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165- 167 Pine St (vault) PREPARED 4/10/03, 8:18:06 INSPECTION TICKET PAGE 8 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 4/10/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 165 PINE ST SUBDIV: TENANT, NBR: REPLACE HVAC CONTRACTOR GURLEY HEATING AND AIR PHONE (904) 221-6221 OWNER SAPIA, PAULNA PHONE PARCEL 170635-0130- - APPL NUMBER: 03-00025784 MECHANICAL ONLY ------------------------------------------------------------------------------------------------ P M IT: NICK 00 NBC W ICAL PRINIT REQUESTED INSP DESCRIPTION '�YR I PTI" TYP/SQ COMPLETED RESULT RESULTS/COMMRNT --------------------------------------------- -------------------------------------------------- 34 01 4/10/03 LJH ME FINAL T MR: 08:00 L CALL FIRST OHN WHITE 626-9452 -------------------------------------- MMENTS AND NOTES -------------------------------------- y,4 tZ 0.4. CITY OF ATLANTIC BEACH as-- 1(00 SPECIAL INVESTIGATION TO BE FILLED OUT BY COMPLAINTANT DATE ADDRESS LOCATION A 7 COMPLAINT &2:4z d2 Y C-A oQ :Lo (n pwu (J,,,4e---4, -4n OWNER Of PROPERTY J54 A-An,tnelt?�C/-4,j1d. lk-7 PI SIGNATURE OF COMPIAINTANT PHONE L9 ----------------------- FOR OFFICE USE ONLY DATE OF"INVESTIGATZ INVESTIGATOR CONDITIONS FOUND L T— L/ -'ll 71 ACTION TAKEN' COMPLIANCE- NOTES: --------------- Nt) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030403 Date 5/26/05 Property Address . . . . . . 166 PINE ST Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2188 Owner Contractor ------------------------ ------------------------ GRAESTER, MARK HOME DEPOT AT-HOME SERVICES 166 PINE STREET 2455 PACES FERRY RD NW BL C-8 ATLANTIC BEACH FL 32233 ATLANTA GA 30339 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2188 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 . 00 68 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date Heated Square Footage @$ -persqft= $ Garage Shed r) 1P $ per sq ft $ �,.Xv (.Aft-' Carport Porch $ per sq R $ Deck @$ per sqft= $ Patio @ $ per sqft= $ TOTAL VALUATION: $ I- 3.5 $ Total Valuation $ oevvo - I L9 F2 $ (C Remaining Value $f. per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ -2 ZONING: + 1/2 Filing Fee $ FLOOD ZONE: )Fireplaces@ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWERIMPACTFEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DLE: $ C) CITY OF ATLANTIC BEACH Cc: BUILDING ZONING DEPARTMENT iggins 800 Seminole Road Msoerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coaKus PLAN REVIEW COMMENTS Permit Application # 5- �-5()+ 0 5, ---Crk I Property Address: n 1p, Applicant: W fme a H 6 ro Project: This permit application has been: Cn/Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: -7 D 0 16tTY OF ATLANTIC BEACH U - �YOOFING PERMIT APPLICATION Date: Job Address: Owner of Property: Ot 1q F-5 Ifft- Address: K"T-LKrJTi(- 322-33 Telephone: . Contractor'll' 4-"L)g):1-JA�j��S9jyj( 0,,C, State License Number: Contractor's Address:c<M Q<-Z��A-r On Telephone: Fax: Scope of Work: Q,!�Ynnp —1 d 5 15- 5 L�A;z P)7' -(,6 Deck Slope: -Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example:Timberline): 6' " /-1/X . Y �j Manufacturer(Example: GAF): L--Imy ASTM Designation(s): J%�Z LIZ of-L Required Inspections:: Shea d F' al Signature of Ownen Date: Signature of Contxacto §-jnjo6- AS TO'OWNER: Sworn to and subscribed before me this C) day of State of Florida,County of Duval Notary's Signature: VC 11 C.76UTHSERTSON Personally known Corn"000311161110 Expees 10r&VrA= Produced identification L Bonded thru(OW)432.4M Type of identification produced [021mll �, onda Notsfy Assm.Me AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: �-c SUSAN C.S:h!AkwPiR0 StIte of Florida Personally known _Notary Public a 1Z -)n ExrAies,kil 25,2M7 WyCornrniv* Produced identification -nmib,�ior� # L)02 0 720 "al t Type of identification produced ...... bonded By Nutional Notaiyj�ssn. 800 Seminole Road Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -bttp://www.ei.atiantic-beach.fl.us Page I Revised 2/21/03 U x vj-' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025784 Date 3/31/03 Property Address . . . . . . 165 PINE ST Tenant nbr, name . . . . . . REPLACE HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SAPIA, PAULNA GURLEY HEATING AND AIR 165 PINE STREET 2028 INDIAN SPRINGS RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 221-622 1 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79. 00 79 . 00 . 00 . 00 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 CONTRACTOR OR OWNER- "FAILURE TO OOMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW, BUILDING OFFICIAL 8887 WNTOPSUILOM `0� CITY OF ATL40C-00 ioc �ION INPORKATION INFORMATION ,,- it "umbe r AddressIt' .161 ,"PINE STREET 'ATLANTIC BEACH , F'WRIDA 32233 t Type* XECHAN1 CAL, LEGAL DESCRIPTION t W rk, REPAIR t 'FRAME : Lot. , y�p WQOD t1qns r R hip No*. D 0 io p e STOIX FAKtLY ATLANT I C BEACH, suw 1 1 code-- Ue OiA0 Vi a �,Taprov 0s,t 00 $27 .00 ' Total $27 �00 Da APPLICATION FEES TTON I- wt $27 .G0 I.t4PACT FEE,i 0 ev T AT PLO ON GAS-H.R. S. $01(0 'FORMAT CAB c E CAPITAL IMPROVE, 4 tp 'aft, AN' 'TION moss co L -FLOIR I DA 31 20 MNEC H, L S ACT PEE Ice Tyoe 10 14-1URCHAR03 mw cell 4SPECT 0'T, —ALL 19 fp#�W�ANO FOOTINGS MUST 61E It BEFORE MjURING JET ft E�OF ISSUE, 'PERM VOID SIX MONTHS AFTtA OAT ft. WMATEfItAL,RUBBIS AN, SAIS F T,S)EPLACED N PUBLIC SPACE,AND MUST BE >RK MUST,rNO H D,'DE 'ROM THJS WC1 JI EDUPAND y HER,CONTRACTOR OR OWNE�, HAULED AWAY IT IFAILUAS T C 1,11EN, LAWCANIRESIJ IN ;OOA,PLYl�"-WIT"HTHE. MF.,CHAN ICS E -0,00 Y 0WNJM'-PAYING wuli�_,;', AM"OVEMEN SO , F.AT % 'Twice �0101 ' OC PROVED P" W T 60 A0 Ot ING TO AP V -CC LAWS, -HICH ARE PART.oF.TKIS PEAMIT,AND SUBJEC TO REV,�n A:I Of �w f E PROVISION 0F'LA1 IMICARL 00*m $27.00 00000m ACH� UILDIOG RTMeNT. 00717A 9EPA V 1161 77 777 77 77 7 BUILDING AND ZONING INSPECTION DIVISION CITY Of ATLANTIC BEACH ATLANTIC BEACH. FLORIDA SX233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: Ito-11)-irie- -ST U)CATION I - OF Intersecting $tree It: Between And WILDING Sub-d;vision Ill. IDENTIFICATION — To be completed by all applicants. In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attac4d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Home, of Mechanical Contractors QH*4001 (Print) KW A&0 FAC-f VA Se—#Z— Home of Owner 6- ': L Property -nor Signature of S ,�A=6-9(1)Agont Architect or Engineer Ill. CPS41M INFORMATM A. Type of 6sting fW: IS OTHER CONSTRUCTION OIEING C3 E14,doic THIS SUILOING OR SITE? C) E3 LF 0 Natural 0 Central Utility IF Yes, GIVE NUMBER OF CONSTRUCTION (3 09 0 00sor — Specify IV. MWHANICAL I*UMANT TO N IN 14ATURE OF WORK (F 90we complete list of compowInts 00 bed of this fetal "Ir Residential or 0 Commercial 13' ""t 13 Space 0 R000000,11 0 C40W 0 fIW 0 Now Building *IuCoadd;omiag: E3 Room X,Existing Building C) Dect Systems: Me% $!� Riplacement of existing system maxismum capacity 0 Now installation(No System p#eVjoU$Iy InSt~ C3 0 Other— Specify C) Cooling 100m: Capacity (3 Fro WrinUors; Nuokbor of 13 Ellevotor 0 Monlift 0 Escelet" THO SPACI PC* Of I 1= US OWY 0 6 me,PUMPL— - D (flumberl ROMA$ LP6W C0ft#6i%M- (mumber) Uvfimd pressure, vesm C) loan Permm* Appov*d Data_ d 0*W — SW* Permit on Uffr ALL EQUIPMENT AIR CONDMONI[NG AND REFRIGERATION EQUWh1ENT Ptusnber Uuft me."Numbell! 111111111111111d'actow R�T 4 DEPARTMENT OF BUILDING 4443 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 13 80 D t,__._._..AU9USt Valuation S 71 ,270m64 Fee S 179-04 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 RJ113Z Ar7ip Const- Co.- has permission tobuild__a_di*Lleir arecirding to plans Rijbinittad. Residetial Classification Owned by— 678 BAL11Y Arzie Cmat, CO3 Salt Air Sect.#3 Lot BI Ir S/D HouseNo- 165 & 167 Pine Strap-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 110. 0 Building material, rubbish and debris Zfrom this work atust not be placed in public space, and must be cleared up and haxiled. away by either contractor or owner. 179IU4 TL 179,04CKT11 Bill..�*71)avii!;A d/19/iiiJ i i 4 Building oih��CAV") FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WAT ER FOR OFFICE USE ONLY Date__.f:�X.3................19 EO CITY OF ATLANTIC BEACH Permit *!��....Fee Valuation $ ............. FLORIDA House #/ .............. .... ........... .. . . ...... APPLICATION FOR BUILDING PERMIT ..................... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlaniic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that-a list of sub-contractors be submitted to this office so that licenses can be verihed. Date.... 19 7_1'�.....*---------------------------------------------------- Owner........ --------------------------- -----------............ Address-77064- fe - le ............ ��IAP �2 f.9--K-5 Z61 .................................I-------------------Telephone No............................. Architect............................574fn-e...............................................Addres&...........................................................Telephone No........................... .................. Contractor Builder----- S0910r7 a -- ---_----------------_Address............................................................Telephone No....................... Lot No...-------4�.7.�K----_-------------------BI- ----------- --------5-----------_-------------....__Zone................. ----------------------------- e, -------------I----------------------------- S'17 0 e- ...........Street__.��_r......Side Between.. ....*------------- ......and.....................................................sts. Valuation ---------For what purpose will building be ...........Type of construction..._!�rngo_ Dimensions of Building_��K_AS---_----------Dimensions of Lot--- ---------- a 7-0------- ............. -------_-------..Size of Footings.-/4 X ----------------*--------- Size of Piers.----___%------------------Size of Sills------......—-----------Greatest Sill Span in ft.---.---- ------------Type Roof............)514.4c_r ......................... How will Building be Heated?--------41!5_11-lec- %f-,f-A-.--' ------------------- ---------------------_-----------Will Building be on Solid or Filled Ground?--------------------------........ Size ,of Ceiling Joists___.---------------------------------- Distance on Centers............-1------------I................. Greatest Span................I......................... Size of Floor Joists--- -------------------- Distance on Centers. _Z IL ................ Greatest Span......./_7.............................. --------- ...------------- ...... Size of Rafters........ Distance on Centers.....,.. ...... ...........------ Greatest Span........................................... --------------------------------- This rectangle is to represent the lot Locate the building Or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. AU604 NO 2. When steel is in place and ready to pour columns and/or lintel. Z 7 1-4 .S Z 3. When steel is in place and ready to pour beam. ITY Of ATIART,IC BECH �1 4. When framing is completed. ,I,, D E-4 5. When rough plumbing is completed,-and ready to cover up. R r 3 6. When septic tank drain field or sewer is laid but before r 7. Electrical inspection by City of Jacksor.ville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for 01 40 corrections are made. .A C- 7 F qT OF LOT 75 y for In consideration of pe for doing the w �9* as described in th above statement, we hereby agree to perform said work in accordance wi$thatta hed Aans an spdeifications, which are a part hereof, and in accordance wit the building A regulations of the City of nr e r Signature of Builder------ ... . .............771, Address----*---71.0'._-.............. Xt Signature of Owner........ .... ----- .. ..... Address..................................... An..a................................. ------ .... ------ CITY OF ATLANTIC BEACH 716 OCEAN BOULEVARD AnANTIC BEACH, FLORIDA ADDENDUM '10 BUITeDING PLAN 1. Building location: 2. The attached plan for the above building is, approved subject to meeting the following applicable construciton requirenents: a. Footings shall be continuous monolithic concrete under exterior walls, rein-forced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for two-story buildings. Reinforcing rods shall be placed in. the lower one-third of the footings, properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side than the wall above, shall be at least &ight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonr y unit constructicn, each unit cell shall be reinforced with at lea t on No. 4 bar at aff—corners, poured and tanpea with concrete; such rein- forcing shall be Properly tied into the footing and spandral beam. c. All wood truss rafters (roof construciton) , shall be securely fastened to the exterior walls with approved huxmicaneanchors or clips. d. Construction of nearby onefamily dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall Traterials, window size and design, and other like characteristics)_ of structures. in- accord with the foregoing, similar or duplicate hcmes shall not be constructed within close proximity of each other, and shall be at least 500 feet apart if any one similar dwelling is visible frcm arrj other similar dwelling. e. The final connection between the house plumbing and th&s service connection (at the property line) m-ist be by fore being covered. ?9 The undersigned hereby certifies that he has read the above and understands that this addendun takes precedence over any contrary details to, the 4pand specifications and agrees to ccnply with the intent of this addendum. r t ractoor/Owner 70ate DEPARTMENT OF BUILDING 4453 CITY OF ATLANTIC BEACH, FLORIDA PERM_ PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date A119118t 19 19-8-0- Valuation S P I—,,h ing-_ Fee$ 20.00 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 Rnb Mitchell Plturbing Co. has permission to)M80__JUst-,n1 1 7 sinks-4 laVatnrip-sq.2 batb tubs.4 c-lasetti 2 water heaters,2 dishwashers,2 dtsposals,2 washing machines. Classificati ptgnidprltial ------zo Owned b Billy Arzie Gonst. Co. Lot 678 Block----------S/D Sla Air House No 165 & 167 Rine StZeAt 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 0 Building material, rubbish and debris 7- from this work must not be placed in public space, and must be cleared up and hatiled away by either contractor or owner. T Bill M, DAVis Rilh,4 Ofib* 71 FOR OFFICE PERMIT I!197M DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT Location Firm plumbing .1 , -master PluTber City/County occupational License No. State Certificate No. Builder or Contractor Type of Building_-�t' ZL:!�� _,�9,SINKS SHOWERS _��VATORY M= HEATEw RATH UJBS DISHWASHERS URINALS DISPOSALS CLOMTS WASHING MACHINE FLOOR DRAINS OTHER ,;;:�o TUIAL FEMM COUNT L INSMLT-ATION OF PLUMBING AND FDMI;ES MUST BE IN ACCORDANCE WITH THE M1:)ST RECENT EDITION OF THE SOLMEM SMMM PLUMBING CODE. CM OF ATLANTIC BEACH L DAY" WATER CONNECTION CHARGE LOCAT) OWNER UMBING WiSTER PLUMBERk_ BUILDER OR CONTRArircr' TYPE 10 fiU_-;"l_BlNG_ BATHP40M -ROUP 0-UN-37STINC Of, Z')HDWEF� STALL, 104ESTIC' i'2 vni ts, "WATER CLO"Z LAVATORY & BATNIIJ8 00 ,/,;?o� �11014ERS GROUP PER HEA5 (3 t�Nvlt�k) BATil"ma (WITH fill 411-YHOUT OVER —WEAV, SHOWER) Quilfts) SURGEONS SINK 015 onftO FLBHtNG RIM SINK (8wn`4�tsl _._Cf*l3lNATl0N SIRr AND T�AY (3 uniti) SINX TkQ STANa (B units) COPliBli"LATION SINP JAND TRAY WFOOD fll:Sn P T, SCALLER'i' SINK (4 uwlits�' D�NTA,L UN11T OR V smits) DENTAF'L LAVATORY (I u0t) URINAL, WALL UP '4 1,�-nftf" DRINKING FOUNTAIN (h; unft) INAL STALL. WASNOUl (4 umitr-�� % -JR 'SHW ER (2 urifts) URINAL TROUGiR EACH ?-FT� SECTION D! ASHE 4 _--2 vollts FL60R CIIAINS (I twit) Fn�"c'Ha4i sm (P. Units) .YASHING WCHINE RES, (3 unlW WAS4 SINK EACH SET OF FAOCYT 'l,"K W/FaID WASTE GRINDER --2 us)its ,2jJ`G -.N .1 0 Wilt.11) 2�JAVA7,60 (I unit) ZYATER CLOSETS, TANK OP (4 units) WATER CLOSETS, 7ALVE* OP (8 arit-ts" LAVATORY 1.) BARBEiR, BEAUTY PARLOR LAUNDRY TRAf (2 witt,!s) LAVAIFORY, SURGEONDS 0 � (2 units) CITY OF ATLANTIC BEACH APPLICATION FOR ToaTER. CUT-IN APPLICATION IS HEREBY M%DE FOR�&' lVaTER CUT-IN AT THE FOLLaJING ADDRESS FOR UNIT (S) CUT-IN CHARGE OF_Z.IE:�.� STREET NO. SUBDIVISION e, ACCOUNT NO. NASTER PLUMBER MAILING ADDRESS DATE_Z-26)'-�� NETERNO LP-s DATE INSTALLED CITY OF ATLANTIC BEACH APPLICATION FOR TVaTER CUT-IN APPLICATIM IS HEIMY MADE FOR WATER CUT-IN AT THE 11OLLOWING, ADDRESS FOR 'UNIT (S) CUT-T-N CHARGE OF gyOZ) 'Y— STREET NO. LOT j�z/ BLOCK. SUBDIVISION� ACCOUNT NO. YASTER PLLZMER. MAILING ADDRESS METER NO. DATE INSMLLED J?e CITY OF ATLANTIC BEACH APPLICATION FOR SEM�R COW=IONS ACODUNT NO. DAM f-1,3-SO IOCATION. /--4� 7 UYT NO. BLOCK NO. OWNER Z-; 2 TYPE OF BUILDU�_A MASTER PIUMBER, DATE INSPECTED BY CITY OF ATTANTIC BEACH APPLICATION FOR SEWER COt0=IONS ACCOUNT NO. DATE IOCATION_ LOT NO. BLOCK NO. SUBDIVISION OWNER TYPE OF BUILDING. eel� MASTER PLUMBER DATE INSPECTED BY SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001109 Date 8/03/09 Property Address . . . . . . 165 PINE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3500 ---------------------------------------------------------------------------- Application desc REMOVE AND REPLACE EXISTING ROOF FL10124 . 16 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAPIA, PETER WHITES ROOFING 1655 SELVA MARINA DR 14262 PLEASANT POINT LN ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . REMOVE AND REROOF FL10124 . 16 Permit Fee . . . . 50 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 3500 Expiration Date . . 1/30/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 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 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 * Fax: (904)247-5845 Job Address: 165 Pine St. Atlantic Bch, Fl. Permit Number: Legal Description 165 Pine St. Atlantic Bch, Fl. Valuation of Work(Replacement Cost) • Class of Work(Circle one): New Addition Alteration �RppAk,_,. Move-,, • Use of existing/proposed structure U�s) Circle one): Commercial , Residential', • If an existing structure, is a fire sp i er system installed?(Circle one N/A • Is approval of homeowner's association or other private entity required?(Circle one): Yes KNo) Describe in detail the type of work to be performed: Remove existing roof, install new roof. F L Property Owner Information Name: Peter Sapia Address: 1655 Selva Marina Dr. City Atlantic Bch StateFl Zip 32233 Phone 612-4296 Contractor Information: Name of Company: White' s Roofing Co. Inc. Qualifying Agent:Tim White Address: 14262 Pleasant Pt Ln city Jax _Stak� zip Office phone 2 2 0-5 5 4 6 Job Site/Contact T4umber State Certification/Registration# CC C U 5 6 U 17 Office Fax# —=-5 5 4 6 Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or ififtallation has commencedprior to the issuance qfapermit and that all workwill be per/ormedto meet Me standards ofall laws regulatigg construction*inthisjurisdiction. This permit becomes null and void ifrork is not commencedwithin six(6) months, or if construction or work is suspended or abandonedjor a period 9f six (6), months at any time after work is commenced I understand that sqparate permits must be securedfor Electri6al Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tank andAir 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 application and know the same to be true and correct. 411provisions9f laws and ordinances governing this type ofwork wX be complied with whether specified herein or not. The granting qfa permit does not presume to give authority to violate or cancel the provision I s bf any other federal, state, or local law regulating construction or Te th_performance of construction. Signature of Property Owner: 5- Signature of ConiTacto,,. \- A-r, Sworn to and subscEibed before me Swom to and subscribed befo me this Da 2_eo -3 , -.1 y of /A this -L Day of NotaryPublic: �Lda',- n Notary Public: DEBWE J.RITTER ;DR77-TIFE J.RiTrER M ON cl� llr�i_��iON*DD498844 REVISED 03.05.07 'A W.�,CV,%C,SION*DD499944 I_S: Dec.12,2009 i'�__'. Dec.12,2009 (407)39""W, 71,-.,nda Nwn:y SwAce.00m (407)39"153 aomn No"Aty swWoo.mm NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. Tax Folio No. State of V1 nT-i da County of r),]x761 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 following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 165 Pine St. Atlantic Bch, Fl. Address of properly being improved: 165 Pineo St. Atlantic Beach,, ,Fl. General description 6f improvements: Remove existing roof, install new roof. Owner Peter Sapia Address 1655 Selva Marina Dr. Atlantic Bch, Fl. Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor White' s Roof ing Co. Inc. (Tim White) Address 14262 Pleasant Point Ln Jax. Fl. 32225 PhoneNo. 904-220-5546 Fax No. Surety (if any) Address Amount of bond $ 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 of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor s Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name - X Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a rfiftrPint ristp iq Rnprifip(l). CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-0o0ollio Date 8/03/09 Property Address . . . . . . 167 PINE ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3500 ---------------------------------------------------------------------------- Application desc REMOVE AND REROOF FL 10124 . 16 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SAPIA WHITES ROOFING 167 PINE STREET 14262 PLEASANT POINT LN ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . REMOVE AND REROOF FL 10124 . 16 Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3500 Expiration Date . . 1/30/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 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 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 * Fax: (904)247-5845 Job Address: 167 Pine St. Atlantic Bch, Fl. Permit Number: Legal Description 167 Pine St. Atlantic Bch, Fl. Valuation of Work(Replacement Cost) $ C6.0 • Class of Work(Circle one): New Addition Alteration Re . pair) Move-- • Use of existing/proposed structure(s Circle one): Commercia ��esidentia • If an existing structure,is a fire spriMer system installed?(Circle one): Ve�- 0 N/A • Is approval of homeowner's association or other private entity required?(Circle one): Yes �� O) Describe in detail the type of work to be performed: Remove existing roof, install new roof Property Owner Information Name: Peter Sapia Address:1655 Selva marina Dr. City Atlantic Bch 19ate—ZiD 32233 Phone 612-4296 Contractor Information: Name of Co pan�.White' s Roofing Co. Inc. ualifying Agent: Tim White m -Q Address:142 2 leasant Pt Ln Citv Jax State F 1 zip 220-5546 Office Phone Job Site/Contact P�umber 2 2 0-5 5 4 6 State Certification/Registration# CCC058017 Office Fax# Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the issuance qfapermit and that all workwill be performed to meet Me standards ofqll laws regulating construction in thisjurisdiction. This permit becomes null and void if"rk is not commencedwithin six(6) months, or i _f construction or work is suspended or abandonedjor a period 9f six (6), months at any time qfter work is commenced- I understand that sqparate permits must be secuAedfor ElectrMal Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanh�andAir 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 INT`END TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. i hereby certif I y that I have read and examined this appl'cation and know the same to be true and correct. Allprovisions9f laws and ordinances governing this type of work wX be complied with whether specified herein or not. Thegrantin qfa permit does not presume to give authority to violate or cancel the provisions bf any other federal, state, or loc'al law regulating construction or the performance of construction. Signature of Property Owneir� Signature of Co cto . Sworn to and subscribed before me Swom to and b*r,*b3ed before me this __LDayof A Notary Public:QXIA� ------ Notary Public: 4 RI L-R RITTER r'R 0 DD49OW -C)D498844 REVISED 03.05.07 or 19 �DCC.12.2(a "(7 (407)39"163 12,2009 (407)3WIS2 A01da,4ovy sorvimom JY Sorv.ce.com NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. T,3x Folio No. State of F1 nri tia County of I 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 following information is stated in this NOTICE OF COMMENCEMENT. Legal description of property be.ing improved: 167 Pine St. Atlantic Bch,, Fl. Address of property being improved: 167 Pine St. Atlantic Beach, Fl. General description 6f improvements: Remove existing roof, install new roof Owner Peter Sapia Address 1655 Selva Marina Dr. Atlantic Bch, Fl. Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address lz(N�Contractor White' s Roofing Co. Inc. (Tim White) Address 14262 Pleasant Point Ln *Jax. Fl. 32225 PhoneNo. 904-220-5546 Fax No. Surety(if any) Address Amount of bond $ 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 of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor s Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name . - Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a