645 Plaza 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
rJjjq INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000559 Date 5/05/10
Property Address . . . . . . 645 PLAZA
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4800
----------- ----
Application desc-------------------------------------------------------
reroof f1124
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WILLIAMS, SANDRA CARR ROOFING INC
645 PLAZA 11309 N COUNTY RD
ATLANTIC BEACH FL 32233 GLEN ST. MARY FL 32040
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 00
Expiration Date . . 11/01/10 4800
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 7S . 00 75 . 00 . 00 . 00
. 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address:
Legal Description Permit Number:
Floor ea 0 sjt. a q-
V211lation of Work Proposed Work eate cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed.stru"re(�) circle one): Commercial
If an existing structure,is a fire sprinter system installed?(Circle one)--O�iesZ�No N/A
Florida Product proval# T-1 17 L/
For multiple pr�ulucts use P-muct approval form
Describe in detail the type of work to be performed: Tec c- g PC cL C2
ProRtrtv Owner Information:
Name: - Q L-,-- i I_ ddress: 0 Z 5A)
city t-,r-V,�;L VN i i"0 State E.LZip 3 2 z I U Phone 7�sk,--7000 VC �76Z_
E-Mail or Fax#(Optional
ontractor
Company Name:Cc-'Q z
Address: 13 Qualifying Agent: 04XIrp
__t_CL2,L& -Q_ city C�,J�
Office Phone C —State
koW- 2jq--jo(OZ # _F( zip_&2k4!C?
Job Site/Contact Number ,E� Q(9 q 7-ft 1�ax
State Certification/Registration#
Architect Name&Phone
Engineer's Name&Phone
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
.4 eb ob ain he ork and installati�ns as ind�i instLI/aicion has ommencedprior to I
it � ,
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WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUi NOTICE OF
COMMENCEMENT.
I hereby cer!ifv that 1 -4 a.w fi.*
fy that I have read and examined this ication and know the same to be true and correct. Allprovisions
Ore o work will be com f a permit does not presume to give authoritY to violate or cancel I
plied with whether cl herein or not. The granting o of laws and ordinances governing a
Provisions of any otherfederal,state, or local regulating construction or the PeFj'orma;tce ofconstruction.
Signature of Owner Signature of Contractor
............
Print Name
...............
.................... ....................
........ ...... ..... ntName
........................ .......................................................................
Sworn tq and subscribed ore In
7�
this and sub ore e
2
s Day of
0
kND)THARVISON
I - # D 849126
N bi Expires January
BMW TWTMY FWn WWMMMWW7019 0 Pu ]c
KIMBERLY GODFR Y, Notary P blic
Union County,State of Ohio vised 0 1.26.10
My commission expires 5,160
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No.
State of r1ori. Tax Folio No.
aa County of Durval
To whom It may concem:
The undeMigned hereby Informs you that Irnprovements WIN be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Informadon Is stilted In aft NOTICE OF
COMMENCEMENT.
Legal descrormn of Property being Improved:
Address of property being Improved. 4-
I AIA-91—W—A
IVA-I A i^-H'i
1,'
General description of Improvements: RE-ROOF
Owner
—Uft�-�- ��MN-
Address 10 io now
W14-21-11111111(d 0
Ower's Interest In site of the improvement
Fee Simpte Titleholder(if other than owner)
Nam
Address
Contractor CARR ROOFING, INC
Address PO BOX 1184 G1en St mary, FL. 32040
Phone No, (904)219-7062 -- —FaxNo. (904)653-2026
Sur*(if any)
Address mount of bond-
Phone No. Fax No.
Name and address of any person making a loan for the construction of the knproveme-nts_
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or Dow
documents rpay be senied:
Name
Address
Phone No. Fax No.
In addition to himself.owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b).Florida Statutes.(FBI In at Owner's.option).
Name
Address
Phone No. Fax No.
Expiration date of Notiice of Commencement(the expiration date is one(1)year from the date or recording unless a
different date Is specified):
THIS�P-ACE FOR RECORK)Fj;r&-U-6F.—()NLy ER
D E
ATI Z`0
int
'n4
Before ly appeared t
-0 h=yL4L. J_30V=V-q1— _hemlnby
Doc 2010!u3183,OR 13K 15234 Page 182i, himearl harseffand affirms that all state*ents ZW-deciaraftne herain
Number Pages: 1 we true and amzate
Recorded 05/05/2010 at 02:55 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10,()o
Notary Pub1ic at Large. CU-*Of
M y WM ir f"0 r k zip::58 11
Penionally Krum L" or
Fmiduced klardficauun
No on
TARA H. OWTAM
�1WCMNASSM#W$"48MW
EWM-Janiiiiiiry 4.2013
9ZOZC99t7O6 ijeo A911946 80V90 OL 00
4r
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . .
Property Address 10-00000526 Date 5/13/10
. . . . . . 645 PLAZA
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------- ----
Application desc-------------------------------------------------------
miscl gfi and smoke detector
----------------------------------------------------------------------------
Owner
Contractor
WILLIAMS, SANDRA ------------------------
645 PLAZA TRENT ELECTRIC
280 HASTINGS RD
ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174
(904) 819-0911
Permit . . . . . . ELECTRICAL PERMIT---------------------------------
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . 4/29/10 Valuation . . . . . 00
Expiration Date . . 10/26/10 0
----------------------------------------------------------------------------
Fee-summary------ Charged Paid Credited Due
--- ------- ------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00
Plan Check Total . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
. 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
()C� 17
ELECTRICAL PERNUT APPLICATION
CITY OF ATLAwIC BEACII
800 Seminole Rd,Atlantic Beach,FL 32233
?�Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: C/o 6/5 -r– -_7Q,
--------- PERmyr#
NEW SERVICE ElOverhead Underground 11 Underground-up Pole
DResidential (Main)Service
E,0-100 amps 0101-150amps 0 151-200amps Cl.amps of Meters
O'Commercial(Main) Service
0 0-100 amps 0101-150amps 0 151-200amps El_amps OCT Service amps
Conductor Type_____ Size
0Multi-Family(Main) Service
0 0-100 amps 11 101-150amps 0 151-200amps amps of Unit Meters
El Temporary Pole D amps
SERVICE UPGRADE — '
0 --amps D CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 100 amps D 150amps D200amps 0 ___aMps [I CT Service—amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRU
Outlets/S witches: _0-30amps ______.,31-100amps CTURES,ETC.
Appliances: 0-30amps _31-100amps _101-200amps
A/C Circuits: :::=0-60amps 61-I 00amps —101-200amps
Heat Circuits: # circuits
Number of Lightjj�g—Outlets, Includi
ng Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swinuning Pool 11 Sign 0 Smoke Detectors_Qty 0 Transformers KVA OMotors lip
FIRE ALARM SYSTEM (Requires 3 s'
QtY—volts/amps ets Of Plans &Fire Alarm Checklist)
REPAIRSYMISCELLANEOUS VAL UE OF WORK S
D Replace Burnt/Damaged Meter Can D Safety Inspection F Panel Change 30H to UG
C09 to
Perm
does
provisions of laws and ordinances governing or
ork iS suspended or abandoned f
read difs appiication and know the swne to he a six month period or w" :rde! Po" lo" 1,q
it becomes void if work o not comnience%Nrithion
Specified or not. The Pernlit does not give aut true and correct. AlZ six months. I hereby certify that i
hority to violate the this work wi.0 be complied with whethe-
construction. provisions of any other state or local law regutatiGn Dnstruction 0 the perf ce of
MEW T
Pro' !:�; 'S 7 a
perty Owners Narne Phone Number 0
Electical Company-77—rif
Office Phone 0XI F/9 !�9//Fax 96�/yKlelv
Co.Address: city eig —
�2a state r_1 zip
License Holder(Print): - -State Certification/Registration# C7006,31
Notarized Signature ofLicense Holder
Sworn and su' sc t day of '?0 A9
e
LXMRU:Fdxmy 03,2014 —
ARY 1%NaWy DWWAM AIM CO.
0 AiloswelsAs U01jew.10jul d,,
0:,,� 0� /7
AV
SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000607 Date 5/13/10
Property Address . . . . . . 645 PLAZA
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3000
----------- ----
Application desc-------------------------------------------------------
change out 3 ton system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CORNERSTONE PROPERTY VARNADORE HGT AND AIRINC
645 PLAZA 4533 MONUMENT POINT CIR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . . 3 TON SYSTEM CHANGE OUT
Permit Fee . . . . 107 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . . 00
Expiration Date . . 11/09/10 0
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 107 . 00 107 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 107 . 00 107 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS:
m
----_PERMff# /0 -7
PROJECT VALUE$ -? ocio , co
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: unit Quantity
Heat: Unit Quantity Tons Per Unit
Duct Systems: Total CFM BTU's Per Unit Seer Rating
jff(—?UI—RED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: unit Quantity I I Tons Per Unit 2 ARI#__L_�L�6
Heat: Unit Quantity BTU's Per Unit ---` REQUIRED
Duct Systems: Total CFM --LC2KW— Seer Rating / 3
FIRE PREVENTION REQUI—RED
Fire Sprinkler System Quantity
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
-------- (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity -------- (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty-- Automobile Lifts
Gas Piping Outlets Boilers 9TU�,S--
ALL OTHER GAS PIPING Elevator!�Es�calators
Quantity of Outlets Heat Exchanger
#Vented Wall Furnaces Pumps
# Water Heaters Refrigerator Condenser ATU-1 S�
Solar Collection Systems
Tanks(gallons)
Wells ------
OTHER:
Permit becomes void if work does not commence within a six month period or work is susp
this application and know the same to be true and correct. All ended or abandoned for six months.I hereby ceftify that I h=
or not. 7be permit does not give authority to violate the provis Provisions of jaws and ordinances governing this work will be complied with whether specified
ions of any other state or local law regulation construction or the performance of construction.
Property Owners Name A), eKeVo Phone Number
Mechanical Company --------------
Co. Address: LIMA!, 'T'lij -OfficePhone��7 ]Fax
License Holder(Print): City — StateE4 Zip
Votarized S, ature ofLicense Holder State Certification/Registration# c1c VC
Zft
DEBWH A,WHI .......................
Y COMMISSIO # 4 cw and subscribed"bef'ore.m---t.,.s
EXPIRE -m 1, 011 day
V-
0 11c Unde'w& ture of Notary Public 20//
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
SO
ATLANTIC BEACH,FL 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 10-00000526 Date 4/29/10
Property Address . . . . . . 645 PLAZA
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
miscl gfi and smoke detector
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WILLIAMS, SANDRA TRENT ELECTRIC
645 PLAZA 280 HASTINGS RD
ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174
(904) 819-0911
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/26/10
----------------------------------------------------------------------------
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.
ELECTRICAL PERNUT AypuckrloN
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 247-5845
JoiB ADDREss: (_0 PERMU
SERVICE F�Overhead Underground 0 Underground up Pole
EIResidential (Main) Service
E 0-1 DO ainps 0101-150amps 73 151-200amps :]—__amps of Meters
OCommercial(Main) Service
0 0-100 amps 11 101-150amps 13151-200arnps El—amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service
0 0-100 amps E 10 1-1 50amps 0 151-200arnps 11 ___�unps #of Unit Meters
[]Temporary Pole
SERVICE UPGRADE 11 amps :1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
0100amps C150amps :)200amps 0_______amps EICTService amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-3 Oam-ps 31-100amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool El Sign C Smoke Detectors_Qty El Transformers KVA EMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty_volts/amps VALUEOFWORKS
REPAIRS/NHSCELLANEOUS
0 Re ace amage Meter 0 S ety Inspection E Panel Change DOH to UG
Zen, OdC - OW7
Y Q b0#7CaqZ 62hl-'V)- /9(*/,2426' /12611c&JI ;�/ILL
Permit becomes void if work does not CDmrr)ence within a six month period or work is suspended or abandoned for six months. I hereby certify thai I have
read this application and know the sarne to be true and correct. All provisions of laws and ordinances governing this work will be complied
specifiedornot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of 6j,/-E
construction.
Propefty Owners Name Phone Number
Electical Company_ It—e, 471 e C A(- Officeplione *'-" 019' e'91&x
Co.Address: C�� a city S(7 State 14C)Zip �_6�6LIT9'
'C
License Holder(Print). 421 State Certification/Registration
Notarized Signature of License Id"
Swom and subscribed before me)16) day 0 /Z�// 20
Sig G
wy CONWMASSION N DD958 51
EXPIRES'F&nWY03,2014
or
14W4.NMARY In,Nomy DWwAft AWN.Co.
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