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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',.- �, n, 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 �iIwMiN�fon•0014M My Cam.Empir"Dec 17.2012 towwwa 0 00 64", i551 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