Permit Int. Alt 304 1st St 2011 P` LA r
A Jet
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
'" =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
JJi19'
Application Number 11- 00002091 Date 5/19/11
Property Address 304 1ST ST
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 8250
Application desc
add kitchenette etc see app
Owner Contractor
O'BANNON, PAULA R. SOLID BUILT CONSTRUCTION AND
3319 APPLESHAW CT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 241 -4505 (904) 998 -7124
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 95.00 Plan Check Fee . . 47.50
Issue Date . . . Valuation . . . . 8250
Expiration Date . 11/15/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total 47.50 47.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 146.50 146.50 .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 f U n Egti IN
. . - . V .r , - - . - ill , , r 2011 ili
Job Address: 304 1 Street. Atlantic Beach, FL 32223 Permit Number: / " ae 1
By ��
Legal Description 5 - 21 - 2S - 29E Parcel #
oor a ea o q. t. q.
Valuation of Work $ `6 -5 ON 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): Commercial Residential
installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: 1 move washer and ! er to utili close • the , - -. - • ' - _t.,.
laundry area to a kitchenette: move water heater from utility closet to garage: demo 557,,Apc ' n..of �p bearing w ; •
in downstairs storage area to make a 2' deep closet that bumps out into garage. Kitcl ettL y egshall j6nX '
sink, microwave and 9.55 cubic feet refridgerator. CB.., a � o
1 . o
i wf: r
Property Owner Information: i i Q AQ E Q Q i
Name: Paula Marmon Address: 304 1 Street 0 W o Q
City Atlantic Beach State FLZip 32233 Phone 904- 241 -4505 ; Lassi < A '' Z
E -Mail or Fax # (Optional) H .J
Contractor Information: 4 i
Lamm t w
Company Name :Solid Built Construction and Dev., Inc._ Qualifying Agent Alexander Allen ,. _,. I # , W o w
Address: 3319 Appleshaw Ct City Jacksonville . State FL Zip 32225 A w j-:
Office Phone 904 -998 -7124 Job Site/ Contact Number _904 - 686- 4019_Fax # 904 -998 -712,1 w
State Certification/Registration # CBC 1255618 V v'
Architect Name & Phone # none Engineer's Name R- Phon # none
Fee Simple Title Holder Name and Address Paula ()'Bannon 304 I ° st, AB .32.2-ii
Bonding Company Name and Address_none rx
Mortgage Lender Name and Address none
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 ‘work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a_pertod of six _(6) months at any time after
work is commenced I understand that separate permits must be secured Electricaaf Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, do
WARNING TO OWNER: YOUR F'_' T _ . ` T _ _ 7' _- _ - - - - - -
COMMENCEMENT MAY RESULT IN YOUR F II. v r i, i 14 ii i i: vi i ii, i -s ... � ,
TI , - rr n • irxr l have ,w(ii 'rnn e i- n r n ina n rn . yn» a nal i ,h m ina rnr 41l rn
in h tr and i roa n r r ty l , :fir 'r "e.
ss ,,, a netts. rrsnes. 'w I ._....... f .. .. o .s
.,... ...... ., ,,, i�r i/. ca: useia ra l "viii rri raffia- arc �r uraurss i� u 1�eriiiu 4 }ui Yi eSrria2 to Marc i �Cy7r'i�t�' Ai hawsie "AM. GS. urd
pruv tsiutuN ul um ()user leuerul, saute, or local law regulating construction or the performance of construction.
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Print Name ` 1,� P. O //Z k tf!v Print Name 44/4
vv / A' it(
=. _ Sworn to and subscribed before me
this 1 `7may of An a-y , 20 1 1 this I7 ''Day of / , 20 1 (
Notary ' ' 1t v ► N otary Pubiic State of Florida ` ` "''"' , ," ✓`
k�.- N P is
a �' Debra Ann Simmons y °'`" ` . Notary Public State of Honda .
o My Commission DD68072 , Debra Ann Simmons n ----- n a .1z.• 1 n
� > c o Expires 08/24/201
, e MY Commission DD680724
°F f� l'o,, Expires 08/24/2011
/ NOTICE OF COMMENCEMENT
Permit No. I! '',9 0 (7/ Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
5 - 69 21 2S - 29E 3041st St. Atl Bch. FL 32233
2. General Description of improvements:
Turn laundry room into kitchenette: make small closet in downstairs storaae area
3. Owner Information:
a) Name and Address: Paula O'bannon: 3041st ST. ATL Bch. 32233
b) Interest in property: Owner
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
a) Name and Address: Solid Built Construction and Dev.: 3319 Aooleshaw Ct. Jax. FL 32225
b) Phone Number: 904 - 686 - 4019
eSA 5. Surety Information:
a) Name and Address: none
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address: none
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1Xa) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself/herself Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (1) 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
I, 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
f '
,e L+. 0 ,MJ L - 1 3 6-44c4. g . 6' 6i. riti bIi C - N I
Signature of Owner or Owner's Authonzed O' tcer/Director/Partner/Manager Signatory's Printed Name & Title/Office
The foregoing instrument was acknowledged before me this �, day of i V L , 20 ) 1 , by
(6-.1 C, C..0k r,c�,y cr-... as v ?c:v ..`z ( for
(Name of Person) (Authority Type, i.e. Officer /Attorney) (Name of Party Instrument was Executed for)
S y ... ,_____...
s L L,�i(0
I
IC
f Po'dk Notary Public State of Florida NOTARY PUBLIC, STATE OF FLORIDA -
Debra /,nn Simmons Print Name: t A - t n7 4Y�
A c` My Commission DD680724_
' ' ov p �,n* Expires 08/24/'2011 1— L.. � ' tit Ct ^5
❑ Personally Known
h , , / " , . . r ' ' � ' + , . ' � , f , , yldentification/Type: 0 1 5 — L7 (c:s' 5 / "‘*,:: i ' 6
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
0 !
Doc 4 2011 '108/29, OR BK I E802 Page "i 625. Signatur= ofNatural Person Signing bove
Number Pages: 1
Recordted 05;1 71201 'I. at 08:32 AM, Revised 10/1/2009
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
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City of Atlantic Beach APPLICATION NUMBER
�, � Building Department (To be assigned by the Building Department.)
C.,? 800 Seminole Road � 1/ _ Q 9 /
v C Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
`V.01119'' E-mail: building- dept @coab.us Date routed: 4
City web -site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3e4 /T ' = = - '.ent review required Y
Applicant: ( a i Planning & Zoning
Tree • ministratior
Project: . d Ai 3 E - ctiA a " Public Works
- Public Utilities
6/t / Public Safety
i l l ei h Fire Services
Review fee' $
Review or Receipt
Other Agency Review or Permit Required of Permit Verified By Date
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: proved. ['Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: - 11 4 Date: S /
TREE ADMIN. Second Review: Approved as revised. ❑De ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. EDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
1,11"44.Jri City of Atlantic Beach APPLICATION NUMBER
z, Building Department (To be assigned by the Building Department.)
800 Seminole Road /// _ d 9 /
u ° , Atlantic Beach, Florida 32233 -5445 s
Phone (904) 247 -5826 • Fax (904) 247 -5845 /, /
, . „ 9,. E -mail: building- dept @coab.us Date routed: e/ ®
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 3e 4 /r er ID - = = • 01 ent review required Yes No
Applicant: Sr t b Lr (errinkc a 0 Planning & Zoning
Tree ' •minis r- .r
Project: 4 , E - I CA 4 ' Public Works
� Public Utilities
eh
Public Safety
6C-6 y-p/J / / tit /7QA Fire Services
60 Review fee $1 +a Dept Signature 4,. .
Other Agency Review or Permit Required Review or Receipt Da
of Permit Verified By
Florida Dept. of Environmental Protection
tile
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers 11
Division of Hotels and Restaurants V 47009.1
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS ai- .<
Reviewing Department First Review: ❑Approved. ❑Denied. t4.`
(Circle one.) Comments:
BUILDING
1
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
"Or t CITY OF ATLANTIC BEACH
A 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
44.4 01119
Application Number . . . . . 11-00002091 Date 5/19/11
Property Address 304 1ST ST
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 8250
Application desc
add kitchenette etc see app
Owner Contractor
O'BANNON, PAULA R. SOLID BUILT CONSTRUCTION AND
3319 APPLESHAW CT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 241-4505 (904) 998-7124
Permit ELECTRICAL PERMIT
Additional desc . RELOCATE WATER HEATER CIRCUIT
Sub Contractor . LIMBAUGH ELECTRICAL CONTRAC
Permit Fee . . . 59.20 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/15/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*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 59.20 59.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 63.20 63.20 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
2 (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 30�} S4 fi ��-}-
` 10 I
PERMIT # 1 I
JEA INFORMATION REQUIRED ON ALL PERMITS i ,,, AMP (2 - " VOLTS , (
PHASE
VALUE OF WORK $ /5(* I.
NEW SERVICE ❑ Overhead n Underground ED Underground up Pole
❑ Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
:Multi-Family (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
:Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑
*
100 amps ❑ 150amps 0200amps ❑ amps OCT Service am
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: l 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 2
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign 0 Smoke Detectors Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS - - --
:Replace Burnt/Damaged Meter Can ' ❑Safety Inspection ❑Panel Change ❑OH to UG
I �d [ �
jOther: . C..(lLt — /'rtd d CAA, /Livid c W C' .
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 _ Phone Number
Electrical Company L%I ■ 2O:,i&9 h Elect ri C4 l }rpm; rnKce Phone 2-U et a5 ( Fax
Co. Address: 42 L,.JeS# gi-h 9creek City Ai([In•1 ic iC.FState Fl. Zip - 322g3
License Holder (Print): . ( L . ; , A ` r State Certification/Registration #
Notarized Sign, r ` s. vim ' o F e : . � EC 13002296
4 ar u+ rc tate o
B-- �rbara K iti::nAeNy
p• My Commrssiob @$$tand s bscr bed before i. - th ; ay of /d . J _ 20 11
4 oF r. Expires 0 311 1/201 3
.k .. otary Public ..��t
»
1
4' CITY OF ATLANTIC BEACH
zSy 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
<, , INSPECTION PHONE LINE 247 -5814
\
Application Number 11- 00002091 Date 5/23/11
Property Address 304 1ST ST
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . 8250
Application desc
add kitchenette etc see app
Owner Contractor
O'BANNON, PAULA R. SOLID BUILT CONSTRUCTION AND
3319 APPLESHAW CT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 241 -4505 (904) 998 -7124
Permit PLUMBING PERMIT
Additional desc . REPLACE 3 FIXTURES
Sub Contractor . B & G PLUMBING .00
Permit Fee . . . 76.00 Plan Check Fee . .
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/19/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*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) 247 -5845
- co-L. - PERMIT #1 1 1 -- a p 1
'
JOB ADDRESS: . ) j d � 1 s �
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTR'
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 1 Water Heater
Other Fixtures i 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 Phone Number
Plumbing Company '17'C- L) Office Phone =t3- S8 S Fax D9 3 - �
Co. Address: Q3 Lov ° VIA1 - _ S q � WA. City -I. w3,_so...,u',, <<c State CL Zip 3 2-7 --<<-
License Holder (Print): G-c...'c: C. i'Z a e' //A / A S Pfk - Certification/Registration #
CE G Ga3s�
Notarized Signature of License Holder ARE 1 _¢,, ,_ t
r Notary
Sworn and subscribed before ii: this oZ3 = , day of
o 20 /1
lav °ue Public State of Florida
Lon S Nordgren f I
ILItAA y ac My Commission 00766611 Signature of Notary Public /A ` .� t
or �o Expires 03/10/2012
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