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Permit Remodel Bath & Kitchen 4111 Fleet Landing Blvd. 2010 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ! .:= ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001315 Date 11 /01 /10 Property Address 4111 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2480 Application desc renovate bath kitchen 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 . . . . 2480 Expiration Date . 4/30/11 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 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 65.00 65.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 101.50 101.50 .00 .00 • • PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1.44 -' City of Atlantic Beach APPLICATION NUMBER e, Building Department (To be assigned by the Building Department.) • 800 Seminole Road j /� / 46 , Atlantic Beach, Florida 32233 -5445 1 Phone (904) 247 -5826 • Fax (904) 247 -5845 / �l &on 10 E -mail: building- dept @coab.us Date routed: / 1// J City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property //� L AO De review required Yes No P Y Address: f/i , ( uildmj Applicant: /��1 /d� Fta pin & Zoning Tree Administrator Project: Ti-Al a V'. t 721 4TMd Public Works Public Utilities Public Safety Fire Services y }�r y � �i r� `1 �„ :� i i '(� } i =r• ar %°t' � r i?" [� u� i �.. Other Agency Review or Permit Required Review or Receipt Date OA. 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: ®Approved. ['Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: _17? Date: /0 / TREE ADMIN. Second Review: Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ['Denied. Comments: Reviewed by: Date: Revised 05/14/09 10/28/2010 10:42 8659087710 PRESTIGE BUILDERS PAGE 02 May 11 10 12:30p • • BUILDING PERMIT APPLICATION ' CITY OF ATLANTIC BEACH, 1 800 O (904) 247 - (904) 2 7 58 45 FLcut LRND[►\U bL. JD Permit Number: C7" l 3 IS_ Job Address: 1 - i - 1 I l _ Legal Dearriptiou 3 $Dt . P `" • O o d Mork bea ted/coobx1 .�._r -- non- beuted/coaled,___,_____ 'Vslna1 on of Work $ 2 > po C;taae of'Offark (circle one): New Addnhioo Alteration - ii Move 1 1 pool/spa window /door UN of �n�Is is Ilm e + one system, . Use Florida Prcuctu� For multiple says use product approval Describe detail dtc {y of vroy , 6 • U Lo ER ^ r a 1 N I. ProoeULOvior kfanuntiosii Nance: N c �Z F ,Address .f LE tT IL.-pr N D 1 ter — City ATLiPct.r1 l exv.N Stabceftp A'q Phone B-Mail or Fsx it (Optional) contraear T , C(2.0 (Z'� L� E 2 ,5 Quay Agent: J 1-t TT Pe i t M efor Address: = .'J Ar Cr . a ' r � '� - City N'e 'f l.F NE: 1�?F'.f� Slate' � ` � � Zip Phan 9 0 • (T ($ a. • �5 2 A Job Site/ Contact 2∎1, , • Fax # , l it,5 ci D $ '1 ? 10 State CanirsontioniRegistration #. e- P) C- 0 IA + 4 Architect & Phone ii u / A Engineer's Name & Phone # Fee Simple Company ',C[tte Bolder Name and Address No Bonding N ' N � - and Aad _o d ot no w boa , prior to e o a, do die t o►1: 01.a Pi*, I+ rm1I oetrnes void :pawl! t m red within t m P cam ar v ont of or obmdaned for of au A k sumo be se cond far l�. •i••b "ank . `, � Iamb sober Camailda" de. ,.ark to oaeae.me I n+�d.esttort dlae P �"as , • . o WARNING 1 OWNER YOUR FAIL 1 � ', FAILURE TO RECORD A NOTI ' Ole s� ' � •' : ✓ , ,,► r � COMMENCEMENT Y RESULT IN YOUR. PAYING TWICE FOR . . TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING COIF[ c • : m ie T R YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR `i.•, a • F ' COIN Vi reedewaseedthis Gard the ,am to be tree add Allprovis of • �l'•iti► `, ; As �` " ar kwat regxlatet oonea+retioaor � /� y Signature of Owner . )c x Z Signea�e of ; • •±� �� > .�A o l.Ci r /slime �1 1 � c�C 2� 2J7 . ... .. l � Aslime - 4, � _ dO I . ..- J- - .._ Print Name / �•_-T tit . A'- . _ . , . _ Sworn to and subscribed before Me i Sworn to to and subscr ed before me 20 O J t _42. Day of , 4n-t .20 / 0 this Day o A Notary Public % .6 "' , aIZmET$ TES REVIEWED FOR CODE C 4 f&CE 1 Cm"' N/ COMM- i e A s CITY OF ATLA BEACH � . � .: "4 coar. Eel a s , toga . r • oo 8611120 SEE PERMITS FO ADDITIONAL Lam! t ` tonlee terowr luaa REQUIREMENTS AND CONDITIONS. * 61.111j 9 l a - /o i' 166... REVIEWED BY: 4 DATE. ( 64. '"_ • ':°. ‘ CITY OF ATLANTIC E ROAD , . 800 SEM ` - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001315 Date 11/01/10 Property Address 4111 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . • 2480 Application desc renovate bath kitchen Owner Contractor PRESTIGE BUILDERS & REMODELERS 848 AILY CHURCH LANE SEVIERVILLE TN 37876 (904) 662 -1528 Permit PLUMBING PERMIT Additional desc . Sub Contractor . DAVID GRAY PLUMBING INC. .00 Permit Fee . . . • 83.00 Plan Check Fee . Issue Date Valuation . . . • 0 Expiration Date . . 4/30/11 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 83.00 83.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 87.00 87.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Information SystemsCITY 0 904-247 -5845 p.1 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: / /LE7r lil.q Dm Q 114170 .# f f PERMIT # • NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower VpL v e y -Dishwasher Shower Pan Z 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 Q TY TYPE OF FDLI'URE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain : 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 Presenter ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well *4. ** 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 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 / 'Ile--i• / ti/V P /Af s Phone Number 6 -- q Qd0 DAVid Plumbing Company Gray Plumbing, Inc. Office Phone 7 f`7y�� Fax D--.3 - S 885( Corpurale Square Caul l Co. Address: Jacksonviti 16 City State Zip License Holder (Print): 9N rg � ,� State Certification/Registration # Cif d. ` 6 Notarized Signature of License Holder emu ` � f ) 1.37 1 / �, Sworn and subscribed before me this YR ' day of / 61CA/ 20 / G Signature of Notary Public / rC _ 44Ir4 :..� . _ _ _ - 0 = CRY' % n Notary Public State of Florid p. . , I . Neal R Major -4,., c . . o MY Commission EE032510 os,,o Expires 12/20/2014