Permit Bldg Move walls, repair floors 1330 Ocean 2012 cf -417,V, s CITY OF ATLANTIC BEACH
" r) 800 SEMINOLE ROAD
J '" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000220 Date 2/23/12
Property Address 1330 OCEAN BLVD
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 1800
Application desc
MOVE CLOSET WALL AND ADD BOOKCASE AND REPAIR FLOOR
Owner Contractor
PALEY, SEAN EASTERN SHORES CONSTRUCTION
1330 OCEAN BLVD 1015 ATLANTIC BOULEVARD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 545 -7878
- -- Structure Information 000 000 MOVE CLOSET WALL,REPAIR FLOORS, BOOKCASE
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc . MOVE WALL, REPAIR FLOOR, BKCSE
Permit Fee . . . 60.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 1800
Expiration Date . 8/21/12
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 .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 64.00 64.00 .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
j Address: 13 3 a 0 Gri I Q\ • Permit Number: It
t,egal Description Parcel #
�
` Floor Area of Sq.Ft. Sq.r't
Valuation of Work $ 1 U" Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Gesidenti
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No /A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the type of work to be performed: 0/ J (I L ( ,„U s J— t t) A- 1 — gyp,,, J-
Property Owner � Information
Name:_ y
�t�cx.� k �i.14�� �� Address: /330 OC. t- (,j 4[i ud.
City StatefLZip J.2,133Phone y • _3 /s'Ce
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: e G . 1 \--1,t A Sh ° 4 e4 £°^ t ' ,-�. Qualifying Agent: )(N la tr-►- (SLi A lfw
Address: 3 Prit-I tom►- - c. 8 1 U d. i) c 2.,‘10 City k -te,e1 ' (3L 4 - State V-1., Zip , 7 2 7j 3
Office Phone civet - S S -'1 t't ' Job Site/ Contact Number Fax #
State Certification/Registration # G$C, 0 S S113
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address k *5.'
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six 6) months at any time after
work is commenced. I understand that separate permits must be secured for Electrical !Fork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to authority to violate or cancel the
provisions of any other fe+rl al, state, or local law regulating construction or the performance of construction.
Signature of Owne �.11
� -- - 44 _de,/ - - % Signature of Contractor /
Print Name ,� �' L j � /i Print Name ( 1 4 Af 4-$ 9. —v
Sworn to and subsjbed before me Swop; tea subsc • d •efore me
this IQ Day of c Gitcc.r , 20 12, this D ay of 20
tr •
Notary Public z c c�. b '. 'IIIAMS . , bl ' IA WHITE - Notary Pub +■ , State of Florida .�.., -� COM MISS ION #EE057349
S t4 y Ai My Comm Ext es A pr 2E 20 14 ` i3un d T h rEXPIRES' t Ma 20 5 evised 01.26.10 •
-, 1 FI c .,• ai Public Und I
+ +,,,wFt,..• Commissu 0!)97s,90 — ___.... J
:. ...-..: .:_.:: :;:-:::-_:__. _:;:- __;;.DONOTV�R��'E�BELOW-
able Codes: 2007 Florida Building Code w/ 2009 Revisions
/iew 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 t ,, �J,I;f.
'' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
� >
Application Number 12- 00000220 Date 2
Property Address 1330 OCEAN BLVD 2/24/12
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 1800
Application desc
MOVE CLOSET WALL AND ADD BOOKCASE AND REPAIR FLOOR
Owner Contractor
PALEY, SEAN EASTERN SHORES CONSTRUCTION
1330 OCEAN BLVD 1015 ATLANTIC BOULEVARD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
545-7878
- -- Structure Information 000 000 MOVE CLOSET FLOORS, BOOKCASE
Occupancy Type RESIDENTIAL
Permit . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 57.40 Plan Check Fee
Issue Date 00
Expiration Date . . 8/22/12 Valuation 0
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 57.40 57.40 .00
Plan Check Total .00 .00
. .00 .00
Other Fee Total
4.00 4.00 .00 .00
Grand Total 61.40 61.40 .00
.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
JOB ADDRESS: "' h (904) 247- :26 Fax (904) 247 -5845
PERMIT # 1= 622 CD
JEA INFORMATION REQUIRED ON ALL PERMITS �o
.��AMPS l =v VOLTS
� PHASE
VALUE OF WORT[ $ DQ, e
NEW SERVICE ❑Overhead
❑Residential ❑Underground Or Underground up Pole
(Main) Service
00 -100 amps ❑ 101 -150am s ❑ 15 1- 200amps ❑ amps # of Meters
❑Commercial (Main) Service P
00 -100 amps ---- -_
P ❑ 101- 150amps ❑ 1 51- 200amps ❑
ce
Conductor Type amps OCT Service
❑Multi -Family Size amps
y (Main) Servi
00 -100 amps ❑ 101- 150amps ❑ 15 1- amps ❑
amps # of Unit Meters
O Temporary Pole ❑ 200
amps
SERVICE UPGRADE ❑
amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps ---_ P OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES E
Outlets /Switches: _ O -30am s T a
Appliances: p 31- 100amps '
___ __0- 30amps 31- 100amps — 101- 200mps
A/C Circuits: - -- _O -60am s 10 1- 200amps
Heat Circuits: p --__ _61-100amps
Number of Lighting O Outlet Including Fixtures: k
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers
FIRE ALARM SYSTEM ---- -_ KVA ❑Motors hp
(Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps
REPAJRS/MISCELLANEOUS VALUE OF WORK $
0 Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to
0 Other: UG
P bmoid if work cm a ir is si moe
;peci ermit this app cati and know does the sam e to om be ence true and within correct. sx All month provpeisions iod or of work laws and suspended ordinances or governing abandoned for this work x wi
spfi or not. The permit does not
ecied r give authority to violate the provisions of any other state or local law regulation construction I hereby certify that I have
ed o I] jo co the p d with whether
r
ctcon or the performance of
ropey Owners Name -
aectrical Company �.. �, Phone Number 5---_______251j_______- ieCtf r iCc tC•ni-rG Ct i f1ri, ff❑ce Phone
L _ �tC
4-- -- - _ L ,,� -` �-(h Fax
'o. Address:
Y '
ngoil
City C1 _ 11 t to �- (
icense Holder (Print a _._ ,�,� . Zip ZZ�
"i, ∎.„4.!u etch 1 ' 1 . State Certification/Registration #
'otarized Signatur i ° `" `' "b'" Si , C k i ie!!!,rellffil
?orr�o E����re 3i 121 39
S • 4 I 4 b:Is before this
dayof- `(_'t LA cJL, ;J
Signature of Notary Public 1 )C►-'L C' C ` ci