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Permit 1415 Ocean Boulevard CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000074 Date 1/25/10 Property Address . . . . . . 1415 OCEAN BLVD Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DUCT WORK ONLY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVIS TROPIC AIRE OF NORTH FLORIDA 1415 OCEAN BLVD. 9969 OLD KINGS ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32219 (904) 719-9600 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/24/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 7S . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 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 BEACH,FL 32233 10- 1 OFFICE:(904)247-5826 9 FAX NO.:(904)247-5845 VOM.COAB.US MECHANICAL PERMIT APPLICATION DUVAL COUNTY W DAT FPN�,,,N.� OYES PERMITM 141 160 4.NAME' 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: L e2fll 1— 5-.9 6 0 0cf-3 — kNICA u C M 3 B.A!PE S S.: t 1) 9.ST�'!Cif FLORIDA UCENSE NO: 10.CELL,,,IHO�E '11.FAX NQ.: ik-C 0"S (.0 :-,) _ I (0S--4S5;-q 12,&MU-ADDRESS- 13. ONE' 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I rtify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Thi ermi ome 11 n id I work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a p,:ripo f six(6)months y time er work is commenced. ARI CONTRACTORS SIGNAT 'rc;U,� J 4F- RVI IM CURRENT.CODe" ;01,15.CLASS OF X,� 0 NEW INSTALLATION 0 NEW S EN AL 0'07 FLORIDA BUILDING CODE- 0 REPLACEMENT OF EXISTING SYSTEM beEEXISTING 0 MERCIAL MECHANICAL r-A-TERATION/ADDITION TO EXIST SYSTEM RIEPAIR 0 OTHER ol.55" ��g��'MECHANIPALEQq�F�MENT�TQBEINSTAL�jEp:"���,�' 19.HEAT: 0 SPACE EIRECESSED EICENTRAL 0 FLOOR BURNERS: 20.AIR CONDITIONING: 0 ROOM 0 CENTRAL — 21.DUCT SYSTEM: MATERIAL: THICKNESS:rtz— MAX CAPACITY:-hL0--0 Cfn1 22.REFRIGERATION: MAX CAPACITY: CfM 23.COOLING TOWER: CAPACITY: 9pM 24.FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY:— 28.IRRIGATION: 0 PUMP 0 WELL 0 PIPING 29.GAS PIPING: #OF OUTLETS: 0 GAS AHU: 0 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. IVALUE FOR OTHER ITEMS: N J 1�'COQLING EQUIPMENT;�,,,1111 8 QVI A rnoN E NUMBER APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY ZHEATING EQUIPMENT4'1`,-',:� yP ,i,R6"�FIREpt�AtEs.A]R'HANDLt�' C.� F RNACE&BOIL RS ET UMBER DESCRIPTION MANUFACTURER BTU AGENCY OF UNITS MODEL# 33.TANKS: TYPE LIQU ID APPROVING NUMBER GALLONS A— CONTAINED MANUFACTURER SERIAL# AGENCY Mech Permit Applicaton 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000380 Date 4/07/10 Property Address . . . . . . 1415 OCEAN BLVD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc REPLACE WINDOWS AND SLIDING GLASS DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVIS BRIAN AND CAROLINE GENESIS BUILDING CORP 1415 OCEAN BLVD. 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 24 1-0320 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 10/04/10 ---------------------------------------------------------------------------- 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 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Grand Total 150 . 00 150 . 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 f 1d) 800 SEMI:NOLF ROAD'ATLANI IC BEACH,FL.32233 OFFICE (904)247-5826 0 FAX NO.:(904)247-5845 BUIL_DlNG-DEPT@COAB.US BUILDING PERMIT APPLICATION Y2_ 1.q 74-�DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 13.SQ.FT.UNDER ROOF A-e�' � N/A 69Cei9A" /14WAtlantic Beach, FL 32233 4-s� 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: /0-J/ 16 - 1-C- A" 0 NEW BUILDING 13 DEMOLIT7 ARESIDENTIAL LOT_BLOCK SUBDIVISION 11 ADDITION 11 CONVERTING USE 11 COMMERCIAL 7.DESCRIPTION OF WORK: ALTERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLER: r, I - REPAIR 11 POOL/SPA El YES D N/A .03 1 i e A/(' 13 MOVE 0 OTHER 2NO PROPERTY OWNER: CONTRACTOR: ARCHITECT i ENGINEER: 9,NAME: 6-1�w 15.COMPANY NAME: 23.COMPANY NAME: IV"4,v Genesis Building Corporation 16 NAME- 24.LICENSEE NAME: )i-,- Todd Bosco AITI__� 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO: 25.STATE OF Fr_qp�� oce/p/ '64,v'-9- CBC 1250212 18.ADDRESS: 26.ADDRESS: 2158 Mayport Road Atlantic Beach, FL 32233 11.OFFICE PHONE: 112.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICWQNE: 1 21,F 9t f -7S3 1�-94 -7K3 c) (904)241-0320 1 (904)241-0326 -U 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: �4f' -9-// (904)545-1608 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: I"/ tnrId8hpqrnrtj-,tnmhomAs_rnm FEE SIMPLE TITLE HOLDER: (IF OTHER THAN OWNER) BONDING COMPANY: MORTGAGE LENDER: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.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 pfrior 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,Furnaces,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. 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 C NTRACTOR (if AgeM,Po�of Attorne�or Agency Letter Rouired) 11­�r Y, Signed: e�� -Date: St Signe Date: Before me this dayof 2otAn the county of Before e this day of 2040in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared X 7XIA 12,9 1�'/J WILLIAM L POPE WILLIAM L POPE lorid, __ _1 _' ' _lHolida herin by himself/herself and affirms that all stimm M i �erin by himself/herself and affirms that all JWI*t?49i1b6C -11.Jgre2,1 1 ontrue and accurate. My Gomm.OXXT. 201, rue and accurate. my Comm.exp. Ct - Notary Public at Large,State of 'CO No, DD 71421 6 Notary Public at Large,State of No. OD 714216 XPersonally Known Personally Known R�ftProduced identification- 0 Produced Identification- &F,0 Q66k�lMiiWE_ Notary Signature:. -1r'11'Zq44 Y AITANTIC Is H SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDMONS. LREVMVED 0/20DATE:1-'g,-/0 . FILE Cur I [� J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 10-00000381 Date 4/07/10 Property Address . . . . . . 1415 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc REMODEL EXISTING BATH ------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVIS BRIAN AND CAROLINE GENESIS BUILDING CORP 141S OCEAN BLVD. 2158 MAYPORT RD. FL 32233 ATLANTIC BEACH FL 32233 ATLANTIC BEACH (904) 241-0320 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc - - 50 . 00 Permit Fee . . . . 100 . 00 Plan Check Fee Issue Date . . . . valuation . . . . 10000 Expiration Date . . 10/04/10 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL BATH *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 100 . 00 100 . 00 . 00 . 00 Plan Check Total SO . 00 50 . 00 . 00 . 00 Grand Total 150 . 00 150 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. v, CITY OF ATLANTIC BEACH j — 1�, .4,AC 800 SEMINOLE ROAD,ATLANTIC BEACH.FL 32233 RIM, FFICE:(904)247-5826*FAX NO.:(904)247-5845 0 BUILDING-DEPT@COAB-US '�'�ODUVAL COUNTY 17 2- UN BUILDING PERMIT APPLICATION Y 3 SQ.FT I IN R ROOF 2.VALUATION OF WORK. A.Joe ADDRESS'. -("')0,r 0 0 N/A /;4-V/)AtjantiC Beach, FL 32233 6,USE OF STRUCTURE: ce"g,"V, 5 ARESIDENTIAL 0 NEW BUILDING 0 DEMOLITION 1 6 0 ADDITION 0 CONVERTING USE 0 COMMERCIAL LOT BLOCK_SUBDIVISION -y ALI tKA I ON 0 ACCESSORY�BLDG. 8.FIRE SPRINKLER-' 7.DESCRIPTION OF WORK: 0 YES 0 NIA il 9NO A REPAIR El POOL I SPA 0 MOVE 0 OTHER -Ftf '11TECT I ENGINEER: �n RACTOR: jr-Kurtml OVVNER* 15,COMPANY NAME: 23.COMPANY NAME: n Genesis Bu 24.LICENSEE NAME: 16.NAME: Todd Bosco E NO�: 26 STATE OF FLORIDA SE NO.: 17.STAT 10.ADDRESS:— CBC 125021 4-1 V 18,ADDRESS: 26.ADDRES 2158 Mayport Road Atlantic Beach, FL 32233 27,OFFICE PHONE� 19.OFFICE PHONE: 20.FAX NO.: ii.OFFICE PHONE: 12.FAX NO.: 0 - 6 7&4 (904)241-0320 (904)241-0326 29.CELL PHONE: - - 7S-33-- 21.CELL PHONE: 13.CELL PHONE: -1608 (904)c;4S > 22.EMAIL ADDF?kbz:,. 30,EMAIL ADDRESS: 14.EMAIL ADDRESS: j,-r,4 (.,, hn-rnrust COMPANY: MORTGAGE LENDER- FEE PLE BONDING 31 NAME: III,OTHER THM OWNrf) 33,NAME: 35.NAME! 34.ADDRESS: 36.ADD ESS: 32.ADDRESS: n a permit to do the "work and installations as indicated. I certify that no work or installation has AppfiCation is hereby made to obtai ail work will be performed to meet the standards of all laws regulating construction in this commenced prior to the issuance of a permit and that months, or if construction or work is suspended or jurisdiction. This permit becomes hull and void if work is not commenced within six(6 at separate permits must be secured for y time after work is commenced. I understand th abandoned for a period of six(6) months at an ilers,Heaters,Tanks, Air pte- Electrical Work,P1 imbing Signs Wells,Pools,Furnaces,Bo done in compliance With all applicable IT- I certify that all the foregoing information is accurate and that all work will be and OWNEITS AFFIDAV or any part therof,until all inspections are final laws regulating construction and zoning. I will not occupy or use the referenced building prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING To OWNER: *** RESULT IN YOUR RE TO RECORD A NOTICE OF COMMENCEMENT MAY YOUR FAILU PROVEMENTS TO YOUR PROPERTY. A NOTICE OF EFORETHE PAYING TWICE FOR IM CORDED AND POSTED ON THE JOB SITE B COMMENCEMENT MUST BE RE OBTAIN FINANCING, CONSULT WITH YOUR FIRST INSPECTION. IF YOU INTEND TO ORDING YOUR NOTICE OF COMMENCEMENT. LENDER OR AN ATTORNEY BEFORE REC GO I FILM,I R OWNER or AGENT Only). (if Agent,power of Attorney,or Agency Letter Required) . , —I j Date: Date: J'S Signe i n 20111d)in the county of Before me this"' day of 20on the county Of Before me this day of ,"14 Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared I WILLIAM L POPE Ida WILLIAM L POPE alt, /�/i 1A7V nd affirm�that all gre,, s efin by himself I herself a herin by himself/herself and affirms that all Oct '201 rue and accurate. my COMM. true and accurate. - my omm.en.Oct ccop?to. DO 714i16 No. DD 714216 Notary Public at Large,State of No,taryPublirat rge,State of cowi-T—UU1111— 9(Personally Known 0 Produced Identification- [j produced Identification- Signature: 1144114e'- SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS. FILE COP DA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 10-00000381 Date 4/22/10 Property Address . . . . . . 1415 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc REMODEL EXISTING BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVIS BRIAN AND CAROLINE GENESIS BUILDING CORP 1415 OCEAN BLVD. 21S8 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . LORE ELECTRICAL CONTRACTORS Permit Fee . . . . 60 .40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/19/10 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL BATH JOB VALUATION CHANGED FROM 10, 000 TO 20, 000 CONTRACTOR PAID ADDITIONAL 100 . 00 PERMIT FEE *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 60 .40 60 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 60 .40 60 . 40 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERNHT APPLICATION CITY OF ATLANTIC BEACH 900 Seminole Rd,Atlantic Beach,FL 32233 /-�7) Ph(904) 247-5826 Fax(904) 247-5945 PERMIT#/0 3? JOBADDRESS: F_4t� cl)(I&OA NEW SERVICE FlOverhead El Underground D Underground up Pole 0 Residential(Main) Service 00-100 amps 11 101-150amps 0 151-200amps 0 —amps # of Meters 0 Commercial(Main) Service 00-100 amps 0101-150amps 0 151-200amps 0 --jamps OCT Service amps Conductor Type Size OMulti-Family(Main) Service 00-100 amps 0101-150amps 0 151-200amps 11 ---amps of Unit Meters OTemporary Pole 0 am"Ps SERVICE UPGRADE 0 --amps 11 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps 0 __amps 0 CT Service amps ADDITIONS,REMODEL ,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switch 0 30amps 31-100amps _101-200amps Appliances: 0-30amps 3 1-1 00amps 101-200amps A/C Circuits: 0-60amps 61-I 00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 11 Transformers KVA 0 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS 0 Replace Burnt/Damaged Meter Can El Safety Inspection 0 Panel Change DOH to UG 001her: 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 Electrical Company 0 ce hone '�04-Z-7�-IIY3 Fax Co.Address: Z10 , /�' ASCOC-7 &4 ' city ()6AM _ State7&1 ZiD, _34:9FL- License Hot --)State?certification/Registration-9,8?[IM3 0 2-6 Notarized # er 6 4. BWcWj9dTMh NotaTYPUM nde 211d siihscribed before, t day 20 Signature of Notary Public A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000381 Date 4/15/10 Property Address . . . . . . 1415 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc REMODEL EXISTING BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DAVIS BRIAN AND CAROLINE GENESIS BUILDING CORP 1415 OCEAN BLVD. 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . TDG PLUMBING Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/12/10 ---------------------------------------------------------------------------- Special Notes and Comments REMODEL BATH JOB VALUATION CHANGED FROM 10, 000 TO 20, 000 CONTRACTOR PAID ADDITIONAL 100 . 00 PERMIT FEE *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 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 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 BEACH,FL 32233 09 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDiNG-DEPTGCOAB.US PLUMBING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.IS THIS A SUB PERMIT' ------L3.DATE: ONO ocetqn 61V C1 0 YES PERMITM PROPERTY OWNER: 4.NAME: __rSS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: r ota, PLUMBING CONTRACTOR: 7 _OF CO 8.PRESS.: I /q 4 9. 10.CELLPH NE: STATE OF FLqRIDA LICEN$F_NO: 11.FAX IJO.: CPC_ 111.41— 70��z 12.EMAIL ADDRESS: 13.OFFICE PHONE, 14. ,S-L4,J7-' 7 3 (4 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: 0 16.NATURE OF WORK: 16. 117. 18.CURRENT CODE: • NEW 13'06 FLORIDA BUILDING CODE- • RE-PIPE Qe01)ode_L PLUMBING 0 OTHER: 19.NL )F FIXTURES: BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN J_ 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 PERMIT FEES: PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 BLDG03 Permft ApplicaMon Plumb:12/18/2008 Permit Number_ /(-,? Tax Folio Number NOTICE OF COMM STAT_E OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real Property, and in accordance with Chapter 713, Florida Statutes, the fo owi g i Provided it'this Notice Of Commencement. n n-forination i's Description of Property / 0-- // /4 (Address):- Vj 2* General description of in nProvement: 3- owner inforn nation: 1. Name and Address: 2. Interest i Property: CWI�!-),4 0/),/ n Saal 3. Name and address 0 f fee simple titleholder(other than owner): tha na 4. COntactor's;rne and address: a. Phone number: b. Fax number: I C- L 5. Surety Information: a, Name and address: b� Phone Number: c. Fax Number- d. Amount of B 6. :Lender's name and address: a. Name and address: b. Phone Number: 7. Person within the State Of Florida designated by owner upon WhOM notices or other documents maybe served as provided by 713.12(l)(a), Florida Statutes. a. Name and address: b. Phone number: ------- c. Fax number: 8. In addition to himself1herself owner designates Section 711 1 to receive a copy of the Lienor's Notice as provided i of n 7113.12(l)(b), Florida Statutes. 17 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) Signature of Owner: