Permit 210 Poinsettia Street JIj
~' CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000623 Date 5/17/10
Property Address . . . . . . 210 POINSETTIA ST
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 6500
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Application desc
REPIPE 15 FIXTURES
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Owner Contractor
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METZGER BRIAN G AMERICAN PLUBING CONT. INC
210 POINSETTIA STREET 5720 ARLINGTON RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 591-5385
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . 15 FIXTURES REPIPE
Permit Fee . . . . 160 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/13/10
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Special Notes and Comments
MUST SUPPLY A RECORDED NOTICE OF
COMMENCEMENT PRIOR TO FIRST INSPECTION
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 160 . 00 160 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 160 . 00 160 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
/o- &Z3
r$ � CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
\ ^
C s� OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
`J PLUMBING PERMIT APPLICATION DUVAL COUNTY
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a NO
Atlanti each FL 322330YS PERMIT#: p (V.t�I�f;�,a, ��i,im..`;€'?,"r', fIowx so<s r""b' W-63 3
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4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
t�&-rzct5�Ka38 6�fa
rle�yLL` arli�;°hil',7nFs",,"I��In ',--,nlfll�`.-'r� i.lu�a.�El� �"' �nl '.n "'.. 1..'..I :+ 'i .. q�Blli4e�l�r<�', at i4cera,,,,afln�z"a` i's .3�;s= ,,,';'`; a
7.NAME OF COMPANY: 8.ADDRESS.:
C5izo
9.STATE OF FLORIDANSE N0: 10.CELL PHONE: 11 Old OQ cqao _ (TG
12.EMAIL ADDRESS: 0 , 13.OF E P ONE: I/ 14.
"LAer
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that o e performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes nulla I if work is n commenced within six (6)
months,or if construction or work is suspended or abandoned for a period of six(6)mo any time a e is comm
s
CONTRACTORS GNATU,"u.£dow"n hr
❑ NEW ■ RE-PIPE
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
1 ICE MAKER i WATER CONNECTION
INTERCEPTOR / WATER HEATER
3 LAVATORY URINALS
LAUNDRY TRAY OTHER(SPECIFY):
SEE BACKFLOW AND IRRIGATION PROCEDURE SHEET
ROOF DRAIN
08 PU � I�t ., r .dk� ,k� { A .a.,' Ijct ," M .,, E " ,.. ( iNi .., ¢`�..nry9 rtw.a(� 5014,11_ ., ,
PERMIT ISSUING FEE: $ 50�
.,
TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 =
COAB FORM BLDG03:REVISED:8/13/2007
Uoc##20101180 2,OK t3K i 0252 rage 2097,
Number Pages: 1
Recorded 05/21/2010 at 03:06 PM,
NOTICE OF COMAWNCEMENT JIM FULLER CLERK CIRCUIT COURT DUVRL
COUNTY
RECORDING$10.00
Permit No. G - 000 0o
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.
1.Description of property(legal descriptio
a)Street(job)Address:
2.General description of improvements:
3.0wner Information 3?
a)Name and address:
b)Name and address of fee simple titleholder(if other than owner)
c)Interest in property
4 ntractor Information
a)Name and address:
b)Telephone No.: 'USES'-Adff Fax No.(Opt)
S.Surety Information
a)Name and address:
b)Amount of Bond: Fax No.(Opt)
c)Telephone No.:
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)
8.1n addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt)
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 MROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TSE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT ypUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMFNCEMENT.
STATE OF FLORIDA 10.
S{�mtute of Owner or Owner's Authorized Officer/Directot/Pazinedlrlanager -\
Print Name
The foregoing instrument was acknowledged before me this
S day of rnpy 20 t ,by dsk►v M C-1c.
(type ofauthor*y'e.g.officer.tru-'Me4
i'ULir.,5711E Ali;F110 l 1"i
Type of Identification Produced Name(print)t'�j tin
'Expires- $,2012
OR
BONDED THRU ATLANTIC BONDING CO.,INC.
Ve,rific.ah�n nirr�nant t�Seatinn 47.5?4 Flrn-iHa Statutes„I Tnder nenaltie�of ner urv.I declare that 1 have read the foregoing and that