Beachcomber Trail 2265 CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMING PERMIT
JOB LOCATION: 9612.:-"/? I'dg
OWNER OF PROPERTY: C.�JL "/!')r0I'� TELEPHONE NO. Z A —3 Z�5
PLUMBING CONTRACTOR j C� v�rL��'"o? G
CONTRACTOR' S ADDRESS : fVVwC`L-S
STATE LICENSE NUMBER: C-IcG kC/z TELEPHONE: 3
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY �" WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
REPIPE OTHER
TOTAL FIXTURES : x $3 . 50 + $15 . 00L .
MINIMUM PERMIT FEE - $25 . 00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: .
------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
CITY OF ATLANTIC BEACH
-11
1 8D0 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08 ��
ry OFFICE:(904)247-5826•FAX NO.:(904)247-5645
BUILDING-DEPT@COAB.US
=: F+lir BUILDING PERMIT APPLICATION DUVAL COUNTY
?:VALUATION OF CORK .,.., , s.�s, ;: 3.S4.�FT UNDER
ROOF',.- �,
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d� Atlantic Beach FL 32233 ��D
4iiEGAC i�ESORIP.TION x =,t a ^; „x z' &'U OF S7RUC7URE..
❑NEW BUILDING ❑DEMOLITION VRESIDENTIAL
LOT BLOCK SUB DIVISION aj ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
x:fl6SCRIPfiOtaf4EWORfG 40`" <i .z . A f � w- ,. .,nv,� ,
P>LTERATION ❑ACCESSORY BLDG. B FIRE•SPRINKLI? /� s,=
L 1 67A r/(.4-7-7 .1 i�REPAIR [I POOL/SPA ❑YES NIA
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:
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
OWNER or AGENT r �4 _ CONT
xa-br,. ? ^ v�5F r t t m�X�4}�a U
: , ' ( Ag'Qnt Prnverpf Attorney;or Agency letter Re'4uired) �_ - ) `
Signed: ate: Signed: Date: Jam"
Before a this day of 200 In the unty of Before me this ? day of 20 In the county of
Duva,S to of Florida,has persona y appeared Duval,State of Florida,has pers all appeared
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.
Notary Public at Large,State of �� County of �U v Notary Public at Large,State of T-LCounty of U V
personally Known ifl Personally Known
❑Produced Identificatio - ❑Produced Identificati n
Notary Signature: Notary Signature:
NC°cru Pul ltr hate of Florida]
Notary Public State of Florida
1�1F �r� '�rz� SCa PBrn Mdl"�{?Pace
I tD 580374 f.^yC ommisslon DD380374
Yi cx t2 lbl'%(.J08 �Of OP expires l'111912008
COAB FORM BLDG01:RE �-- «� -�^°w
L�lrJ`' TY OF ATLANTIC BEACH
CI
IS J 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
v INSPECTION PHONE LINE 247-5826
08-00001360 Date 9/30/08
Application Number � � 705 BONITA RD
Property Address .
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
----------------------------
Application desc
reroof fl 479 . 13
--------------------------
Owner Contractor
--------------
----------
COLEMAN, LEROY BETTER HOME IMPROVEMENT
705 BONITA ROAD 538 PARK AVE
ATLANTIC BEACH FL 32233 ORANGEPARKFL 32073
---------------
Permit . . . . . . ROOF PERMIT
Additional desc • Plan Check Fee . 00
Permit Fee . . . 41 . 00
Issue Date . . . Valuation 2200
Expiration Date . . 3/29/09
---------------------------------------------------
Fee summary Charged Paid Credited Due
----- ---------- ----------
Permit Fee Total 41 . 00 41 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 41 . 00 41 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rY;
CITY OF ATLANTIC BEACH 09„
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
y1
OFFICE(904)247-5826•FAX NO.:(904)247-5845
4 SUILDING•DEPTOCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
757 a.
"7v5 in Q
4,LEGA N�TII`7F1 � � UeTu
❑ Re
NEW BUILDING 1'3 DEMOLITION RESIDENTIAL
LOT&BLOCK SUB DIVISION ,�l. ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
7.. ❑ TERATION D ACCESSORY BLDG .
�.,.�...�, o�� �>
^( ^�_ O REPAIR (3 POOL/,SPA ❑YES /A
�—v-jIL� ❑MOVE OTHER ❑NO
9 NAME: 15.COMPANY NAME: �� 23.COMPANY NAME:
^ &.A'
10 45 w�/`� }� 1 24.LICENSEE NAME:
10.A�: R'0,% 17.STATE�FLORIDA LICENSE NO.: � 25.STATE OF FLORIDA LICENSE NO.:
r4C
a 18.ADDRESS:i;O59 *^t1 AAA- 26.ADDRESS:
AMA,�'•�c adr -3 3
all D. r t- S aC,
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
ft4a')s 01rif0 112
13,CELL PHONE 21.CELL PHONE 29.CELL PHONE:
4C•1-f - oZ
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
u
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. 1 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 infori-nation is accurate and that all work will be done in compliance with a8 applicable
laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof, until all inspections are finaied and
prior to obtaining a certificate of occupancy or compietion issued by the building official,as required by law,
r 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, ONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NVICE Of COMMENCEMENT.
Signed: Date.O" "G Signed: Date: ,�L�J
re a this day of 2009 in the county of Before me this y of 2009 in the county of
Duval,State of Florida,has personally appeared iDuval,State of Florida,has personally appeared
herin by himself 1 herself and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of t%L County of C LA+*4 Notary Public at Large,State of County of C L44q
Personally Known a3rersonally Knom
❑Produced Identification- 13 Produced Identification-
Notary Signature: Notary Signature: ✓"�`
SUZAM 11,1000 SUZOINE LEAVER
BLDG01 PermRAppli =18" •Ii of
FleftEmmet Reo 17,2013 Not"PWIC•atm of ibrldt
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
u ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001174 Date 8/18/09
Property Address . . . . . . 705 BONITA RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6900
----------------------------------------------------------------------------
Application desc
ROOF REPAIR FL 479 . 13
----------------------------------------------------------------------------
Owner Contractor
------------------------ _-----------------------
COLEMAN, LEROY BETTER HOME IMPROVEMENT
705 BONITA ROAD 538 PARK AVE
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 278-0810
-------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 6900
Expiration Date . . 2/14/10
--------------------------------------------------
Fee summary Charged Paid Credited Due
------------ ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 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
PLUMBING PERMIT APPLICATION
Date:
Property Address: l/-7/
Owner: M&14 I-Xiy-4 ,4N-be-2 Telephone#:
Contractor- Telephone#: '/ate
Contractor Address: Fax#•
Contractor Signature:
In consideration of permit given for doing- work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and spe ifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
❑ New list the building permit number:
❑ Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer y Water Heaters
Sprinkler System Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X$7.00 + $35.00=
""'r 800 Seminole Road•Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845. http://www.ci.atlantic-beach.fl.us
Revised 1/04
_ ` , jlj
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
l'.> ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031104 Date 8/31/05
Property Address . . . . . . 1121 BOCA GRANDE AVE
Tenant nbr, name . . . . . . INSTALL BACKFLOW
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
HERNANDEZ BARRY PARKER PLUMBING INC
1121 BOCA GRANDE AVE. 7107 BEACH BLVD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 722-2 145
--------------------------------------------------- -------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
--------------- -- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
k
BUIL FICIAL., r: -
CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach, FL 32233-5445
Telephone: (904) 247-5800
a Fax: (904) 247-5845
�,'�� www.coab.us
Date:
SEWER/WATER
QUOTE SHEET
Name
Address ,�-----��
�oL4 Q-4 SR' -3 �6�
Telephone#
The costs to connect your building to city: and/or system are:
SEWER WATER
g/off fr
Sewer Tap Labor and materials to tap into sewer main $
Water Tap Labor and materials to tap into water main $ 525.00 560.00
Water Meter Cost of Meter $
Cross Connection Inspection by Public Works to ensure $ 35.00 35.00
Inspection backflow prevention
Sewer Impact Funds future expansion of the sewer plant $
Fees
Water Impact Funds future expansion of the water plants $
Fee
Capital Funds for improvements, expansion or $ 325.00 550.00
Improvement replacement to water system
TOTAL COSTS $ 885.00 1145.00
Homeowner must hire a plumber to install a backflow preventer and make the connection from the private
property.
CITY OF ATLANTIC BEACH
S
1 s 800 SEMINOLE ROAD
nz M ATLANTIC BEACH, FLORIDA 32233
T INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030700 Date 7/05/05
Property Address . . . . . . 1121 BOCA GRANDE AVE
Tenant nbr, name . . . . . . 3/4" METER
Application description . . . IRRIGATION/SPRINKLER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
HERNANDEZ, MARIA OWNER
1121 BOCA GRANDE AVE. f
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-8330
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 7/05/05 Valuation . . . . 0
Expiration Date . . 1/02/06
----------------------------------------------------------------------------
Special Notes and Comments
*OWNER MUST HIRE PLUMBER TO INSTALL A
BACKFLOW PROVENTOR & MAKE THE
CONNECTION FROM THE PRIVATE PROPERTY!
----------------------------------------------------------------------------
Other Fees . . . . . . . . . CAPITAL IMPROVEMENT 325 . 00
WATER CONNECT/TAP & METER 525 . 00
WATER CROSS CONNECTION 35 . 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 885 . 00 885 . 00 . 00 . 00
Grand Total 885 . 00 885 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
C ' C
S.
BUILDING OFFICIAL
CITY OF ATLANTIC BEA(_N
DEPARTMENT OF BUILDING .�
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
PERMIT INFORM T QKN >.. LQCATIQN'tNFI?RMATtON .
Permit Number: 19733 Address: 705 BONITA ROAD
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: .OWNER INFQRMATIQN .
Date Issued: 3/16/2000 Name: DORES COLEMAN
Total Fees: 25.00 Address: -705 BONITA ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 3/16/2000 Phone: (000)000-0000
Work Desc: REPLACE WATER HEATER
CQtT
ALLCITY PLUMBING ! PERMIT 25.00
I
77,
i
i
a ..
FINAL
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
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 COMPLY 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.
$25.9014
C Irate: 3/16/00 01 Receipt: 0042592
ATLANTIC BEACH BU LDING DEP CHECKSo@1008 2510
00109003221000