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