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Permit Bldg Kitchen Remodel 1835 Hickory Ln 2010 ti ir, ,,..* CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 �" r - r INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001306 Property Address Date 10/28/10 p 1835 HICKORY LN Application type description RESIDENTIAL ALTERATION Property Zoning Application valuation • TO BE UPDATED • 25000 Application desc kitchen remodel Owner Contractor STORY, GRAHAM N. JEP CONTRACTORS INC 1835 HICKORY LANE 1416 FOREST AVENUE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 247 -9525 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 175.00 Plan Check Fee . Issue Date 87.50 Valuation 25000 Expiration Date • 4/26/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE DCA SURCHARGE STATE DBPR SURCHARGE 2.63 2.63 Fee summary Charged Paid Credited Due Permit Fee Total 175.00 175.00 Plan Check Total 87.50 . .00 Other Fee Total 87.26 .00 .00 5.26 5.26 .00 .00 Grand Total 267.76 267.76 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: ix3. fi • l ar Permit Number: / 1 3D' Legal Description Le IS s ivy "IY J .'t,,p V N 1 - 120+ Parcel # Valuation of Work $ ' v , — oor A ea o q. t. 2 _ . Proposed Work heated/cooled t n heated /cooled_ Class of Work (circle one): New Addition (Alterati Repair Move pool/spa Demolition a Use of existing /proposed structures) ____ one): - -- __ P p window /door If an existing structure, is a fire sprinkler system installed (Circe one): esi o _ Florida Product Approval # N /A For multiple products use pro uct approva orm Describe in d e t a i l t h e type of w o r k to be performed: / erm.,J ' ,� k4€, ne 6 ,-, 6 - ,.f r- s ) .S . -4.1-104" .ti_ 0 •> 711 T Properly Owner Information• r Name: (.-415+- \i\A V - j Z City � L. L _ Address: ?}IC 11 1C -ILu`L E -Ma . or ax # (Optional) / `x S tate Zip Phone �; �M�• � Contractor Information: Company Name: -g. Cc) 0 rz-r -70Y3 / tip Address:_____ /� /� F�RES" Qualifying Agent: /,yl office Phone 2 Li City /� ,,,t,� 7— 9.,c Job Site/ Contact Number Z - _ 4 g 3 2- State - - 7 Zip 3 z 6 hate Certification/Registration # c 6 Fax # Z�t� — /!� o 4rchitect Name & Phone # �'`f 3 "Engineer's Name & Phone # r ee Simple Title Holder Name and Address o ; as ` 3onding Company Name and Address Mortgage Lender Name and Addres [pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the ssuance of permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null nd void f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for el period of six (6) months at a pork is commenced o understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo il "arks anc Air a Conditioners, a WARNING TO OWNER: YOUR FAILURE TO REC 4 � u COM ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR NOTICE OF .s TO YOUR PROPERTY. IF I _1).. 11 Y _ 1 1 TO OBTAIN FINANCING CONSOULLT , e s YOUR LENDER OR AN ' • it - - - - - _ �! f.1 '-• ' [JR NOT I - -; - : - - - = . -. . � ICE 1i ��.�,, o MPLIANCE rq • . 4ereb certify examined that/ have read and eed this oe b ert will be complied It examin t s , plication an 1 j ?} AT �, , - M an f e otows work ote c federal, �.t. , or whether d herein - • - , ,, P - 1 provaez t ,. of laws and ordinao er *muftis ie leg gulati • ng c. a� ' B I s! �• of presume t. gcve authority to violate c REVIEWED BY: " - 0 / i gnature of Owner , , n A T Carr us . • _ — ' • t �int Name (�,. . i _ . ..:�V�� P t int Name oil N vorn to and subscribec�'before me �' �-A HAIII l�l C s �_Z� Ur TO ' , 20 /(,) Y Swo.; . andsubsci- i b - • be or- ., �� A. of, �� 20/0 imnii �/!► woo'Go1m0 _ '• WOW esL016C (ZOO No . : ID i ■ it. + t a lasts , r.:. �, — lLOZ 'El aunt S3LIIdX3 '* : e i • February 14,201' ' • 9BSV6L00 # NOISSI ho3 API ; '1 gw ,., 7hr" Pu-- 7.— der "--:- : .10 ) VIa3Z NJOBHOIH NNA1 -.), *; ,; ' • NOTICE OF COMMENCEMENT Permit No. /C — / :3c 5 Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): -2S -2 i E ��Zvr� >M� Os.) A U I.) IT 1■0 . i2 -C 21, UN LOT 2. General Description of improvements: /h am 4 - 10f- (' Owner Information: —f a) Name and Address: .. _. j\) , S \ Cj\Z` J (S 3 S (� c2 b) Interest in roe H ° AZ'�L (3t. ('Z c) Name and address of simple titleholder (if other than owner): 4. Contractor Information: a) Name and Address: JEP [ I n ` 1 q/' F; Ye sf "" b) Phone Number: f47 v - -2_c#7 ct7 y 5. Surety Information: a) Name and Address: b) Phone Number: c) Amount of Bond: $ Lender Information: a N an Address: Co Lc) N \ S!� \H t' -C&& P , 0 . i3U)c 2. y6) U 1 1 • W� 1k,1 ( 76 ) / 3 b) Phone Number: 2" ' 600 � 7.) Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statutes: a) Name and Address: b) Phone Numbers of Designated Person: 8.' In addition to himself/herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)\)j')cr..$tatutes. a a) Name and Address: b) Phone Number of person or entity designated by owner: k ° 9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless a different date is specified: ,N. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR OTICE OF COMMENCEMENT. 4 VAA S 6 Signat I of Owner or Owner's Authorized Officer/Director /Partner/Manager Signatory's Printed Name & Title /Office The foregoing instrument was acknowledged before me this . 21 day of ( (L , 20 J D, by G-P-AFt A /n 1.4 STo as (.3.) f� E for 0-0 12 f} C TO (Name of Person) (Authority Type, i.e. Officer /A rney) (Nape of Party Instrument was Executed for) 1 ,s ..Ai. ,., City of Atlantic Beach APPLICATION NUMBER o S s, Building Department .. 800 Seminole Road (To be assigned by the Building Department.) Jr �r Atlantic Beach, Florida 32233-5445 /1 — /3e Phone (904) 247 -5826 • Fax (904) 247 -5845 r '' >%' E -mail: building- dept @coab.us Date routed: /VZ 4/ /d City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM j(3 ,...- 3 Property Address: , .5 rh C gee 1, tz ent review required Ye No Applicant: c-z Ja Planning & Zoning Project: �(�, AWL, J / Tree Administrator ro�eCt: AT /fl ,) di L Public Works Public Utilities Public Safety Fire Services Review fee$ _ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: Kroved. (Circle one.) Comments: nDenied. 611111 PLANNING & ZONING Reviewed by: "PI Date: /0 `17 16 TREE ADMIN. Second Review: nApproved as revised. nD nied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. (Denied. Comments: Reviewed by: Date: Revised 05/14/09 fi ' r } , '� `i z CITY OF ATLANTIC BEACH b r ) 800 SEMINOLE ROAD J t ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001306 Date 10/29/10 Property Address 1835 HICKORY LN Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 25000 Application desc kitchen remodel Owner Contractor STORY, GRAHAM N. JEP CONTRACTORS INC 1835 HICKORY LANE 1416 FOREST AVENUE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 247 -9525 Permit PLUMBING PERMIT Additional desc . KITCHEN SINK Sub Contractor . STEEG PLUMBING Permit Fee . . . 62.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/27/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 62.00 62.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 66.00 66.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. - PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: }'� � //mk-0 x, PERMIT # /Q ^ /3 NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher ___ Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink / Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs _ Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans ❑ Lawn Sprinkler System - Number of Heads ❑ Well ** ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.* ❑ 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 re< this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specifies 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 Phone Number Plumbing Company S? 6 . n- Office Phone of /g-:579/ Fax ,V L // - 3`✓ Co. Address: /G 0 I )974) ,y. S City ),4 State P/ Zip31233 License Holder (Print): 17n 4 �1fc State Certification/Registration # leD 3 7/ 96 f Notarizes' Signature of License Holder ` Sworn an ubscribed efore me this day of 20__ Signature of Notary Public k pj sA CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J =� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number . . . . . 10- 00001306 Date 11/04/10 Property Address 1835 HICKORY LN Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 25000 Application desc kitchen remodel Owner Contractor STORY, GRAHAM N. JEP CONTRACTORS INC 1835 HICKORY LANE 1416 FOREST AVENUE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 247 -9525 Permit MECHANICAL HVAC PERMIT Additional desc . Sub Contractor . B & G PLUMBING, HEATING & Permit Fee . . . 75.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 5/03/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 79.00 79.00 .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: (?&5 I-l► o� L-N PERMIT io -1 PROJECT VALUE $ NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # Air Conditioning: Unit Quantity Tons Per Unit REQUIRED Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM m, N - REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) 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) 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: R E - Re) .3 f l E >, t—1 sJ E S 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 governing 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 G a fl N R,r, S F o a-, Phone Number Mechanical Company g f G i' Cvim, a, "5 , Ht-s 9- R ) C. L L c _ Office Phone 223 Fax ;i' - - Zoe ke Co. Address: 2231 G - v fat PTE L:c.aE (3 LJ • City 'Ss- State F1 Zip 3222 5 License Holder (Print): r e • (--) A Rc * 3 State Certification/Registration # At Mt Z3 Notarized Signature of License Holder - __ c y — =- , - -_ II it i° • N Sworn and subscribed beforce I : _ -:,.q ,° rao I 20 ru Notary p� Urberwriters Signature of Notary Pub ' _as "Arl ,a. r_5: , ; s CITY OF ATLANTIC BEACH !'� 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 I NSPECTION PHONE LINE 247 -5826 J;! Application Number 10- 00001306 Date 11/04/10 Property Address 1835 HICKORY LN Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 25000 Application desc kitchen remodel Owner Contractor STORY, GRAHAM N. JEP CONTRACTORS INC 1835 HICKORY LANE 1416 FOREST AVENUE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 247 -9525 Permit ELECTRICAL PERMIT Additional desc . KITCHEN REMODEL Sub Contractor . FIRST CHOICE ELECTRIC Permit Fee . . . 68.00 Plan Check Fee . . .00 Issue Date Valuation . . . . 0 Expiration Date . . 5/03/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 72.00 72.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 , Ph (904) 247 -5826 Fax (904) 247 -5845 - JOB ADDRESS: I c, 3 SJ . ITA 1(i e�;r 1 L i PERMTT .# NEW SERVICE El Overhead ❑ Underground ❑ Underground up Pole . ❑Residential (Main) Service - ❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # ofMeters ❑ Commercial (Main) Service - 00-100 amps 0101- 150amps 0151- 200amps ❑ amps OCT Service amps Conductor Type Size . ❑Multi Family (Main) Service ❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amp SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: /Z 0- 30amps 31- 100amps 101- 200amps Appliances: Z, 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps - Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transfonners KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/1VHSCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection OPanel Change ❑ OH to UG ❑Other: Kt fc_Le i.s Q.�r,,,,ec � 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 governing 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 Phone Number Electrical Company Ff Q.,?-, ( C- Lcs) ( 7...1 Et Office Phone Z`I r- (3 3 ( Fax Z4 (-0 ? c" Co. Address: 1, 4, \40-e..1 l"cwv-c ed `-- City mac t (6( L. State i Zip 32.2-6 License Holder (Print): \ 0,„,, ,,r ►.._.s r� A \--...x,,Adza5 State Certification/Registration # E C. 2_6 t Notarize" - - -- -i ":14 : ;i'- - % �- „s o A,.�o 1 --� s ,. ;t MY COMMISSION 1.201 ¢ C w , an d su beforj e a s day of 20 /v i °' � EXPIRES: May 21, 01 / X4'6 i� Bonded thru Notery KIT underw 1 n&s • / / l Rf �"' .•--------- ---- : 1 • Lure of Notary Publ