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Permit Res Alt. 5409 Capella 2011 - !..�3. v , r" .4 J ` CITY OF ATLANTIC BEACH EACH 800 SEMINOLE ROAD _____ ....„„) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002394 Date 7 Property Address 5409 CAPELLA CT 7/29/11 Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 1985 Application desc alteration on load bearing wall Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 1 FLEET LANDING BLVD 6771 SHINDLER DR ATLANTIC BEACH FL 322334599 JACKSONVILLE FL 32222 (904) 838 -9179 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 60.00 Plan Check Fee 30.00 Issue Date 7/28/11 Valuation 1985 Expiration Date . . 1/24/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONAL ELECTRIC 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 60.00 60.00 .00 .00 Plan Check Total 30.00 30.00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jul 28 11 08:38a BARKOSKIE ELECTRIC (904)249 -8017 p,1 ELECTRICAL PERMET APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 / - JOB ADDRESS: 6 0 CA-IVez.LA Or. PERMIT #// - ,5 `/ NEW SERVICE • DOverhead ❑ Underground ❑ Underground up Pole ❑Residential (Main) Service • ❑ 0-100 amps ❑ 101 -1 S0amps ❑ 151- 200amps ❑ amps # of Meters ❑Commercial (Main) Service 00-100 amps O 101- 150amps ❑ 151- 200araps ❑ amps OCT Service am! Conductor Type Size OMulti- Family (Main) Service • 00 -100 amps 0101- 150amps 0151- 200amps 0 amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE 0 amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 0100 amps O15Oamps 0200amps 0 amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: 0- 30amps 31- 100amps 101- 200axnps Appliunr:es: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑ Swimming Pool 0 Sign ❑Smoke Detectors Qty ❑Transformers KVA Q Motors FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORE $ REPAIRS/MISCELLANEOUS °Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG %Other: NS-rtart Z Par / 1 St..) Tz pi- /k-F1 E7Z _ ALL. 1D - Mo , /.1 u - L-C i7,k, Permit becomes void if wort does not commence within a six month period or work is suspended ar abandoned for six months. I hereby certify that I have read this application and know the same to be true and tit. All provisions of laws and o ccs governing this work will be complied with whether specified or not. The permit does not give anthority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name t C C ! ! - 2-47t/Di V Phone Number Z - 9 9 00 Electrical Company 1 JAIL COSk tc L ECT1 - ' c Office Phone Z4 4-75 Fax 7 Co. Address: • 6 3 53 S City J State Zip 3 License Holder (Print): ! ath: "" r' State Certification/Registration # Notarized Signature of License Solder IF ' 4 Ne13ry Penile State of Florida Sworn • ri • subscribed before me this !' + day of � {t ? 2C a Tiffany Au t �. � "��" ' cox A My Commission 00801145 Signature of Notary Public - , `?`�' _.7. Expires. 06/26 /2312 ■r r ji CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 401119 Application Number 11- 00002394 Date 7/29/11 Property Address 5409 CAPELLA CT Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 1985 Application desc alteration on load bearing wall Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 1 FLEET LANDING BLVD 6771 SHINDLER DR ATLANTIC BEACH FL 322334599 JACKSONVILLE FL 32222 (904) 838 -9179 Permit ELECTRICAL PERMIT Additional desc . Sub Contractor . BARKOSKIE ELECTRICAL SERVICE, Permit Fee . . . 59.60 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 1/25/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC 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 59.60 59.60 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 63.60 63.60 .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: St 9 if a. Permit Number: .4 / /-c23 / Legal Description 1 Parcel # t�" Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ M g , Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition lterataot Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial esidenti If an existing structure, is a fire sprinkler system installed? (Circle one): N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: Opeo. vylp ,,,It ,n4 .ii,), r S s 4dri.as C A Ofhr1. 1A,.4,iI >letee- roc1 a✓r ` ,r,ir� , Property Owner Information: !� ((f) Name: l" Chi? r Address: City 44\„A, ("0A PC State t-Zip 3n 5 Phone OW ) E -Mail or Fax # (Optional) Contractor Information: Company Name: jr �`�` `(�\t r V-- I I �� A Qualifying Age ct r\ Address: tA`T'11 s1, t4le, City (Thc._son. .lie, 11 Pate 1L Zip 3z7z Office Phone Job Site/ Contact Nu 7. -- Eax # 2` Yg State Certification /Registration # j I!r a i - i Architect Name & Phone # - •- Engineer's Name & Phone # I -1 ITS O• le I) O • I. - Engineer's Simple Title Holder Name and Address — o • • _,apt . Bonding Company Name and Address _ ' ' CONDITIONS. Mortgage Lender Name and Address LIIII ; Ailw.iv. :a . J _ Application is hereby made to obtain a permit to do the work and installations as in ica e.. — a d 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 juris is ion. • • • 't 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. 1 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, CONSU T..,3t II H YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN .,- • 4 S ov: r, ng this 11 ' Z1 = COMMENCEMENT. I t • correct. All • n s „ Mk v n aV a Rce s � l hereby ertify that f have read and examined this a plication and know the same type of Work will be complied with whether specified herein or not. The granting of a permi , is t does not pre „ ,. v. ;. h. Al LO. • • a cel the provisions of any other federal, state, or local law regulating construction or the performance of construction. , 1 � signature of Contracto Signature of Owner r '` ' � ' g Print Name A Print Name .3 Ak_ - r Sworn to and subscribed before me Sworn to and subscribed before the this Day of , 20 this pay of , 20 e - No ary +> 4.': Notary Public • State of Florida ( Notary ` f5• 4 « < < Notary Public - State of Florida , 0 A M Comm Exp s Api 5, 2,Q 3 • • My Comm. Expires Apr 5, 2013 '' ❑ - i � �q pp � . , .10 „ %w T� %'; ,0 7 . off: Commisslot x . � 86 j ;,��r , Commission # 00 867829 ^,rF " o ,,,,,, ` t ov c,,,•', Bonder! ' N �� Bonded through National Notary Assn. ;; ty ;l ,,. City of Atlantic Beach APPLICATION NUMBER ,�• •� Building Department (To be assigned by the Building Department.) ` ?- 800 Seminole Road �/ — • `T �} , / ,._ :tr Atlantic Beach, Florida 32233 -5445 / / J Phone (904) 247 -5826 Fax (904) 247 -5845 ' E -mail: building- dept @coab.us Date routed: VoQ City web -site: http: //www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Add ss: C ' ( U G - vl De . i ent review required Yesy No ii, p � :u ildin • V Applicant: - anning & Zoning � � Tree Administrator Project: 4.� Q Public Works Public Utilities / , \ ar /�' ( ) Public Safety �\ Fire Services F� fee, = f r ?t .: , ? ' '' 3 ! P .. g t o e„ ,�� 4 � } u," «Lq + 9 r f 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: APPLICATION STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUILD�� PLANNING & ZONING Reviewed by: 1 Date: ? " `I TREE ADMIN. Second Review: Approved as revised. ❑Denie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 07/27/10