Permit Folder 161 16th Street CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J - ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000171 Date 2/26/10
Property Address . . . . . . 161 16TH ST
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 40000
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Application desc
remodel bath
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Owner Contractor
------------------------ ------------------------
AYERS CORNELIUS CONSTRUCTION CO.
161 16TH STREET 71 19TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-9706
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . MIKE SANVILLE PLUMBING INC
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/25/10
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Special Notes and Comments
NEED RECORDED NOC PRIOR TO FIRST
INSPECTION
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: /0 / l(o PERmrr#16A l7l
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE of FIXTURE QTY TYPE of FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower i
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFmTuRE QTY TYPE oFFmTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
**SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ Other
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company rn;r� �(�rlJ��'��L ��vv t6-,,l 5 Office Phone SeYa2kl/ Fax YO'N' 735'
Co. Address: uesnla /f/ to City c.,x StatedZip�a
License Holder(Print): ,r ae J " ur`�I� S e Certificati n/Registration# C 0 U
Notarized Signature of License Holder
DEBORMAWHIM IS
rn and subscribed before this da f 20
MY COMMISSION A DD 63412
EXPIRES:May 21,2011 BondedThruNotaryPublicUrWafwdtarature of Notary Public .�K 4
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j m ATLANTIC BEACH,FL 32233
' INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000171 Date 2/25/10
Property Address . . . . . . 161 16TH ST
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 40000
----------------------------------------------------------------------------
Application desc
remodel bath
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
AYERS CORNELIUS CONSTRUCTION CO.
161 16TH STREET 71 19TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-9706
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/24/10
----------------------------------------------------------------------------
Special Notes and Comments
NEED RECORDED NOC PRIOR TO FIRST
INSPECTION
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2007 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
S
r
�s
R r CITY OF ATLANTIC BEACH 0� E
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
:y OFFICE:(904)247-5826•FAX NO.:(904)247-5845
W W W COAB.US
v ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
AV40B ADDRESS ,,,nn.'`]�. '`119+!" 2F IS sTHIS A SLtB PERMtT91 .pCglldtla =q.,il.'.:.. u.., : . DATE a 9q q, '.•;'
❑NO
[9KES PERMIT#: /
WNE.PROPERTYQ •4 ' ��;k'r,�ji.,; r
Rte "
4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
E , n . , . , I. ._..O7 � p
MEQF OMPAt�7r: l' 8.ADDRESS.:
4 L4 <L"t,
9.STA 1L0 I CNSNJD:���� 10�4afaL�rypryE`�' �� 11.FAX NO.:
12.EMAIL ADDiDRE . UCJG F 13`./OFFICE(PHONE: 14.
15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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.
CONTRACTORS SIGNATURE:
r ,
IKTERUBER ... d11'o," t4$I s0.00%ASS'ORWORK: ,� 17 3E
❑MUL'LFAMILY-#OF UNITS: ESIDENTIAL
pig-GLE FAMILY ❑TEMP SERVICE ❑COMMERCI.L
❑ADDITION ❑TRAILOR 19,A , , §ff" �.i1A';„X'NRX1 go! 14tou RENj,CODE 9�r h";s 5'r�� I . `,grq� ugst
❑ALTERATION ❑SIGN OPOLD ❑NEW ❑'08 NATIONAL ELECTRICAL CODE
❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER:
n qq I ph i:1 ISL'WORK d N na ry 1.1. r i4
�§ �` !',.10 �.� I�a.fi����1i�z31�,��.0 � �� � � yry�>' '�u a
20.TYPE OF SERVICE: ❑OVERHEAD NDERGROUND ❑ UND ROUND UP POLE
21.NEW SERVICE: CONDUCTORS PER PHASE: Mr15OWER IS ON ❑ POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM
23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
28.FIRE ALARM: ❑YES ❑ NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
40m -'^„ ki,?.,..�''(d .:�.» .r'i _ ...�,:,:C ,a?I'n"ShLI"� d `. ;3 ../4I C.ONa{rLO,HLNGr ll<,�(n[qu)gNiu.6�. ,d 7:r�'*w•,'iG@pl
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
..,� - 7�,C ��C r� . u rr~rt wlsup w,33.MOTORS :?l':,F'�Iq ti�`^a. a- d,�r;• +v�`'u ia"hl�l ttl9tl' x._ 9 „' �`".;�7"*am.r as'','. ,,u.•E
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
34.TRANSFORMERS.`,<-9
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
35:MISCELANEOUS;REPAIRS:
DESCRIBE IN DETAIL f.
Elect Permit Application 2010
c
NOTICE OF COMMENCEMENT
Permit No. I ` ' Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made-to certain real property in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available): '
15- s2- q 2S -Zq Imo.. . )4 oczkg 61?9VE 1J B IT ND. I
2. General Description of improvements:
RSM,p VA-r E. BPrrl4
3. Owner Information:
a)Name and Address: Gt;t7 c2 'RicuAgy AYF-rz 5 161 UP ST ATi AMjL BGIt. Fj.322A3
b)Interest in property: Iry n1 IE k
c)Name and address of simple titleholder(if other than owner):
I 4. Contractor Information:
a)Name and Address: 1�$izC lA f'E_Ti�,�1 1.1 US P. Q- Box .3-10►1 iS ATI-. t4. fit•3ZZ3.
b)Phone Number: of o(( 244• _
5. Surety Information: ------------- ____� —_�-------__ _.
a Name and Address: /)Q, Doc#2010040484,OR 8K 1:5161 Nage 2483, —
Number Pages:1
b)Phone Number: ^ Recorded 02122/2010 at 11:28 AM,
c)Amount of Bond: $ JIM FULLER CLERK CIRCUIT COURT DUVAL
6. Lender Information: RECORDING$10.00
a)Name and Address: 9/A
b)Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a)7,Florida Statutes:
a)Name and Address: C-\?t> &q E-1Z-.:5
b)Phone Numbers of Designated Person: QUq 241 • 27-10
8. In addition to himseWherself,Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1)(b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING
YOUR NOTICE OF CON%4ENCEMENT.
Signature of 1�vnevgr Owner's Authorized Officer/Director/Partner/Manager Signat : MW
The foregoing instrument was acknowledged before me this%day of 0�by,% b
as P' _for
(Name of Person) (Authority e,i.e.O cer/Attorney) arae of Party Instntme was Executed for)