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Permit Bldg Master Bath Remodel 2010 j rL�J ff�� v" CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 . F; Application Number . . . . . 10-00001183 Date 9/28/10 Property Address . . . . . . 2218 LAUGHING GULL CIR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc REMODEL MASTER BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MILLER THOMAS AND CONNIE RJ VINAS CONSTRUCTION 2218 LAUGHING GULL CIR 2215 LAUGHING GULL CIR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 514-4442 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . REMODEL/REPAIR MASTER BATH Permit Fee . . . . 100 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 3/27/11 ---------------------------------------------------------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) ` 800 Seminole Road Atlantic Beach, Florida 32233-5445 " Phone(904)247-5826 • Fax(904)247-5845 s3 E-mail: building-dept@coab.us Date routed: l City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2 Z/9 0L nt review required Ye No Building Applicant: 1.L . Y i--A,OL, 300 anning &Zoning Tree Administrator Project: AA, 417 T- Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: _ ••. BUILDIN PLANNING &ZONING e� -?7-/v Reviewed by: � Date: l 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 05/14109 Doc#2010226549,OR 8K 15380 Page 1004, Number Pages:1 NOTICE OF COMMENCEMENT Recorded 09/28/2010 at 02:41 PM, JIM FULLER CLE14K CIRCUIT COURT DUVAL COUNTY Permit No. � jl' (5 3 RECORDING$10.00 Tax Folio No. ( yc O 2 y —,---- THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. l.Description of property(legal description): a)Street(job)Address: 2Osi hl 2.General description of improvements:____ 3.Owner Information a)Name and address:., '�—ko-rvt.c:s c..,v +�.s>.S}-r,.. e l'► (_ b)Name and address of fee simple titleholder(If other than owner) c)Interest in property 4.Contractor Information a)Name and address: i t-{C_ L L► c.„ _,v� t,k l( Ct t. yl (3t.,4 5.SuAb)Telephone No.: Fax No.(O t. y Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.1n addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(6),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA f COUNTY OF PINELLAS ftnature ure of Owner or Owner's Authorized Officer/Director/Partner/Manager Print C The foregoing instrument was acknowledged before me this Z2 jc day of ,20w ,by as GYui' �y�� f _ �u I / c (type of authority,e.g.officer,trustee, attorney in fact)for r,+'1 S%`7�7�i = f£s^ (name of party on behalf of whom ins meat was executed). Personally Known OR Produced Identification i/ Notary Signature J44ellz ' �l Type of Identification Produced l A>t+O0/USLS76uL°Name(print) OR Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury, M the fore oing and that the facts stated in it are true to the best of my knowledge and belief. WHITE 634126 FORMS(NOC,rM2010 21,2011 lgnature of Natural Pe in thWervxitsrs BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Job Address: 1/1 � V C._t r Permit Number: /D /f Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 10 UUv Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteratid Repa* Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residenti If an existing structure,is a fire sprinkler system installed? (Circle one i . No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: !2 e M v c e f�- I�e AG S��r bAy-r Property Owner Information: // Name: o Ca are /CP Address: 2 Z tJ Lz-```,s k,,,j 6-1/ C` City jc�n c��G, State rt Zip 34z33 Phone VC -- V7.S' E-Mail or Fax#(Optional) Contractor Information: Company Name: j_ . V/' Qua]ifyi g Agent: Address: '2-21s- Com+ % 6u t I C, ri,& City State FL Zip Office Phone QOY Stay -t/,/yL-Job Site/Contact Number Fax State Certification/Registration# r&L I k ex REVIEWED FOR CODE COM Architect Name&Phone# 1!2 Engineer's Name& Phone# 0- CITY OF ATLANTIC BEACH a Fee Simple Title Holder Name and Address n -t- cch., M, ' ERMITS FOR ADDITIONAL Bonding Company Name and Address „ 3 REQUIREMENTS AND CONDITIONS. Mortgage Lender Name and Address " ' fhl BY:r Application is hereby made to obtain a permit to ang.,, t s r ic"t issuance of a permit and that all work will be pe ;o ed to et al aw,,r ulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) t o i cct worlki�rsfis nded or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate m cured ct ' ork Plumbing,Signs, Wells Pools Furnaces Boilers Heaters, Tanks and Air Conditioners,etc WARNING TO OW R FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RE LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined thi'sapplication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Own �gnature of Contracto Print Name - ..U.Y�..' - C.. ..... ..._ ..�.. ..f...... ..... PrmtName c.......... /rtk.f. ��........................ SWOT tA,aid subscribed b Swo t and subscrib of me this !/ Day of this a 20 /0 I MOMMISSION#DD 634126XP{HES:May 21,2011 ® 13910 pF ,.• o e ru o u n erwn ers Notary Public " Notary u i " ' Thm � Undeo CITY OF. ' ATLANTIC BEACH -� 800 s a ATLANTIC BEACH ROAD Olt , INSPECTION PHONE CH' FL 32233 LINE 247-5826 Application Umber mber . Application Address 10-00001183 Property Zoninge description 2218 LAUGHING Date 10/21 ---Application ENTIAL GULL CIR /l0 valuation TO BE UPDATED ALTERATION Application des c --- 1_0_000 __---EMODEL_MASTER BATH --'------------- Owner 2I1LER THOMAS AND CONN-_ Contractor LAUGHING GULL CIR IE A LAUGHING BEACH RJ VINAS ------------ 22CONSTRUCTION 15 FL 32233 LAUGHING GUBEACHLL CIR Permit ------------------- _______A904T54 2 -44 FL 32233 42 Additional desc ELECTRICAL PERMIT _________ Sub Contractor ---- Permit Fee E_4 ELECTRIC, INC. ISSue Date 90 ' 00 Plan Check Fee Expiration Date 4/19/11 Valuation _ . 00 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 •---------------------------------------------------------------------- � SummarY Charged -- ---Paid--- -Credited- ----Due--- ��+ 0. 00 . 00 . 00 ! '` ", •' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00001183 Date 10/21/10 Property Address . . . 2218 LAUGHING GULL CIR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc REMODEL MASTER BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MILLER THOMAS AND CONNIE RJ VINAS CONSTRUCTION 2218 LAUGHING GULL CIR 2215 LAUGHING GULL CIR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 514-4442 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . E-4 ELECTRIC, INC. Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/19/11 --------------------------------------------------------------------------- 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 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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 j 800 Seminole Rd,Atlantic Beach,FL 32233 ' t Ph 904 247-5826 Fax 904 247-5.845 JOB ADDRESS: . - 9 1,C4 n v( ocer,>t. CtAa ilC -- PERMIT# NEW SERVICE ❑Overhead ❑ Underground ❑Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑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 ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ 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 ❑ 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/MISCELLANEOUS ❑Replace Burnt/Dam/aged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG ❑Other: Mo X)e V a 0 't�/, kap IaCe e X A6V1s;' Ft,n /n — s� � 7-v b C,G{N 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 1' Phone Number Electrical Company E l ecfr' -Office Phone L(� -71(`6 r Fax Co.Address: oZ�, Cru;�� (—✓t/ City A� State �� Zip �,��33 License Holder(Print): 1 cr r"es State Certification/Registration# GR 13Cj133 Notarized Signature of License Holder SZorn'and subscribe � da f 20_ e 60 .... ` bonded :Feb i ! Signature of Notary fiend nd