: lime Addiaes - PlraraeNo� (arl[Na. toad 111111 b itas t oilowig person b reaelrrss oW o(ft Lterwft froQoe=I m i lded In 8scYon 7&0$M ft Flmkle 81*ft%QW 10dOrl Wft eplton¢ ' Nerve . Address htaerasfis. FMNM , -dliretdrtdeaaball Inkmo Gosrtarrelroenleratpheie�ilatandwis anem serifon Inmtsalaoer0gurAms 'rHr$SCEtaOR IfaE pqE- 0 • .r � ora •,_rnss rlMtd lrsp SWA1Vq and VA:a Cae>sw�.r+�a..r.�T..r�� . wfr�rt■xir�ra - av IN or DOC#2010230616,OR 13K 15385 Page 1089, Y Number Pages:1 �,, JASON DRACH, Recorded 10/04(2010 at 11:07 AM, ``" a '- JIM FULLER CLERK CIRCUIT COURT DUVAL z Notary`Public State of Florida COUNTY My Comm Expires Aug 9.2014 RECORDING$10:00 •';;r��o�� Commission 8 EE 14543 J CITY OF ATLANTIC BEACH a 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001216 Date 10/05/10 Property Address . . . . . . 10 10TH ST 3A Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 FIXTURE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JERRY NOLAN PLUMBING INC 3115 HAMPSTED DR JACKSONVILLE FL 32225 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/03/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: �� ! �'� Sfi v�� f ?� PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 4l ._b ,0D TYPE of FIXTURE QTY TYPE of FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE of FIXTURE QTY TYPE of FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other '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 his 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 )r 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. 'roperty Owners Name 5+4 c./G tv Phone Number -2 b 7 'lumbing Company �z''' y �a�� v.��, s • c_ Office Phone 9�j L�ad Fax L�((—k5'Y46 'o. Address: m,sf z K j A r City 5mks ti << State /C�-- Zips1-��S ,icense Holder (Print): �i��-� G��"� State Certification/Registration 4 �G 7k7 V Totarized Signature of License Holder ,a Sworn and subscribed bef ?' sr�v, 201D '• Pf 65:.Fabru 1 ,2014 Signature of Notary Publi -- " CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001188 Date 10/07/10 Property Address . . . . . . 1200 MAYPORT RD Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3955 ---------------------------------------------------------------------------- Application desc INSTALL NEW CHAIN LINK FENCING AND GATE BTWN BLDGS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KSH PROPERTIES, INC ALLIED FENCE COMPANY OF 1200 MAYPORT ROAD JACKSONVILLE ATLANTIC BEACH FL 32233 PO BOX 6891 JACKSONVILLE FL 32236 (904) 786-2011 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/05/11 ---------------------------------------------------------------------------- Special Notes and Comments NEED RECORDED NOC Maximum fence height is 6 feet . Roll off container company must be on City approved list and container cannot be placed on City right-of-way. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE - 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 39 . 00 39 . 00 . 00 . 00 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 J� 800 Seminole Road,, Atlantic Beach, FL 32233 Office(904) 247-5826 Fax (904) 247-5845 Job Address: 1200 RA2f-�oalr— R&AD Permit Number: Legal Description Lor5 t- 7 131-0c--46 �.�T ►# Parcel# Floor Area o q. t. q. t Valuation of Work $ ` �- Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Conunercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed:_ CtQ 0 fr i N-S-rA V1, Property Owner Information: Name: 11 S� Address: 1200 1144M City ,4i Z- 3G1-I State ip Z2 33Phone -0q ._ 2e/9 - E-Mail 2e/9 •E-Mail or Fax#(Optional) !ar74/ • 2_4/'7- 2-/3j Contractor Information: Company Name: At c 1 f c� 4'�M CG oC N Fr.- Qu 'if ' f ene fl p y Address: 6803 W. Bf�vfR ST City State _Zip 32233 Office Phone 186-Zo I 1 Job Site/Contact Number Fax# C,qS-o314 State Certification/Registration# Architect Name& Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address mom r-! ritInV Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all imus regulating construction in this jurisdiction. This permit becorncs mull and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period o f six fi6)months at any time after work is commenced. I understand that separate permits naist be secured for Electrical Work, Plumbing,Signs, Wells, Pools, urnaces, Boilers, Heaters, 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. I hereby certify that I have read and examined this cpplicatior and know the same to be owe and correct. All provisions oflaws and ordinances governing this type of work will be complied with whether specified herein o•not. The granting of a permit does not presume to give author'_ o violate or cancel the provisions of any other federal state, or local lma rc ulntirr,cons7ruction or the perfornro:ce of'construction. Signature of Owner Signature of Contractor Print Name,, OrI�YI:. ... � P- ..................... ...._........................ Print Name 5�.....c G'. ..._... .E.1J..LN..EJ`............ Sworn to nd subscribed before me Sworn�t and subs ribed before me this d,` Day F �1 Ent f'� c. . 12010 this ot^o=-Day of Z34 0 kin be C 2010 o ARY PUBLIC.-STATE OF FLORIDA N iy Pub c G. VININC Notary Public �, ' Notary Public,State of Florida Commission#6D630625 My comm.Exp. Dec.14,2012 �' kieeft6.TAR.06,2011 Comm.No. DD 845300 BONDED THRUATLVMCBONUNGCO,INC. R_ -"- - I I ALLIED FENCE COMPANY FENCE OF NORTH FLORIDA Phone: 786-2011 6803 WEST BEAVER STREET Facsimile: 693-0314 JACKSONVILLE, FLORIDA 32234 www.alliedfencenfl.com /� [ Date: q-2,5-1 a Name: / ?PLtC-ATiDN C-NG—INE�ERIN6 GRDuP Home: /54— 4175' Work: 2A9-17l Address: POP MA4POR7 ?-D City: /- -rLe>ck- State: VIU Zip:?��33 Job Site: Directions: Fax: CHAINLINK: Footage Height Gauge Framework Toprail Lineposts Terminals Gates etc WOOD: Footage Height Style Top Picket Runner Kind of Wood Gates&other work F1,1% R-3 PANE%-S y10o0 oI 76� y 3?' �8 QL 6�-6'5150X ,F 6, C/L- - 47 9So 92. Ao' 06. w/ Pvr sutrS g c c - A785 Contract Price Adjustments Balance NET DUE UPON COMPLETION:Allied retains the right to make additional charges if unusual ground conditions hinder the installation. The Customer is res po sible for providing property markers and property survey. i. Sales Pe on Printed Name Customer ;ti'4" Existing Proposed l Fence Fence Lute d Gate Existing Bldg, Existing Bldg. Existing Bldg. ❑ Proposed Fence Proposed G31es :3 West Plaza Street r _D r3. T r3 G 0 10 20 30 40 50 N IIIIIIIIIII I I I I Approximate Scale(ft) Approximate AEG! ApplicadonsEngineeringGroup,Inc. I20oMayporlRoad Atlantic Beach,FL 32233 AEGI#: 0000-000-0000 9/22/10 CBM (D 69 48' 00" E 355.00' 7.00 50.00' 50.00' 50 00' 5000 STUCCO ARCH— 105.00 �4 ow i 0 O. 0 1 STORY STUCCO A, E. AND METAL 0 U fe4 -PHALT PAVDJENI 'Tt ". 1200 c� o o 0 0 �0 105.00 ILLJ C-� —-- -—-- — --- lzl- 10 0 cl� IJ 95.5 CLEANOUT.— COLIC 0 c� A/C PA" STUCCO ARCH 'F 'cz /00. rAllOLjTS ASPHALT PAVEMENT EDGES BROKEN RR' FiRE HYDRANT� CuNc SAN Y SEWER ER POLI 50.00* 50,00 HOLE 50.00' 50.00 105.00 N 690 48' 00" W 355.00' SET OF I E S T P L A Z A S T R E T tDGF ASPHALI PAVEMFV FORMERLY WEST 12th STREET f A 50—FOOT RIGHT—OF—WAY City of Atlantic Beach 7r4#--_ - E-mail: APPLICATION NUMBER Building Department 10 (To be assigned by the Building Department.) 800 Seminole Road /Ajr Atlantic Beach, Florida 32233-544 V Phone(904)247-5826 • Fax(904 building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /U6 Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services 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: 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 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ;� r} Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Am Z* E-mail: building-dept@coab.us Date routed: fob City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /106 Department review required Yes No Building Applicant: Planning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services 1r �P�na 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING A NING &ZONING Reviewed by: �10 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 05/14/09 9042558559 JFRD-PLAN REVIEW 07:10:15 a.m. 09-30-2010 1 /5 Sep 28 10 12:46p p. 1 ANO K. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Buildij2ipertment.) 800 Seminole Road /O en�� Atlantic Beach,Florida 32233-545 Phone(904)247-5826 tr Fax(904)247-5845 `A) E-mail: building-dept®coeb.us Date routed: City web-ske: http:/Mnww.coeb.us APPLICATION REVIEW AND TRACKING FORM Property Address: 0 Department review required Yes No Building Applicant: Planning&Zoning Tree Administrator Project: am P Public Works Public Utilities _ Public Fire Servk*s Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Envkonmental Protection Florida Dept.of Transportation ) ��5 St.Johns River Water Management District o� A 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: c/ I "w!/e BUILDING Op8 PLANNING&ZONING Reviewed by. (J S�P 9 2171n�Date- oil►, TREE ADMIN. Second Review: []Approved as revised. QDe Ory 0��'S PUBLIC WORKS Comments: S PUBLIC UTILITIES PUBLIC SAFETY Reviewed Date: FIRE SERVICES Third Review: []Approved as revsec�elJ uIng Of Aermir actor of COM�lv does Comments: State Fire Co:ics ✓ing with,,,, Reviewed by: Date: Revised W14M X3 imlw .SsuCity of Atlantic Beach :SEP E ► APPLICATION NUMBER BuildingDepartment (To be assigned by the Building partment.) s> 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) ♦ �� E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 20d Department review required Yes No �� ev Building Applicant'. l �� Planning &Zoning Tree Administrator Project: �� Public Works Public Utilities Public Safety Fire Services 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: 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 05/14/09 IS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001144 Date 10/05/10 Property Address . . . . . . 373 12TH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 ------------------------------------------------------------------- Application desc screen enclosure ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DODARO NICHOLAS TROPICAL ENCLOSURES INC. 373 12TH STREET 2072 MAYPORT ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-2298 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee 47 .50 Issue Date . . . . Valuation . . . . 9000 Expiration Date . . 4/03/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 14 STATE DBPR SURCHARGE 2 . 14 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total 47 . 50 47 . 50 . 00 . 00 Other Fee Total 4 . 28 4 . 28 . 00 . 00 Grand Total 146 . 78 146 . 78 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AL1, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 3`15 12-4- S-+ Permit Number: /a —//"' Legal Description Lo+ 3? `B\6c.l- l S,04c, Ur.+ 1 Parcel# oor Area ot Sq.Ft. Sq.Et Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proosed structure(s) ((circle one): Commercial �R cental 3 If an existing structure,is a fire sprinlder system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: Screen Property Owner Information: Name: NIckdw-Doda-e-o Address: 373 120=' City M a""o c- 8inar1ti StatelE_Zip 3zz33 Phone «c4 4EG -KCGL%o E-Mail or Fax#(Optional) F�aodo-ry &_ HcLhW-C4Dr-. _ Contractor Information: Company Name: 1 f E .ni 0SUK05 PiL• Qualifying Agent: 14evi.6 0,eJ_0S0I&k_ Address: iti City'1-c'e- Suh v r 1 LQ State 1�I Zip 3 20 Z Office Phone 99�f-2 VI—ZZ-24 Job Site/Contact Number State Certification/Registration# C 13 L 65'833-5- Architect Name&Phone# C]rTY OF ATLANTIC BEACH Engineer's Name&Phone# Fee Simple Title Holder Name and A ss Bonding Company Name and Address' Mortgage Lender Name and Address ) Al A Iication is herebymade to obtain a permit t o >a aaatw�t 'fi3ls allations6as andtcat,d. certi t at no wor or insta anon as commence prior o issuance of a permit nd that all work wll be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void of work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six M6 months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, 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. I hereby certify that I have read and examin is a lication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whet r s eca aed herein or not. The granting of a permit does not presume to give authority to v' ate or cancel the provisions ofany other fe ra1,state, or l cal w regulating construction or the performance of construction. Signature of Owner Signature of Contrac Print Name ti c 4-t,�A 0. Print Name �(/1:N.... .. . fIJ Je- .s .. 1.a..N........................... .. ................................................................... Sworn to and subscr'bed befor me Sworn to and subscribed afore me is Day of l this Day of 20 0 �9Y HEATHER D.CUF MY COMMISSION R DD 746788 TH Not Public `'' ary ®ondatl Yhtu Notary Puhlic UndmnvAtere Ota . = Notary l� = M Expires Mat 7,2011 '- Comm. 8 Z �* o- Commission#ReWe?d 0 .26.10 2010 Sep 13 11 : 52RM Clift and Company Pools 904-855-0698 P• 1 NOTICE OF COMMENCEMENT State of Rori CC. L Tax Folio No. County of , wm( To Whom It May Concern: 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 fallowing information is stated in this NOTICE.OF COMMENCEMENT. Legal description of property being improved: L.,+ .3'7 ya A,4aa � Address of property being improved: -f-. 327_3 3 General description ofimprovementss Owner: Address: ox 27_ Owner's interest in site of the improvement: +-tG Fee Simple Titleholder(if other than owner): Name: Address: Contractor, G' 9. C(;T4d- Address: "1 -c. /r Phone•No: tNJ'.8 ST-oQ S Fax N pA) FSS,-04.41 f _\ Surety(if any): Address: Amount of Bond S Phone No: Fax NO: Name and address of any person making a loan for the construction of the improvements. . Name; Address: Phone No: Fax No: Name ofperson within the Stata of Florida,other than himself desiguasedby owner upon whom notices or other documents maybe served: Name:' Address- Phone-No- Fax 140: In addition to himself,owner designates the following-pa-am 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). Address: Phone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(])year from the data of recording unless a different date is specified): IMS SPACE FOR RECORDER'S USE ONLY OWNER 1. Signed: Before o this day of in the County of D State of Florida, per all Doc#2010190821,OR SK 15338 Page 588, Not tr lic at Large,State of Florid C my oEI?uval. Number Pages:1 My commission expires: Recorded 08116!2014 x11220 PM, Personally Known: or JIM FULLER CLERK CIRCUIT COURT DUVAL Produced Identification: COUNTY RECORDING$10.00 + Eftdnd PIFIES;Mardi ThN Notary PuDiI- UndmagM 2010 Sep 15 9: 32RM Clift and Company Pools 904-855-0698 p. 1 HOMEOWNER SUNROOM ENCLOSURE AFFIDAVIT The purpose of this document Is to make you aware of any limitations in the enclosure that is being permitted at your residence. The table below,Sunraom and Screen Enclosure Requirements prrovides a brief description of the var'Kws summon category requirements_ There may be resttkyNons on the use of your present hone depending on the category of sunroom you are installing. The property owner is hereby notified that should they make changes to the sunroom which could include, but not be fimited to, addition of any form of temperaturs control system or removal of the doorwWrldows separating the sunroom from the host structure,the room may become non-complant with the r uirements as mandated by the Florida BuIldino Code the Florida Model EnergyCode and State Statutes. OWNER I have road thio compiats trim and understand I am``reo__e//iviag a C alcaory „19WA om.O v) MrAcdWane_____ Y1 a 4 �7/' _" Z�'•�. •.. _ �. _M �_.. 31 _._-- __._._..... __..____. ._ _��__.__ _ _�•-_ - r IA2 Be[hre the Chis_ !rJ !tia-_.is iia County of Duval.State of fhorrde.has faasonwllY appeared bordnbyhhnarlUhemifanddfln sant elskn+amtc anddoclvatiaa hemb are tow mad icouraes. � � Notary Fubllo State of Florida Notary Public o Lar"lata� r m4.i� County of ,_,.._ _ �_tZs _1 1L IIis Fenanall1y Knows QD er Fredue"kksttser iva❑ JL E�O3M7f2o127th9W9 ID TyAm --_ Sunroom and SoMW Enclos uro Reauiremonts Category I II ip IV v Habitable Space No No No Yes Yes Foundation Wale<200p1f Walls<200pif Wells<Z00pif can Walls<200pif Walls<200pif can can have 8"W can have 8`W have 8'W x12`D can have have WWxl2`D x12"D ftg or 3- x12°D Rg or 3- Rg or 3.112"slab if 8"Wx12"D itg 39 OR have site 112"Web if no 112"slab if no no concentrated OR have site specific concentrated concentrated bad>7501b OR specific engineering load>75011b OR load>7501b OR have site specific engineering have site specific have site specific engineering engInewirm engineering Exleting exterior GFCi outlet Relocate or add additional outlet to exterior If enclosed Exit UgMing Not Required Required Required Required Required interior Electric Not Required Not Required Required Required Required Outlets Emergency Egress from Egress and Exit Egress and Exit Egress and Egress and Exit (Escape exist.structure must meet code must most code. - Exit must most must meet code. Openings allowed Nopen to code• atmosphere and has screen door leading away from residence. IVNac.Window Host structure Windows must 11111 owe may be [-cost structure Host structure and Door windows/doors be removable fixed or removable. windows& windows 8 doors Requirements shall not be Host structure Host structure doors shall not may be removed. removed. windows/doors windows and be removed. Forced entry, air shall not be doors shall not be Forced entry, leakage and water removed. removed. Forced air leakage penetration entry,air leakage and water requirements and water penetration apply. penetration requirements requirements apply. Wind Borne Debris Opening Not Required Not Required Required,can be on host structure,if twill under existing Protection roof Enew Streets I Not Required Not Required Not R uired Required Required lnrormatlon 5ystemsCITY O 904-247-5845 P•1 AFFIDAVIT FOR ATTACHING A NEW STRUCTURE TO AN EXISTING STRUC TO: Building Inspection Department,City of Atlantic Beach,800 Semino o �� / `�\ p �ti4 Home Owner: i GY10 6_1S Jn&rci �e Name I � j � 'n S Street Addres� City. State and Zip Code Contractor: Permit Number As the Contractor for the proposed new structure located at the above address,I have personally viewed with the above named home owner those portions of the-existing structure on which portions of the .. proposed new structure are to be attached for structural support.I am confident that the drawings and details included with this permit application depict the existing conditions of the host structure,and the- members hemembers of the existing structure upon which the new structure are to be attached are sound with no rot or deterioration. The home owner has been advised by me that, in my best judgment based on experience and knowledge of structural adequacy,the members of the existing structure upon which the new structure are to be attached are sound with no rot or deterioration and will support all structural loads and forces imposed on them.By signing below,I hereby declare that I will hold the City of Atlantic Beach harmless and release it from any responsibility and liability for any adverse consequences or failures resulting from this work,and further that I will not initiate,execute or enjoin any legal action against the City of Atlantic Beach for such consequences or failures. A copy of this document will be recorded as as official record with the Building Inspection Department permit history so that any and all future buyers/owners of this property may be made aware of the status of work rformed on this structure. Signed Date/ Before me this day of Xa&ZIM 2010 In the County of Duval, State of Florida,has personally appeared dUl-yo Ma-LoSa r1n..P.- by linalz F, rdhals-nd Affirms all statements and declarations herein are tru Xe- SAMANTHA N.RIDDICK r °S Notary Pubic-State of Florida tie_ ,j• o;F My Comm.Expires Mar 7.2011 ?,�FOF�cfi;•� Commission#t DD 648102 N&WyPublic at Large, State of I. , County o 1W V Personally Known 1/or Produced Identification 1D Type F.building/affidavit for attaching new structure to an exisrinR structure.docx 7121/09 a MAR SHOWING BOUNDARY SURVEY OF. LOT 37, BLOCK 1 , SELVA MARINA UNIT NO_ 1 , AS RECORDED IN PLAT BOOK 23, PAGE 4 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA � 'So LOT 7 N 31-42'30" E 69.05' � 0 i Yh FOUND 5/8" REBAR FOUND 7/2" IRON PIPE °•3' ---—"�° \\ACM LB 6702 NO IDENTIFICATION LOT 6 ��j'o o !90..�'-. - sTers41 \ lP A ' LOT 36 STORM �— \ DRAIN GRATE \ tK LOT 5 oll, Nk \ 41 FoOJ�o a• \ � \\ \ RADIU59 651. \ ,� / 9°y� 9°.• \ REOAR 6 '\ tip ^ 5/$, 7 50 \/. / 1 9 Jo\ i. FOUND 6 6102 6 Xa ° :: s:,v\ 'Jkll IL 0, d"'" :°� ACM L 90 ,� PIPE A o.... j .. \ n °& FpUNpTF GAITRIOONN CUY ro .._� _,,}9°-;��.sd 'o`v,a 66.X80 00 / ANCHOR ��e. a1y9 X51 DOORS AND WINDOWS TO FOUND 1/2" IRON PIPE NO IDENTIFICATION POOL AREA TO BE ALARMED TO / o c 'p CODE. ,y. !'C Area around Pool will be �� A\ Screened to Code. ) All barrier codes will be met. pC NQTES1 THIS PROPERTY UES IN FLOOD ZONE "X" BY FLOOD MAP REVISED APRIL 17, 1989, COMMUNITY PANEL NO. 120075 0001 D BEARINGS BASED ON THE SOUTHWESTERLY BOUNDARY LINE OF LOT 37 AS BEING N 61' 50' 04"W ELEVATIONS SHOWN THUS (100.00)ARE ON ASSUMED DATUM 30' & 35' BUILDING RESTRICTION LINES BY PLAT ARE AS SHOWN ALL LOTS SHOWN HEREON LIE WITHIN BLOCK I EXCEPT AS NOTED �� —M—DENOTES 4' METAL FENCE EXCEPT AS NOTED —X—DENOTES 4' CHAIN LINK FENCE EXCEPT AS NOTED CERTIFIED TO: —//—DENOTES 6' WOOD FENCE EXCEPT AS NOTED NICHOLAS DODARD THERE MAY BE ADDITIONAL RESTRICTIONS THAT ARE NOT SHOWN ON THIS SURVEY THAT MAY BE FOUND IN THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Ide, 2072 Mayport Rd. Aftntic Bch., F1_.322 j 3D VIEW Cage Master 2000 CopyRight 1991-1999 Wilson Software Corp.Englewood.Florida vc 07-27-2010 Customer : Dodarin f Customer: Roof Layout Scale: 1/8', = 1 I I 82-5/16 93-13/161 93-13/1693-131101 13-13/1693-13116.1 [ 93-13/1693-13/16 93-13/1693-13/1 93-13/1693-13/16 i -13/1693-13/16 93-13/16- 62-0 ff 37-11/1 37-7/9 37-7/8 37-7/ 37-7/8 44n/�3V�/8 37-1111 37-11/18 37-11/11 37-11/16 37-11/11 37-11/16 'tr 45-11/10 , .........�..._ 3 a `? *\ ii 72- 72 72-0 72-d 72-0 64 72-0 220-5/8138.0 4 153-3/4 t l.x ! .3 72- 72-0 X72 72-0 72 2 q 172-0 � 72-d q 72-0 72-0 — -q 72-0_4 72-d � •��. t , '2 72-1 6,172-1/16 721/1,11 72-1/16 72-1/16 72-1/16 72-1/16 72-1716 72-1116 721/16 fi q 72-0 I 5 i zx / / Z7 d r Customer: Wall Layout Scale: 1/8" = 1' Z Poco°{Y ` r Wall f D _ 22'0-0" -. n �y _ S h Wall -... �_ _._. 16'11-5/8" / AoA Y& c I Z~5K`'� °- ,r Wall fF1 ip t vc^ eA��O �k r � r j I W-911 IGl 9 `� Post A2V{3 W4M I>£iAl-SIDE IAiIJl TYPICAL CliA1R RALTO PM�ETAL TYPICAL SUPER 6U1T ER ATTAA1fJ SChil3uA PLAN AND OEIAI 7YAlCAt s'1JFZ<Jti Mlfl 9EAt t MAL, aa�mm PROM awn.306,0EVED& ' • - .. iDCfiYlk JT6 . ATTACNfJUBNIRiYrM1i14t ; - R'� _ t• itfairbSlgi N AIIA4!KT6V4NlYMAi -Omh3'B wpm Tom212 NrrNiq H06rSirell'�ixr 2a;tattlSMrRE •T%UP= Fit*Ti7k 4a2aa9lCGt1! � alG11b0YEi � 3i9iit2S� 2�► rROEAIi� TMJZIZM QO T2�!'rA02:2 - ypKsanQ#rtNt u3A7uDt L2Q1NM1Nt post Mxeir. 1 aw } ?�i�mlwaa � l irjwK •_ - - - artaMTi 7YAICAt PWt AND BE4t DETAIL•1dAtt FRA6fE TYPICAL ;Em AJIDGfM MAL TYPICAL ORDER DETAL TPMM WA41 ALLOiAfASLE SPAtN6fOR SG�tEEN ENCI FtE PCf5T5 FOR NS 1A W7E as oaAvra�iQlALT2pia7E0Erti, _ - - 9:;cntilAtistot! POST SPACING N4�t*X0F�AArafW WCGURECATEGORY .8 C e tkrart22est1samoevnr wmtmri�sr2rol sAA7iNG13EAUS s 3. +Easerc amt ATTArx �� 2x4zD.p4+t�.100 13'-T . 11'•4' 172' O O D AtrAcxmxlno 2x5xD.DSflxS3.1DD 16'-0' 13'4` 14'4' -1 4!-r pp O O p wM W �� - 2x8�.O50xD.129 Ir 2" 1944 1T-x' 14'-+� 13-3' 13=1 O O O O 2Ak ro�rrs a+aagtf 2x7xD DS5�.1 27 6' —Ti— t9 mac' t o-r iT4r 1*-s O O O O ATSaU11aY lrYaL 2xBxD.472xDM4 3T-F 25'-5' 2T 3' 72-ia' I4-10' YO-Q AlrACKb x sr Q O rsatrsa O O Q - ° tw:. - 2xM-Gi�Z. Z4 3T-11' 2r4r 2F4rp I?ST3 KaeaR O O O Or�l>*1 NDk7iilrrCrire 2x10A)M x0.369 43'-6' W-7 W-11' 35$ 24-7 OF k[7Ey� O - pat Mason EKIRUSMS - tawmsr yQx0.044xQhD14 !'-4' T3' 744r B 1• past lots 2x3xD.D45x9:W5 IlAr I W-4 7ff 4 t=T V_5' T=1D T17'>CAL WW BRACE DETALAT RODF FRAARNG - MINIMUM POST SiZE AND-#OF SCREWS b MLF4"Tw BEATa Si2f OST s1g 128 f 10 t 12 a Gall 1. A �+ 10 t m orated to a Pwmw»nt bare host +d eck 2 x 3 2 x 3 8 1 4 0.p IL The h=waww/e�re=Gor=It•!vw*trap"bass hod*ur*re In b 2=dCcr4b3p■ 214 2x3- 8 5 4 sastrsc=tKe o&Rbn*MW i Oulbwbrdli wb tar 2 2x,4- ha 8 ! 3. The bw wowrw1canhadLr E<sd I"a quaTw P orsoolonm ti verily 1h0 cr of f+r 2x0 2 x Sa d 8 - s:aegesrxoue 4. sts spseilla rrrykwwk p is Taquirw for shic0 m pruaac tin>em irrl Boot spans gr 217 toKt,ar tairrr=d by ft s xm ubise. t _ 2 x S 14 12 14 � ,arao+.e►�A � Than 20Vypaid."CON Code i.4»beak of drion eac2C+am*V for the spaA arras i7itlfa]C is T-0'for speck greow than 30 fret.Inirrrul hsbual bMckrQ tc 2x3 2xc. 18 14 12 bn A,rutarwM 6 Mardrtunpurin=padnp er=dosr ATTAQRaiIiA 7, Msen root twigM rhtsli be bas then or egwh to 30 boL The Ades id 11"acr=es 2 x B 2x'? 18 to >A sav2�ic+o pox+ a+ roTro++ i2okt rruesak= 2A 10 2 x B 2Z >g 18 t++ata+ aoEs oarp2ct»no IL - 71r wpwwu cMKprY b Pw alts Iacasion. 'O'lar druauns�/Fad 1014M A=o xw scree nnotrsc 0. Tha t2ratc vrkd speed Y bas fartcT or egtnl 10 160 11Pli.The irrq�ortsnoe Y qTt. MINIMUM SPACING AND EDGE DISTANCE5 Parr s::ewilw, �e�� 11L The spwo r=be.ed a1 an Ww bLAk*V w okra"'OleasrcodarL aE a eof tea k=kasile "The e"QV'ae` ' ! #Hf f h2 �1°O 11. Thr lyptaat , ,a at;owri ark ttdra�ttve tJs rtrut2haa►at>.pws luted. M t2 Csrn�tonaktsxI ora Ufrtmbu% dWTk 1�i{ia spAdnlG S/8' 3l4' r —I smbw- 1tYN.EDGE DISTANCE 511 s 316' Vl TY tarrtsavw TX)I4 a araE aw oeak+tew "xTrFlPauio 1a k"KpQkkV beswe freed SIWL Dar ep**Q is P@M*Kd- 'd tie ICiU PDSTBASE DETAL s2>o zoatuc Tia?03f�t77GE , Torr �`� rocc '"'�`•°�, PROJECTADDRESS: f'ATtolpoQl ,tiaa � ern,:at+k22 REVISIONS axw ^=-KNOW r i {IUNTY . .: �'w't�.roFttxt rcrrAuxo0nloK+lrrrass +Drat - taeE�cxzs+tirArE:< tCO1VClsEtFailtLE2reeHrlmmuOdipMtcRm"aaw.Lur. PEW NUMi3ER: Flit -° tOl7DE'12t 3#r popcou MWQNHMVL lL==A =pUEAMO , oe>eEr awt anioe7rr++out erastvralrou2ioaF ttstlrwlixeaaFT r-r PRO ECT DESMI IOK acwrxl7�,at+re°6Sf�iwnetnivtt;iae – - - - n Lr4iU1�A11MdaF!/liYif�2•!Q'dalliitaUPPlbi. - - :. _ L PMNC 1XW INiKLMAXONOMACIM)NAWA EMR IMM W01atxn2rEVIM O*Wt LtnAEtvaonurxKltw,�rerwaEr�atttrnoorrrsoe�nwxr+xrortrrrFA�Al.Y • E eNaepeoRww+ion'aru.rtsawtarrr�ee�7lSooNns►csornereae�ms�i. flGG"IIPANCYNS�3YI?E: �&fNBiF• • r i nokts steroast�aci�rue�erErosslwiNaetk� souwl+ sfoauaoaawrar carr s,n =r a Tt s>cknnsawtr�suarsss aancnaae •= a=nFarsaF�rvvraFtzra+elEa wract5c2t1ra2wx+aErtEroFra�roaf, [3 MULWAMILY © 1�gDL1S.�R - oty�2n arowq 4LLAs ©.OWNERCIAL D OTHEaR ,F,c,. 4YPI &BRACING SCHEMATIC DETAILS FOR-FLATROOAF.GABLE ROOF.AND DOME ROOF SCREMN ENCLOSURES TYPICAL BRACING SCHEMATIC DETALS FOR FALL MANED ROOF AND HALF MANSARD ROOF SCREEN . � _ IIwnm HOWPLAW WWpL tl 110oFPuw nA IIOCFRµ MOF RAM YER MIFF M7Jf VW ylar VeM t RAtI YW1 y� 13t 3 sum X 1�w *,� eowu i EiNATICy $�HA1ON ecMau � 14Ealm RWA d,BxTATEM Lval 9. L CHWWL pw I MR lx:D�la�Aha�ACGeY.atE70FpA{eom6w�c I C+w WM i.2iMMMAWKSACCB1l TATO AE000R,�ul AOOMkaMCE Ca;gINwOF.CASAIOItGCI�i1FaaMIEl�CFa2MALlMIu AWjQK FACt0R(QPMOFtJiItFi FWLkM3*WJ TYPICAL K-00a DETAfLS 7YMkCAlUBRAaDETAJLS TYPICAL BRACING SCliEM1ATIC DETAIL TYPICAL BRACING SCHEMATIC DETAILS FOR HIP ROOF SCR ' 1xtiE>wa FOR L•SHAPW HOST STRUCTURE "m rs cm � jmR ATTACwHWWPVPCA) - O O O O r ArrA*aEIITPWM EOCFKM p . 4:4saTitRAR year 11��'' vew yRNaIIFaOE�M - O gCE7MM301aAR612fFUiEPLM i:idUL4 00 00 C �M1NpIleIldEliAlEOWi '1°a �� p p UVATAW DO ii27aJM<l1A;14 iQ'DIAlyEi61 ETA/aF�iTECA6E lEYRTOtI BE11=TOi FQ \� 0 O FOIiGTIW 1'CIEGTCII PVMO O1y7W YMLL1tACyIG11�10flDyaBIfC1®1@1CLOUE IIO'IEPe �0 00 loft 6Mk=M 1 WAW-PFr4MlMWWTNIlL=W AOGI�KSMCE OnfO ARCF C�IE81 aayeyaxsoaAAa � r,u',nRPRA1E `% - M WM Wr 1YA&MTAK" 000 0001 ALLOWABLE SPANS FOR SCREEN ENCLOSURE ROOF BEAMS-� O BEAM SPACING 4'-D" 5'-0" TEMiNp(ilFlOO SELF-MATING BEAMS 2x4xD.044x0.100 1T-3` 15'-5' 14'-5" 13'-0" 12'-1P jcZallLodomAmo slaiaErsFnol111 00 �� 2x5x0050AD.100 ZO-3" 19'-0" 1T-8" 18'-10' 15'-0'2xex0A5Dx0-120 24'-4' 21-9' 19-10" 18'-4' 1TT Zx7x0.O55x0.120 2B-0' 25'8' 23 8' 22 0' 20'8'WxDAT2x0-224 38'-6" 34'-8" 31'-5" 29'-1' 27-3' TAFwyaaFRyrt W4.0Tbm.224 41'-8` 3T-3" 34'-0' 31'-5" 28'-0'2x9x0.082x0.310 47-4" 4Z'-4" I 38'-T 36-7 33'-5' TYPICAL KNEE BRACE DUAL AND SCHEDULE mm an 2x10x0.oux0.36D 50'-D" 49'-3' 44-11" 41'-T' wam'wwr SNAP EXTRUSIONS TFM YPICAL INTERNAL STFFEMNG DETAIL FOR SPANS GREATER THAN S-I? r oll RAr TMIET�1/MUM 2xW,OMxD.044 1 d-1" 1 e'-10' _ 8'-5• s'-0' M 041 ia,uzlAxlaE P'� Zx3x0.0454.045 13'-11' 12'-11" O O O O O O O RKx0 0 0 00 .TF 141a1F,romm nro O O Erlsvae aoouEsoF Foal RFLi1 _ W OF=EU 4KTMJSM °""aSAL "'WG BEAM SIDE PLATE `I DETAL PATIOIPOOL SCR IYIY ElAMTIIUIED F11IlM !a laatIIANp! FC•t�H-0�� ' 1RYCUri7ANp,q IDeE1VL>E . 1Ll OFlBNY1TfIGlEiW FiTEAY 0 aa.FWn, 0 REVISIONS rtAxvewWMII1ACEUDOW MINIMUM SIZE I(NEE BRACE AND CONNECTION a RATE CoIaeam- 11dta01MrTor-r t, aaea 2xtOWaeMfll EOEIQI ppm ns TO T-r Slax MiM MEICFI a�POFAIXE4EN1 TA t-r 2a4z&W Dt7EI11pMOyeIMiAYAltOF9f! MNaaRtCffi AbATYACM W711(gMFAO1tQ - - -. FAN lO1E:A13WFVXE1pDf�IY1M1rlMYEMOS�R11E11B�MYAEI@6'iMfNACFf pM.OETALA1P12if3TOGIR4fi.0OlE.AFbW�OCOiE'SOOI.RATE WYE AEi0lIa0IN9ICa OFAEfMN.R1R piE/IAtEWaEBD OILY.AMi1OiA1E Oi 1QTIE pr�LOREx7ENIAL IEiEaOriFa;l(RATE AIO(lit WaI3E1E►OIl i,t wEaa ' ►meErw<Fe+NCArrnsaiwiiEyarAt�Art�alww�uTauA�asl�eEureloEn nElru��Txewwam AroclulEwotNweuEwFacl:ta - _ CEaTFr-aw EQlW SOILYFgIM City of Atlantic Beach APPLICATION NUMBER . � Building Department (To be assigned by the Building Department.) r t 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: / 7' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 3 /2 7 DeSlartment review required Yes o c, Building Applicant: Zoedm-L- G�1 G' d ,f Sann &Zoning ,( > Tree Administrator Project: rE 6 r' Public Works Public Utilities I V /009 acs Public Safety Fire Services 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: APPI-19ATION 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: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05H4/09 DO p - lovi � s ,� all,0 (7nt Sll,�h Ist l XO a { ' w -V dew • BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904)247-5845 Job Address:A(S AL L C" Q o ad Permit Number: Legal Description Parcel# Floor Area of Sq.Ft. «t1/b , q. t Valuation of Work S_,SOQ-00 Proposed Work heated/cooled- (��_ non-heated/cooled .4"%UlrO Class of Work(circle one): Ne Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structures) ((�ircle one): Commercialesi ff an existing structure,is a fire sprinkler system installed? (Circle one):e No N/A Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: 6 U id li '4 S` Property Owner Information: /' / "/ 7 �Q Q� �(�Q` oto 2 game: jeh, lod t' / 7 S f' (—Address: C ug 1!c. 0 City (.3 ercc.l, State_LQip 3z?-33 Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Dice Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address 3onding Company Name and Address Mortgage Lender Name and Address application is hereby made'o to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the ssuance of a permit and that all work will be performed to meet the standards of ald laws regulating construction in this jurisdiction. This permit becomes null wd void ifwork is not commenced within six(6)months, or if construction or work is suspended or abandoned for apenod of six 6)months at any time ager vork is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces,Boilers,Heaters, arks and Air Conditioners,eta 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 YOUi NOTICE OF COMMENCEMENT. 'iereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this �e j work will be complied with whether specid herein or not. The granting of a permit does not presume to gave authority to violate or cancel the `ovistons of any other federal,state, or local taw regulating construction or the performance of construction. gnature of Owner Signature of Contractor int Name Print Name vointo and subscribed before nye Sworn to and subscribed before me is Day of LIns `._Day of . 20 Mazy public ��Totaiv Public Revised 01.26.10 5-� ,eb CITY OF ATLANTIC BEACH PRODUCT APPROVAL SPECIFICATION SHEET (short form) As required by Florida Statute 553.842 and Florida Administrative Code 96-72,please provide the information and approval numbers on the building components listed to be utilized on the construction project for which you are applying. We recommend you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Statewide approved products are listed online @ www.floridabuilding.org Category/Subcategory Manufacturer Product Description FL Approval#(s) EXTERIOR DOORS a. Swinging GV b. Sliding c. Sectional/Roll Up d. Other WINDOWS a. Single/Double Hung b. Horizontal Slider c. Casement d. Fixed e. Mullion f. Skylights g.Other PANEL WALL a. Siding b. Soffits c. Storefronts d. Glass Block e. Other 14a lrd ee rd ee Q04 r ROOFING PRODUCTS a. Asphalt Shingles b. Non-Structural Metal c. Roofing Tiles d. Single Ply Roof e. Other STRUCTURAL COMPONENTS a. Wood Connectors b. Wood Anchors c. Truss Plates d. Insulation Forms e. Lintels f. Others p rP CLU- NEW /. SNEW EXTERIOR ENVELOPE I understand that,at the time of inspection,the following information must be available to the inspector on the jobsite: 1. A copy of the product approval. 2. The list of performance characteristics which the product was tested and certified to comply with. 3. A copy of the applicable manufacturers'installation requirements. Further,I understand a product may have to be removed if approval cannot be demonstrated during inspection. Applicant Sig ature Date H:/Product approval spec sheet short form.xlsx 6kjvut vu MAP SHOWING SURVEY OF . O-r"5 , . E3LC)CK 15 , ROYAL PALMS l.N I T TWO A, AS RECO PCED IN PLAT BOOK 31 , PAGES 1 , 1-A, 1 -B, 1-C AND 1-D OF THE CtF ENT PUBLIC REOCRDS OF GUVAL COUNTY, FLORIDA. I IR yk.Ax r � 1 � � 'nye'• �r•• .i:'. ,� i o � o V'I -7 efAVAI-L A �v.QD H �; M fiy\ g . x± W� : > / � \ � Y, J AOL- j,v '9e�