Permit Bath Remodel 440 Ocean 2011 40. '1"" .46., „:. .
'44:
si CITY OF ATLANTIC BEACH
ax ) 800 SEMINOLE ROAD
I.' 141 I , ;, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002990 Date 12/13/11
Property Address 440 OCEAN BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 8000
Application desc
REMODEL BATH
Owner Contractor
HILL CURTIS V JR & JENNIFER J ROSE CONTRACTORS
440 OCEAN BLVD. 527 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 246 -6043
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . 45.00
Issue Date . . . Valuation . . . . 8000
Expiration Date . 6/10/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
* The Atlantic Beach Building Department has a drywall and
tile backer board inspection for bathroom remodel projects
*
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH @ T R
FL 32233
Atlantic Beach,
800 Seminole Road,
Office (904) 247 -5826 Fax (904) 247 -5845 D EC 12 20 1 i
Q\ 15\ d I k \0n 1 Permit Numbe
Byv 5 l /' -� 9i
Job Address: Parcel #
Legal Description t. t
oor ' no n- heated /cooled
Valuation of Work $ $ 0® 0 ofl Proposed Work h /coo
Class of Work (circle one): New Additio Alteration Repair Move Demolition pool /spa window /door
Use of existing /pro osed structure(s) (circle one): Commercial Residents
If an existing structure, is a fire sprinkler system i nstalled? (Circle one : es No N /A
Florida Product Approval #
For multiple products use pro uct approva orm rnov � X , , �� t i1
Describe
in detail the type of work to be performed: U $ F � N
'� - t .
r0 er f \N6ta \\ k(Jb , ack. • 000t, _ ' . o v pl\rlk
Property Owner Information: ,
Name: 3e 41i1‘ w c' 1 \ Address:4.6( ce, U
`
Cit • \A IMP o c. State '
S s Phone 3 i . - py � ■
E -Mail or Fax # (Optional)
Contractor Information: CU C �' �� o
Qualifying Agent:, �...
Company Name C CO COCA cKS ,1.1,C- City I ,5 1 t u m c1 c In State F 1, Zip `3 a 3(9 (.P
Office fi e Phone t vas te� } Job Site / Contact Number liiii `hi l t l
Office Phone 5 ' • I I 1 1 1 1 ! , .:. • "
State Certification/Registration # to, , _
,,,tea, ,:,,,,. '...,a.�. I _ u V e n u . •• i •
Architect Name & Phone # � _ _ _
Engineer's Name & Phone # tf - ,� ,•
Fee Simple Title Holder Name and 11 dd I. r r • i • .
Bonding Company Name and Address I I a Pill di Nit
Mortgage Lender Name and Address ^ .. 11! / _��
tion is permit and made to that all work will be performed meet the of all laws regulating onsstruction in this installation as commen •
This permit becomes null
and d void of a permit a p
k isc ommenced I understand that separate permits mor t be secured for work Work, Plumbing, Sig a Wells, Po fu Boilers, Heaters,
Tanks and Air Conditioners, etc.
F
WARNING TO OWNER: YOUR FAILURE TO RECORDFAORN IMPROVEMENTS
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
TO YOUR PROPERTY. IF YOU INTEND TO ORE RECORDING YO NOTICE OF II
YOUR LENDER OR AN ATTORNEY COMMENCEMENT.
his
1 crif that 1 have cad and examined t al herein or not. .The The granting of t o per d does give authority to vi cancel t the
type pe o o f work be a f ith whether law specified
provisions s o o k will of any any other ' er fey e al al, .tale, r local l regulating construction or the performance of construction. ?Le---.)
Signature of Owner
Signature of Contractor ` Cam. U (,1 -
i+/ ` 0
Print Name ' 4t r ti t' Print Name Co, ('q..�... fk . m5
Sworn to and subscribed before me Sworn to and subs ribed befor me a 20 i
this I Day of CG.rv. h..r , 20 1 1 this I - Day of ��2L� -w� - r
Notary Publ t etv.;44N Notary Public - State of Florida No h ' , , c C p � June 15 2
. •g My Comm. Expires Dec 8, 2014 , \'
, B, „wa m June 1 800 s ` O; ised 01.26.10
n ' �" a`r Commission # EE 47966
\h/iWie. Bonded Through National Notary Assn.
DO NOT WRITE BELOW - OFFICE USE ONLY
Applicable Codes: 2007 Florida Building Code w/ 2009 Revisions
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
Development Size
Habitable Space Non - Habitable
Impervious area
Miscellaneous Information
Occupancy Group
Type of Construction
Number of Stories
Zoning District
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Conditions /Comments:
r 1 - 4 11- -1" 800 Seminole Road
Atlantic Beach, Florida 32233
J ' `` Telephone (904) 247 -5800
! :' FAX (904) 247 -5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6 -18
has been approved as a part of this building permit. The Construction site management
plan was approved based upon the following information.
1. Parking plan - parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2. Location of construction trailers, loading/unloading area and material storage
area.
3. Location of chemical toilet area - chemical toilets must be kept out of City
right -of -way and not further than 15 feet from structure under construction.
4. Location of dumpster - dumpster must be from approved waste company (in
accordance with Chapter 16 City Code). As of 2009, approved dumpster
companies for Atl. Beach are Advanced Disposal, Realco Recycling, and
Shappells. Dumpsters are to have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy or
Completion.
5. Traffic control plan, showing access with dimensions, area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
6. Site cleanliness. Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap lumber, concrete remnants
and other such construction debris including cans, metal, plastic and paper.
7. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion & Sediment Control Plan (silt fence, catch basin filters, etc.)
until sod or other stabilization has been placed and approved by Public Works.
8. Other activities, where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6 -17 (3)
Revised 6/2009
Yi yA,yr./J, City of Atlantic Beach APPLICATION NUMBER
„ .� , Building Department (To be assigned by the Building Department.)
,. r 800 Seminole Road
/ _ X 9 9
Fes Atlantic Beach, Florida 32233 -5445
i Phone (904) 247 -5826 • Fax (904) 247 -5845 Date routed: / 2 /2 /1
\ E -mail: building- dept @coab.us
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Address: ,0/0/7 �i' d `?1 � ent review required Y es No
Property Add D I/
f Building � arming & Zoning
Applicant: D�� 0 ��`-' Tree Administrator
Public Works
Project: air � '° Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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. ODenied.
(Circle one.) Comments: /� 0C
BUILDING V
PLANNING & ZONING Reviewed by: er Date: D-`1 3
TREE ADMIN. Second Review: DApproved as revised. ODenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
Reviewed by: Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: Approved as revised. DDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
DEC -19 -2011 12:08 FROM: CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
Permit No. /1 299e 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, F lorida Statutes, the following information is provided in this Notice of Commencement.
1, Description of property (legal description of property and address if available):
4//_O D GEk.7 i y.
2. General Description of improvements:
3. Owner Information: A a) Name and Address: / 1 Z Z. i, F'
b) Interest in property: 1 ., ;O • . s , .
c) Name and address of simple titleholder (if other than owner):
1c.,,t), Contractor lnforrria.tion: /f /
a) Name and Address: (I5 E. c a n l � L. .V....../ �! Q/� -5 . —
b) Phone Number.: D y 7 5 &L_
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. I...cnder Information:
a) Name and Address: qA
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 71113 (1)(a) 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 ofNotice 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 EXP1..RATION 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.
The foregoing instrument was acknowledged before me this 1o day of , 20 1/
11 nirv erg_ 11 I
' ESSIE MERRITT
2e-ettol, 'fi
r * Y p * N Notary Public - State Or Florida NOT RY PUBLIC, STATE OF FLORIDA
I. ; • My Comm. Expires Feb 9, 2013 n. : -F T.r........s. P .` v 11.0 :.LL-
e CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
0 - =`` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
""
Application Number 11- 00002990 Date 12/20/11
Property Address 440 OCEAN BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 8000
Application desc
REMODEL BATH
Owner Contractor
HILL CURTIS V JR & JENNIFER J ROSE CONTRACTORS
440 OCEAN BLVD. 527 FLORIDA BLVD
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 246 -6043
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . NELSON PLUMBING CO. INC.
Permit Fee . . . 83.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 6/17/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
* The Atlantic Beach Building Department has a drywall and
tile backer board inspection for bathroom remodel projects
*
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) l
(904) 247 -5845
JOB ADDRESS: L4 0 DCe a 1 E(OCA- PERMIT # - 02"[
1)
NEW OR REPLACEMENT INSTALLATION: 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 I
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 Sltbwer 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 0,4.A.1 1 h s 7 y t - ...r \ Phone Number
Plumbing Company N P.L br\ 1iU,rn -\ Co t Office Phone od $' Fax - S - 7 3 (.0
Co. Address: , DC./t) 0Vi C. I.C.- 7 C'ty • State_ Zip
--
i use Bolder (Print): SC : /MS t / I�rtification/Registration # CF
. �•? , . L Si ttatuitliVIMEense lder
f /'
- v = ary Punic - State a Florida
A' IF� . "ty aqiires t , 191 s Sworn and subs / . ore me this J 6+ day of C(h - 20 1/
��
. fir- lia 481
Signature of Notary Public. C33)-8C,/)-------