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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 ---------------------------------------------------------------------------- Application desc REPLACE ENTRY DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ACE DOOR & WINDOW SERVICE 9123 HARE AVENUE JACKSONVILLE FL 32211 (904) 727-6811 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2697 Expiration Date . . 6/28/10 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALL SERVICE ELECTRIC GROUP INC 1556 WHITLOCK AVENUE JACKSONVILLE FL 32211 (904) 744-5050 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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