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Permit Deck/Bath remodel 1915 Sea Oats 2011 CITY OF ATLANTIC BEACH IsZ 800 SEMINOLE ROAD =� l rJ r� ATLANTIC BEACH,FL 32233 f, INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002808 Date 11/07/11 Property Address . . . . . . 1915 SEA OATS DR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 -------------------------------------- Application desc DECK REPAIR AND BATH REMODEL ------------------------------------------ Owner Contractor ----------------------- ------------------------ - CUNHA NORTH FLORIDA COASTLINE 1915 SEA OATS DRIVE CONSTRUCTION ATLANTIC BEACH FL 32233 546 BLACKFIN CT JACKSONVILLE FL 32225 (904) 716-7382 ------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee 110 . 00 Plan Check Fee 55 . 00 Issue Date . . . Valuation 12000 Expiration Date . . 5/05/12 ----------------------------------------------------- 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 110 . 00 110 . 00 . 00 . 00 Plan Check Total 55 . 00 55 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 169 . 00 169 . 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 0 Office (904) 247-5826 Fax(904) 247-5845 0 Job Address: / � � � J �- Permit Nu ber: y 11 Legal Description �� ®�°/� ALU M (Parcel# t Valuation of Work$ ,_Proposed Work heated/cooled:111 ;C1 1715,or Area of S .lt. non-heate ed Class of Work(circle one): New Addition Alteration 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): es No N /A Florida Product Approval # For multiple products use product ap proval form �, I '» C4 Describe in detail the type of work to b performed: 1 � Property Owner Information: I Name: �� �� •sal LLFS- ,��/� Address: �c'1�s e��1� TS ,2 p Phone Q aa6 r City T�l���l� State�LZi y _ )4 D E-Mail or Fax# (Optional) t.f lV x �� Contractor Information: �t�,,)� Company Name: C TL�NC 5 Gf�l`�Ga!i ��ient: �U/ �'�� Address: 5 G City State Zip Office Phone Job Site/Contact Nu ber Fax# State Certification/Registration# Architect Name&Phone# UDE COOMPLLANC Engineer's Name &Phone# F ATLE�NTI Fee Simple Title Holder Name and Address EEPFRMITS FORADDITIOIXAL Bonding Company Name and Address Mortgage Lender Name and Address NIS AND CONDITIONS. Application is hereby made to obtain a permit to do the work and installatio ��� or s commentrnet e issuance of a permit and that all work will be performed to meet the standard U:: s ermil and void if work is not commenced within six(6)months, or if construction or work is suspen a ora an one work is commenced. I understand that separate permits must be securedfor Electrical Work,Plumbing,Signs, ells, Pools, urnaces, Boil , 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 BEOR ENTE RECORDING YOUR NOTICE OF COMME1 here b certify that 1 have read and examined thisa, plication and know the same to be true and correct. All provisions of laws and ordinances governing this type .Vwork will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provtstons of any other federal,state, or local law regulating construction or the performance of construction. Signature of Ownet.. Signature of Contractor �� �1'2`',�� ..a L�c:S..'�.....i f/���.. Print Name ...��. ..+.�................. Print Name _ ,�� Sworn, o and subscrib d efore me Swor and subsc ' ed b this ►k Day of 20 t Day of r2o�aY �,� 0 Public St of Florida 1�r o MICHAEL J.ETUE,JR. Notary Public,Stahl Of rida ., o ommission D 140 Notary Pu Commission#DD973420 ''•;;Eo �d;.��' My comm.expires Mar.22,2014 !ali al I ary Assn. � r ra la�� /1E�✓ �'7ro � J �e�lc�Y AFU > Z. , w�/k .--�--+-- �ax APPLICATION NUMBER fi, �,yrl City of Atlantic Beach [Da o be assigned y the Building Department.) Building Department �/ c��A 800 Seminole Road , :�•, 4-`' Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 Fax(904)247-5845 te routed: 1 Z I 'r E-mail: building-dept@coab.us�> City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM ent review required Ye No Property Address: c/ Building �/�� Hing &Zoning Applicant: �U L o a� _ Tree Administrator •���� Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date 'J Other Agency Review or Permit Required of Permit Verified B 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: Approved. ❑ Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑De • d. 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 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. 'rax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that improvements will be made to certain real properly,and in accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: Address of property being improved: ' 014 General description of improvements: f otr,4. Owner j i. L Uj\ Address r� o� C Owner's interest in site of the improve**nt Fee Simple Titleholder(if other than owner) Name' Address 7 Cftractor ct r Address G6 �', ` Jt" Phone No. 2/ ) Fax No. D l Surety(if any) Address Amount of bond$ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements_ Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Signed: �✓/� DATE: Before me is da) of in the / Cou of Du Stat of I!21,pas parsappeared Doc#2011241746,OR BK 15762 Page 1036, himself/herself and affirms that all stat em s Eer are true and accurate �1 FREE Number Pages:1 P� public,State of Florida Recorded 11/07/2011 at 08:47 AM, Notary I;p4 JIM FULLER CLERK CIRCUIT COURT DUVAL "t - commission#00848 13 COUNTY C`_ ) ,I My Comm. expires Jan. 4, ?� RECORDING$10.00 Nota ukli ati w".state of o r.. My commission expires: t� Personally Known or Produced Identification (6 L_ CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002808 Date 11/07/11 Property Address . . . . . . 1915 SEA OATS DR Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 ---------------------------------------------------------------------------- Application desc DECK REPAIR AND BATH REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CUNHA NORTH FLORIDA COASTLINE 1915 SEA OATS DRIVE CONSTRUCTION ATLANTIC BEACH FL 32233 546 BLACKFIN CT JACKSONVILLE FL 32225 (904) 716-7382 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . A TO Z CONTRACTING AND PLUMB Permit Fee . . . . 104 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/05/12 ---------------------------------------------------------------------------- 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 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 1S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A'T'LANTIC 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: l I� f2e K c � 0 - PERMIT# COW, NEW OR PLACEMENT INSTALLATIO_ Nom; Project Value$ 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 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 ** VRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** L�Other C`-Q S l -�(`�v r- ,Q fit✓ '�r VQA w 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 WOZ. ZO,ir4>ra�,.0 0 wvl"ai`u�_Office Phone 34© -0 40 7 Fax \7 8 b-(x80 Co. Address: �C�(<j Awl�e City 3,a.;4 State l`( Zip License Holder(Print): State C ification/Registration#dA: l4(a?18d2 Notarized Signature of License Holder rn and subscribed before me this �y of ��� 20 SEAN HARKENREADER Commission#DD 989501 nature of Notary Public ' My Commission Expires March 09, 2014