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