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
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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