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Permit Folder 1748 Live Oak Lane .,, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ti ATLANTIC BEACH,FL 32233 J ...E INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000077 Date 1/25/10 Property Address . . . . . . 1748 LIVE OAK LN Tenant nbr, name . . . . . . 3000 Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 95000 ---------------------------------------------------------------------------- Application desc remodel bath and kitchen ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LACY OWNER 1748 LIVE OAK LANE ATLANTIC BEACH FL 32233 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 460 . 00 Plan Check Fee 230 . 00 Issue Date . . . . Valuation . . . . 95000 Expiration Date . . 7/24/10 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY RADON SURCHARGE . 75 ST CONSTRUCTION SURCHARGE 13 . 50 AB CONSTRUCTION SURCHARGE 1 . 50 STATE RADON SURCHARGE 14 . 25 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 460 . 00 460 . 00 . 00 . 00 Plan Check Total 230 . 00 230 . 00 . 00 . 00 Other Fee Total 30 . 00 30 . 00 . 00 . 00 Grand Total 720 . 00 720 . 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 oe� I I I I I r t 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 +� OFFICE:(WA)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF NARK: 3.SO,FT.UNDER ROOF 4.LEGAL DESCRIPTION: 5,CLASS OF WORK: e.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF NARK &ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR [IPOOL/SPA 11YES 11N/A '�d�,•!q T /TC'�j' / %/� ❑MOVE 11 OTHER ❑NO PROPERTY : CONTRACTOR: ARCHITECT/ENGINEER: - 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 4z,vh T Z'qe y 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 7,y eat 18.ADDRESS: 26.ADDRESS: f�'TGrrNric'llrr�-jr� �L�j�T3 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 'D -.;7-yd. 7i6Cl 13.CELL PHONE: 21.CELL PHONE: Z 29.CELL PHONE: A14.EMAIL ADDRESS: 22.EMAIL ADOR S: 30.EMAIL A RESS: FEE SMIPLE TITLE WXIDEF BONDING COMPANY: MORTGAGE LENDER: Of OTHER THAN VAMM, 31.NAME: 33.NAM 35.NAME: 32.ADDRESS: 34.ADDRESS: 136.ADDRESS: 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,Fumaces,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. t 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 CONTRACTOR n AMA Power of or Apericy Letter RegAred) (Glualmar only) Signed: ( Date: Signed: Date: Before me this cpday of ,2009 in the county of Before me this day of 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally ared herin by himself/herself and affirms that all statements and declarations are herin by himself/herseH affirms that all statements and declarations are true and accurate r true and accurate. Notary Publi to ounty VC✓ Notary Public a rge,State of County of ❑Pe ally I own own roduced I entifi do - ""'n"' SHIRLEY L.G I tification- Nota Public-Stat 4f,E Notary Signatu na ire Feb 1 Commission#DD 518533 Bonded By National Notary Assn. BLDG01 Permit Application Bldg:REVISED:12/182008 CITY OF ATLANTIC BEACH T (OWNER / BUELDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 'CONSTRUCTION CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY.TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25.000.00 OR LESS. THE BUILDING *"UST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE, IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE.WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EW—LOYED BY YOU HAVE LICENSES REOUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. It. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN'OCCUPATIONAL LICENSE'IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5825)IF IN DOUBT. V. THAT I HAVE THE ABOVE DISCLOSURE STATEMENT ACKNOWLEDGEMENT; AND THAT I COMPLY WITH ALL TEEFHEREQUIREMENTS ENTSO NT R THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PHONE NUMBER ADDRESS Ale1-2, PRINT E �J SIGNATURE DATE Before me this day of 20_ in the county of Duval,State of Florida,has persona 9Y appeared heran f!henaelf that an statements and declarations are accurate. Notary Public at Large,State of County of Eq? �;� SHIRLEY L.GRAHAM '�3','' K� � - =01P0.Y ("_ Notary Public-State of Florida My Commission Expires Feb 14,2010 '.r Commission#DD 518533 .qrf ii n�P•� Bonded By National Notary Assn. 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C04i*of v re whom R mayeenc.rtr: eesoedranoe wluu s colon 718 wen WM be mo �b ar4�ln roo popu4rNOTis�in OF cahMMlEMrceYM�t1T: bftmft bwontteuon to slotod m tlnti Lam/��� r��� Y beli9 imDtovad: r' Addrom NpoM"7bft N GNU,* of Mtprovrane*:�ll��.f`. /�•d.L,yl.�,_. _$�eTy -- AM 1 011 Aftftu Owner's interest in%me or kqm remant .L_.Otdr yl fir[ MV FOR Stttrpbi ThiohoMw gragw Mon owrmo Marne AWmas (�Onlredorop Address Ph"N& Fax N& su"lR" Addrms Of bums Phone t+to. Farr No. Name and-ftooll d airy Penson msktng a bean for the oansbUMW of the intPraveawn0. Nance Addiaes Phare Noy Fear No. Name of Ptsrsat%M1,m bre Slee®of Fborlde,other W"t*Tft .daignebsd by WM"t"M whom nuft s ar outer doatmenle mey be servo& Name Address pro"NO. Fax No. Ir eddigtxt b ttimesK ovrrrbr deslyr Wm the f Auw q person to momwe a copy orMe Lhnor'e Ntrt as Premed in Sedan 719Au m(b),FWft Staaaac.(FMi in at owner's a$"- Norm Address Phone No. Fox No. Owira fon dale of NWw of Cammsno www(the er"aWn date N one(1)yoer nom the dobe of tewnft uMoas a difftrOnt dtrfe is rpm; PACE QWPERATE b l 47 _ — — serara nx eN at f u0c-7 Numn.01UV'1100f,(J!78K1St3t Pape 148 .401MMPIafARintpraeplelb I'd allOotle ,�dI NtJmnar PArS, 7 hweet►an aMfinevetas ft R!`WdRd 01/2712010 at 11:1 a AM, Ma a"a•0d"'a0 JIM FULt_ER CLERK CIRCUIT COUR 7 DUVAL COUNrY PECOPO �d P.ECt�P,01WG 510 t)Q t.�..��.,.-^' k=rrrmoner77 °ain4' Ilgraotmh,mou 11%1017 110mmo Km m PM*ma 14 l CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 ,l INSPECTION PHONE LINE 247-5826 10-00000077 Date 2/03/10 Application Number . 1748 LIVE OAK LN Property Address • • ' ' . . 3000 Tenant nbr, name . . . . . Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 95000 -------------------------------- Application desc remodel bath and kitchen -------------------------------- Owner Contractor -------------- ------------------------ ---------- LACY OWNER 1748 LIVE OAK LANE ATLANTIC BEACH FL 32233 -------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X -----Permit . . . ELECTRICAL PERMIT Additional desc REWIRE - ADDITION Sub Contractor ISLAND ELECTRIC OF THE FIRST C 00 Permit Fee . . . . 90 . 00 Plan Check Fee . Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/02/10 --------------------------------------------------- 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. i 0-800 CITY OF ATLANTIC BEACH 10- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 rf OFFICE:(904)247-5626•FAX NO.:(904)247-5645 3 - VWVWCOAB.US ,v ELECTRICAL PERMIT APPLICATION DUVAL COUNTY �G„1:,°JOBADDRESS.,,.1 a ❑NO 9 !Q JWY �,IV DRK &(YES PERMIT# (� ©�77 Z ,..�(if�N.,. E,+.�. s",t�"a-)'' "�•`` �”,"r fb#s'' '`+',rEJ':.., a�PROPERTYUWNER..^ ,t�+�E uC",r�,":`w,i,9dl�lr (.0 :..Y 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: iA ELECTRICAL CQiAi NTRACTOf 7 NAME OF COMPANY: B.ADDRESS.: A V�• �AX L �c,R . 327 6D 9.STATE O FLORIDA LICEN E NO: � 10.CELL PHONE: 11.FAX NO V- l c 131 5 0 0(k 31 5,04 162-q 5'D81a p12.EMAIL ADDRESS: 3.OFFICE PHgqNE: _ 14. (SL.AL/6 -yXc�lG j le U'lW UTO-1--E q fo 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: 'Y' 'D-- 18:CLASS OF WORK s, :•;'7Yd rl ,,;will u,,r, +.,, " u? 17:'SERVICE: ❑MULTI FAMILY-#OF UNITS: RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR ,, 19,.CdRRENT„CODE- ..I�",rG ALTERATION ❑SIGN ❑OLD ❑NEW 08 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA REWIRE OTHER �?il= '',-,s ' �`%, islsk+ (. �,�„ r + . X ' `w, „�,,. ,aR; .w. .,, ,. ,� � w.,• . 20.TYPE OF SERVICE: [3OVERHEAD M UNDERGROUND ❑ UNDERGROUND UP POLE I 21.NEW SERVICE: CONDUCTORS PER PHASE: C�POWER IS ON ❑ POWER S OFF 22.SIZE OF CONDUCTOR: AMPACITY: 200 ❑COPPER ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: Z"0 PH: I W: •3 VOLT: f c'Gh`!4 RACEWAY SIZE: '•'- 26.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 2 31-100 AMPS: I 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 #m,^'732:AIR.COJ!IDITIONIN,G,r #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: w� "!" ,..'4..1�rdaiPi ,,-�i'•i. irr„ u ,a,n,,'; r„s� ,.i” 1...�i����33.MQTOR$�,.:0 �"'4"�rr,f,+�k�M��`. .,lbnr'�`o. a�,.�i� .;,.� *�. .;r,.p" '� NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: .,�, ;. 34.TRANSFORMERS: . _: „, UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: Lt, 4-al d- KlrGtf r Elect Permit Application 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 ��JFK fir' Application Number . . . . . 00-00000010 Date 2/02/10 Property Address . . . . . . 1748 LIVE OAK LN Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------------- Application desc 9 FIXTURES ----------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LACY ROTO ROOTER SERVICES 1748 LIVE OAK LANE 2028 W 21ST ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 354-7321 ------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 118 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/01/10 ------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 118 . 00 118 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 118 . 00 118 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. FRQ.4 :ROTg ROOTER FAX NO. :904 3549255 Feb. 01 2010 02:26PM P2 Feb 01 10 01,39P Information SystemsCITY O 904-247-5845 P•1 CITY OF ATLANTIC BEACH 09—•, � _� l I so UNI-401Z ROAD.AT&ANno BEACH,r.'Q2= ` I ` OFrIce jwfj ?-ftN&FAX N0.10IM:20-8543 0UL0!NG OERT*COA0.US PLUMI ING PERMIT APPLICATION DUVAL COUNTY 1: R (&NO ra a YES PERMIT a S.ADOR_SS IF DEFERENT FROM JOB ADOWSM 5 PI/ONfi: p� T.NAw OF cowANM F.AIRWOW `` 1� Y.STATE OF FLOROA LICOM Wk 10,CELL FMO"P. 11,Mx NO.: C. ti 12.WAILw 658: in.OFFICE PMCNE: k �7 / Application Is haroby molt to ahtain a permit to do the work and insteNetions as indkMocli. I waft that alit work WA be performed to rrraet the standards of all taws regulating oonstniction In Ihis pJrtedction. This pemril becomes null and void If work Is not commenced within six(8) months,or IY construction or work is suspended or abandoned for a petted of six(B) al any time,alder work is commenced. CONMeFORRMNATUR6 , 10.NATURB OF IIMORK: 7: 1Y: '• • •: ' o b7 FLORIDA BulLatuo CoOE- NEW PLUMBING O RE-PIPE O OTHER: $ATH 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 aa. PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: , x $7.00 (PER FIXTURE) + $55.00 Feb 01 10 01:39p Information SystemsciTY O 904-247-5845 s p.1 s ' r CITY OF ATLANTIC BEACH r 800 5E""OLE ROAD,ATLANTIC BEACH,FL 32233 09-, r+ OFFICE:(904)24=-5828•FAX NO.:(B04;247-5845 8U ILD:NG DEPT®C DAB.US PLUMBING PERMIT APPLICATION +y..IOB{�AonREss: DUVAL COUNTY C) -i 2.IS THIS A SUB PERMIT. 3.DATE-. %NO 4—~ 13YES PERMIT X: 4,NAME; PROPERTY OWNER 5.ARESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: C1 0'iDD - PLUMBING CONTRACTOR: 7.NANE OF COMPANY: B.ADDRESS: ` . 9.STATE OF FLORIDA LICENSG , ') E NO: 10.CELL PHONE- 11.FAX NO.: 12.ENAJL ADDRESS: 73.OFFICE PHONE: 14. eRU4 O 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 worts is suspended or abandoned for a period of stx(6)me s at any time after work is commenced. CONTRACTORS SIGNATURE: 01 a 15.NATURE OF WORK: 18:CURRENT co ❑ 17E 0 NEW ❑V7 FLORIDA BUILDING CODE- RE-PIPE PLUMBING ❑OTHER: 19.NUMBER OF FIXTURES: A BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN r 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 l It" i 20.PLUMBING PERMIT FEE3: PERMIT ISSUING FEE: $55.00 TOTAL FIXTURES: _-3— x $7.00 (PER FIXTURE) + $55.00 = i CN A,�_ XD003 Permit Apprrah on Plumb:12M 812 00 8 Ticket 15408210 Ticket Inquiry Division 046 Cust# 13843,1820 VOIDED 2/01/10 Name BOB LACY Credit History Address 1648 LIVE OAK LN Service Agr# 00000000 ATLANTIC BEACH FL 32233 Problem 03109110 Call Type SERV.-FULL PAY Phones 904 246-7100 904 521-8344 How Pay VOIDED (Cell) Credit Card# Contact Str# Exp: Auth: Called Full Pay Jobs 00000 Group Completion Code: Call Taken Schedule Dispatched Audit Quality Ctl. Employee 0526 0452 0000 0000 0000 Date 11/03/09 11/12/09 0/00/00 0/00/00 0/00/00 Time/ETA 1:28 P 8:00 A Comments CSR BATHROOM REMODEL/WORK FOR 452 CSR P/#452 HE WILL CALL CUST 11/5 TO SET UP CSR APPT HOLD 452 WORKING ON PROPOSAL More. . . F2-Tckt List F3-End Job F5-Revenue F6-OPCC F8-Quality Ctl. F12-Selections F11-Tckt Actvty F14-Gust Inq. F15-Agreement F17-A/R F21-Assignments q � .,.�.�y z.a � f �� f �i `ted �. �V�.*;5"+.�s*•� t� U IL • CDPltUR Proposal Pricing 2/01/10 Maintain Proposal Items Customer: 138431820 BOB LACY Proposal: 132979 Date Entered: 2/01/10 Submitted By: 0452 Ticket #: 00000000 Description: Problem Code: 0 1 0 Follow Up: Branch/CC: 46 Employee #: 0452 Date: 2/15/10 D-Decline (C-Item Previously Accepted) Rev Type Opt Flat Rate (F4) Amount Description Code (F4) Sry 6255.00 KIT BATH REMODEL 3 9 _ .00 _ .00 _ .00 _ .00 _ .00 _ .00 _ .00 _ .00 _ .00- More. . . 00More. . . Proposal Total: 6255.00 FB=Show/Hide Additional F10=Update F12=Previous Screen Information