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Permits 2019 Beach Ave 2011 remodel kitchen 46 IS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001526 Date 1/06/11 Property Address . . . . . . 2019 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc kitchen remodel/new cabinets ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HARKELROAD BEACHES BUILDING LLC 1430 FOREST MARSH DRIVE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 626-5SS6 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . - Permit Fee . . . . 1S0 . 00 Plan Check Fee 7S . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 7/OS/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 .2S STATE DBPR SURCHARGE 2 .2S ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1S0 . 00 150 . 00 . 00 . 00 Plan Check Total 7S . 00 7S . 00 . 00 . 00 Other Fee Total 4 . SO 4 . SO . 00 . 00 Grand Total 229 . SO 229 . SO . 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 VJAN �O5 2011 Office(904)247-5826 Fax(904)247-5845 Job Address: 2019 Beach Avenue Permit 6 Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 20,000 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition<:LA�ration Repair Move Demolition pool/spa window/door Use of existing/propose�structure(s)(�ircle one): Commercial 0. �esidentiallo If an existing structure,is a fire sprinkler system installed?(Circle e). N CLLA Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Kitchen Remodel-new cabinets,relocate sink, some electrical Property Owner Information: Name: Judy Harkelroad Address: 2019 Beach Avenue City Atlantic Beach, State FL Ziv 32233 Phone 534-1108 E-Mail or Fax#(Optional) Contractor Information: Company Name: Beaches Building,LLC Qualifying Agent: George ftmond Henderson,Jr. Address: 1824 Ocean Grove Drive Citv Atlantic Beach State FL Zii)32233 Office Phone 626-5556 —Job Sit r 626-5556 Fax# 249-6520 State Certification/Regi tion# CGCI MAW—--- - I - Architect Name&Phone# -u VX UODE CoMpil A BEAM Engineer's Name&Phone# CITY o 11 F ATIA Fee Simple Title Holder Name and Address 5bP_PERM11S FOR-A 1)Da_T40NA:E Bonding Company Name and Address Mortgage Lender Name and Address RRyip"D ffy- t-T—d-insta nsas-n tion Z's'e'ommenced prlar'Y'00V Application is hereby made to obtain a permit to do the ork an * Rations as 0 w issuance ofa permit and that all work will be pe e dards o laws reeulati co- . .... . tion. This permit becomes null _?ybrmed to meet th stan fall laws regu and void[fwork is not commenced within six(6)months, or i(construction or work is suspended or abandonedfor a p ri ofsix months at any time er e work is commenced I understand that separate permits must be securedfor Electrical Work,Phimbing,Migns, Pools, Arnaces, Boilers,HeaZis, Tanks and Air ConMoners,dc, 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ]here certify that I have read and examined this lication and know the same to be true and correct. Allprovisions oflaws and ordinances governing this thortv to io vio Vlwork will be cotnplied with whether I e�i 710d herein or not. The granting of a permit does not presum to&gt, ,nor,,yla r ancel the provisions ofany otherfederal,state, or local fa regulating construction or the pe�fo�mance ofconstruction. Signature of Owner— 0 A��) Signature of Contractor Print Name �Yqy..Hi?kelr�oad Print Name G 2!g!�.g4ypq.n. Jr. ................................................................................._1.................. ....................................... Sworn to and subscribed before me Sworn to and subscribed before me this 2�3 Day of r-UFiFL__ .20 1 Cl this 7(-, Dayo 2010 Notary Public ---Notary PubK &Y Revised 01.26.10 Toxy P�,& N=otary�u�blicstateoffiori a 4? Edward T Sla er Z:k""7�E I t--aqral? NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. zz Tax Folio No. State of A=1e)P;tya County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: 2D19 Beach Avenue Atlantic Beach, FL 32233 Address of property being improved: 2019 Beach Avenue Atlantic Beach, FL 32233 General description of improvements: Kitchen Remodel Owner Judy Harkleroad Address 2019 Beach Avenue, Atlantic Beach, FL 32233 Owners interest in site of the improvement 100% Fee Simple Titleholder(if other than owner) Name Address Contractor Beaches Building, LLC A--q Address 1824 Ocean Grove Drive, Atlantic Beach, FL 32233 Phone No. 904-626-5S56 Fax No. 904-249-6520 Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person 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 addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNM j 121-27�-i Signed./ DATE AL= Before)mithis day of f-Ag'-F-157MVfE,� In the countydl& d C�t -U!yl,S �lo' a,In I ppeared 'A !Z -�eersog� by himsellrh'erselfAKd affirms that all statements and declarations herein r are true an accurate Doc 2011002,334,OR BK 15413 Page 612, Number Pages:1 Recorded 01/05/2011 at 08:45 AM, Rota-i�—Ptrtc at Large,State of Countyof JIM FULLER CLERK CIRCUIT COURT DUVAL My commission expires: 6"2-t Personally Known X t or COUNTY Produced IdenfificatIbn RECORDING$10.00 05"'"At Notary Public State of Florida Ed..rd T Slate, _j My Commission DD863692 Expires 02/23/2013 1/8 1/8 v —1805/8 v 13 50 1/8 —42 —66 91/2 — 36 687/8 -,-91/2 24— 42 —————————— - -————————————————ji QZE CO CO LO U) ,tv L------- NL------------ 30 Harkleroad AW-- Beaches Woodcraft Kitchen City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road i"I'l- 2 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us I- I Date routed: oe _J1 City web-site: hftp:/twww.coab.us �Ifi 44 APPLICATION REVIEW AND TRACKING FORM Property Addr.. QepartMent review required Ye No Building -) 7 'T"aniFg—&zoning Applicant: Tree Administrator IVer Project: Za odi Public Works Public Utilities Public Safety Fire Services rz�; Fw 2 "44 "0. 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: ReA"pproved. ElDenied. (Circle one.) Comments: (:��D I PLANNING &ZONING Reviewed by: Date: V 41 TREE ADMIN. Second Review: FlApproved as revised. FIDenied. PUBLIC WORKS Comments- PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: F]Approved as revised. F]Denied. Comments: Reviewed by: Date: Revised 05114/09 U k CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 W1 Application Number . . . . . 11-00001526 Date 1/12/11 Property Address . . . . . . 2019 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc kitchen remodel/new cabinets ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HARKELROAD BEACHES BUILDING LLC 1430 FOREST MARSH DRIVE ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 626-5556 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/11/11 ---------------------------------------------------------------------------- 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: SJ ccac � a�f C_ PERmrr N 5— NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 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: F1 Sewer Replacement F-i Back Flow Preventer E:i Grease Interceptor(Trap) gallons(Requires 3 sets of plans) n Lawn Sprinkler System-Number of Heads Ej Well **SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." F-1 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 perforinance of construction. Property Owners Name Phone Number Plumbing Company_'P L Office Phone Z-/C LSZFax Co. Address: _sajztr city RC State R, zip License Holder(Print): State Certification/Registration Notarized Signature of License Holder Sworn and subscribed befor�eis day of 20 Signature of Notary Public