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Permit Bldg Kitchen, bath remodel 115 Fleet Landing 2010 0 4 , 4.L. µ # e,} CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD } s ATLANTIC BEACH, FL 32233 „...." INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001341 Date 11/05/10 Property Address 115 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 20000 Application desc RENOVATE BATH SHOWERS Owner Contractor NORTH RIVER BUILDERS AND PROPE PROPERTY MANAGERS 6771 SHINDLER DR JACKSONVILLE FL 32222 (904) 838 -9179 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 150.00 Plan Check Fee . . 75.00 Issue Date . . . Valuation . . . . 20000 Expiration Date . 5/04/11 Other Fees STATE DCA SURCHARGE 2.25 STATE DBPR SURCHARGE 2.25 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total 75.00 75.00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 229.50 229.50 .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 b Address: / 1 r t . F ( z T L J I J l,VD. Permit Number: :gal Description Parcel # Valuation of Work $ So 000 ass of Work (circle one): New Addition Alteration Re 'air ►A - I olition pool/spa window /door m of existing/proposed structure(s) (circle one): Comme ' esidentia an existing structure, is a fire sprinkler system installed? (Circle one): • - s No N /A orida Product Approval # >r multiple products use product approva orm :.scribe in detail the type of work to be performed: V...‘140JM- 13pMkC‘ct,MS I Staotri -S ���46.rJ CA6u4 (o` ! ! St L; 614 - opertv Owner Information: ame: /.J CCig F Address: 0tl16 GanlbiA1 C- 1 -/t ity Peru A P, .A / - 1 State Fl—Zip 1 27.- - 2:5 Phone 4.0" - #2..L AD 900 -Mail or Fax # (Optional) ontractor Information: ompany Name: 4n4(. tt oe 44:dierS elpt,42 /11..40,9r, Qualifying Agent: ,../SAM A M. 00evi ddress: (0 - 111 .Shin Jlef fir City 'Pic kso.iii State FL Zip 3Z2tt ffice Phone *4- 133Q .1/11 Job Site/ Contact Number a }oc1- 1333 -13! "7`"t Fax # `1,D - ve3. 0 - 748 tate Certification/Registration # C G C l'j 18q ( $ rchitect Name & Phone # r.)//4 ngineer's Name & Phone # s ee Simple Title Holder Name and Address onding Company Name and Address lortgage Lender Name and Address npaccation is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the suance 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 months at Id ork void if ommenced. 1 understand that separate per ts t be secured for Elec I Fork , tPlumbi n g abandoned for a Wells, Pools, x F u r naces, Boilers, t H eat e rs, anks 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 BE OMERECORDING YOUR NOTICE OF COM MB hereby certify that I have read and examined this a placation and know the same to be true and correct. All provisions of laws and ordinances governing thi. rovisions of any other federal, state, or local a w regulating construction or the performance of constructio,esume to give authority to violate or cancel the / . Signature of Contractor >ignature of Owner 'rint Name 3 C&A Print Name Fi [ , ac>. ;worn 7 A/<><:./ tp and subscribed before in Sworn to and subscribed before me 20 /v his Day of cwt bJ . 20 / G' this q Day of /t/c. .� Vo`Cary P — — Notary Publt A �'' Public , ELIZABETH TESKE Notary ...,bt I H TESKE • State of t ed 01.26.10 FI�F1 i l 4�y Notary Public - State of Florida l - ; ,• _ My Comm. Expires Apr 5, 2013,6 •= Comm. Expires Apr 5, 2013 No a ,= Commission 1 00 867829 N 00 887129 �•• dam, Commission ° °, `�' Bonded Through National Notary Aria. t. ' ��a` Bonded ihrousA National Notary Assn. � • 4DJ -4 -2010 12:06 FROM: CLERK OF COURTS 904 270 1512 T0: 92475845 P: 1 NOTICE OF COMMENCEMENT IPRCPARC I M DUPUCATF) • Permit No Tax Folio No. Slate of county of To whom It may concorn: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 710 of the Florida Statutes. the following Information is stated In this NOTICE OF COMMENCEMENT. tspat description of property being improved: Address of property being Improved: 1 l kF.G,T 1-44 It3 C■ SLAV' • orteros 151401.4Qx • ► General desolation of Improvements: Q� �l�- %� . Owner AlCC1Z F . Address OA) eG LMDIAA Ze.JD. Owner's interest in site of the improvement Fee Simple Titleholder pf other than owner) Name Address ' Contnal Jr . - ..• , . Address 1 x' Ci, .14er f - n -w- -c..nui)1P 1 F` -- 32tz2. 10 L A ' Phone No. Qou - �3 3 R - °I I1' Fax No. Rio - (0 8A — 2 8 l Surety (R any) A einliss Amount of bond 16 Phone No. -- Fax No. r Name and address of any person matting a Joan for the construction of the Improvements. Name Address - Phone No. Fax No, Name apeman within the State of Florida, other than himself, designated by owner upon whom notices or other ,. documents may be served: Name Address Phone No. Fax No. In eddlUon to himself, owner designates the tbtlovAnp person to twelve a copy of the L1eno► s Notice as provided In d Section 713.Oe (Z) (b), Florida Statutes, fFai to at Owner's option). Name Address Phone No. Fax No. Exppotion date of Notice of Commencement (the expiration data is ono (1) year from the date of recording unless e different dote to spacipod): THIS SPACE FOR RECORDER'S USE ONLY r / �_ . o t ! 0 sig ned: _____,-56� , 1 eer•n�mee0 dq•t [201:17Z1.-11" -r • • County of Drivel, Crete rR Meth~ hoe pooenally e - simrnw .9 IZA • • ^ XE Newel herolf end eters - e 9Ut mates ind n • �M ''' pro duo and a60trob tiiir Notary Politic - State of florid. ) •• f Myr Cerro. Expires Apr S, 2018 • Commission • CO e67820 l ncPe� r HMO Dinh ll MOON Notary IStI. Doc w 1u tut :0 4. OK dre t rj4I rage 453, NAY a at tmpa, side •t J c ReCardecardOd 11/0 at 12 10 PM. My oaMmi.ebn ewer Pi,•onety earner JIM FULLER CLERK CIRCUIT COURT DUVAL Produee err FOeGae RECORDING SIO.00 4 51..Aw rir , City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) sy 800 Seminole Road /Q f /. •« Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 �� �= !3 l')14 Date building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM� Property Address: 15 1/ '/ ittn/ D rtment review required Yes No Applicant: a ,4 K' ViA. XrK +/ 104/5 Planning & Zoning .4) /,_ b' Tree Administrator Project: Ld jyft- 3N- / /no Public Works Public Utilities -• it Public Safety p Fire Services T '"�4� ira �� e �� � �yy rPS� � �� ��y�(�f ���° :�i��s H „ tq'�' .!7;1�+, 4. �,�Dep SigII Mature I:: LI T ( � h _ "6`�' w Fes` it 4 b�'IS ��1.g '' t ,G 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: ❑Approved. Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: 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 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD t:.)V ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 10- 00001341 Date 11/12/10 Property Address 115 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 20000 Application desc RENOVATE BATH SHOWERS Owner Contractor NORTH RIVER BUILDERS AND PROPE PROPERTY MANAGERS 6771 SHINDLER DR JACKSONVILLE FL 32222 (904) 838 -9179 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 83.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 5/11/11 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 PLUNGING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: //6' - Ligt 6LVO PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ • TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub l Septic Tank & Pit Clothes Washer ShBher / Dishwasher Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavator Water Heater ` Other Fixtures 4 Va -VA / Water Treating System RE -PIPE: TYPE OF Fa'TU E QTY TYPE OF FIXTURE Qry 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 Presenter ❑ 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 ]mow 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 1LE�I 11101Q Phone Number 26 -- f fe 0 Plumbing Company Ravi G ray Plumbing, Inc. n 8850 Corporate Square Cuutt Office Phone /�1 - ��� Fax 7 -5 e� Co. Address: Jacksonville, Florida 32216 City State Zip License Holder (Print): 7)Iv:O / ( Iq1 State Certification/Registration # Cc' c)02 Notarized Signature of License Holder 1.700.11- )i , Sworn and subscribed before me this lZ da of Ziftflacv 20 /6 Signature of Notary Public iftkie t i +l. `�` Y ' Notary Public State n of Florida Neal R Major s ,` My Commissio EE032510 OF ft Expires 12/20/2014