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Permit 1105 Fleet Landing Blvd CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 09-00001329 Date 9/22/09 Property Address . . . . . . 1 FLEET LANDING BLVD UNIT 1105 Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ---------------------------------------------------------------------------- Application desc remodel bath ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 229 MARGARET ST NEPTUNE BEACH FL 32266 (904) 246-0101 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1500 Expiration Date . . 3/21/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. of CITY OF ATLANTIC BEACH 09- 1 1 - t 1 1 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 rk OFFICE--(904)247-5826*FAX NO.:(904)247-6845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY �!--,JOB-ADDRESS.`-:�" UNDER ROOF, ��LEL-T L-r,,Nb1N&- P)LO 77, 9,USE OF STRUCTURE.:� 41 LE6ALDESCRIPTIOW 5.HASS oFvvoR�777, 0 NEW BUILDING 13 DEMOLITION 13 RESIDENTIAL LOT_BLOCK_SUB DIVISION 0�,DDITION 0 CONVERTING USE 0 COMMERCIAL DESCRIPTION QFWORK"�_ TION 8.FIRE SPRINKLER; ffALTERA El ACCESSORY BLDG. 1:1 REPAIR 13 POOL/SPA 13 YES 0 N/A bh--i 13 MOVE 130THER E3 NO PROPERTY,OWNEM.",J4. �ARCHITEC i E GINEEM� NICTOM, T N ANTM 1�ICOMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: AfL4A NTOL r?)ErA C JA u..—11 P, OL 10.ADDRESS: 17.STATE OF FLORrDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 2)RML Cb (05&14� 26.ADDRESS: NEO-rUNCI O�F\�O FL 11.OFFICE PHONE: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: 1. 'HONE: 29.CELL PHONE: C,, Ll . r)a�- 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ()(')C, N C -7 cA c, M FEE SIMPLE TITLE HIIDLDEIR.;�,.�., Nu, 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application 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 issuance 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 if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. ( understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEWS AFFIDAVIT-I Certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. QWNER'O'F�GE Required ualifle[Only)? ofxgent,PoweiofAltorn%,VAgency L Signed: Date: Signedc--�S,�—tta: kotjrDate: 0) Before me this (ajy 2009 in the county of Before rn day of S 2009 in the county of Duval,State of Florida,has pLrsonall;appeared Duval,S�ti F-Io-r,�ida,has personaI4 appeared — Ka-t-k-±1 C F�S �- herin by himself/hersIlf and affirms that all statements and declarations are herin by himself I herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of./-'104;A:�-Countv of Notary Public at Large,State of 141-1X11e County of 0 V,4- Wersonally Known Op-sonally Known 0 Produced Identiflication- El Produced Identification 9 Notary Signature: INotary S! nature: ELIZABETm TESKE ELIZABETH TESKE ids lic State of Flor] Notary Public-State of Florida SUDF 5 2013 My Comm.Expires Apr 5.2013 99. omm. E Commission 0 00$67829 Commission#00 867829 "",I W. Sonded yWw*National NI Ain. Sonded Thro*National Notary Assn. as CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001329 Date 9/24/09 Property Address . . . . . . 1 FLEET LANDING BLVD UNIT 1105 Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ---------------------------------------------------------------------------- Application desc remodel bath ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PRESTIGE BUILDERS & REMODELERS 229 MARGARET ST NEPTUNE BEACH FL 32266 (904) 246-0101 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . TYPE 5-A Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc REPLACE 2 SHWR PNS / 2 SHWR VL Sub Contractor DAVID GRAY PLUMBING INC. Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/23/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Sep 24 09 10:32a DAVID GRAY PLUMBING 904 723 5668 p.2 CITY OF ATLANTIC BEACH PLUMING PERNHT APPLICATION D ate: Property Address: Owner: ut &4- Telephone Contractor: David Gray Ptumbing, Im. Telephone WM corporate Squai�e Court Contractor Address: Jacksonville.Fiorida 32216 Fax#- Contractor Signature: CFC 022586 In conside-.ation of pe=t given for doing the work as des=iberm thi abofe emen',we bereby 20.0 5-m-form said work accordance with the attachtd plans-a& specificadons which art a pan bereof uld iu accordance with the City of Aflantic Beach ordinance and standards of-good practice lim--d thereim Installation of Dlumbing and fixtures must be m a=ordaacc with fae most recent edram of the Southem S�andara Plumbmg Code. Plumbing Type: If crther construction is beiag done on this buildiug or site, 0 New bst the buildmg parmit.mmber- C1 Numberoffixt-tires: Bath Tubs Showers clesets Shower Pans Dishwash= Sinks Disposals U.Tinals Fk>or Dr-mns 'Washing Machine Lavatory 'Wazer Sewer '7*7ater Hee=s Sprinkler-System .574465 E Fees Permit Issming Fee: $35.00 Total Fixtures: IS4 X$7.00 + $35,00 800 Sernimole Road.Atlantic 8(aacb,Florida 32233-5445 Phone: (904) 247-5800 Fax: (904)247-584.6- http:liwww.r-i.atianbc-beach.fLus Revised VO4