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Permit kitchen Remodel 2262 Beachcomber TR 2011 s , ; CITY OF ATLANTIC BEACH : : �J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 .'-.Q Application Number 11- 00001869 Date 4/05/11 Property Address 2262 BEACHCOMBER TR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 10000 Application desc kitchen remodel Owner Contractor MULLIS TNT DESIGN & RENOVATION LLC 2262 BEACHCOMBER TRAIL 410 14TH AVE N ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 514 -7421 Permit RESIDETNIAL ALT /OTHER Additional desc . Permit Fee . . . 100.00 Plan Check Fee . . 50.00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/02/11 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 DCA SURCHARGE 2.40 STATE DBPR SURCHARGE 2.40 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 4.80 4.80 .00 .00 Grand Total 154.80 154.80 .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 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: ' C0-- Q4kcho fib( rfo:k\ 4+1 gel. 3 L 3 Permit Number: // /6 7 Legal Description Al"a.. 1 O $ - A. 5 - i19 e_ Crl - as - an Parcel # q H4 3 ` 0 6 . Floor Area of Sq.Ft. Sgl.t Valuation of Work $1 d i 00 Z5 Proposed Work heated/cooled non - heated/cooled Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door Use of existing/proposed structure(s) (circle one): installed? Residenti -. - -. If an existing structure, is a fire sprinkler system nstalled? (Circle one): - ` `o ' N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be pert rtned: N} 'e'r Re l\ c.tc &' a � ,hA pitik6 ce_. • Property Owner Information: Name: _'e•c a 1..- cekAs o . 1 _ V v + . ' \ \ 5 Address: o . . . E K e - c k e-oW.,b e,, -I" r City A t 1 r State0- Zip 3aa Phone E -Mail or Fax # (Optional) Contractor Information: Company Name:1 QT De f>+ir ts ' ►-I-C_ Qualifying Agent: c c& St (Ark- Address: l-1►o - - - Ave 10 City +x. gej\ State fr L Zip .S n Office Phone ° 1- 333 - - - - 3 Job Site/ Contact Number Fax # State Certification/Registration # c t4'- 1 z4a„4 Architect Name & Phone # Engineer's Name & Phone # Go eoAc ,/.0-_,,i 6 o e. f r7 er- Ode" 0 3• Fee Simple Title Holder Name and Addres' Bonding Company Name and Address Mortgage Lender Name and Address 10 Q l is PcLr c�O Mp r4-A,r e f . 0 , i i'y1 ( o, 3G 1,e _s tvto ws Pr 6zwL 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 aperiod of six f6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters Tanks and Air Conditioners, etc. 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. 1 hereby certify that I have read and examined this Goplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified 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 Owner 4 0 /L.. Signature of Contractor Print Name ` . ... . (-0 - Imo„ l l= s . ` - c Print Name CI e•v 51"t�C .............. Sworn to and subscribed before me Sworn t. and subscribed be ore e this £. Day of ' - " '— ID - i — this 4 D: y. A ' 201/ �� .� �'Y ° �4••. PATRICK LUIS FOSTER / ! �f W " 1 1 SCAM P►lhlir . State N Elands 1 / -...t. 52111111M inwri.. - - - -- Notary Public E x[nt `o .�"� Pu • l c y�� j` A: RICKERTSEN r Comm. Nov 9, 2011 ; f. � , Commissio # DD 870870 s, P; ' . `' Commis:1m le 40972 „ . ,! ' � Expires MaY l�@idsed 01.:6.10 �. -�- - � Rfi,iR^ A Ting th4 Fain Inn range 8QQ- 385.7019 APR-1-2011 13:20 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1 Number Pages: 1 Recorded O40 t x2011 a101 28 PM, NpTI OY .... VlENCE NT JIM FULLER CLERK CIRCUIT COURT DUVAL COU Nr( RECORDING $10.00 Permit No. //` /861 Tax Folio Folio Na. .. - __ - with Section THE 7 133 .1 3 3 o off the Florida gives notice that improvements will be made to remain tear property, and im accords t a Flo NEU Statutes, f1 the fallowing information is provided in this NOTICE OF CO MME iCEMPort. 7 1 Q - � .5 � ° c° +"` - . 5 '`'1 C 'Description of property (legal description): - , (Ph) Street b) Address: . _ t cc9 . e,..( 1 �. , 2.0encul description of improvements: ;-' �,Ck.e 4 - k.0-"r\ ,. 3 ( a al formation. Y ~ VJ AA W `VN 1 6 . C +� '1Q r 3 a) N and address: b) Name and address of fec simpl teholder (if other than owner) c) Interest in property a.Contractor information y ) c� 1-1-4- `t'1 C- �5 � d _ . 5 N 11 a) Name and addres = 'TAI'_ ^_'^+ . b) Telephone No.: C [ =13 -"A.Z.-A3 Fax No. (Opt.) •- 5.Surety Information a) Name and address _ • -� _ . b) Amount of Band • Fax No. (Opt -) c) Telephone No. .. - -� — ,, 6.1..cndcr 4)e,1 S �- a) Name and address: P. D. C.. * r -- (i r . ' r, 1 __ . , Phone No_ 1E 2(,a 7. identity of person. within. the State of Florida. designate b owner upon whom notices or other documents may be served: a) Name and address: ,. _._ Fax No. (Opt-) ti n' to himself, No.: � ng p provided is Section B.ln addition to hirrnse'If, ow.9pr deli the fottoowi at. to receive a of tl:e Liana's Notice as provi 713.13(1)(b), Florida Statutes: n.) Name and address: b) Telephone "No.: Fax No. (Opt.) 9.Expitation date of Notice of Commencement (the esfir.Atioa date is one year 'f.arm the data of recording unless a different date is specified). . _. WARNING TO OWNER: ANY PAYMENTS MADE WV 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 MIDST RE RECORDED AND POSTED ON THE .1EOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANClNC, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STAIT.. UP FLORIDA cV+mrr OF TINELLA5 ''-' 10. 411 FA _∎.. _ SSi gnat - ure of • • of Under • u' Q f - • Ofuccrf.)irocton+Pertner/Ma eager Fri/niter= — ' `+r_�rv.� w . rM. u 4l a ��. The foregoing instrument was acloiowledSed before me this '�1 day of .. 20 .. _. _, by ,,. (� as _ O z - (type of authority, e.g.. °Meer, trustee, attorney In fact) for . (name of party on behalf or whom Instrument was executed). _ :ar� Personally Know.. _ ., OR Produced Identification ✓ terry : ..� Notary Si � +"`�` - --..• a a Name rin _ - , „''r. • TRICK LUIS FOSTER Type of identification Produced c.. v c.;t! (p -- ,, , - , rc - Stale of Flvnua OR or.* .1 M yComhE9,2dt� Verification p u r s u a n t t o Section 92.525, Florida Statutes. Under penalties of perjury, I declare t h a t 1 h . - .,. - . N .�' -obi C R I n A� N 4 972 d i e facts s t a t e d in it are floc to the b e s t of s o y i rn r � w l e d g e a n d - - �-. - +ro. msvmvemawv SigiD mt ofTiatard Person Signing (in line -1# to) Above 2 -1:-) y N y N am . 4 �.• ( © 1 r �� g n �'� -NI CI J w T= * �j • g ' Q arl "' V ; ��� �- rl � _w"k O w r (A) , w xi al -� 1. ; u ' O p i k 1 s � � � r t I w � 0 N ( N CD r- 0 Z XI g —1--r i• cP ry I • = §.. 5 �, ZZZ era � o CL 0 T ` gyp q II 2 Z o o _. 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CO 10� g *`, .k _ wn T p m al i m Il v — N - C Z - N I- i I'll _ _ ___- _____- __ 44 11 N e an, 11111■1111 , _ _ Et e -. 5 B d ` g K o , , _. - - - -___ —_ — G) § § 0 5 m zx C 2 •-co mv v5 0 - My rn 2 ] ` - z o; oz c z i m D g "� z �m S $ I 1 P, 0 y o w 11 * y m om .c o � C J' T c Z t . � 1 0 ZP - . 0 0 o S A Z r = g » o zo m ��00 0 o x mcn o • mom D ay C Z -� x W m T 0 x paOx 0 0 z io c m Sim cz Qui m VIP' il 1 z i j 1 tp' 1 Ro O 1 5 r 1 6 l 0 CO N CO I i f CO CD i g 6 Xi 1 ail 13 rb % I g 0 3 t� [J _ o 5 / 0 0 o i • " vi ri , City of Atlantic Beach APPLICATION NUMB - �f ; " "'�s Building Department (To b e assig b y the Building Department ) .:,==.,,,.,. "s lt. • 800 Seminole Road _ / - 15 - 4:' ,7 - , .,..A.:':-'-.7 5- 1 ,- ) . Atlantic Beach, Florida 32233 -5445 1' ` , `" ' Ph one (904) 247 -5826 • Fax (904) 247 -5845 / / �.��,�. E -mail: building- dept @coab.us Date routed City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c., (i ICE gc4 #JtC fiL Department review required Yey No uilding to Applicant: //V ,T 1J/ -7 7) Panning & Zoning PeA/d. Tree Administrator Project: A"i I7 ht7) Vr /) hi Public Works Public Utilities Public Safety Fire Services a r ,F l� k e.. " `4 { -� b i L S ai t r AC`S Nf `.; .,; ^'� Revlew fee $ i ` , 1 i r ,, „ � �� , ,. 9 re n � �, :, , : i x ,,—..--,!M 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: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING) PLANNING & ZONING Reviewed by: Date: q 1/ ---4 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 05/14/09 `el 41 0 kP. CITY OF ATLANTIC BEACH i�� 800 SEMINOLE ROAD aM - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 ` '''' Application Number 11- 00001869 Date 4/05/11 Property Address 2262 BEACHCOMBER TR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 10000 Application desc kitchen remodel Owner Contractor MULLIS TNT DESIGN & RENOVATION LLC 2262 BEACHCOMBER TRAIL 410 14TH AVE N ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 514 -7421 Permit PLUMBING PERMIT Additional desc . Sub Contractor . BILL FENWICK PLUMBING Permit Fee . 76.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/02/11 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 PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 76.00 76.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 80.00 80.00 .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) n 247 -5 q q JOB ADDRESS: p '�. a (o a-- e.Q.� checrm b-e.r2 r ' +i !4'rltAn 1�IC. Qi 7 2L3 PERMIT # / / - / 8 / J NEW OR REPLACEMENT INSTALLATION: Project Value $ tC'rt •OO TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher I Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink _L_ Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures I 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: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well * * ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ 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 performance of construction. Property Owners Name LC,urc& \u.\ ■ Phone Number - � �n/ - Plumbing Company P A Ce.tttA,i 41-- PtiAr'tday■s, h Office Phone 7,3 r )Od. --- Fax 7 y'Wlo 9 Co. Address: g ).4 f ,,.t;t Pjlvd CityJa -1C State Fz-- Zip3 -- License Holder (Print): ,� ,j 1 State Certification/Registration # CFC„ 04003 Notarized Signature of Li j r P 1. a e r ■ g old >' _ �iir� _ • • .i ./ v - i LPll, rat, .►y a, 2014 J ; , efore is day of 20 F Signature of Notary Pub 1 �'�' _ �,� .._.. a• ��' CITY OF ATLANTIC BEACH ' s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001869 Date 4/11/11 Property Address 2262 BEACHCOMBER TR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 10000 Application desc kitchen remodel Owner Contractor MULLIS TNT DESIGN & RENOVATION LLC 2262 BEACHCOMBER TRAIL 410 14TH AVE N ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 514 -7421 Permit ELECTRICAL PERMIT Additional desc . KITCHEN REMODEL Sub Contractor . BILL THOMPSON ELECTRIC CO, INC Permit Fee . . . 65.20 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 10/08/11 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 65.20 65.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 69.20 69.20 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 u�r ' �. CITY OF ATLANTIC BEACH d�' ..�.i � 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 08-1 I I ' OFFICE: (904)247 -5826 • • FAX NO.:(904)247 -5845 BUILDING - DEPT @COAB.US {l '' ELECTRICAL PERMIT APPLICATION DUVAL COUNTY ! y� ., ,6,« w L I w;w's. f ./„" . °a 1 /° y e.. w . E2':: 2:41 ^A . :1 .. a , v .t w` F.". 2� �Z /Pty 4i1 !"t 2 &/ ❑ NO S PERMIT #: j / �6 ' f �� ! L ©m® z4r. ° ". , . , a , . . ' { w^7 + 4. NAME:- ®4 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE: . .. ... Z m r s xi Nr ,:1 z s fl m `a s / s ... <, � 2 �`, e1 . r . , F�/g f •,�i � ?s " b �: 7. NAVE .OF OMP' . «. _ / 8. ADD /0, % L91C ,R6945 d 0 .,, A , „ � /'c h/ r ��..... 9. STATE OF ORID C SE ry/ NO:_ 13 2 � 10. CELL PHONE: 11. FAX X 12. EMAI AD ,vv'7 /� /�, 13. OFFICE PHONE: 14. 15. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 work is suspended or abandoned for a period of six (6) months at any time a er . ork is . • menced. / / CONTRACTORS SIGNATURE: ` ` —_., 1 / aam= L :Ea " e ❑ MULTI FAMILY - # OF UNITS: P' a ESIDENTIAL ❑ SINGLE FAMILY ❑ TEMP SERVICE ❑ COMMERCIAL ❑ ADDITION ❑ TRAILOR . <. k .. fw� fh , ALTERATION ❑ SIGN ❑ OLD ❑ NEW ❑ '05 NATIONAL ELECTRICAL CODE ❑ REPAIR ❑ POOL / SPA ❑ REWIRE ❑ OTHER: 20. TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. EXISTING SERVICE SIZE: AMPS: Z•49 PH: / W: 3 VOLT: 0- RACEWAY SIZE: .> 25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: 3 FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0 -30 AMPS: 31 -100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑ YES ❑ NO 29 -31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI - FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0 -30 AMPS: l 31 -100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0 -30 AMPS: 31-100 AMPS: OVER 100 AMPS: Paz,•« y `«'.+ ^> si+ ; y aaa. eg`�:c ... ag_, 4 ( "aW .�,.. ,rY . "`/ z° «u#, , aln. a a ti v r AMC' . .., . ,. f- t . ". ??°„ „�, # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: ;Y ^'a., es..0) "4 NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: DESCRIBE IN DETAIL: � � m - e � elm COAB FORM BLDG02: REVISED: 1/10/2008