761 Cavalla Rd RES20-0066 7 Windows f,1.0.-AsT;-7,-„:„,, RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH RES20-0066
~ �� "
800 SEMINOLE ROAD ISSUED: 3/9/2020
4011 9r ATLANTIC BEACH. FL 32233 EXPIRES: 9/5/2020
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:
761 CAVALLA RD RESIDENTIAL 7 WINDOWS $7586.00
WINDOWS/DOORS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171347 0000 ROYAL PALMS UNIT 02A
COMPANY: ADDRESS: CITY: STATE: ZIP:
Coastal Green Energy 6710 Benjamin Road Suite 200 Tampa Fl 33634
Solutions
OWNER: ADDRESS: CITY: STATE: ZIP:
EDWARDS TERESA ELAINE 761 CAVALLA RD ATLANTIC BEACH FL 32233-3916
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.
!111111.IIIMIIIIIIIIPIIIIIIIIIPMDIIIIIIIIIIrj.IIFT—_ ,. „.. ' • -7‘ '-' '
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $90.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $45.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$139.03
Issued Date:3/9/2020 1 of 2
(r.o...A/9 ,, RESIDENTIAL PERMIT PERMIT NUMBER
+. RES20-0066
-.ak CITY OF ATLANTIC BEACH
\� ISSUED: 3/9/2020
800 SEMINOLE ROAD
`'��:a>>r ATLANTIC BEACH. FL 32233 EXPIRES: 9/5/2020
Issued Date: 3/9/2020 2 of 2
City of Atlantic Beach APPLICATION NUMBER
f
Building Department (To be assigned by the Building Department.)
. - ,
800 Seminole Road 1 7e-_,'_),
` Do
r' Atlantic Beach, Florida 32233-5445 l� l�Z&_ `� ) (
r
Phone(904)247-5826 • Fax(904)247-5845 ?
r)a1�r E-mail: building-dept@coab.us Date routed: --5/J/Z C)
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: WO ( L AVALLA i,- „10 Department review required Ye No
C-BuildinL_j
O �ti : ' L Planning &Zoning
Applicant: LO °TA�— 1,�E ,v + E(� / 9
/� 1 1 Tree Administrator
Project: 7 V �� i l�i��V Public Works
Public Utilities
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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ['Denied. Not applicable
(Circle one.) Comments:
BUILDIN
PLANNING &ZONINGj
Reviewed by: Date: ,3 y
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
,, v''',, Building Permit Application Updated 10/9/18
rs
City of Atlantic Beach Building Department OFFICE COP *ALL INFORMATION
+, 800 Seminole Road, Atlantic Beach, FL 32233 IGHLIGHTED IN GRAY
ot3� IS REQUIRED.
Phone: (904) 247-5826 Email: Building-Dept@coab.us //��
Job Address: 761 Cavalla Rd Atlantic Beach,FL 32233 Permit Number: R ao-- co (fes
Legal Description 314 17-2S-29E ROYAL PALMS UNIT 2 A LOT 7 BLK 15 RE# 171347-0000
Valuation of Work(Replacement Cost)$ 7,586 Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition DAlteration DRepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑Commercial El Residential 0
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No U
rt
• Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) No
Describe in detail the type of work to be performed: Window replacement,size for size-7 Windows, FPA#: 17234.1, 173541- .„ O
U `t
Z
niJ a
Om — � a
Florida Product Approval# for multiple products use product approUl t2 j U 2
Property Owner Information 11.1 � ct Z
Name Teresa Edwards Address 761 Cavalla Rd 0 < 0 .
City Atlantic Beach State FL Zip 32233 Phone (904)631-0319 U N (.1)
E-Mail CC B H Z
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) 0 LL cr 2
Contractor Information 0 O a Er m
}
Name of Company Coastal Green Energy Solutions Qualifying Agent Robert Cornetta CGC1523579 L!V F— g 0
Address 6710 Benjamin Rd#200 City Tampa State FL Zip 33634 w O Vi W
Office Phone (813)512-6014 Job Site Contact Number > Q W
State Certification/Registration# CGC1523579 E-Mail permitting@coastalgreenenergy.com W
cC cc
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer Frank Winston Crum Insurance Company OR Exempt❑ Expiration Date 01/01/2021
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 regulating
construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING SIG ..----)
7NS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE:In additior�t4 l�e.Kei uir�er eatN,gFpermit,there may be additional restrictions applicable to this property that may be found in the public r c d7ef thisicbarrt , d +t
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies. ��QQ �A
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compYttnF e with a020
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCE f?lT,s IVIAYortmont
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEKNVIFYOU,INTENEY1Ch, FL
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEME eatill*,
U_
(Signature.f Owner• Agent (Signature of Contractor)
Signed and sworn to(or affirmed)before me this 2I.Niiday of Signed and sworn to(or affi •--d)before me this 2 day< f
tYla , , ac)a , byr e tx.r,c M;)a ( (1160fch ,X950,b Am i - 4— CCY lite---.
'(Signature of Notary) (Signature of Notary)
VL.Personally Known OR UU Personally Known OR
[ ]Produced Identification I Produced Identification
Type of Identification: Type of Identification:
OFFICE COPY
I hereby designate and authorize the agent and/or qualifier listed below to act on my behalf as the agent
in the processing of this application for the permit and to furnish on request supplemental information
in support of this application. In addition, I authorize the below-listed agent to bind me to perform any
requirement which may be necessary to procure the permit or authorization.
Printed Name of Qualifier/Certified Contractor: Ro.ert Cornetta
Signature of Qualifier/Certified Contractor.N V v. Date'1 Le‘I Z lU
Printed Name of Authorized Agent: Rebecca Mijal
Signature of Authorized Agent: ` iqt ,L 111-164 Date: 21 ZA 11010
Printed Name of Owner: Teresa Edwards
Signature of Owner@ �—e--1--t Date: 2 I Z: 11°10
Job Address: 761 Cavalla Rd Atlantic Beach, FL 32233
Owner Name: Teresa Edwards Phone Number: (904) 631-0319
Mailing Address: 761 Cavalla Rd Atlantic Beach, FL 32233
The forgoing instrument was acknowledged before me this day of�PtY , 2020 in the state of
Florida, County of Duval. U
Signature of Notary Pu•lic
[ ] Personally Known OR[•)4 Produced Identification Type of Identification:
\�,, ier r Notary Public State of Florida
t v\\ c' R chel Ann Romer
My Commission GG 319784
OP ti Expires 04/04/2023
OFFICE COPY FORMS
FLORIDA BUILDING CODE, ENERGY CONSERVATION ii
Residential Building Thermal Envelope Approach
FORM R402-2017 Climate Zone ❑
Scope:Compliance with Section R401.2(1)of the Florida Building Code,Energy Conservation,shall be demonstrated by the use of Form
R402 for single-and multiple-family residences of three stories or less in height,additions to existing residential buildings,alterations,
renovations and building systems in existing buildings,as applicable.To comply,a building must meet or exceed all of the energy efficiency '
requirements on Table R402A and all applicable mandatory requirements summarized in Table R402B of this form.If a building does not
comply with this method,or by the UA Alternative method,it may still comply under Section R405 of the Florida Building Code,Energy
Conservation.
PROJECT NAME Edwards-761 Cavalla Rd BUILDER: Coastal Green Energy Solutions
AND ADDRESS: Atlantic Beach,FL 32233 Robert Cornetta
OWNER: PERMITTING OFFICE:
Teresa Edwards JURISDICTION NUMBER:
PERMIT NUMBER:
General Instructions: '
1.Fill in all the applicable spaces of the"To Be Installed"column on Table R402A with the information requested.All"To Be Installed"values must be
equal to or more efficient than the required levels.
2.Complete page 1 based on the"To Be Installed"column information.
3.Read the requirements of Table R402B and check each box to indicate your intent to comply with all applicable items. '
4.Read,sign and date the"Prepared By"certification statement at the bottom of page 1.The owner or owner's agent must also sign and date the form.
I
1. New construction,addition,or existing building 1.
2. Single-family detached or multiple-family attached 2. '
3. If multiple-family,number of units covered by this submission 3.
4. Is this a worst case?(yes/no) 4.
5. Conditioned floor area(sq.ft.) 5. '
6. Windows,type and area
a) U-factor: 6a. 0.29,0.27
b) Solar Heat Gain Coefficient(SHGC) 6b. 0.22,0.24
I
c) Area 6c. t
7. Skylights
a) U-factor: 7a.
b) Solar Heat Gain Coefficient(SHGC) 7b. '
8. Floor type,area or perimeter,and insulation:
a) Slab-on-grade(R-value) 8a.
b) Wood,raised(R-value) 8b.
c) Wood,common(R-value) 8c. '
d) Concrete,raised(R-value) 8d.
e) Concrete,common(R-value) 8e.
9. Wall type and Insulation: I
a) Exterior: 1. Wood frame(Insulation R-value) gal.
2. Masonry(Insulation R-value) 9a2.
b) Adjacent: 1. Wood frame(Insulation R-value) 9b1.
2. Masonry(Insulation R-value) 9b2.
10. Ceiling type and insulation '
a) Attic(Insulation R-value) 10a.
b) Single assembly(Insulation R-value) 10b. '
11. Air distribution system:
a) Duct location,insulation 11a.
b) AHU location 11 b.
c) Total duct leakage.Test report attached. 11c. cfm/100 s.f. Yes❑ No 0 '
12. Cooling system: a)type 12a.
b)efficiency 12b.
13. Heating system: a)type 13a.
b)efficiency 13b.
14. HVAC sizing calculation:attached 14. Yes 0 No 0
15. Water heating system: a)type 15a.
b)efficiency 15b. '
I hereby certify that the plans and specifications covered by this form are Review of plans and specifications covered by this form indicate
in compliance with the Florida Building Code,Energy Conservation. compliance with the Florida Building Code,Energy Conservation.Before
PREPARED BY: Rebecca Mijal Date 02/26/2020 construction Is complete,this building will be inspected for compliance In I
I hereby certify that this building is in compliance with the Florida Building accordance with Section 553.9Q$„ . '
Code,Energy Cons a' n. a 9 � " CODE OFFICI L: �'/t
OWNER/AGENT. iia /,�Gv 6aate: 02/26/2020 Date: /�, � 1
FLORIDA BUILDING CODE-ENERGY CONSERVATION,6th EDITION(2017) R-55
Lender: Green Sky Note
/'Y c Q S ti/'C. 12/ 14 9 oxo
Terms:
HOA
Class/Design Pressure in PSF 40(7.68) Wind Velocity in MPH 129
Coastal Green Energy Solutions
E COPY CGC#1523579
2[ � Teresa Edwards
Cust.Name
Phone Number 904-631-0319
Phone Number
Cont.Date 11/25/2019
761 Cavalla Rd
r‘-- Address
Atlantic Beach,FL 32233
® County Duval
�„ Sales Rep: Bob Shepherd
BA 5 Phone Number . 904-885-2590
_ Frame Type
Block / Wood
`, 1 . Exterior Siding
c /4" /4 r Z. YB 1961
C
1 1 -0 Lead Test Y/N YES
rt *C. ) Lead Results Y/N
I�� Bucking Req __
1.0
F P1 Color
tj ((�� Grids
m421b/V/ )� Frosted
^r7 Impact Qty.
ED rn , C) Non-Impact Qty.
Window Shields Qty.
Door Shields Qty.
Cust.!nit
Customer agrees to the above
Nr Room W H Style Series OBS Temp Screen Grids Add'IOptions
1 WiTC lier4 35-/y 3 5N G .t-1. X 1
2 ?7 H 35 '/x.. 37 S .•H ,. X Y
3 !L1Y1&J 35 .519 3 67./f3 S .
4Lcsr/ .1 3 55/g 3L3 i S. H.
5Lt�!'AJg a S0pg3/q (1? % o S t-I X OFF-0 /.2' i
VIO?,4 , 7i' p[ C-. ,>,
X li rr SN ��C �µI ..
6 `�-1 yr nr g ,1 / p 3�
7 1—IrvtAt3 !d 7 / 107 V3.- S. H X si rr t 0 'w+
8 $/
9
10
11
12
13
14
15
' /0.1Customer Sign. ure: Date:� -7 &/ - L 1 Measure /
Do you live in a fl.=.zon o. Yes or No (Please circle one) Date:
Sketch of Residence
OFFICE COPY
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D CD (t)
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761 C. ,avA ( IA RD
n -ri ogt, Ti`c. f3c1-1 ,-F/ 32233
OFFICE COPY
STATEWIDE PRODUCT APPROVAL SUBMITTAL
Revision Date: 5/24/04
761 Cavalla Rd Atlantic Beach, FL 32233 Teresa Edwards Coastal Green Energy Solutions
Application/Permit#: Building Address: Owner: Contractor: Robert Cornetta
Openings: Sliding Glass Doors,Exte wing Doors, Overhead Doors, Fixed Glass, Windows, Mullions, Skylights
"-"Pressure Product Approval Product Model#or Glass Attachment Approval Expiration
*Qty D T Manufacturer Category Number/Seq#. d Name Series Type/Size Method Entity Date
6 50 50 Custom Window Systems Windows 17234.1 ✓ 610 Aria SH 610 LowE366
1 50 50 Custom Window Systems Windows 17354.1 V. 615 Aria PW 615 LowE366
2 Custom Window Systems Mullions 5777.2 / 3"PVC Mull Bar
* Only one entry required for Multiple units of the same size and Design Pressure
** D= Design Pressure T= Max. Test Pressure
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