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1673 ATLANTIC BEACH DR - NEW HOME PERMIT RESIDENTIAL PERMIT PERMIT NUMBER J�� RES18-0343 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 10/17/2018 `);i 9'1 ATLANTIC BEACH. FL 32233 EXPIRES: 4/15/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies,or federal agencies. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1673 ATLANTIC BEACH DR RESIDENTIAL NEW SINGLE NEW SINGLE FAMILY $468421.95 FAMILY RESIDENCE TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169505 1360 ATLANTIC BEACH COUNTRY CLUB UNIT02 COMPANY: ADDRESS: CITY: STATE: ZIP: Riverside Homes of North Florida 414 OLD HARD RD STE 502 ORANGE PARK FL 32003 OWNER: ADDRESS: CITY: STATE: ZIP: LAURA COLEY WARNING TO OWNER: 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LIST OF CONDITIONS 'Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 PUBLIC WORKS EROSION CONTROL INSTALLATION INFORMATIONAL Notes: Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line(904-247 -5814)to request an Erosion and Sediment Control Inspection prior to start of construction. Issued Date: 10/17/2018 1 of 3 rS' vi RESIDENTIAL PERMIT PERMIT NUMBER "`' CITY OF ATLANTIC BEACH RES18-0343 'r " `� 800 SEMINOLE ROAD ISSUED: 10/17/2018 ','71:01119,- ATLANTIC BEACH. FL 32233 EXPIRES:4/15/2019 2 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL Notes: All runoff must remain on-site during construction. 3 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL Notes: Roll off container company must be on City approved list(Advanced Disposal,Realco Recycling,Shapells,Inc.,Republic Services,Donovan Dumpsters, Phillips Containers). Container cannot be placed on City right-of-way. 4 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL Notes: Full right-of-way restoration,including sod,is required. 5 PUBLIC WORKS MAXIMUM DRIVEWAY INFORMATIONAL Notes: Maximum driveway width within the City right-of-way is 20 feet. 6 PUBLIC UTILITIES UNDERGROUND WATER SEWER UTILITIES INFORMATIONAL Notes: Avoid damage to underground water and sewer utilities. Verify vertical and horizontal location of utilities. Hand dig if necessary. If field coordination is needed,call 247-5878. 7 PUBLIC UTILITIES METER BOX SEWER CLEAN OUT INFORMATIONAL Notes: Ensure all meter boxes,sewer cleanouts and valve covers are set to grade and visible. 8 PUBLIC UTILITIES RT1 SEWER CLEANOUT INFORMATIONAL Notes: 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. FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $1587.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $793.50 CROSS CONNECTION 400-0000-343-3701 1 $50.00 PU REVIEW RESIDENTIAL BLDG 001-0000-329-1007 0 $50.00 PW REVIEW BUILDING MOD OR ROW 001-0000-329-1004 0 $25.00 PW REVIEW RESIDENTIAL BLDG 001-0000-329-1004 0 $100.00 SEWER SYSTEM DEVELOPMENT CHARGE 415-0000-324-0301 0.75 $4050.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $35.71 STATE DCA SURCHARGE 455-0000-208-0600 0 $23.81 WATER METER ONLY DOMESTIC 400-0000-343-3301 0 $185.00 WATER METER ONLY RECLAIM 400-0000-343-3301 0 $185.00 WATER SYSTEM DEVELOPMENT IMPACT CHARGE 415-0000-324-0301 0.75 $1140.00 ZONING REVIEW SINGLE AND TWO FAMILY USES 001-0000-329-1003 0 $50.00 Issued Date: 10/17/2018 2 of 3 -_,J,,, _ RESIDENTIAL PERMIT PERMIT NUMBER / CITY OF ATLANTIC BEACH RES18-0343 :Prtv 800 SEMINOLE ROAD ISSUED: 10/17/2018 \CI`'';i�� ATLANTIC BEACH. FL 32233 EXPIRES: 4/15/2019 TOTAL:$8,275.02 Issued Date: 10/17/2018 3 of 3 S,w./„�,, City of Atlantic Beach APPLICATION NUMBER 0frilii: Building Department (To be assigned by the Building Department.) N :'td r '' ,� i?.) 800 Seminole Road C -r Atlantic Beach, Florida 32233-5445 t I'E• E S!!l V 33/�3 Phone(904)247-5826 • Fax(904)247-5845 " OCT 01119' E-mail: building-dept@coab.us C 08 201E ate routed: ( D/5/( _ City web-site: http://www.coab.us BY APPLICATION REVIEW ANIPMACKING FORM Property Address: I 6;7 Pi+(0,11.41 C_ (,C� , Department review required Yes No uilding-- Applicant: R. IQ of f (ern CJS °E' N ` arming &Zonrn pA,y, ( Ly Tree Administrafor KDProject: /.J S (�G �-C- _ �u c or u is Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING �� ,%r /, 'W /e „ :7 Reviewed by: _ e: ` w TREE ADMIN. Second Review: ['Approved as revised. ['Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 owl-rJe., City of Atlantic Beach APPLICATION NUMBER as `' Building DepartmentC�� (To be assigned by the Building Department.) ' u 800 Seminole Road v Y �S j _ O3 ;, Atlantic Beach, Florida 32233-5445 OCTpp 1 `J `-1" 3 Phone(904)247-5826 • Fax(904)247 5 OCT 210 "�o;3t�s E-mail: building-dept@coab.us Date routed: td/S (( FN____ City web-site: http://www.coab.us BY: APPLICATION REVIEW AND TRACKING FORM Property Address: I l7.73 +( 41 C_ 0,0_ Department review required Yes No uilding! Applicant: R tv erst�� 14--Orne-3 °E- anning &Zonin ` C pf,,,,N ( TreeAdministrator �J V (J,_S GLf c _ isWowProject: , y / ,proErfrilltie , Public Safety Fire Services Review fee $ 50 Dept Signature 5c..-) Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APP CATION STATUS Reviewing Department First Review: Approved. ElDenied. Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by. a.--,<--- Date: /a—9 TREE ADMIN. Second Review: Approved as rev ed. ['Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. nDenied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 A City of Atlantic Beach � � PUBLIC UTILITIES DEPARTMENT '' 902 Assisi Lane Jacksonville, FL 32233 (904) 247-5834 NEW WATER / SEWER TAP REQUEST Date /D- 6'—/ Service Address /62 7 3 a// jT/C 7� Number of Units / Commercial Residential ✓ Multi-Family 3 New Water Tap(s) & Meter(s) Meter Size(s) New Irrigation Meter Upgrade Existing Meter from to (size) 'I New Reclaim Water Meter V Size � New Connection to City Sewer Applicant Name Billing Address City State Zip Phone Email Applicant Signature CITY STAFF USE ONLY E Application # its 1 D - ®3 4 3 Water System Development Charge $ /, / t-(Q , 00 Sewer System Development Charge $ -tf 0 , OC) Water Meter Only $ es-, 06 Reclaim Meter Only $ 8 S 06 Water Meter Tap $ Sewer Tap $ Cross Connection $ 5D� (Db Other $ TOTAL $ Jr'o /d r 06 (Notes) APPROVED 42 Date /0.1,v Public Utilities Director or Authorized Signature ALL TAP REQUESTS MUST BE APPROVED BY THE PUBLIC UTILITIES DEPARTMENT BEFORE FEES CAN BE ASSESSED 4 ;i LPI--': City of Atlantic Beach APPLICATION NUMBER C,3 J\ Building Department (To be a signed by the Building Department.) l r, u � 800 Seminole Road cc r r'� /� �.. z? Atlantic Beach, Florida 32233-5445 CS` v v��i Phone (904)247-5826 • Fax(904)247-5845 -`�0;31�? E-mail: building-dept@coab.us Date routed: t©7..5/( C _ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I l.0-7 .5 F-)-+(oLA C_ ao , Department review required Yes No uildi 2 Applicant: R Iv ertJe_ ( r-n es (I- anning 8 Zonin Tree Administrator Project: Ni GIA..) S ( D is_ pi,,y, , ,y u is orpublic (7tiiitie Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING /� PLANNING &ZONING Reviewed by:/,/� Date: t�/-"Cr^ )g TREE ADMIN. Second Review: Approved as revised. ❑Denied. l 'Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 o,:vt;,,, City of Atlantic Beach APPLICATION NUMBER ys i, Building Department (To be a signed by the Building Department.) ;,, 800 Seminole Road. c (� /' ,�v� �," Atlantic Beach, Florda 32233-5445 E S( v b343 Phone(904)247-5826 • Fax(904)247-5845 / / Pioills. E-mail: building-dept@coab.us Date routed: (0/-5 E3( ( F) City web-site: http://www.coab.us !!! APPLICATION REVIEW AND TRACKING FORM Property Address: I 6,--7 3 iv+((Q[ 1 C- &O,C,_ Department review required Ye No uilding Applicant: R tv et- tje ( /Y1 p.3 cli— I ) _ anning &Zonrn PAiy\ Tree Administrator Project: ( tel C--1, D S ('- G LC= ( Ly !rub'cn °? . rublic Ut11tities, Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: 4roved. ['Denied. ❑Not applicable (Circle one.) Comments: :Ul DIN PLANNING &ZONING Reviewed by: Date: /OY. ler TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 Building Permit Application FEICE C V12/8/17 '111 /0",. City of Atlantic Beach r jay 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 �� Job Address: 1f13 QXI-}1C. € a ech 1)60-e ` Permit Number: i v 3 Ju Legal Description list 13 iiavtic 1).ea, 1' totAritsCA Unit,?• (0n-13a OR, --Ole.•NoSRE# IIAS 5 ^ 13la Valuation of Work(Replacement Cost)$ ' (DSc�O() Heated/Cooled SF to 3 Non-Heated/Cooled 13W • Class of Work(Circle one): (Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s) (Circle one): Commercial .RRsidential • If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No OD • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: ND S I LD L E- c.— e Florida Product Approval# for multiple products use product approval form Property Owner Information / , n l�(meq{�� c NC c.) Name: L&IL.I.1 C p1-e S v Address: Vogl .J-e_ City Aj-la f-r t.-rat i••i State -FIS Zip 3,Pa'�3 Phone 9p+S733• 1055- X3 E-Mail L(3iSInato dthornt. rbn^ Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information Name of Company: i Je✓5(a•C I-6,-c o-F /4. I Qualifying Agent: k1 �p1x✓ Address 0-alt. S rj,c Bko.)J Sit . 120 Cityc.1CSCIVLS► r llL State Zip 32•,�a--3 Office Phone Ck)4 O3 •')O,$ )C3 Job Site/Cont t Number Sc-t• `�i( • AR's - Sevci. State Certification/Registration#C c 1.2-SL/13 S E-Mail k-t'i 5ho ri,,'i;hyo.-re .c_i Architect Name& Phone# -pug ctog• x`11.0153 Engineer's Name&Phone# I . yr' 4rV nuljLlrir �O�I • 3g • $'15 I Workers Compensation , _ • ,O f . V •1 a 1 9- • . ,a __Mi A _ _�.AL.,•� Exempt/Insurer/Lease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. 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. 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 REC(J`'ING YOUR N' E OF, OM NCEMENT. : PERMITTED BUILDING DATA DO NOT WRITE BELOW - OFFICE USE ONLY Applicable Codes: 6th Edition (2017) Florida Building Code DEVELOPMENT SIZE: Habitable Space (ft2) 35'63 Non-Habitable Space (ft2) /39/ LAND INFORMATION: Zoning District a1 C L Flood Zone X p Minimum FFE !. 50i BUILDING INFORMATION: Construction Type V Occupancy Group s,ncke Faw.; \y Number of Stories Max Occupancy Load Fire Sprinklers Required n/k CONDITIONS/ COMMENTS: Rev. 2.7.2018 OFFICE COPY Atlantic Beach Country Club lot 13 1673 Atlantic Beach Drive Atlantic Beach, FL 32233 Single Family Detached-Group R3 2017 Florida Building Code Michael Stauffer 1093 A1A Beach Blvd., Ste. 330 St. Augustine Beach, FL 32080 Pel. V;R REVOCABLE ENCROACHMENT AGREEMENT Vary REVOCABLE ENCROACHMENT AGREEMENT by the City of Atlantic Beach,Florida,a municipal corporation or anized and existing under the laws of the State of Florida,hereinafter referred to as"CITY"and v-e.,(5►d1/4y of- N of Atlantic Beach, Florida, hereinafter referred to as"USER". b-3, ,��,� ,�; Q.&c—e-t.� W2.. WITNESSETH: That the CITY does hereby grant the USER permission on a revocable basis as described herein the right to enter upon the property for the purpose as described in the City of Atlantic Beach. This work is generally described as New — s Fre 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 USER, said notice to USER shall be given by certified mail, return receipt requested,to the following address lame ScLin6e,sk Sl[.(20 t`ksoywi ttt� 3ra-33 • 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 easement or 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." • 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 within 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 easements, public right- of-ways 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. Date 10 -11 Property Owner/Agent(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL The foregoing instrument was acknowledged this oZ day of ,20 by t1 .,.s ,who personally appeared before me and (printed name of Signer) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Sig ature of Nota Public, State of lorida V Department Approval: Personally Known BISHOP " ' LINDSEY M. Produced Identification(T ) ," ""°�:',. _ ?'+`�•"S Notary Public-State of Florida c• Commission#FF 946204 N'�T�- 1,44° Comm.Expires Jan 19.2020 . Scott Williams, 'ublic Wor s Director 0111\�•, ... O:\Public Works\ADMIN\Revocable JS'" ` a"`"m"t Ygreement.docx Revision Date:8/31/18 t ArY 11, F 73.4 RIGHT-OF-WAY / EASEMENT PERMIT Alta,PY Permit#Issued by the City of Atlantic Beach PERMITTEE RESPONSIBLE FOR NOTIFYING 811 AND OBTAINING UTILITY LOCATES Job Address (107 3 a4 -1 c- Phone q 0--1 • SD 3. 10 1C 3 Permittee �Je ldla w,es t '1\1 . Email I.A3aVvicc>y rmxsiotaFro-,,e Requesting Permission to Construct f.l,i„J—SriC• Location(Reference to Cross-Street) 11c"13 Ail ex-rrL L (lead,' ` 4'W-4- • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. • 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 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. • All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of S.tyclp (Project Superintendent) located at (0'13 a4, c, • All materials and equipment shall be subject to inspection by the Director of Public Works. • 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. • 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 be included with this application. • The permittee shall commence actual construction in good faith within 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. • 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. • The Director of Public Works shall be notified twenty-four(24)hours prior to starting work and again immediately u on completion. Date 0\ 1151 Permittee(signed in presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL p The foregoing instrument was acknowledged this r� day of_ Lr ,20 'O , by MQ_t ,i.j 12,6 ,who personally appeared before me and (printed name of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. Personally Known Sign re of Not Public,State o lorida 'r•. etl Identification(Type) r"; ' LINDSEY M.BISHOP StyliNotary Public•State of Florida ` Commission#FF 946204 '''.', F.dy My Comm.Expires Jan 19.2020 (--- SITE PLAN LOT 13 AS SHOWN ON PLAT OF ATLANTIC BEACH COUNTRY CLUB UNIT 2 AS RECORDED IN PLAT BOOK 67, PAGES 132-137 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FL. GRAPHIC SCALE S) 3° 15 '° COMMUNITY DEVELOPMENT ( IN FEET ) \ APPROVED 1 inch = 30 ft. ({j� ,�I' 0 IMPERVIOUS COVERAGE �C'.*� N. N IMPERVIOUS Sq.Ft. LOT Sq.Ft. % ti 4,597 Sq.Ft 7,200 Sq.Ft. 83.8% LOT 14 s.s :A2°. 120 00'(F) ,,.,.� Z \ C. 518 Sle' • _ BUILDING COVERAGE N f • :- O COVERED Sq.Ft. LOT Sq.Ft. % N ` 35"E. 4,072 Sq.FL 7,200 Sq.Ft. 56.5% N7 5.3T`,,,. • • 2900 t•• T CP1 5 BR. SE 2' ' S. , ,\ O c1 A[ J w :�z :,' SOD BREAKDOWN o"`,.,.�"'�f6 ``1L�D�S. 2A.34 • .a .1.T�.. . .. W 'A ` lir% OSFD otCE. O'er' to TOTAL LOT AREA 7,200 Sq.Ft. _ yr'l►l ';'.�o R/WGROSS SCUTO RB BREA 8'010 Sq. Ft. .:s- �'�''•'o, Thr,V,a "GF F° VE9"SO s x 1� •18 p DEDUCTIONS ;,';, 7p� , �" RO E,QLFitg rte]({1 -9,..\''`` FOUNDATION SLAB 4,072 Sq.Ft. ,Ati cal -:`1O: 44 49.61:' 9 E X g7b"t 5' '' 1182' DRIVEWAY 722 Sq.Ft. ' . ,� LEAD WALK 66 Sq.Ft ,' ,'!� / 2 ya y867 SIDEWALK AREA 0 Sq.Ft. /� ,,,�%' 1 r 1267 N. '} WEI A/C PAO(5) &GARAGE L I/"` 20.80• ®\;�g 2167' " .-` '.e�FJ'VF� CP' SERVICE DOOR SLAB 24 Sq.Ft. 0. \ 1,3 `.'! 1AY':.`,..S 2467' - 5 p0,\` WATER/CONSERVATION O Sq.Ft. '� `� cl. 1 67 ..�'./� V. 5.16' N NOETASODF AREAS 3,B2fi Sq.FL b �,_t 2D.w' 1�l'. r 0J ��ig 5.�2 35„E-.• . 5.16' A d w F� \ LOT '.2 m 3 •� z7 -0 \c‘ \rn J 9 /i T OP," Holy, CIO .01/214HYE PER ARB,KNISH ROOK ELEVATOR MUST SE 2e ,. /MOW GRADE PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FLORIDA _ , Project Name: Atlantic Beach Country ClubluLot- 13 Permit # r Project Address: (�L12r 4133Ai t- Gala%1:014%/4- w 4C... 134a..e.h Iry x-33 As required by Florida Statute 553.842 and Florida Administrative Code Rule 9B-72,please provide the&formation and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approNnumber for any of the applicable listed products. Information regarding statewide product approval may be obtained at:www.floridabuilding.org. V1 t‘/ *id I Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1.Swinging Masonite International Fiberglass Hinged Door +-76 4334.1,4334.2, 4334.4,4334.6, 4334.7,4334.8 2.Sliding Jeld-Wen Siteline Clad Approved for use in HVHZ:No,Approved for use outside HVHZ:Yes,Impact Resistant:No,Design 12313.9 Pressure:+25/-25,Other:Glazing must comply with the adopted version of ASTM El 300-04 Min 1/8" temoered monolithic and insulated • 3.Sectional N/A 4.Roll up N/A 5.Automatic N/A 6.Other Plast Pro Onelite Series Fiberglass Door Approved for use in HVHZ:No,Approved for use outside HVHZ:Yes,Impact Resistant:No,Design 15215.6,15215.7, Pressure:N/A,Other:See INST 15215.6,7,&8 for Design Pressure Ratings,any additional use limitations, 15215.8 installation instructions and product particulars. B.WINDOWS 1.Single hung N/A 2.Horizontal slider N/A 3.Casement N/A 4.Double hung Jeld-Wen W-2500 +50/-50,+35/-35 16085.2,16085.3 5.Fixed Jeld-Wen Fixed wood clad W-2500 +50/-50 17498.4 6.Awning N/A 7.Pass-through N/A 8.Projected N/A 9.Mullion N/A 10.Wind breaker N/A 11.Dual action N/A 12.Garage Doors Haas Door Company 920 Approved for use HVHZ:No,Approved for use outside HVHZ:Yes,Impact Resistant:No,Design Pressure: 16660.4,16660.6 +23.9/-26.7,Other:Glazing is an available option for the 600,700,800,&900 series product only but it does not meet the impact resistant requirement for windbome debris regions C.PANEL WALL 1.Siding Nichiha Fiber Cement cladding Installed per manufacturer installation drawings.Anchor size,type and spacing are determined by the type of 12098.1,12098.3 construction per manufacturer drawing 2.Soffits N/A 3.EIFS N/A 4.Storefronts N/A 5.Curtain walls N/A 6.Wall louvers N/A 7.Glass block N/A 8.Membrane N/A 9.Greenhouse N/A 10.Synthetic stucco 3 Coat stucco system,mixed on site 11.Other N/A D.ROOFING PRODUCTS 1.Asphalt shingles Ownes Coming Laminated Shingles,Architectural This approval does not cover HVHZ.Products shall be installed in accordance with FBC sections for non- 10674.1 HVHZ and per manufacturers installation drawings 2.Underlayments Owens Coming Waterproofing underlayment This approval does not cover HVHZ.Products shall be installed in accordance with FBC sections for non- 9777-R1 3.Roofing fasteners N/A 4.Nonstructural metal roof GulfLok 26 ga.GulfLok 16"wide roof panel Approved for use in HVHZ:No,Approved for use outside HVHZ:Yes,Impact Resistant.N/A,Design 11651.16 R2 Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# 5.Built-up roofing N/A 6.Modified bitumen N/A 7.Single ply roofing N/A 8.Roofing tiles N/A _ 9.Roofing insulation N/A 10.Waterproofing N/A 11.Wood shingles/shakes N/A 12.Roofing slate N/A 13.Liquid applied roofing N/A 14.Cement-adhesive coats -N/A 15.Roof tile adhesive N/A 16.Spray applied polyurethane roo N/A 17.Other N/A E.SHUTTERS - 1.Accordion N/A 2.Bahama Custom made cedar 3.Storm panels N/A 4.Colonial N/A 5.Roll-up N/A 6.Equipment N/A 7.Other N/A F.STRUCTURAL COMPONENTS 1.Wood connector/anchor Simpson Wood Connectors Approved for use in HVHZ:No,Approved for use outside HVHZ:Yes,Impact resistant:N/A.Other: 4432 Connected to foundation and wall as specified in Evaluation Report.Field cutting only as specified in 2.Truss plates MiTek Industries Truss Plates Metal Connector Plate Products must be installed in accordance with Florida Building Code and per manufacturers drawings 2197.R1, 2197.R2. 3.Engineered lumber Trus Joint,A Weyerhaeuser Business Engineered Lumber,Microllan LVL, Products must be installed in accordance with Florida Building Code and per manufacturers drawings 1630-R3,6527-R1 Parallam PSL,Timberstrand LSL,TJ- Strand Rim Rnard T.11 4.Railing 'N/A 5.Coolers-freezers N/A 6.Concrete admixtures N/A 7.Material N/A 8.Insulation forms N/A 9.Plastics N/A 10.Deck-roof N/A 11.Wall Trus Joint,A Weyerhaeuser Business Engineered Lumber,Microllan LVL, Products must be installed in accordance with Florida Building Code and per manufacturers drawings 4478-R1 Parallam PSL,Timberstrand LSL,TJ- Strand Rim Board,TJI 12.Sheds N/A 13.Other MiTek Industries Truss Plates Metal Connector Plate Products must be installed in accordance with Florida Building Code and per manufacturers drawings G.SKYLIGHTS 1.Skylight N/A 2.Other N/A H.NEW EXTERIOR ENVELOPE PRODUCTS 1. N/A 2. N/A In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, the Contractor shall maintain on the job site and available to the Inspector,a legible copy of each manufacturer's printed specifications and installation instructions along with this Product Approval Sheet. I certify that this product approval list is true and correct to the best of my knowledge.I further certify that use of different components other than the ones _ listed in this document must be approved by the Building Official. (Contractor Name) (Print Name) Matthew Roberts (Signature) Company Name: Riverside Homes of North Florida Mailing Address: 12276 San Jose Blvd.,Ste.120 City: Jacksonville State: FL Zip Code: 32223 Telephone Number:(904 ) 503-7055 Fax Number:( Cell Phone Number:( ) E-mail Address: 31--cr71e o 4"' Flo-Rrdot OFFICE CC FORM R405-2017 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Business and Professional Regulation - Residential Performance Method Project Name: RIVER3563 Builder Name: Riverside Homes Street: 1673 Atlantic Beach Drive Permit Office: City of Atlantic Beach City,State,Zip: Atlantic Beach,FL, Permit Number: Owner: Coley Residence Jurisdiction: 261100 Design Location: FL,Jacksonville County: Duval(Florida Climate Zone 2) 1. New construction or existing New(From Plans) 9. Wall Types(4208.6 sqft.) Insulation Area 2. Single family or multiple family Single-family a.Frame-Wood,Exterior R=19.0 3746.10 ft2 b. Frame-Wood,Adjacent R=19.0 462.50 ft2 3. Number of units,if multiple family 1 c. N/A R= ft2 4. Number of Bedrooms 3 d.N/A R= ft2 5. Is this a worst case? No 10.Ceiling Types (3152.2 sqft.) Insulation Area a.Roof Deck(Unvented) R=22.0 2762.00 ft2 6. Conditioned floor area above grade(ft2) 3563 b.Knee Wall(Unvented) R=0.0 390.20 ft2 Conditioned floor area below grade(ft2) 0 c. N/A R= ft2 11. Ducts R ft2 7. Windows(709.5 sqft.) Description Area a. Sup:Attic,Ret:Attic,AH:2nd Floor 6 712.6 a. U-Factor: Dbl,U=0.35 709.50 ft2 SHGC: SHGC=0.22 b. U-Factor: N/A ft2 12.Cooling systems kBtu/hr Efficiency SHGC: a.Central Unit 60.0 SEER:14.00 c. U-Factor: N/A ft2 SHGC: 13.Heating systems kBtu/hr Efficiency d. U-Factor: N/A ft2 a. Electric Heat Pump 60.0 HSPF:8.20 SHGC: Area Weighted Average Overhang Depth: 8.717 ft. Area Weighted Average SHGC: 0.220 14.Hot water systems 8. Floor Types (3563.0 sqft.) Insulation Area a.Propane Tankless Cap: 1 gallons EF:0.860 a.Slab-On-Grade Edge Insulation R=0.0 2762.00 ft2 b. Conservation features b.Floor Over Other Space R=0.0 801.00 ft2 None c. N/A R= ft2 15.Credits Pstat Total Proposed Modified Loads: 84.90 PASS Glass/Floor Area: 0.199 Total Baseline Loads: 97.38 I hereby certify that the plans and specifications covered by Review of the plans and .../1 viE STA; •:,. this calculation are in compliance with the Florida Energy specifications covered by this ‘a 9,0\ I.Digitally signed by Douglas FL Stickles •ii ` Code. calculation indicates compliance ��,,,; •++ •, } DN:cn=Douglas R.Sbckles,c=US,o=A/C `J - S�P`�.C!` Douglas R.Stickles�a_tersHVA41nc with the Florida Energy Code. .E+:ion ' ,.0 O . PREPARED BY: ;f Date:2018.08.16 10:4056-04'00' Before construction is completed .::.....Z.,.':;,...... t DATE: this building will be inspected for i. '- a compliance with Section 553.908 *:-ILL ° * ;' Florida Statutes. �' ', I herebycertifythat this building, as designed, is in compliance 'r:, `S with the Florida Energy Code. ODyv'E' ••' OWNER/AGENT: UrVI �►r BUILDING OFFICIAL: DATE: l� DATE: - Compliance requires certification by the air handler unit manufacturer that the air handler enclosure qualifies as certified factory-sealed in accordance with R403.3.2.1. -Compliance requires an Air Barrier and Insulation Inspection Checklist in accordance with R402.4.1.1 and this project requires an envelope leakage test report with envelope leakage no greater than 7.00 ACH50 (R402.4.1.2). 8/15/2018 2:22 PM EnergyGauge®USA Section R405.4.1 Compliant Software Page 1 of 5