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Permit 1158 Ocean Boulevard ACH CITY OF ATLANTIC BE 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 10-00000693 Date 6/02/10 Property Address . . . . . . 1158 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 750 ---------------------------------------------------------------------------- Application desc chimney repair ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STOLTZ, JR. , GUY C. FIRST COAST ENTERPRISES OF 1158 OCEAN BLVD. NORTHEAST FLORIDA INC ATLANTIC BEACH FL 32233 1089 ATLANTIC BLVD SUITE 20 ATLANTIC BEACH FL 32233 (904) 242-0100 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 69 . 00 Plan Check Fee 34 . 50 Issue Date . . . . Valuation . . . . 750 Expiration Date . . 11/29/10 ---------------------------------------------------------------------------- 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 69 . 00 69 . 00 . 00 . 00 Plan Check Total 34 . 50 34 . 50 . 00 . 00 Grand Total 103 . 50 103 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILLDING PERma APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office (904)247-5826 Fax(904) 247-5845 Ly Job Address: Oc_ec -(,e\Jbfd 30�C-Q n &L ? Permit Nu.m]W:- -LON n Legal Description 16-A5- Qwi 6 Parcel eujo A/ Floor Area of S �Sq. Valuation of Work S_ Proposed Work h d/cooled no�l-h�eate :1ass of Work(circle one): New Addition Alteration <� Move Demolition pool/spa window/door Jse of existing/proposed�structure(s) (circle one): Commercial Residential I an existing structure,is a fire sprin1der system installed? (Circle one): Yes No (Iii&� 4orida Product Approval Tor multiple products use product approval form )escribe in detail the type of work to be performed: k d "roperty(;%er Information: Mess: (,�bl d:e,6&e_ Cenlr/- _�)r- �tate CLA�Zip �Al , Phone 'itly ,-Mail or Fax 4 (Optio, 'ontractor Information: Q gA ,ompany Name:(-j r�,A(4.x._s�&,krjpfo6eS OF N6 FL ualif�rin gent: r': �_ddress:i L-96 ",,k . * M) Qitv A4i;,h-Z ltd—, State- P-L zip Jrlab!J3 )ffice Phone o^',ql�-0 1 o 0 9 0 01 I "6wl %1PLUNCE tate Certification/Registration c I �,T Lrchitect Name&Phone# M Y OF ATIANTIC IRIFACK ngincer's Name&Phone SEE PERMITS FOR ADDITIONA cc Simple Title Holder Name and Addre;s REQUIREMENTS AND CONDITIONS. L 11 1. ,'onding Company Name and Address j M as � L, WWI TV V"U jortgage Lender Name and Address HE V LJL;, TD BY, VA I h:_V4 pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the suance ofapermit and that all work will beperjbrmed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null ,ul void ifwork is not commenced within six(6)months� or if construction or work is suspended or abandonedfor a period ofsixj6')months at any time after W ng kns 6 is rn ces i caters ork is commenced I understand that separate permits must be securedfor Electrical ork Plumb! ,S! , Wells,P o , u, a ,Boile s,H anks andAir Conifidoners,etc. 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 FWANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. �ere cert��that I have read and examined this a lication and know the same to be true and correct. Allprovisions of laws and ordinances governing this pp 1�work will be com ith whether s ecii)Tied herein or noL The granting of a permit does not presume to give a rity to olate or cancel the eral,s , r lo -ovisions of any otherfe 17 callawregu ting construction or the pei,�'brmance ofconstruction. zo Z Ignature of OwnA Sigaatuic of Contractor Print Name !E11 Ct C Ar..................... ............. int Name T ........... j. .. ... ,vom to and subscribed before me Swom to and subscribed before me is ILT Day of 7r,4,-�x- 20 this J��Day of 20/0 ota�Publi L OMM ISSION#DO/731M GEORGE RAY wASI.IWON I ised 0 1.26.10 My COWISSION#DO 731772 EXPIRES-Dewrkw 17,2D11 ftnd$d7hmNc"WjkWdW~ EXPIRES-DOW&17,2011 IV City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Fax(904)247-5845 Phone (904)247-5826 Volt E-mail: building-dept@c6ab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM D ment review required Ye No Property Address: -Buildin anning &Zoning Applicant: Tree Administrator Public Works Project: Public Utilities Public Safetv Fire Services 7 7, ��7,,7, t -0p Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Revie EjApproved. F_�Denied. (Circle one.) Comments- —/77 Date: PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: DApproved as revised. E] ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: 7Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05114/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000692 Date 6/02/10 Property Address . . . . . . 1158 OCEAN BLVD Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 540 ---------------------------------------------------------------------------- Application desc 1 window replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STOLTZ, JR. , GUY C. FIRST COAST ENTERPRISES OF 1158 OCEAN BLVD. NORTHEAST FLORIDA INC ATLANTIC BEACH FL 32233 1089 ATLANTIC BLVD SUITE 20 ATLANTIC BEACH FL 32233 (904) 242-0100 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc - - Permit Fee . . . . 69 . 00 Plan Check Fee 34 . 50 Issue Date . . . . Valuation . . . . 540 Expiration Date . . 11/29/10 ---------------------------------------------------------------------------- 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 69 . 00 69 . 00 . 00 . 00 Plan Check Total 34 . 50 34 . 50 . 00 . 00 Grand Total 103 . 50 103 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERmn APPLICATION Crry OF ATLAN-Tic BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 JobAddress: 115f� 0cz_&,. L 6 C� 13�;)33 Permit ber: Legal Description GILLN Parcel 9 eyi:;- Eloor Area of q t Sq.1A Valuation of Work S 6qb Proposed Worl ooled non-heatedlc��ooe --lass of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa<��w�/door Jse of existing/proposed structare(s) (circle one): Comm ial Residential I an existing structure,is a fire sprinkler system installed? (Circle one): Yes No (SMAl') ,Iorida Product Approval# 1 ,�9LKS �or multiple products use product approval form Describe in detail the type of rk to be performed: cyc _ W1A);-6LJ g (&Rl �roperty Owner Information: ;ame: Lot* Iddress: (.S*01 Tw:&,e_ CtJ&r 6/ , "ity —Tr V.;a State di Zi I -no -711f- -0-GO00 IP ,-Mail or Fax 4(Option 'ontractor Information: 6 of N 6 Qualifying Agent: Z JoM .ompany Name: r + Coa&+ E.'*Mr r Jr �ddress: to baj�' 61 LIJ city State- Ic(_ zip,7 )fFicePhone aLOL - DJEW Job Site, ontact MjMber Fax 4 -010q tate Certification/Registration C_LL QL1_-�!9 L i-rchitect Name&Phone REVIEWE D MR COBE COMPLIAN E C19n XTIC BEACH ,ngineer's Name&Phone 4 lee Simple Title Holder Name and Address SEE PERMITS FOR 'onding Company Name and Address- REQUIREMEMS AND CONDmoNs. jortgage Lender Name and Address- REVIEWED 15y: � -.0" /1 DATE: �70 a h ad )btain a permit to do the wo-9_=q OF [n ha�co,,,ncedprior to the r to sa �ards ofall This permit becomes null 't'o �r w cure n or�rk s six(6)months at any time after Z"?tru d Jec c Dirnaces,Boilds,Heaten, "P 0 � n ee i Y md that a,, 'rk be or do 'i '0 is er s an ap an w will p m m 7' c mt 0 e work otomm"c'd w thin, (6 'ont 0 n 1, 'st t i s'"a,) r '0b d nde and hat P a,Per ts 0 ,d void i 'k is'o"' m t s jr on &aonffs'etc �nk mdA WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR E"PROVEMTNTS TO YOUR PROPERTY. ILY YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOVIi NOTICE OF COMMENCEAUNT. �ereby ceij*that I have read and examined th*s lication and know the same to be true and correct. Allprovisions qf1aws and ordinances governing this A herein I )j work will be m I" wh ther s cz or not. The granting of a permit does not presume to give joffthorityto violate or cancel the vvWons ofany othe al,sta o I a re lating construction or the peTfib�mance ofconstruction. [gaature of Owner signatare of Contracto 7int Name rint Name f ........................... .. ............................................... worn tQ and subscribed before me C= worn to and subscribed bcfore me is Da is i�_r Day of 20/c) y Of __T14 IV,6 C. 20 LAJ otary P4blic J_ - - - ---- Notary Pffblic M. —1 1 rR GEORGE RAY WMHWOTON MY OOMMISSION#DD 731M 0" ed 0 1.26.10 RES, RAY EXPIRES,DdoemIw 17,2D111 W COh"SSIM DO 73117n 'j . ' 70�1 EXPIRES:Decwkw 17,2011 City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 800 Seminole Road 233-5445 Atlantic Beach, Florida 32 Phone(904)247-5826 - Fax(904)247-5845 Date routed: V ult E-mail: building-dept@c6ab.us Em it City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No .g/V C/ Property Address: uilding :SL5 g Zoninq Applicant: Tree Administrator Project: Public Works Public Utilities Public Safetv Fire Services I- ___ 7 �7, 4- Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps^f r-nnineers. Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco APPL C�ATIIO�INNSTATUS U0 Reviewing Department First Review: Approved. D e niii e d. (Circle one.) Comments: Date: 6-1-ro CUIW�I �G PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: F�Approved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES Reviewed by: Date: PUBLIC SAFETY FIRE SERVICES Third Review: F�Approved as revised. F�Denied. Comments: Reviewed by: Date: Revised 05114/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 all Jill Application Number . . . . . 10-00000703 Date 6/04/10 Property Address . . . . . . 1158 OCEAN BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SERVICE INCREASE TO 200 AMPS (OVERHEAD) ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AMERICAN HOME MORTGAGE TRUST KNIGHT ELECTRIC LLC 6501 IRVINE CENTER DR 910 11TH AVE S IRVINE CA 92618 JAX BEACH FL 32250 (904) 247-9884 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . SERVICE UPGRADE TO 200 AMPS Permit Fee . . . . 10S . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/01/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPtJCATIOIV CM OF ATLAPITIC HEACR SDO Seminole Rd,AtIalatic Beach,Fl,32233 Pb(904)247-5826 Fu(904)247-5845 PERXff N Jos ADoRz$S: 9 CD M A 44 U C14- NEW SERVItE -zoverhead [3 Underground Underground up Pole ORssld�mtinl(Main)Service 0 0-100 amps C101-150amps C3 151-200amps C: amps 0 of Mews Ocommorciall(Main)Service 0 0-100 amps 0 101-1 50amps 0 151-200=ps C ---Pnps OCT Service Condu*r T)qx_, Size 0Mulfi-�amily(Main) Service c:o-i od amps C-1101-150wrips 0 151-200arnps 0 --Wnps #of'Unit melm 0TOW"Ory Pok 0 alipps SERVICE UPGRADE �V:00 amps 0 CT Service—amPs NEW YZEDEtt(AIDDMONS.ACCESSORY STRUC!"URIM,ETC.) 0100ahaps 01500=ps 0 200amps a amps OCT Service Wnps ADDMONS,ktEMODELS,REPAHtS, BUILD-OUTS9 ACCESSORY STRUCTURES,ETC. OutleWS4vitmbes: 0-30amps 31-1 00wups 101-200amps Appliancks: 0-30amps 31-100amps 101-200amps A/C Circkdts: 0-60amps 61-1 00amps Heat Cir4uits: 0 circuits @-----.�W Number 6f Ughting,Outlets, Including Fixturw DTHER ELICtMICAL PROJECTS OSwimm6gpool OSign D Smoke Dvectors_Qty OTransformers KVA OMot*rs hP r=ALARM SYSTEM (Requires 3 am of plans&Fire Alarm Checklist) Qty volutupps VALVE OF WORK REPAIRSIM$CELLANEOUS aRopiwel3wuMmaged Meftr Can OSafety Inspection JPanel Change n014 to UG Dotba: voiT if work does nao—m-nence witbin a eke mouth period or work Is suspended or abandolmd.(by ft mon=71 hertbyw*that)t— An provisions of lawg and osdinames governing this work witi be compiled Wittt whgther sp"Iflod or mm 7hd ve authority to Tialeb ft provillow of my(ftef"a or local law mWaum coosv%cdoo oy the perforampoc of x0muction. 7,00-7 Phone Nwnber Properw owners IN806 e Phone ;t!t7-W9 it,�Fax AV 7-?94-f electrical Compaby �g L Elmr-4. cY LLr— —Offic tix�— city state zip 32A= Addrem: 9 lid I i -IDw t2SI 3 License Holder oriu*-. L I- I.— StatcCertification/Reotration .Nrprarized S4"dfotre of License Holder Svvorn and subscribed before;Me this day of 20_La BEVERLY1 K. ELIAS Sigmture of Notary F---i- ADA LQ Notary Public,State of Florida MY comm. expl Apr. 12,2011 Comm.No.M 662W9