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Permit Bldg Remodel 1999 Selva Marina Dr 2010 .t..5' 2#0, , ›.. s_v CITY OF ATLANTIC BEACH " ) 800 SEMINOLE ROAD J $ ��' :4,4 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001330 Date 11/03/10 Property Address 1999 SELVA MARINA DR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 65000 Application desc see application Owner Contractor PECK VEVA BUILDERS LLC 1999 SELVA MARINA DR. 133 DRAGONFLY DR ATLANTIC BEACH FL 32233 ST JOHNS FL 32259 (904) 536 -3432 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 340.00 Plan Check Fee 170.00 Issue Date . . . Valuation . . . . 65000 Expiration Date . 5/02/11 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 5.10 STATE DBPR SURCHARGE 5.10 Fee summary Charged Paid Credited Due Permit Fee Total 340.00 340.00 .00 .00 Plan Check Total 170.00 170.00 .00 .00 Other Fee Total 10.20 10.20 .00 .00 Grand Total 520.20 520.20 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION ,. CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: Permit Number: ,k7 /33 Legal Description i ' y' S 9 - " • ;a parcel # Valuation of Work S___621;2& oor A ea o q t Proposed Work heated /cooled o � � I. t • c Class of Work one): New ` U ( ) Addition ( (circle Alteration Repair Move Demolitio • • . o Use of existing /proposed structures) (circle one): 4 0 dow /d�3 If an existing structure, is a fire s 'nl�ler system installed? ( Circle o s 4 22�,� Florida Product Approval # `J/ ` For multiple products use pro uct approva orm Describe in detail the type of work to be performed: ( on RV_ pc wts-nvx5 Rbc,464 0 vAtvforee q la31-am r K� tJPR,✓ \cv1 ovr OF Abe { S t.. r. 4bcn2 4,V�2- sat/ (e. k.E, 612, ■1e,,., t Property Owner Information: 5 � Name: LEE Qr. Address: /44y s t,t.iit P)Py21gJ3 aq '- City Ifallint7t AO State &Zip 3t - Phone 6 E -Mail or Fax # (Optional) /v-6 Contractor Information: Company Name: \Avg Address: 173 ert r-t. Qualifying Agent: .7 Va, ) City Office Phone 9 / 53 -6,1q q Job Site/ Contact Number � �Jt41e State Zip State Certification/Registration # CA C 12 576'e, 2 / goy. ° • 3 7 32 , � Fax # goy p Architect Name & Phone # 1)//► Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address N ft Mortgage Lender Name and Address N 11 1pplication 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 a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void zf work is not commenced within six (6) months, or if construction or work is suspended or abandoned fora eriod of six _(6) months at any time after vork is commenced I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters, 'arks and Air Conditioners, 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY. OEFORE RECORDING YOUR NOTICE OF NCEMENT. hereby certify that I have read and examined this a.plication and know the same to be true and correct. All provisions of laws and ordinances governing this pe of work will be complied with whether s.eci ed herein or not. The antin_ of a permit does not presume to gzve authority to violate or cancel the •ovisions of any other federal - -, or oca _ , . : constructio>i'eW - , - , c - ev co .. - ignature of O. er 11_ I l 1 �� . a t FI LsE4Jfl a t , r i i7nt Name VV �� ;, . .,... „AP .13,),L, 4(.. worn and and subscribe. before me - us 21 Day of c K ° = = „efore me 1 o ■ � / It:.N FOR COQ :4 ; �� : � ►i •� _ - ' Ve ! _ d ei,= Florida ANTI ( ,� ' �,t a ... �� 5si 1 i' ii r l fa te of Florida otary Public � �' My Commission i on DD 1001 S FO ' ,�gi��u i1� ' 1 ► j " "" '�i.: r Q AND My Commission 00911s o �,�o • Expires 07/26/2013 COND1Tl0 S. o ff ' Expires 07!2612013 ' • D BY: DATE: "' 3'Y .. i R.gt /3 ft". t r.,,z fr71/e-! _V of , —. ----- .,-..--;-) 6-- 0 o WI 6' k4 ;,,-------::L ''' "---11-`- ' — '" 1--111------------- f; •=7 ••.-., ''.' , -"' ;"'" `:'" i.. 7- :! ' F'.;71 !....-':' ' ,.J , ::,-Y P --'', 0...7 "-''':, 7:. '''. **.j '' !,..`` ';. t.Pr' il 1 5 717T NORT73= ?itlIT QN),!! 1 i3771 I =N. 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Z.; r ;t•��,�� City of Atlantic Beach t, Building Department APPLICATION NUMBER y 800 Seminole Road (To be assigned by the Building Department.) -7 Atlantic Beach, Florida 32233 -5445 0 Phone (904) 247 -5826 • Fax (904) 247 -5845 " ft 9 E -mail: building- dept @coab.us City web -site: http: / /www.coab.us Date routed: / /() APPLICATION REVIEW AND TRACKING FORM Property Address: /99 /ra_ a 224 /r— p ent review required Yes Building p No Applicant: 14 V L P & Zoning Tree Administrator p Project: /� �l {?(� l� t�, j Q Public Works / � Public Utilities l Public Safety Air/ / e ac) Fire Services W 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: APPLI ATION STATUS Reviewing Department First Review: Approved. (Circle one.) Comments: ❑Denied. omments: /�/° BUILDING needed PLANNING & ZONING Reviewed by: Date: // TREE ADMIN. Second Review: DApproved as revised. DDe ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 �� ' CITY OF ATLANTIC BEACH .+'.+ , S s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 4-4 7al9 Application Number 10- 00001330 Date 11/08/10 Property Address 1999 SELVA MARINA DR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 65000 Application desc see application Owner Contractor PECK VEVA BUILDERS LLC 1999 SELVA MARINA DR. 133 DRAGONFLY DR ATLANTIC BEACH FL 32233 ST JOHNS FL 32259 (904) 536 -3432 Permit PLUMBING PERMIT Additional desc . REPLACE FIXTURES REMODEL Sub Contractor . HARRY L HAYES PLUMBING INC Permit Fee . . . 76.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date . . 5/07/11 Special Notes and Comments NEED RECORDED NOC PRIOR TO FIRST INSP. *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 76.00 76.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 ^, Grand Total 80.00 80.00 .00 .00 4 ERMIT 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: 199 ct e \ o C a, Vim. cc i c--,, PERMIT # t h -- 13,3 (� NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub �_ Septic Tank & Pit Clothes Washer Shower _1 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 ** ** SIRWD 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 Phone Number Plumbing Company W a,,r -rj 1.. tn. . T- ffice Phone 723 Fax `3 i - 43 25 Co. Address: L. © c..1<, Lsts (-2s -A {� . City ;1 State PL Zip 32.21 License Holder (Print): State Certification/Registration # CI= G 147..,1655' Notarized Signature of License Holder �. t s 4,pV pulp, SHEREE HUNTER sworn and sub cribed before me this 5 day of et'f 1n(r 20 10 ?r •1 `F : Notary Public - State of Florida • _ My Comm. Expires Jul 26. 2013 ignature of Notary Public �h X nr� - I 's;� / Commission # OD 911067 4 ''�,,, , � Bonded Through National Notary Assn. 0 r '"��``' CITY OF ATLANTIC BEACH -� it . 800 SEMINOLE ROAD . -) ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247 -5826 4 !fil) 10- 00001330 Date 11/12/10 Application Number 1999 SELVA MARINA DR Property Address Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . Application desc see application Contractor Owner VEVA BUILDERS LLC PECK 133 DRAGONFLY DR 1999 SELVA MARINA DR. FL 32233 ST JOHNS FL 32259 ATLANTIC BEACH (904) 536 -3432 Permit ELECTRICAL PERMIT Additional desc . BATHROOM REMODEL Sub Contractor . SCHUMAN ELECTRIC INC. .00 Permit Fee . . • • 90.00 Plan Check Fee 0 Valuation . • Issue Date 5/11/11 Expiration Date . . 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 g Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 .00 .00 Plan Check Total 4.00 .00 .00 Other Fee Total 4.00 .00 .00 Grand Total 94.00 94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. (FAX)90 NOV- 12- 2010 (FR I) 0915 Schuman . El ect 4iA �� Inc . „r r a. ►l. FAX) � 43964104 P. 002/002 CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, VI- 32233 n n Ph (904) 247 -5826 Fax (904) 247 -5845 3 ADDRESS: 1 "1 91 -5P \ l n I MPt fill GI . PERMIT # \01 , NEW SERVICE ED Overhead ❑ Underground ❑ Underground up Pole I_iResidential (Main) Service 00 -100 amps 171101- 150amps 1.1151- 200amps ❑ amps # of Meters _ LI Commercial (Main) Service 00 - 100 amps 11101- 150amps 0151- 200amps ❑ amps 0 c Service — amps Conductor Type Size _ ❑Multi- Family (Main) Service 00 -100 amps 0101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps 0 CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 0100 amps D150amps 0200amps ❑ amps 1 CT Service amps ADDITION'S, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circui # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS CI Swimming Pool ❑ Sign ❑Smoke Detectors Qty [Transformers KVA °Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK 5 REPAIRS/MISCELLANEOUS OReplacc Burnt/Dama Meter Can ❑Safety Inspection ❑Panel Change ❑OI1 to UG r ,, c; zt,«! � / Ctfri -oca cr t -1 (� A tha: f7 �1 2,e-O t L t _ 0 (ad) try i✓S S G Anon af-r' ..e (S 7 41 G MU s7 - _ Permit becomes void if work does not commence within ti six month period or work k suspended or abandoned for six months. I (hereby certify that t have ;cad 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 ;pccilietl 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 : onstruction. �j Property Owners Name /(f / / � »,I Phone Number Electrical Company Q Li TYle 1] yl c Office Phone 4 1'0-737 - L/e 1 /A Fax 9Qy- ,1,-,(t'�[/dy co. Address( a- c9c 41"i7/ City ?r . ce21di,illf State rz- Lip✓�� r- -uyc Holder (Print)' 'a` Zr I u n State Certification/Registration t1a1 361 2-i-i7 Nt,tarized Signature of License Holder - S : s ubscribed before me t. i �` ay o i � .' 10 /4 1AtCHDLLE YOUNOEI05b NoTARY PUMA Signature of Notary Public / .d ! . - 1 r 7.1is _ Ewe OF FLORIDA comm./001602 , ,.. Expires W18 /2014 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 _ d ADDRESS: o, ro G1 Dr PERMIT # \©1 330 NEW SERVICE 1 'Overhead 1 1 Underground 1 1 Underground up Pole ❑ Residential (Main) Service ❑ 0 - 100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters ❑ Commercial (Main) Service ❑ 0 -100 amps ❑ 101- 150amps 11151 - 200amps ❑ amps [1 CT Service amps Conductor Type Size ❑Multi - Family (Main) Service ❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters ❑ Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps ❑ 200amps ❑ amps ❑ CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps Appliances: 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 0 Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑ Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/M1SCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑Panel Change ❑ OH to UG /,� 7? of P. Ether: 6 it l -kom -L t-e o e L ArJ 0 C20) ,ee c s C.. �.► -,s � . c cn�-r CSC r t t 't' - 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 1 have - ead 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 onstruction. Property Owners Name Zee, @ Pick Phone Number Electrical Company JC411.Iyylan Elec. AYle_ i h C Office Phone q611-737- //dL /d Fax goq-, Co. Address: @ . (J . j�v 0'17( City , c k t � State P Zip ,32.2417 [ ;- -use Holder (Print): a n _ , I State Certification /Registration R) 3612UU 7 1.'vucarized Signature of License Holder dirr MICHELLE YOU140EL060 Sworn d subscribed before me t•.; / ay ofd t r 20 JG NOTARY PUBLIC Signature of Notary Public _ t STATE OF FLORIDA / _. Comm* EEOl*2