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Permit Remodel 2263 Barefoot 2011 Fey j Y ;:..... 4 3J t �' V 11,440 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD L'IVe ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number . . . . . 11- 00002127 Date 5/25/11 Property Address 2263 BAREFOOT TRAC Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 8000 Application desc REMODEL HALL BATH Owner Contractor MARTIN, JR., RAYMOND D RJ VINAS CONSTRUCTION 2263 BAREFOOT TRACE 2215 LAUGHING GULL CIR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 514 -4442 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 90.00 Plan Check Fee . . 45.00 Issue Date . . . Valuation . . . . 8000 Expiration Date . 11/21/11 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 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total 45.00 45.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 139.00 139.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i1,a4 -4 City of Atlantic Beach APPLICATION NUMBER 411,:r.,,, � " ', Building Department (To b e assigned by the Building Department.) vt 800 Seminole Road /� zlZ 7 Atlantic Beach, Florida 32233 -5445 / Phone (904) 247 -5826 - Fax (904) 247 -5845 , E -mail: building-dept@coab.us Date routed: 67 City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ZZ� 3 bit ia G D- • , ent review required Yes No s uilding Applicant: R - J. 1/ //')Q S - - ning & Zoning j Tree Administrator Project: ,Z ',VO e / / A/7 / 'tea -S Public Works Public Utilities Public Safety Fire Services Review fee $ , _ . - r `, Dept Signature 1r,, Other Agency Review or Permit Required Revw o Receipt of Permit ie Veri fied 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 yJ �� PLANNING & ZONING Reviewed by: 1 i Date: c? r // 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. EDenied. Comments: Reviewed by: Date: Revised 07/27/10 T ION tt..L. � � MIT APpLICA 1� G - PER CIi _Y $UIL ITY O F ATLANT BBEh L 322 5845 ' '`` x ;, Se Road, Atlantic 247. ,,, 8 00 Seminole R 5826 Fax (904) 2/12:? 9 04)247 - Office ( permit Num W � �````'� Parcel # t � /• i � 1 • 9 6 ^ L t m G• I 1/�.n.� nOn heated /co e Job Address' b cep, W I U O h cri tion —'� nor u sed w ork tiea /cooled (d Legal, Des P D4 Prop 341 Move Demolition po ollspa � O Valuation of (c rk �' o A Addition tera New Addlt - M .tNo N lA W A N C — es Work (circle one): Class of cture(s) circle one): stalled`! (Circle one): posed stainer system U Use of e xisting/prop osed. cture+ a fire sprn� e Co • , If an existing structure, royal # �" rova arm � (� (1 `` I e w Florida Prod u dncts use pCO uct app O O Re 04^4) f � I F multiple P erforn e of work to b e p � Describe in detail the type till o, er Informatio A ddress: Pro e O' J a c h 1' IC�� ^ i � Phone - Name: a vv,e" v s State �Z p City .t. # O tional) i /i rl s E -Mail or Fax (p 1, a••� V --- lir n: Arent: State �� --Zip • Contrac Informatio L Q ty i a A t• Fax # oc f (�,rst �� Veit S�M Company Name: K ( • r � _ 9 � • a �� Job Site/ Contact Num o 1:) Address: �� • C, C. 1 S / Office Phone off'+ R tration # IA State Certification/Registration ertificate •..1 r, r. Name & Phone # N V , r Architect Nam Name & Phone # d Address 4.0"..) Engineer's Nam ean Fee Simple Title Holder Name and Address • Bonding Company 1� u nsd� Lender Name and Address regulating construction in this j all laws rgal band no el f or a er iod o work and in stallations as indicated. 1 certify no work or ntcor Mortgage n s, Wells, made to obtain a permit er armed to meet the standards of e pp Application is hereby within six (6) months, or if construction or ark islsca d or abafld Plumbing, issuance of a permit and that all work will be performed permits must be secured for A N I understand that separate p O RECORD O and void if work is not commenced work is commenced. , i FAILURE T T Tanks and Air Conditioners, etc WARNING TO OWNER: Y OUR FICO A RESULT IN YOUR N TWICE COMMENCEM PROP MAY R YOU INTEND GORE ACOROING TO YOUR R LEER OR AN ATTOCOMMMENCEMENT. YO ermit does nor pre examined this a plication and l o o We granting of an e of construction rret All pr that 1 have read and wheth pp herein construction or the perfor I ov o ifa , complied with at , o local regulating o provisions of of any other federal, state, or a , Signature of C �' • Wm - ► Signature of Owner �� Print Name JD .... Swo '2 Print Name y . `� � � . .. 20 `' this imp Swo and subscribed before me % , r '� Day of .� t this .11_ -4.1 is.4 ► 1 'mo (A. „ ., I r Pe h o4ary °ta . Stag o t- @�rida I� t Notary Public ,7 f r a Tiffany Auglst ;a M Comm« n OD µ`' rnpfr;0 260011 MA14 -24 -2011 08:52 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1.1 Doc 5' 20111114.356, OR BK 156013 Page 258, NOTICE OF COMMENCEMENT dumber gages: 1 • Recorded 05/24!'2011 et 05:02 AM, JIM FULLER CLERK CIRCUIT COURT OLJVAL COUNTY Pennit No. //— 0 - 7 RECORDING$10.00 Tax Folio No, i 6 9' car &-__.3. ' —06 2 — T.UE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 711,13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.,Description of property (legal description ): Lo 4. 6_5 LLG.n 1 � ti 0 -. A n) Street (fob) Address: 2.i. [. 5 13, v"(- J t`s.. - - , (4. , P .(,� FL- .�_ 3 tt-3 ) 2,General description of improvements: ( 2. ,�, . �l r i 1.,!,!' ,..F(...„, u At I 1.e.4.11.% 3.Owncr. Information a) Name and address: o. 0,0. . v..J 'I e>e. w 1 n b) Name and address of fee si le titleholder (if other than, owner ro ) " c) Interest in property 1 r 3�! ..�1 Le„ 4, Contractor Information ��}} 1. a) Name and address; R. �. s � d n S t ' ° tc o n �-1-c_ � fj ''+ (1 � n � � r �. rG /� '' b) Telephone No.; �f't?`f _519 f 7.—.— Fax No. (Opt:) _ _ ,_. Of A .,1-, - in �� Acs i S.Surety Information a) Name and address: # (/" b) Amount of -Bond: "- o) Telephone O. ^ Fax No. (Opt) 6 „Lender a) Name and address: /V1, 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' 5.1 b Telephone No,: Fax No. (Opt ) 8,1n addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 7T 3.13(1)(b), Florida Statutes: a) Name and address; b) Telephone No.: - .__ Fax No, (Opt.) -" 9,Fxpiratian 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 I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOT,JR PAYING TWICE FOR TMPROVEMENI'S TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. i,F YOU INi,'END TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMNIENCiNG WORK OR RECORDING YOUR NOTICE 0 k 4 ' NCEMENT. ST,ATrt (IF rx.OamA COUNTY OF p iMRT, , 10. , I ' .va. ( Si vre _. n O►me / owl :, 's u ar Officer . s'eCtcAJ!'arbicr/ItjanngcT 1 . / . . a 44 At. 3,/ um / Print Ns t — The ,foregoing instrument was acknowledged before me this ,..� 0 day of � 20 i L by as (type of authority, e.g. officer, cer, true tee, attorney in fact) for - (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature ,�_—_. � , • 0 Type of Identification Produced FL .) U cam: Name (print) C,Z t4 ' ., � OR �- Verification pursuant to Section 92,525, Florida Statutes. Under penalties of perjury, I declare that l have read the foregoing and that the facts stated in it ,,,, eA ,t, , .. • , 4104 - ' belief °r4.. notary public State of Florida voRmr.m .rvsd: Tiffany August ; , ' My Commission 0 003'. • li , . i ; 7 xai•ess 06/26/2012 Signature of Natural Person Signing' (in line # 10) Above - ,. . . . . . .r . ,.., •, ,°'..e—tw fT) Q .44444444A4 spy n'r.•.. • ....L„ ...t. r BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 + 1 copy O ffice (904) 247 -5826 Fax (904)247 -5845 „ t Job Address: ;2;- 6 3 '?,,,f. 4 � („„.. r / Permit Number: — 2 4 - Z7 Legal Description .,, b 0 Lea A INC 1 V a A.4' 2,_ Parcel # W _ Valuation of Work $ 610.0. Proposed Work h n - heated /co r I ( I � � Class of Work (circle one): New Addition ._ . teratio IM Move Demolition pool/spa wi dt/ c z ,,,, ..,.. Use of existing /proposed structure(s) (circle one): Commercial esi If an existing structure, is a fire sprinkler system installed? (Circle one): es No N /A U C.. A. A Florida Product Approval # N G el e W E.., A For multiple products use product approval form A d e Describe in detail the type of work to be performed: Re oM� c &.e I Flu_ (1 p,1 , r-o o tYP P 0E • 4 li Property Owner Information: A O a 1 � / W � QO Name: 6� ytrv.arl� C .v./ C1 ec-h Ai Address: 2-L6 vie.. n i `W c EE City �-{-(c...I- 6e..,-Lk State R.-Zip 3u-33 Phone E -Mail or Fax # (Optional) 1 WW5 Contractor Information: 2. r / Company Name: P � o� s €Lf /I ek�ru,;104 j LLC Qualifying Agent: L4-f �i V1. - s' Address: 2.1 i i Leto 4( in�, 6.1 I C, r (,e City a .4 j -a.�a.,G. State is Zip 3 2L3 3 Office Phone 90 s-y y Ely yt Job Site/ Contact Number S ek.,, Fax # State Certification/Registration # C. 6 c 1 S/ 6 b-o b Architect Name & Phone # A//4- Engineer's Name & Phone # Iv /4- Fee Simple Title Holder Name and Address f it.•u.#.1 V. 01 o4 t :T-. an) 3•' ' Q . 61 r,'- 4 i.. Bonding Company Name and Address r Mortgage Lender Name and Address /v(if 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 ofa 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 aferiod of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo 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. I hereby certify that 1 have read and examined this . application 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 spec: ed 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 a ,r Signature of Con tor a / / ' Print Name P 1 , c - Print Name 1 Swor p and subscribed before me Swo d subscribed , - •r- me this 1 Day of 4' , 20 1( this .1a of _ Wf�r - 20 ' T ! ,. s- . ,. , 1• , ,. '� ! , , - 7 • W ',' . 'el .` t.734. Notary Public ! Y p , of • ,0` !e !Votary Public State of Florida ,► , <:,' EXPIRES: May 21, 2015 t „ Tlttany August , g„ nded Notary Public BBoThru t1 L ; i 01.26.10 , ' y Corrn,/ss,on t7c �, � $ , t xpirB 06/26/2012 J ,k - 11- ' V-I:r Jr rY f ` y CITY OF ATLANTIC BEACH . ''' 1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number . . . . . 11- 00002127 Date 6/01/11 Property Address 2263 BAREFOOT TRAC Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 Application desc REMODEL HALL BATH Owner Contractor MARTIN, JR., RAYMOND D RJ VINAS CONSTRUCTION 2263 BAREFOOT TRACE 2215 LAUGHING GULL CIR ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 514 -4442 Permit PLUMBING PERMIT Additional desc . Sub Contractor . ATLAS PLUMBING CONTRACTORS,INC Permit Fee . . . 83.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/28/11 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 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 Jos ADDRESS: 2 ZCe 3 i1 bdk 4irace PERMIT # 1 / - 21 2 NEW OR REPLACEMENT INSTALLATION: Project Value $ (40 TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub 1 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 Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY t \\ Bathtub Septic Tank & Pit Clothes Washer Shower N Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink \ Floor Sink Toilet 1 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 J V° n a S Phone Number 2 3 to ' 45 I Plumbing Company A-1-1a5 PAM/ i0 I cjva(<o6 Office Pho e Fax Co. Address: City v Cit C A'? 6 State 414 Zip License Holder (Print): State Certification/Registration # C t O 24'4 Notarized Signature of License Holder , li.:..r ' _ _ _ Sworn and s ' II /. heft e m: 'Wa o a/ 20 i i Signature of otary Publi �