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Permit Bath Remodel 707 Selva Lakes 2011 �S r'i1- 1- VtrfJ, V :14!...:::)-11 ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ° - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 1 -01319 Application Number 11- 00002131 Date 5/25/11 Property Address 707 SELVA LAKES CIR Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 7 fixtures Owner Contractor NORTH FLORIDA CLASSIC HOMES TDG PLUMBING 8081 PHILLIPS HWY 4426 LOYS DRIVE SUITE 14 JACKSONVILLE FL 32246 JACKSONVILLE FL 32256 (904) 545 -7341 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 104.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/21/11 Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 104.00 104.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 108.00 108.00 .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 JOB ADDRESS: — 7 0'7 5 e I & p 1 A Ke J ci ✓' c k PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower 1 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 _ 3 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 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 Phone Number Plumbing Company (-3 to `_ n L.."■i vA q ' r,c Office Phone S' Y 1 1 Fax S c q – 14K5 - 6 Co. Address: L, ); (, 1._.0"•1 S Q. 1 City ,) tl _ State FL Zip L1G License Holder (Print): (Z : t • • ; r e State Certification/Registration # C F C- 1 '(Z•-7biz Notarized Signature = • - • • ►. _ __ _ ------/- ,4r r :, sHIVY *' ' !itYCO s> I r ,1, u, .c be sr: m- _ da of/ / Q _ 20)( V r sz .y : : � `- a= EXPIRES February 14, 2014 4,'...:07- BondedThru, • .• . 4 - ),tary Public r / • / , , I 111 r IA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD :O "� ATLANTIC BEACH, FL 32233 19 , INSPECTION PHONE LINE 247 -5814 .te ( -)1319 Application Number 11- 00002136 Date 5/25/11 Property Address 707 SELVA LAKES CIR Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 400 Application desc hardi backer for tile Owner Contractor NORTH FLORIDA CLASSIC HOMES RADON PROFESSIONAL SERVICES 8081 PHILLIPS HWY 336 14TH AVENUE NORTH SUITE 14 JAX BEACH FL 32250 JACKSONVILLE FL 32256 (904) 246 -8970 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 55.00 Plan Check Fee . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/21/11 Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 55.00 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 59.00 59.00 .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: 70 7 Se/. t.i# L irk c s CA' iQc Le Permit Number: Legal Description Parcel # �=. Floor Area of Sq.Ft. S rot Valuation of Work $ if 00 Proposed Work heated /cooled n heated /cooled Class of Work (circle one): New Addition iteration Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial esi � d nti If an existing structure, is a fire sprinkler system installed? (Circle one): Too N /A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: /N1 S 7 A ( L HA a( 4 ,� c k t e 6 6 4 2 ( F o A- t'■) e i.J C c , r4tm (( 7 L e Sao (.J (4.44 Property Owner Information: Name: L € o tit L e (.s ► i.I Address: D City A 7 riec ? &A( L State((Zi 32 233 Ph one Se c ( s CM R . E -Mail or Fax # (Optional) ' p ` ?33 X l Contractor Information: Company Name: R,4,16$ t..1 rift of S P,c (we es Qualifying Agent: (A.1 T 0,1 Ue Add, T Address: 3 36 / it Z Ali. pl , City Xvi- (? e,q c 4 State L Zip 3 22 TO Office Phone 2 y G • g1 70 Job Site/ Contact Number S9 / - / Z! 0 Fax # 2 et L • 3 g q,e State Certification/Registration # C GC ) 7 7 /3 Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address .._., Mortgage Lender Name and Address ..- 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 a_period of six_ (6) months at any time after work is commenced. I understand that separate permits must be secured or 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 a plication 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 speci zed 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 cl-t--vt- - ' Signature of Contractor ,AraLA/ALA Print Name L E O til LE i f j n,/ Print Name W 7-0/1- i e- .4 1,4 0 �7 Sworn to nd subscribed before me Sworn to and subscribed before me this Day o 1 _ m aul._ this Day o , 20 / f A STEPHEN HAFT : ",�" • . Comm# 0007811Q8 " )l__ ,. No ry Publi / = n Nota Public STEPI EN HAFT i . Expires 8/8/2012 01 ",,, Comm# DD0781195 de ' " I�Iot1de Notary Mn., Inc F. ' % =Revi i}till5,fa ctil II iiiii Iii illifi - liftfu Mill iiiiiYiiiiiiiiiiii. ,�fi " s '` a Florida Notary Assn., Inc