The URL can be used to link to this page

Permit 448 Osprey Key e "4 is CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000488 Date 4/22/10 Property Address . . . . . . 448 OSPREY KEY Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------- Application desc 11 fixtures ---------------------------------------- Owner Contractor ------------------------ _ __ REGAS MIDWAY SERVICE, INC (PLBG) 448 OSPREY KEY 4677 118TH AVENUE N ATLANTIC BEACH FL 32233 CLEARWATER FL 33762 (727) 573-9500 ----------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 132 . 00 Plan Check Fee . 00 Issue Date Valuation 0 Expiration Date . . 10/19/10 ------------------------ -------------------- Fee summary Charged Paid Credited Due -- ---------- ---------- ---------- Permit Fee Total 132 . 00 132 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 132 . 00 132 . 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: 3 /Lp � (' r! Z' PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ ob TYPE OF FIXTURE QTY A QTY22010 TYPE OF FIXTDRE Bathtub Clothes Washer Septic Tank&Pit By Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Floor Sink Three Compartment 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 OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub l Septic Tank&Pit Clothes Washer I Shower Dishwasher 1 Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Z Urinal Kitchen Sink = Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory _- Water Heater Other Fixtures Water Treating System MISCELLANEOUS: _J Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Lawn Sprinkler System-Number of Heads ❑ Well ** **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** Li 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— a Phone Number Plumbing Company / Office Phone 7Z7�5"73-9Sm Fax 717- Co. Address: QK City1�!-1°a�.� State _ Zip 3.37(p?— License Holder (Print): �� % State Certification/Registration# ZSv/ Notarized Signature of License Holder E!&z Sworn and subs ed be me iso� : of J9 20/0 M.ot gnature of Notary Publi z: •: MY COMMISSION 8 Op 905985 11, EXPIRES:Jul Bonded Thr,Not Y 25 2013 — &Y Public Underwriters Doc # 2010090729, OR BK 15220 Page 1057, Number Pages: 1, Recorded t 04/22/2010 at 10:16 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. l.Description of property(legal description): a)Street(job)Address: az 2.Geneml description of improvements: i 1 r 3.Owner Information !/ b a)Name and address: I-1h &a b)Name and address of fee tit older(if other than owner)q2 3p 7 c)Interest in property 4.Contractor Information � a)Name and address: /�([�Uld Gt S o�e i� �f 1// 3vC Nv94, W 537402 b)Telephone No.: ZZ 7.5-7_ 195M T Fax No.(Opt.) ZZ 7- jl$ _Z6 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: _Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(6),Florida Statutes: a)Name and address: 14t"I7-57 L9A 2 b)Telephone No.: 917-57 3 ZG Fax No.(Opt.) 1Z 7- 9.Expiration date of Notice of Commencement(the expiration date Is one 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 1,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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PINELLAS 10, Sig aturcof Oner or wner's Authorifft irector/PanMdManager Prin ame The foregoing instrument was acknowledged before me this_day of 2o—Q,l ,bypb.[� 1as �8ys)Q(0�{ Yw't� (type of authority,e.g.officer,trustee, attorney In fact)for j 1 r.\'V)i� QqQ`(name of party on behlilf of whom instrument was executed). Personally Known_OR Produced IdentificationA— Notary Signature ~� _ Type of Identification Produced / L >V Name(print) /1 OR Verification pursuant to Section 92.525 1 enalties of perjury,I declare that I have read the foregoing and that the facts stated in it are e o gLillw 4bt1PM bel f Notary public State of Flom c voausnvtrc,rwm o > Cemmlelon1DD87M48 013 My comm.axphss ADL gnaturc of Netu aeon Signing(in Ona n 0.)Above F"art Or FLORIDA L JV'111 COUNTY L TNI UNDERSIGNED Clerk of the Circuit Court,Duval County, f'2riJ3, CO PFREBY CERTIFY the within and foregoing is a true ;d correct copy cf the criginal as it appears on record and file i Vie office cf tha Clerk cult of Val ounty Florida. _ tvaNESS m9 hand a. I of Cl rk f C c ' ourt at kttt4 la '„)nvi':e, Fior'da,t'1 day 20 ,g •'y”` t FULLER ��•>s p Cl rk of he C. uit Court tl Cuvu,", tor F 'dry bpty JON