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Permit Bath Kitchen Remodel 5503 Rigel Ct o itOfr ,, ,ssl CITY OF ATLANTIC BEACH J „ ° 800 SEMINOLE ROAD " ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001312 Date 11/01/10 Property Address 5503 RIGEL CT Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2480 Application desc BATH AND KITCHEN REMODEL 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. 10/26/2010 10: 8659087710 HOU 11 10 12:30p PRESTIGE BUILDERS PAGE 01 • SING PERMIT APPLICATION CITY of ATLANTIC BEACH 800 Seminole Road, At a tic Beach, FL 32233 Oiiice (904) 247 -5826 Fax (904) 247 -5845 Job Address: ,, SC,; R I <7 F I C Y _________ permit Number: /© — (3 / Legal Dapexfption 1 kg E. Valuation of Wow S ' ,i , .- , __. Proposed Work heat edkooled neon- bteated/cooled Claus of Work (circle one): Now Addition Alteration Move Demolition Use of pool/spa �'mdow/door If n! 1e a flr'e... piMl rr system i *a ed? (Circle ore r For multiple Product Approval me product approval form Describe in detail the type of work to be performed: 'r f t TGH C CA &J t El G A(2._, 1 r P 1. I L ' p oJ NT ►�IEZIb ... !. l'ranerty garld ....�:..�. Name: f4 ZF Address- pl t� i"l T I hl G City AT1-An it c _ b 41 Statel; _ry , b...1.5 done _......... B-Mail orb * (Optional) CgcirIatb . Company N TI [-+f. (5, L .S _ Adder 01)-1 M +� 2(�r `�' �' �' Qualifying Agent: J 4 Ti A ( �. � 0_ M c �. ►2 02Y Office Phone cle4 • k[�,Q • 15. Job Sital Contact „� — t ` i PTt N s �P �H 3taba Ft. Zip 5,146 State Ceatt6cationMegistratioa #` C. rr C c Fat b , • �i 0�. 77(0 Phone A � .+Ftit.Yw. ._. • .l _.. ,- . .Y}F+^i4:... «....-':'Y ii. Poo Simple Title Holder Name and Address p Bonding Ca npaay Name and Address J1111111111111,11.1 Mortgage Leader Name and Adds E , :.' ate: :. r :�w:4a.� � t► . tr at�t o p� til�e voet au[�A'afla aR :. : � < . u m + aza vo m dtotail west : to do be _b pYrsaat4asa zorjajo relresi 'gnaws tP /wr ., .. piortodo Yidan [ Q tomtits r++or br t led 1Pe.,�. ���$ 1. r,.; �; r ; .. WARNING TO OWNER YOUR FAILURE TO RECORD A Nader' i ; r m>, COTO MMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR i L 1 J • ' t , : i' - t, YOUR PROPERTY. 11? YOU INTEND TO OBTAIN FINANCINGS I - S ■ " • m = YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ; " a ' o' ''r I:O1�+IIVIENC IVIENT. . ` cb ol i ffic .. f hereby ea* that I hove nal i and towers, thil ' ao d kayo the same to be owe and torroet p orinata day other Aiwa a or local a � � �8 p to vi or tido O Ole cof warf ere be msfpW *do 10~ hen* Signatu e ofOw= Q • •- . signatune of . ,v l t Prim Name I4rw as/ 1� S�v to and sub � ° 1� � i ,.. _�.., k'knat -�..J t�(_ 43‘ U� ' A � CR � �� Sw r , of. scribed before ma S • • to and subs , , before me IL/ � .2 /` O t , "Day of a _ zo i 1 ' .. Mary public _ - �f • 7 . �..� ,'-vi.: . , 1 R ___.,i ; a Wiry • NM oi eras W ED FOR CO D CE 4 M► n o n M s. r°ts ■ CITY OF ATLANTIC B EAC ` � rls SEE PERMITS FOR ADDITIONAL PAIN IMO Weld Nary Asa I REQUIREMENTS AND CONDITIONS. REVIEWED BY: 4J DATE: . — /Q City of Atlantic Beach 4"4 r Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) - Atlantic Beach, Florida 32233 -5445 /0 /3/ 2 Phone (904) 247 -5826 • Fax (904) 247 -5845 st 1) E -mail: building- dept @coab.us Date routed: • /0 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: C 3 ' L / C Department review required Y ?C-8 d S Building Applicant: Gc/ / � annfng & Zoning Tree Administrator Project: /( Va- y T i? h fN Public Works Public Utilities Public Safety Fire Services ,, r #� F° 4L A �5= 1 di 'r �`s< �1 {G7�1 � "°����', y�, r VgfrWgocgw Other Agency Review or Permit Required Review or Receipt Date a /> 11 L 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: proved. (Circle one.) Comments: ❑Denied. BUILDING PLANNING & ZONING 1� Reviewed by: - 171 7'1 Date: o7 f''70 TREE ADMIN. Second Review: QApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. @Denied. Comments: Reviewed by: Date: Revised 05/14/09 ALAN Sr t ,:y , ` ` CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number Property Address . . . • • 10- 0 0001312 Application type 5503 RIGEL CT e de Date 11/01/10 A p p ert scription RESIDENTIAL ALTERATION P y Zoning _- Application valuation . TO BE UPDATED 2480 - - - - -- - - - - -- - -- Application desc -------- - - - - -- ________ -- ___ REMODEL___ - - -- Owner ------------------------------------- -------------- ---------- Contractor PRESTIGE BUILDERS & REMODELERS 848 AILY CHURCH LANE SEVIERVILLE ------- ------ (904) 662 -1528 - - - - - -- TN 37876 Permit PLUMBING PERMIT Additional desc -------- - - - - -- _ - --- '- -- - - - - -- Sub Contractor DAVID GRAY PLUMBING INC. Permit Fee Issue Date 83.00 Plan Check Fee Expiration Date . Valuation .00 ----------------- - - - - -- 4 /30/11 . . . . 0 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 - '------ - - -___ STATE PLBG DBPR SURCHARGE 2.00 2.00 Fee summary Charged ------ ----- ---- -- Fee sum ____g_ Paid Credited ----- - - - - -- Permit Fee Total - - - - - --- - -____ Due Plan Check Total 83'00 83.00 - - --- .00 .00 .00 .00 • .00 Other Fee Total Grand Total 4.00 4.00 .00 .00 87.00 87.00 .00 .00 CQ�(� WITII ALL CITY 0V ATLANTIC B EAcx auuzx�. cis � � � � � min O� 0"C' 00 • �� mtormation SystemsCl7Y O 90 4247 -5845 P.LU1I B G PERMIT APPLICATION , CITY OF T 800 Seminole d BEACH Ph. (904) 247 -5826 Fax 2 47 - 7- 32233 JOB ADDI SS: S (904) 25845 NEW OR REPLA PERMIT # CEMENT INSTALLATION: Project Value $ • TYPE OF FIXTURE Bathtub QTY TYPE OF Clothes Washer CTURE QTY optic Tank & Pit Drinking Founts 'S wer rRit/L ' Floor Drain _� Slop Sinn Floor Sink _ Nose Bibs Three Compartment Sink ---- Kitchen Sink Toilet Laundry Tray Urinal und1 3 Vacuum Breakers —``- Water Con LaA ---`. La Other 'Fixtures __ PPhces Water Heater RE- PIPE; Water Treating System - -- TYPE OF RE Bathtub Qom' T � OF F . Clothes Washer QTY Dishwasher Se p t ic T & Pit Drinking Shower Floor Fountain Shower Pan Drain Slop Sink Floor Sink Hose Bibs Compartment Sink Toilet Kitchen Sink Urinal Laundry Tray. Vacu ---- -_ Lavatory utn B?realcers --- - - Other Fixtures Water Connected Appliances _ Water Heater MISCELLANEOUS: Water Treating System ❑ Sewer Replacement '— ❑ Back Flow Presenter ❑ Grease Interceptor (Trap) ❑ Lawn Sprinkler System - Number ofHeads gallons requires 3 sets ofp)laI SJRWD Well Completion Form. Completed form to be submitted e the O Other... .C.<- 14- Bwlduig Department f ®r final inspection. ** ec ?ermit becomes void if work does not commence within a six month _._ .... this application it b ome and know the same to be true and correct, All Period or w ort; is suspended or abandoned for six months. th not The Permit does not provisions ()flaws and ordinances I hereby certify that I have read give au thority to violate the provisions of any other state or local law regulation this work will be co 'rp Owners Name Phone f,G { gu]ation construction or the died with whether specified �I ll�� /11' 1 performance of construction. 'lltmbin Company 1 affil t . ray Plumbing, nc. O Phone Number � �f ��tl g .i'-* .o . , 'Ir. • -se Office Phone ' -o. Address: '`f L�� Fax 7: -SIv�$ License Holder (Print): �o s CIty State Zip 4j2 siate Certification/Registration # G'l.002- 4 notarized Signature of License Holder Sworn and subscribed before me this f \ S� da of �✓ 20 (O Signature of Notary Public I 60"Y aL_ Notary Public State of Florida Neal R Major MY Commission EE032510 p EXp.<ee 12>2o12019 • •