Permit Folder 600 Sturdivant CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000421 Date 4/22/10
Property Address . . . . . . 600 STURDIVANT AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
----------------------------------------------------------------------------
Application desc
drywall/paint fire damage repair
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ROSS, JONATHAN G. LEISTER CONSTRUCTION LLC
301 OLEANDER STREET 4411 GENTLE KNOLL DR S
NEPTUNE BEACH FL 32266 JACKSONVILLE FL 32258
(904) 803-6560
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . HORTON ELECTRICAL CONTRACTING
Permit Fee . . . . 59 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/19/10
----------------------------------------------------------------------------
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.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59 . 20 59 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 59 . 20 59 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-1VIIII[CRYUJI'l aystemscIT-Y 0
904-247-5845 P.1
ELEcMCAL.PER&HTAPPj1JCAT10N
CrrY OF ATLAmC BEACH
101 Seminole Rd,Atlantic Beach.FL 32233
!ax
-Ph(904)247�-5826 �q
7 (904)247-5945
JOB ADDRESS:
PERMT# /0 -�IZI
NEW SERVICE 00verhead Underground F-1 Underground up Pole
OResidential oUin)Service
00-100 amps 0 10 1-1 50amps 0 151-200amps 0 .amps #�f Meters
Ocommercial(main)Service,
amps 11101-150amps 0 151-200amps 0
Conductor Type___________ size --_amps 0 CT Service—amps
13MuW-Fan*Main) Service
L'(�-100 amps 0101-150amps 0 151-200amps E]�amps #of Unit Meters
0 Temporary Pole 0—amps
SERVICE UPGRADE 0- _amps 0 CT Service—amps
NEWFEEDER(ADD'TIONS9 ACCESSORY STRUCITIURES,ETC.)
E 100 amps 0 150amps 0200amps p_amps OCT Service amps
ADDITIONS,REMODELS REPAIRSt BUILD-OUTS,ACCESSORY
Outlets/Switches: =-30amps _31-100amps STRUCM"St ETC.
Appliances: -__Q-30amps 31-100amps —101-200amps
A/C Circuits: -0-60amps �6-100amps —101-200amps
Heat Circuits: # circuits @__�__kw
Number of Lightiiig Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]Swim�0001 [] Sign 0 Smoke Detectors—Qty OTransformers-�KVA o motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Cheddist)
Qty—voltslamps VALVE OF WORK$
REPAIRS/MISCELLANEOUS ------------
0 Replace Bumt/Damaged Meter Can OSaf
00ther. ety Inspection opanel Change 00H to UG
I'Cralit blxomes void if wmk does not—oommel"within a six nv)ntb Period or work is su8P0nd0d0rabandom=v:dftrsiX I hereby cal I have
rad this application and know the same to be true and corrett All provisions
specified or not 7he permit does not give auduvity to violate the provisions Of laws and mdJuarices 813vaming this work wift be compiled with whedwr
0003"UWW. Of any Oftr stft or local law rei construction or the perfannance of
Pri Owners Name 1 2 " a k:2 -eg-� "-7
Phow N, ber 7-/"I�
Electrical Company
Of rice Pho9he)r2y
Co.Address:_0 Vo —Fax, t12
License Hower(Print): 1) il�w City State—zip
Nohu*ed Sigxwure OfLienseffioidl t��Certificatiowiration#zc- I
Sworm and
me this da, of 20
Signature of Notary c
NOTARY PMUC-STATE 01?FW10A
R be:ca L. Thomas
'�mission#DD791043
n_T KI I ill
0 n 9�= =rToTr QMa7e7q0qq %..... EX
--- -- -- PIres: JAN.26,2012
BONDM MRU AnAM B=MG M,WM
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
........... ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000421 Date 4/21/10
Property Address . . . . . . 600 STURDIVANT AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
----------------------------------------------------------------------------
Application desc
drywall/paint fire damage repair
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ROSS, JONATHAN G. LEISTER CONSTRUCTION LLC
301 OLEANDER STREET 4411 GENTLE KNOLL DR S
NEPTUNE BEACH FL 32266 JACKSONVILLE FL 32258
(904) 803-6560
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . . FIRE DAMAGE REPAIRS
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 10/18/10
----------------------------------------------------------------------------
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.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 60 . 00 60 . 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 APP.LICAT[ON'MUMBER
Building Department
(To be assigned by the Btfddln Departrnant)
MY
011R. 800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phons(904)247-5826 - Fmc")247-5845
-Q Y,�] E-rnaff. buffd[ng-deptQcoab.us Data rtLif4d.,
GFL-y web-site, http-[AAAw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ckvk-n QN3aF1149nt review required yeas NO
4LPPficant: Z ��'61757rltC-17*W )ning
Tres Administ-ator
Public Woft
Public Utilities L
Public Safeff
Fire Servicas
R Mig!1-, �1 Of
Other Agency Review or Permft Required Review or Receipt Date
Florida Dept of EnWronmentaf Protection of Perm It Verrned By
Florida DepL of Tramportation
St Johns ii�r Wafer Management D-fsfridt ,
Amiy Corps a Engkiserr
Dwision of Hotels and Restaurants,
MvWon Of Alcoholic Beverages and Tobawo
Other
APPLICATION STATUS
ZOVISWIng Department First Review. ga<pproved. F�Denied.
(Circle one.) Comments.,
au
g Cl T-Oba=D
1AM G a ZONING Reviewed JV
TREE ADMIN.
[Second Review: ElApproved as revised. F�Denied-
(:Or:d
PUBLICWORKS Comments.-
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
F[RE SERVICES Third Review: OAPProved as revised. FIDenied.
Comments:
Reviewed by: Date:
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904)247-5826 Fax (904)247-5845
Job Address: 7- Permit Number: /0
Legal Description Parcel#
Floor Area of Sa.Ft. Sq 1A
Valuation of Work$ ?45n 6 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Ei>ove Demolition pool/spa window/door
Use of existing/pro osed structure(s) circle one): Commercial Residential
If an existing structure,is a fire spriler system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form-
Describe in detail the type of work to be performed: RADOr'las b14A ::r-M-5L,4 "0fj
Property Owner Information:
Name- G+L Me4)#-//UU
Address: on
city 13cfn Stat;�!LZip .524-5-iPhone VVY 60-15
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Le_j5 44 6.n/.f 4�4�0,%l ying Agent: J0150ev
___V_ P —QualiP
Address: IN11 6#,jy4Tc &
jet/ 4. city State jPr/ Zip 32.Z59;
Office Phone td!j�-22 2-- 12 17 Job Site/Contact Number SA4%c- Fa x__# c/16 976 jo%o ff
State Certification/Registration# C�,C. I-IT 13 6,55
Architect Name&Phone# "A4
Engineer's Name&Phone# /4
Fee Simple Title Holder Name and Address n u
Bonding Company Name and Address !Lr hil
r T
all, k
Mortgage Lender Name and Address 1 9.
Ro
i a 7 he e ade I an a e d work and ns a lations as indic or i ation s_Ioftw%�—ncr'� prior
c c is m t ' comme to the
�r s r
an a d a' i s thisjurisdiction. This Permit berompy null
k aWeriod of sixp�)months at any time after
r it 0 0 to m t t i s 0
'io r 0 o't p
t a ha a k w e e rm
t or c
(6 n to'or wor
ur, f
ix 0 0 s or Jectc 11s
P 'wo P)m et d E e Pools, urnelces Roileiw Heaters,
p
ssuan e a erm
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and 0 0 T 'c s
'o is f menced under tand t t separa e per i s m, t be
_k �Vft er c.
co
T jr Co . 0 S,
anks and-4 n n et
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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere cerfifythlatlhn e readdand examined th's ea lication and know the same to be true and correct. All provisions of laws and ordinances governing this
P
1�work will be c ed with whether ec 0 herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany other e ral,state, localsf, re la ction or the peiformance ofconstruction.
Signature of 0 Signature of Contractor
........... .........
Print Name Print Name
............ ... ......... J ...............................................
Sworn to and subscribed before L�"I M I
this
4� Day of_�Qioo V_�v CODE 63 k�� 20
fill-
co N# 95r6O
k n 1C FA F 0
�Up. 14
otary
Notaiy Pub ADDI —Y A;ili"T
my Com MENTS AND Co Revised 0 1.26.10
Comm #DD 975 20
ArM
Bonded Thr RV n;q J�
AUG-24-2001 04:28 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
ooc*2oi wol 649.OR 6 K 1,62 10 PGPO 448.
NumbeT Pages: I
NOICE OE COMMENCEWNT Recorded 04A 2/2010 at 12:08 PM.
JIM FULLER CLGRK CIRCUIT COURT DUVAL
COUN-TY
REGOpomG$10.00
Fc='tNo.-
'Tax Foj.ioNo.-.-
nre UNDER'.SiGNED hereby gives notice tW irnprovemr-to will be made to catlin Mal XOP",and in accordwee With Secti on
713,13 of the Florida Statutes,the following infbn.nation is provided in 1HIS NOT OF COMMZ�CEMANT.
r
3eacription of ptopefty(legal dCsCF0N0")-
a)Street(job)Addrm:
2.0=cral dwTiption of improvements:_..RAfA%PA
P 3.0wileff ddress: YXCtA) te I A 1�
a)Name and a rV
b)Navie mid addr!�Opflko�pc hithqlder(ifo crthanomer)
C)Tnicrcst in prope
'w-
4,Contmctor InfOrMatiml 7 e, P1.
a)Name and address: J -4 DAI J Am S4fjq,,
b)Tcicphme No.: 20 Y-- -2 a—W— Fox No.(Opt.) 70%-
4surcty Tnfbrn%Won
a)Name mid address:
b)Amount of Bond: Fax No.(Opt.)
c)Telephone No..
61,ender
a)Name and addTesq; Phone No.
may be serve
7,Identity ofperson within the Slate offlo�da designated by owner upon whom notices or other documents
a)Name and address:
Fax No.(Opt.)
b)Telephcue No.:
SJD addition to himself,owner designates the follLiwing person to receive a copy of the J-ienor-s Notice as provided in Section
713.13(i)(b),Florida Stautes.,
a)Naine and address: Fax No.(OPL)
b)Telephone No.; ifferent date
q.&qqratjon ditte ofNotice of Commenoment(tbe expiratiOR date 13 One year*om the daft of recordint sales a d
is npeciflvd):
WARNINC,To OWNFR: ANY PAYxFNTS K4DE BY-FEEL OWN%,R AFTERTELE EXPIRATION OF THE NOTICE OF
r jt 1,SECTION 713-13,
COMMENCEMENT ARE conwjtED DUROrrR PAYMEN*rS UNDER C".PTER 713, A .T
rj,0RTDA STATtJTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROFERTY-
A 140TICE OF COMMINCEMENT MUST BE RECOPJ)ED AND pOSTED ON IELE JOB SITE BEFORE THE FIRST
INSPF,CTION. IF YOU INTEND TO OBTAIN FINAN M ,CONJULT YOUR LENDER OR AN ATTORN EY BEFORE
F
J�.n(
C
lF
COMMNCINr,WORK 0R.RECORDING YOUR 14 OF—t) NCEMENT.
NC�i
010. Mir
INAMMMA L I N Sig Ownw or 0VM
"OeMY PUb"O-Side of Florida
4
20 14
Z �J1
M,Comm.folnia mar 28,2014 PnM N
commission 0 00 97i520
h"M Tbrw**mj"w
111
d before mc this day of 201D,by 41,�t
(vm or authority,eg.ofriver,tirustee,
(IMS.MC Of p2rty an behalf ofwhom inStrument wAs-CxCCVtL-d)-
iiftoriney in fact)for Notary Signature
?crsonally,Known OR Produced Tdcntifi=ion--sL/ _
I-(, F) L, N=.e(print)
Type of Identification Produced— OR
Verification pursuant lu Section 92.525,Flwida Statules.Undcr penalties ofpeijury,I declare that I havc mad the foregoing and that
the f-
Acts stato in it aTe truc to the best of my knowledge and belief
sigoAllie nfwatuuIW�n signing(in unex 10.)Above
IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Jilt
Application Number . . . . . 10-00000421 Date 4/29/10
Property Address . . . . . . 600 STURDIVANT AVE
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
----------------------------------------------------------------------------
Application desc
drywall/paint fire damage repair
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ROSS, JONATHAN G. LEISTER CONSTRUCTION LLC
301 OLEANDER STREET 4411 GENTLE KNOLL DR S
NEPTUNE BEACH FL 32266 JACKSONVILLE FL 32258
(904) 803-6560
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc CHANGE OUT HVAC SYSTEM
Sub Contractor HORTON ELECTRICAL CONTRACTING
Sub Contractor SUB TROPIC AIR & HEAT LLC
Sub Contractor SUB TROPIC AIR & HEAT LLC
Sub Contractor SUB TROPIC AIR & HEAT LLC
Permit Fee . . . . 91 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/26/10
----------------------------------------------------------------------------
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.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91 . 00 91 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 91 . 00 91 . 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
JOBADDRESS: PERmrr#
PROJECT VALUE $ 2-noo .
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating
Heat: Unit Quantity BTU's Per Unit REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
AM# 300 11V,19
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity_ I BTU's Per Unit Rilcoo Seer Rating_j3
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requwes 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (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 BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
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 governmg 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 0'6�az Z Phone Number e2g"V- 776A
4:T jq lge Office hone Fax
Mechanical Company j
Co. Address: /IKS/ City State ri
License Holder(Print): Ja,4e xyue State Certification/Registration 4 �a I,-15,1v:7,1
Z44
Notarized Signature of License Holder
------ Z7
and subscribed.before dip t1jis Of
WHn
DD 634! tLjr
16 011
o.
DEBOFM A.wHrrE
MY COMMISSION#DD 634SI
EXPIRES:May 21,2011 e of Notary Publi-
j , .
Bonded Thru Notary Public d