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Permit Bath Renovation 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000995 Date 8/16/10 Property Address . . . . . . 1117 FLEET LANDING BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2200 ---------------------------------------------------------------------------- Application desc renovate bath shower ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 848 AILY CHURCH LANE SEVIERVILLE TN 37876 (904) 662-1528 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2200 Expiration Date . . 2/12/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA BUILDING CODES. - -­U'v ll;ljz 8b59O87710 PRESTIGE BUILDERS PAGE 02 Mai$ 11 10 12:30P BUMI)ING PKXMIT A"11CAVON CM OF ATL0MC DFACH 900 Swdoole Road,Adande Bewb.FL 32233 Office(904)247-5826 Fox(904)247-5945 Job Addrmr.- 111-7 f-t--Etj LnghirA& 0 995- .- nLgb Pennitlqn=ber ��O Lew Dmerlpunlm- R"E wer A—m of sq.M - sqn volustion Of Work S 21,2LO- - YPmpomd Wm* hiatedfmobd ston-beaftWcoobd Clasiv of Work(arde one): New AddWon Abmfiw (�� move 0moutiom poom" Wk&yvd&M ulle" ie one)c cmmemid Pmi*ndw artm i=IWW?(Cbmte oiset���au=2� 10 CeD If an a flVpVK= Mrida Product Approvel A For muftipk"wis mm pw*dvA appnw-#Vhw—% Dwmihe in diad dw type of work W be prepuft 0—wam All: Nam N CCJ>,r , . b� City.8-TLptl'l-nC ALaLki —§iib--ftELZiP'1-2a 53 phow P'mau or Fix# !Q9AtrW*0rJaffflMNfNM- C A OEL S ,tdo AwWledKaw&Phmw# N12 N E Ea&aws Now&Phone# NIONC Fee r)bm"rAlcHbk%wNaa�;Wd'A4emm A Damiag compmy 14=w and Amregs�----- N_F— Mor4ap Lander Nme and Addim No r4 AWUambn idt broby ma&to ohm*apwpat to do&woo*wdo busmod fm tol &W no wart or An wirkallammmmodw"su MrAfg.cr idmi or abmdmmdf mk In andvoid I r a wo4traomnaftesed 2"'Jammall'm Tomb mdA&Cwuggmww,elm WARNING T10 OWNER:YOUR FAMURE TO RECORD A NOTICE OF COMMMNCEMENT WAY R"ULT IN YOUR PAYING TWICE FOR 81PROVEMKM TO YOUR PROPERTY.N YOU INTEND TO OBTAIN FINANONG CONSULT WrM YOUR I-ENDER OR AM ATWRNEY BEMIKE RECORDING YOU NOTICI OlT CONEMIENCKmwxr. (w me M rwow 01 go forp~_ dm mopvm=w lb.Vw mAmw w vw&ft or prw Name 4- q; SwmillZmd mjbudbe subsmiffied Won me 4 Wore or, P 4/1�, ftt ft I IV a f .;ZOIL % a-y, No-w-7 - - - - - - - - - — COUV'UR y�, bliq Bolt C CE C S E. -r-Z REQUIREMENTS AND CONDITIONS. FILE Ulpy �� ' -x UVIEWM BY—Z22.� DAM: City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 Olt E-mail: building-dept@coab.us Date routed: . L City web-site: http://www.coab.us 4 APPLICATION REVIEW AND TRACKING FORM Property Address: _P"altment review required Yes /NO Building Applicant: -?Ta—nning &Zoning Tree Administrator Project: lq�Ald V,1� Public Works Public Utilities Public Safety Fire Services 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 of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: BA—pproved. []Denied. (Circle one.) Comments: CB_U_I LDI,Nd�) PLANNING &ZONING Reviewed by: AP7 Date:_011�–//_/C) TREE ADMIN. Second Review: []Approved as revised. F�Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. FIDenied. Comments: Reviewed by: Date: Revised 05/14109 Ma�j 11 10 12:30p P-4 BU11,111ING PERMff APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Ro4 Atlantic B=b,FL 32233 Office(904)247-5926 Fax(904)247-5845 Job Addms: L-E E-T �_B t4 h I N h 1--\)b Permit Number: Legal Description 8LA E, Floor Area of SqXL parcel# Sq.Ft Valuation of Work$ AQL 0. Proposed Work hiated/cooled non-heated/cooled Class of Work(eircle one): New Addition Alteration (�� Move Demolition pool/spa window/door Use of existineproposed Am==sdrele one): Commercial idential If an existing ifiwture,is a Am sp r system imUdW?(Circle 9 ;W_H%0 <]�/��A Florida Product Approval# For muftiple products use pi;WvKl approval form Describe in detail the type of work to be Property Owmer Wormatiom Name: Address-UkE E- LEE-T- LftNibIN& 13 L_\J t� city A-TLPqL-rtC OE-AL14 —State�Zip,�32.-L�3 Phone E-NW or Fax# 1CQutrWWr 111GOTM26015- Company Nam:PPL,-�-f IkE f)U1Lh>EP_-5 _Qualff�iugAgcnt -3UTTA Address:,Qaq M_ A R &A P_E_T 5 1 City NEPTUN 6EPl(_H_Stata J�_L- Zip 3aaU, Office Phone __Job SibJ- ContaclNumber qD4..- 12(7-2-I_U�__Fax# W, C105 - 771 t) S-tatecerdfication/RagistrIxtionk C6 i� V%946 Architect Name&Phone# "DINIC Engineer's Name&Phone# NDNC- Fm Simple Title Holder Name and Addrew NiA Bonding Company Name and Address N 0 1-�F_ Mortgage Lender Name and Address L,4D NC i is hereby made or ftrAdkMfan ho commenced prior to& d*jWu%*'ctwn. This pprma becomes I a 0 P i .8 ag 're7a On d T:d WARNWG TO ONVNER: YOUR FAILURE TO RECORD A NOTICE OF COA01ENCEhMNT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMMNTS TO YOUR PROPERTY.IF YOU MTEND TO OBTAIN FINANCING CONSULT WYM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOM NOTICE OF COMMENCEMENT. rhere cer*dW 1have read and euromined ma Plicado andkiowdiesarnetabetrwardemmet AHpruywom oflaws and-&nqnces9=dds e.herein or wt 77m Sr!2ndng of a pa7w dori not prw-w to g-e audfmW to WOLVe th reguWing construction or the Peifmwwe of conowtion. A t) tta Signatum of Owner of Contractor C�N,� �j Print Name r* NO n P-1 . iswo o and subscribed before me subscribed bef me f /,Yl A" of 2010 tJ_-_Q this 21 L k#m C G-OLAO�t,V' 'Public L/ Notary ELIZABETH TESKE Revised 01.26.10 Noury Public-State ol Flofilda" ......... My Comm.Egpirsa Apr 5.20113 1 commssion#DO 867829 BoWed ThrouP Natimal Notary Assn.