Permit Folder 395 5th Street IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 09-00002047 Date 12/30/09
Property Address . . . . . . 395 5TH ST
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2697
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Application desc
REPLACE ENTRY DOOR
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Owner Contractor
------------------------ ------------------------
ACE DOOR & WINDOW SERVICE
9123 HARE AVENUE
JACKSONVILLE FL 32211
(904) 727-6811
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Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2697
Expiration Date . . 6/28/10
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Special Notes and Comments
*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.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Grand Total 97 . 50 97 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND T14E FLORIDA
BUILDING CODES.
BuILDING PERMIT APPLICATION
�i NIP
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 * Fax:(904)247-5845
c-4 P,n-nit Number:
Job Address..__IS _,S +
--?-r C1 \1
Legal Description
4 -A '�—L) A 0—\A'
Valuation of Work(Replacement Cost)$ C�t
Class of Work(Circle one): New Addition(:�.'A'It'
Use of existing/proposed structure(s)(Circle one): Commercial j:esid%e-dal:)
a If an existing structure,is a fire sprinkler system installed?(Circle one): e N/A
2 Is approval of homeowner's association or other private entity required?(Circle one): Yes No
ascritbee�in 4etail the ty
�V .pe ofs) to be perfornTei�
Properiy owner Information
Name: Mdl-14,rl Address: .5'1
City—Art- - - State ELZip_3_Zx3.3-Phone 5o�; 3ci- egs-79"
Contractor Information:
Name of Company:4Ce_ D�90�&,V�njc.,w Sq-ft/�c e- Qualifying Agent: Q�E�
Address: 112:5 h�re- Ay. City--T2�y- Fc- State 37ZZd Zip
OfficePhone 90Y -2-�Z2- Job-SiV�Contact Number Z--I
State Certification/Registration# f17 K IZI Office Fax#
Architect Name&Phone# /1�/A
Engaineer's Name&Phone 4 4�Z A
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that n
installation has commenced prior to the issuance of a permit and that all work will be Performed to meet the rds
of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not c ced 001�
r'work is suspended or abandoned for a period qfsixW6)months a n me
within six(6)months, or if construction 0 ns,
er work is commenced. I understand that sfparate ermits must be secur�d for Electrical orkPlumbi
Vir Conditioners,etc.
Mells,Pools,Furnaces,Boilers,Heaters, 1 = V, ),
-2 r z CIII
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEN
OR IMPROVEMENTS TO YOUR PROP z
MAY RESULT IN YOUR PAYING TWICE F C
YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER R
MENCEMENT. r.
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COM
i hereby certify that I have read and examined this application and know the same to be true and correct. All
erein or not.. e
of laws and ordinances governing this type of work will be complied with whether specified herein or not. 0
f a permit does not presume to give ity to violate or cancel the provisions of any other federal, stat
oi
�a�e n t d no sumoerto e 11 " pfconstruction.
e re ion gv loncye i�cvoun`s
uct he gle a
r 'i 0 s t?
w egu tin ons
law regulating construction or the, ance 04
0
Sig
u of Pr y owrien Signature of Contractor;
wner:
Signature of Property 0 LL % ..
�71
s rn and sub ' or ,"
Sworn to and subscribed before me 12E
1
this i6 Day of ......
�N;ay --� otar
NOTARY RMLIC4STATE ORMA
-7n
REVISED 03.05.0 Deanna Bailey
Commission#DD849274
AtmETAUTEN
WIN. Notary pubfic-Sate of Florida FEB.21,2013
Jon 23,2010
=My Corrwftlon EXOM
JF COMMIM"#00 509886
BonM By Naft*Notary Ann.
FILE COT
MW
P T C. LLC
Product Evaluation Report
Date: August 29, 2008
Report #: ioog — /VY eY'7, '3
PTC Project#: 308-0613.24
Product Mfg.: Buffien Woodworking
P.O. Box 1383
Tacoma, WA 98401
Product Name: 1501, 1518&2130 Series Entry Doors
Product Category: Exterior Doors
Product Sub-Category: Swinging Door Assemblies
Scope: This is a Product Evaluation report issued by PTC LLC and Eric S.Nielsen,P.E. for
Bufflen Woodworking based upon Rule 9B-72.070 Method(1)d of the State of Florida—
Product Approval,Department of Community Affairs—Florida Building Commission.
Please note that PTC,LLC and Eric S.Nielsen, P.E. do not have, nor will acquire,any
financial interest in the company manufacturing or distributing of the product(s)or any
other entity involved in the approval process or testing for which this report is being
issued.
This product has been evaluated for use in locations adhering to the 2007 Florida
Building Code.
Reference Drawing No. BUFOO 10 prepared by PTC, LLC and signed and sealed by Eric
S.Nielsen P.E. (FL# 41323)for specific use parameters.
e,tvct
Eric S.Nielsen, P.E.
FL No 41323
August 29,2008
1535 N.Cogswell St,Ste.C25-Rockiedge,Florida 32955
Phone.321-690-1788 Far 321-690-1789
FBPE Certification of Authorization No.25935
City of Atlantic Beach APPLICATION NUMBER
by the Buil ing
Build ing-Deoartment (To be assigner' Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
building-dept@coab.us Date routed:
E-mail: I it A
Cityweb-site: hftp://vmw.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: /--1X93artm@nt review required Ye4,,�No
Building _,) V
Applicant: "a hing &Zoning
Tree Administrator
Project: —Tf-D IA-0- Public Works
Public Utilities
Public Safety
Fire Services
0,*0
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 I
Other: I
APPLICATION STATUS
Reviewing Department First Review: dApproved. E]Denied.
(Circle one.) Comments:
BUILDING,'
PLANNING &ZONING
Reviewed by: Date:12
OQ
TREE ADMIN. V
Second Review: E]Approved as revised. FlDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: _]Denied.
]Approved as revised. F
Comments:
Reviewed by: Date:
Revised 05/14/09
JAN-08-2010 10:36 From:scx-6322dn 9047276813 To:2475845 Paqe:1,'1
NOTICE OF,COMMENCEMENT
tPMPPARI!NO DUPLICATE)
Porrnit No. tax,roft Nor.
State of Florida Cminly of DUVAL
To whom It my concem:
The undersigned hereby informs you that Improvements will be mode to op"n met property.and in
accordance with$action 713 of 0%;Florida Statutes,the following informalkm k stated In thIS NOTICE OF
COMMENCII!mENT.
Legal description of property being improved: 5-62 16-21i-20.'.1141 Atlantic Roach
Address of property being Woproved: iggr sth at: Atlantio'lio.%(* ft4j;i4a ji1233
GeneraldescriptionofIrnprovemonts: Replace ci"Ie entry dnnr
Owner Mi,-hanl ; XjM§SrjX Elyanow
Address 217 Palth Ave. Miami Florida 33139
Owner's interest In site of the improvement
Foo Simple Titleholder(if other than ownet)
Name
Address
Contractor Ace Door and Winduw Service Inc
AddMS 9123 Hare Avro, Jacksonville Florida A2211
Phone No. 904-727-6611 Fax NO.
_21�j
Surety(if any)
Address Amount of bond 5
Phone No. Fax No.
Name and address of any person me"a loan for the condhiction of the improvements.
Nam
Address
Phone No. Fax No.
Name of person%vithin the State of Florida.other than himself.designated by qwnef upon whom notices or other
documents may be served:
Namo
Address
Phone No. Fax No.
In addition to Nin*elf,owner designates the following person to recelve a copy 0
,J"no(s Notice as provided in
Section 713.06(2)(b).Florida Statutes.(FIN in at Owner's option).
Name
Address
Phnnp No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY ow air
Siam& GATE 1�2"z
Bowe M9 iA Me
ed
V.) rjW$kj by
couffly of F W
Sit.111 M=MW61MA
him"Wher"NanoaRUMOVW&H Atefflaro an0dechyn, gh"n
L)0C#�A01UUUb0i0 t--X8Kl1)I2I viaqej-j2 We We and accurato
Numbei Pages I
Recorded 0110&2010 at aq Z3 AM.
JIM FUI I FR CLERK CIRCUIT COURT DUVAL
COUNTY
at Lorbs,StAW of
RECORDING S1 0 00 My cm,"Mission Qxpimw
Perswally Xmwn--j 8111110 of Few
Produosd IdwMication
Cmdedm 0 OD 3"
son"ft"A" Alft
fwft4-2 fo"140-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00002051 Date 12/28/09
Property Address . . . . . . 395 5TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-----------------------------------------------------------------------------
Application desc
RECESS LIGHTING FAN REWIRE MISCL
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Owner Contractor
------------------------ ------------------------
ALL SERVICE ELECTRIC GROUP INC
1556 WHITLOCK AVENUE
JACKSONVILLE FL 32211
(904) 744-5050
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/26/10
----------------------------------------------------------------------------
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.
Dec 24 2009 3: 25PM RLL SERVICE ELECTRIC GROU 9047450400 P. 2
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
Date: C?
Property Address: C.�fs'
Terephone#;
Owner:.
Contractor: 60—Ae-Telephone #.
Contracto r 3 FaiL
a rforrn said work in
vea for doi4g the work as described in the above staLement,we hereby agree to Pe
Th consideration Of peralit gi
accordance with the altached plaos and.Opecificalions which are a part hereof and in accordance with the.City of Atlantic Beach
ordinanco and standards of R22d practice listed thcrcijL If other conswuCtion is
Building.- BuildingType: C1 Trailer Service: be� done ou this building
Ing
(3 New *O.'Residetive Q Temp. Q New Or site,list the bugding
lj�e Old Commercial 13 . Signs C) Increase panniL number
a Re-wire Q Addition Sq.Ft� d Repair
Conductor Size: AWS:
COPPER ALUUMqUM
Switch or RACE'
VOLT- ` WAY
Breaker AMPS PH W I
'RACE
Existing Service WA
Size ANIT�S �L" �H W J_ VOLT.Wo
Fe�deis:- NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
OPEN
Receptacles CONCEALED 7
in U AUPR i 11 IQQ A?"S
Switches
Incandescent
Fluorescent &
M.V,
Fixed 0.100 Ps BEU
-03OLR
ApplialiO03
Air. FLP.RATING - I H.P.RAT]NG CEELING KW-1.1EAT
Conditioning COM?.MOTOR OTEER MOTORS AWS MAT
OLTAGE PH NO, OVER I H.P. PHS
Motor3 0-1 H.P;
UMM00y
Transformers No. -KVA- NO. KVA
No.Neon TraDsf
Ea. Sign
Miscellaneous 4W
Ir
800 S.C.Mloole Road Atlantic Reach,Florida 3Z233-5445
Phone:(904)247-5800 'Fax: (904)247-$845 http://www.ci.itiantic-litach.fLus
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-0000202G Date 12/17/09
Property Address . . . . . . 395 5TH ST
Application type description PLUMBING ONLY
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . .
---------------------------------------------0
Application desc -------------------------------
1G FIXTURES
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Owner Contractor
------------------------ ------------------------
PLUMB-PAL, INC.
1728 SABLE PALM LANE
JAX BEACH FL 32250
(904) 246-8856
Permit . . . . . . PLUMBING PERMIT-----------------------------------
Additional desc . .
Permit Fee . . . . 1G7 . 00 Plan Check Fee
Issue Date . . . . . 00
Expiration Date . . G/15/10 Valuation . . . . 0
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 167 . 00 167 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 167 . 00 167 . 00 . 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
800 SEMINOLE ROAD,ATLANTIC SEACH,FIL 32233 09-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPTCCOAB.US
T.JOB ADDRESS: P 1�L,UMBING PERMIT APPLICATION DUVAL COUNTY
2.IS THIS A SUB. 1 DATE:
39 s— s ONO
OYES PERMITM
4.NAME: PROPE OWNER!
E C /c, 5.ADDRESS IF DIFFERENT FROM JOB ADORE;S: 6.PHONE:
7.NAME OF COMPANY: PLUMBING CONTRACTOR:,',,
8.ADDRESS.:
fc, AA-� ( t 7 e e
9.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE:
ATE2_�
RTFO—WNER- 3"D
I PHONE
ic 11.FAX NO.:
-7 579/ � (/ ' .1 ��
_17 9
12.EMAIL ADDREfi: C_!>�
r 13.EOFFICE PHO%
L
14.
C
111K 41'Of C
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 withi�n 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:
RK:
0 NEW S S.CU NT COD
0'07 FLORIDA BUILDI FG_CODE_
0 RE-PIPE (C , e—
'r,'11(4— k- 4—cl PLUMBING
L r -
=LSIGNATURE
NT CODE,
0 107 FLORIDA BUILDING C
PLUMBING
1 T
HER.
3 OTHER:
19.NUMBER OF FIXTURES:,
BATH TUB SEWER CONNECTION
BIDET SHOWERS
DISH WASHER SHOWERS PANS
DISPOSAL SINK
DRINKING FOUNTAIN WATER CLOSET TANK
FLOOR DRAIN WATER CLOSET VALVE
HOSE BIB WASHING MACHINES
ICE MAKER WATER CONNECTION
INTERCEPTOR WATER HEATER
LAVATORY URINALS
LAUNDRY TRAY OTHER(SPECIFY):
ROOF DRAIN
20.PLUMBING P
PERMIT ISSUING FEE: $55.00
TOTAL FIXTURES: —4— x $7.00 (PER FIXTURE) + $55.00
BLDG03 Permit Applicatiion Plumb:12/18/2008