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Permit 2233 Seminole Rd # 35 Screen Room 2011 S SS CITY OF ATLANTIC BEACH "S' 800 SEMINOLE ROAD 'Ir) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 WIT Application Number . . . . . 11-00001582 Date 1/27/11 Property Address . . . . . . 2233 SEMINOLE RD UNIT 035 Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9867 ---------------------------------------------------------------------------- Application desc NEW SCREEN ROOM ON EXISTING SLAB ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLECK JLS BUILDERS LLC 2233 SEMINOLE #035 144 AZALEA POINT DR S ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 881-8952 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 9867 Expiration Date . . 7/26/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. -'N bK -�41- 13ge�5b�l %urriber�Iaoes I NOTICE OF COMMENCEMENT Recc�.-ed C" 27--011 1 at '138 0,1Y. W::i— J Permit No. Tax Folio No. THE UNDERSIGNEDhereby 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. I.Description of property(legal desetipidon'): -,�9----Ll C-F A t-J 11LAG6 ONE' CcWDoMINW(yk a)Street(job)Address: 2 233 Rd. 2.General description of improvements: biffmo oi7 6XISTIA)CL Se-affAJ A24,,." v-Re8V1(-j:) Net.; ,5co-ieeN ezio.,v? o^� 6-,kijr1,o-J6 SLAR 3.Owner Information a)Name and address: k1ge6-Al 1�46-CK ZZ�Jg b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4.Contractor Information i L biFe-1, L L C- 1V51&4LeA Pbzv7-Dt )2. ViEW& t:'L 246 a)Name and address: JJL 3 Z, b)Telephone No.: 7.0'/ - 88/- 8 7S"L Fax No.(Opt.) 5�'�urety 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 Liencir's Notice as provided in Section 713.13(l)(b),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 1,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 COUNTY OF PINELLAS NOTARY PUBLIC-STATE OF FWRIDA 10. 0&,"........ Tamesa Hampton Signatui ��Tutnzed Offi er/Director/Partner/Manager Commission#DD776512 FExpires: APR.07,21, 41i t'�-iili'L'V- 12 BONDED THRU ATIANTIC BONDING CO,LNIC. Print Name The foregoing instrument was acknowledged before me this 6� dayof T610u&r 200 by P�y e-M V1 Ckroedv as OL uA 6 V't' (type of authority,e.g.officer,trustee, attorneyin fact)for_,,) LS RUWit LLC, (name of party 7on behalf o wJ06m instrument was executed). Personally Known AZOR Produced Identification Notary Signature Type of Identification Produced Name(print) 'Ta cso- H0LMQ+'0r-) OR q Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief F0RMS/N0C,rvsd2010 Signature ofNatural Person Signing(in line#10.)Above BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 JobAddress: 22-33 _S6^,,vgce- A, Permit N 'ber. /I- /5 Legal Description 2-5 -a,16 00-m Vi-Aef 6W CP.Ds,,j,VJ" Parcel# Valuation of Work S oo Floor Area of;2,00 Sq.Ft. 4 80 .Proposed work heated/cooled -0 non-heated/cooled �?_o Class of Work(circle one): New Addition (EiD Repair Move Demolition pool/spa window/door Use of existing/proposed structure(�)(circle one): Commercial If an existing structure,is a fire sprinkler system installed?(Circle one).-qE��es6 N/A Florida Product Approval # For multiple products use product approval form NA Describe in detail the type of work to be performed:- 1W rjci 4AAb 06) 8 U/Cb 1,%j&I A/Cw ISC-REEA) 2&o, d,-- Qm"M rw i Property Owner Information: Name: Xeew Oci-C-C g Address 'o' City :,iq�c t4TIC _t�j �St�atefl�--�Zip -Ac H lho E-Mail or Fax#(Optional farm- Contractor Information: Company Name: _J'Z_5 6>U I L 16et2 S LLC —Quali,5;ing Agent:_TeAct-Ay Address: 11z,4t_e,4 4qvrDvz. is . city VnRA State 91- zip -10 0 6 ev- ye ,7 — - Office Phone J ContactNumber 1�,OV-ggt- FS-2, Fax# State Certification/Registration Architect Name& Phone# HA ig L rz Engineer's Name&Phone r- si r a r% Fee Simple Title Holder Name and Addre H & f� Bonding Company Name and Address I I JUNAL an VDTTTONS. .s� Mortgage Lender Name and Addrc s IEWEDBY.- A commenced to Ile is permit bep,'oomre,mill on at.an time after aces, Heaers, 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. I here,�b certify that I have read and examined 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 Spec yfLed herein or not. The granting of a permit does not presume to give authority to violate -or cancel the provisions of any otherfederal,state, or,local regulating construction or the pertbrinance of construction. Signature of Owner Signature of Contractor Print Name .............. Print Name 0614........................... ........................ ..... el.. ............................................ Sworn t_Q and subscribed before me Sworn t?,and subscribed before me this 9110'D Iq n 20 1 this 21!� a - — 2011 NOTARY MIX-STATE OF FrA)RM4 NOTARY MBUC-STATH OF FLORMA Notary Pu rhesa Hampton Nota ic ii;!1�1;,�;,��l!i;,;� [:1 i�1;11,1pton 'Com�i;sion#DD776512 commission#DD776SI2 Expires: APR.07,2012 74PPfiW OAPA.02012 ArLANTIC BONDING CO.,INC. BONDED THM ATIANTIC BONDING CO,,INC, City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Building Department 0, 4 800 Seminole Road 4L_ Atlantic Beach, Florida 32233-5445 Fax(904)247-5845 Phone(904)247-5826 Date routed.. E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM cif/14 1-716 ent review 7required Ye No Property Address: Buildin Applicant: annin &Zonin ;Tree=Administrrator Project: /V�zt") Publio Woms T-7 t-1 Public Utilities Public Safety Fire Services Other A I gency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation X/ 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. E]Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: 'y" Date: /—,;6 TREE ADMIN. Second Review: ElApproved as revised. F�DeA/d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Z/ Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us 11 /L2 APPLICATION REVIEW AND TRACKING FORM roperty Address: J/-/I� jDapartment review required Yes No Buildinq ,pplicant: Jz �anr�in & Tree Administrator 'roject: A/� Public Works --i t v,� Public Utilities -- ------ Public Saf'ety Fire Services -Jlt I FC $S4 eview fee _ Dept Signature_ Other Agency Review or Permit Required Review or Receipt Date Florida Dept.of Environmental Protection of Permit Verified By 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: NApproved. []Denied. (Circle one.) Comments: BvtLDKG-- PLANNING &ZONING Reviewed by:_z11-&2 Date:—�2-4-L-2,00 TREE ADMIN. Second Review: FlApproved as revised. 7Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. DIDenied. Comments: Reviewed by: Date: Revised 06/14/09 or CITY OF ATLANTIC BEACH SS '.:;� 800 SEMINOLE ROAD 1r) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001582 Date 2/10/11 Property Address . . . . . . 2233 SEMINOLE RD UNIT 035 Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9867 ---------------------------------------------------------------------------- Application desc NEW SCREEN ROOM ON EXISTING SLAB ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FLECK JLS BUILDERS LLC 2233 SEMINOLE #035 144 AZALEA POINT DR S ATLANTIC BEACH FL 32233 PONTE VEDRA BCH FL 32082 (904) 881-8952 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 60 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/09/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 60 55 . 60 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59 . 60 59 . 60 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLTCATTOT� CITY OF Al'T,ANTTC BEACH 800 Seminole Rd, Atlantic Beach, FL 322 FEB 10 2011 Ph(904)247-5826 Fax(904) 247-584' Jon ADDRESS: 6 1, v,, it 112 R� PERMIT# '00 NEW SERVICE 00verhead F-1 Underground [I Underground up Pole OResidential (Main) Service 00-100 anips U 10 1-I 50amps 0 151-200amps 1�_amps # of Meters F]Commercial(Main)Service 00-100 amps ( 1101-1 50amps Fj 15 1-200ainps 11 amps, OCT Service amps Conductor Type- Size E3Multi-Famfly(Main)Scrvicc 00-100 amps 11101-1 50amps f 11 51-200ainps 0 a1ups of Unit Meters �,']Ternporary Pole __amps SERVICE UPGRADE 0 amps 0 CT Service amps NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.) 0100amps 11150amps 0200anips ['I_amps CICIService amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS, ACCESSORY STRUCTURES, ETC. Outlets/switches: 1__0-30amps -3 1-I 00amps 10 1-200amps Appliances: 0-30amps 10 1-200a.mps A/C Circuits: --0-60amps -6 1-1 00amps Hcat Circuits: # circuits @_ Number of Lighting Outlets, including Fixtures: '-Z— OTHER ELECTRICAL PROXFCTS 0 Swimming Pool 11 Sign El Smoke Detectors___.Qty 0 Transformers KVA LiMotors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist) Qty—volts/amps VALUEOFWORKS REPAIRSIMISCELLANEOUS UReplace Burnt[Daniaged Meter Can USafety Inspection n Panel Change DOf4 to UG nOther- Permit bewmes void if work does not commence within a.qix month period or work is suspcndcd or abandoned for six months. I hereby certify thut I have roud this mpplicmion tod know the same to he true vad correo. All provisions oflaws and ordinances governing this work will be complied with whethior specified or not. Tbc ptrmil ducs;not givc authority to violato Ow provisions of any other statc or local law regulation construction or the performance of construiction. Property Owners Naine L & C, it Phone Number Electrical Conipanyvi I&-to Office Phone FaxL,`l­11-0128-& Co. Address:jL4?-9G.-jc-j city StatcK. ZiP32 License Holder(Print): Lc�(-,3 re r-,treo ei'-) C A'a State Certification/Registration#E���­Zc-c� Notarized Signature of License Holder Sworn and subscribed before m.e this day of' KIMBERLY A.M07 Conimiesion*OD 949979 Signature of Notary Public i FAVes February 27,2014 LA d SV9S �VZ V06 << 99Z6LV9V06 ONVIIA 9L:60 01-ZO-ILOZ ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: Z 21 ��6 ;1, ioL o t-- ft Q PERMIT 0' NEW SERVICE 00verhead EJ Underground El Underground up Pole DResidential(Main) Service 00-100 amps 0101-1,150amps 0 151-200amps 0 __mps of Meters 0 Commercial(Main) Service 00-100 amps 0 10 1-1 50arnps 0 151-200amps 0 __jamps OCT Service amps Conductor Type Size OMulti-Family(Main) Service 00-100 amps 0101-150amps 0 151-200amps 0 ___amps #of Unit Meters 0 Temporary Pole 0 -amps SERVICE UPGRADE 0 __amps El CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps 0150amps 0200amps 0 __amps OCT Service amps ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: __J_0-30amps 31-100amps 10 1-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-I 00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: -7— OTHER ELECTRICAL PROJECTS OSwimmingPool OSign 0 Smoke Detectors_Qty OTransformers KVA 0 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS 0 Replace Burnt/Darnaged Meter Can 0 Safety Inspection 0 Panel Change DOH to UG OOther: 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 1Z-'E ri E L 1� Phone Number Electrical Company ef I e_,c_4&';c r-,,- Office Phone(,nLAj-C6&,F; Fax_(OLU-92B& Co.Address: city StateK_ ZiP32 License Holder (Print): Lau Ne r-xc - rL-) -a P,t�_ State Certification/Registration#E--00002_cjD R Notarized Signature ofLicense Holder,4M846..i�_�, a16�� Sworn and subscribed before mres o day of 20_�_ KIMBERLY A.MOTT Commission#DD 949879 Expires February 27,2014 Signature of Notary Public (am.LQ/J�j .�u W Bonded Wrofftntnsurm89385.7019