Permit Remodel 2338 Fiddlers Ln 2012 .
co- �`; _� CITY OF ATLANTIC BEACH
,� J 800 SEMINOLE ROAD
N� ATLANTIC BEACH, FL 32233
' °' = " " INSPECTION PHONE LINE 247 -5814
. ` . - 1 .011 I
Application Number 12- 00000334 Date 4/10/12
Property Address 2338 FIDDLERS LN
Application type description RESIDENTIAL ALTERATION
Property Zoning RES SF DISTRICT
Application valuation . . . 20000
Application desc
BATH REMODEL
Owner Contractor
MCGILL TIMOTHY BOSCO BUILDING CONTRACTORS
2338 FIDDLERS LANE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -0320
- -- Structure Information 000 000 BATH REMODEL
Occupancy Type RESIDENTIAL
Permit PLUMBING PERMIT
Additional desc . 8 NEW FIXTURES
Sub Contractor . COGBURN AND WAKEFIELD PLBG
Permit Fee . . . 111.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/07/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 111.00 111.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 115.00 115.00 .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
2 Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 3�B 3 1 C 3( fit 5 L kJ PERMIT # 12 - 3 7
NEW OR REPLACEMENT INSTALLATION: Project Value $ 2.-
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub 1 Septic Tank & Pit
Clothes Washer Shower _ _
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 9-.
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 rovisions of any other state or local law regulation construction or the performance of construction.
r.
Property Owners Name ?:7056.0 Gt. t CO i� Phone Number �� l - O 2.. C)
g Company Com l, o t A-. W A-6 e 4 P(t , Office Phone 9c4- n--7- i 2 SOFax c i6Y- ?77- ('o
Y D
Co. Address: 5 1 2. 1 Z ity TA-1C State Zip S'2z W
License Holder (Pr' .. � , A ": ∎ .. *� bl3 State Cert , ation/Registration # eft 1c/2.11/ yo
r .--:,tea :s • o '•. ;A;!� ) 1_/
Notarized Sig , ofrga ' i ' �__
VAL 4 00 144 d fP " / / Jr 7
Sworn and sub /bed before me da s f • , a/`—
/ A i "Mr •
Signature of I otary Public Al
s LAN
f CITY OF ATLANTIC BEACH
:
,, r) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000334 Date 3/27/12
Property Address 2338 FIDDLERS LN
Application type description RESIDENTIAL ALTERATION
Property Zoning RES SF DISTRICT
Application valuation . . . 20000
Application desc
BATH REMODEL
Owner Contractor
MCGILL TIMOTHY BOSCO BUILDING CONTRACTORS
2338 FIDDLERS LANE 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -0320
- -- Structure Information 000 000 BATH REMODEL
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 150.00 Plan Check Fee . . 75.00
Issue Date . . . Valuation . . . . 20000
Expiration Date . 9/23/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.25
STATE DBPR SURCHARGE 2.25
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total 75.00 75.00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 229.50 229.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
!a4,>p City of Atlantic Beach APPLICATION NUMBER
(- Building Department (To be assigned by the Building Department.)
-. 800 Seminole Road /Z
Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 Fax (904) 247 -5845
• E -mail: building- dept @coab.us Date routed: /,2 l2.
City web -site: htt : / /www.coab.us
tY P
APPLICATION REVIEW AND TRACKING FORM
Property Address: (4330 D- D. - •• - • review required Yes _ No
:uilding / i
Applicant: . 6 � 6 Ya/Z-P7 = - • = Zoning
Tree Administrator
Project: A � h/et/AV 0 IV Public Works
Public Utilities
Public Safety
Fire Services
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: E pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: / Date: 3'26 °/2,
TREE ADMIN. Second Review: Approved as revised. ❑ enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 1 � g MN Office (904) 247 -5826 Fax (904) 247 -5845 + (5
„
ill
, .
Job Address: 3 U
2 �O � S (c �,� R 3.x. 33 P ermit N g i ber : �, ___ �'
Legal Description 4 t / — O 3' ,-,:2 S ,. 2' F 0 c -2 Sf _ 0 � Parcel #
y 401411M
oor • rea o q. t. t
Valuation of Work S, 9 0 0 0 Proposed Work heated /cooled non- heated /cooled
Class of Work (circle one): New Addition t Repair Move Demolition ... .. pwJdc r
.-
Use of existing /proposed structure(s) (circle one): • Commercial Resident' " -
If an existing structure, is a fire sprinkler system installed? (Circle one : es d9 N -.
Florida Product Approval # copy For multiple products use product approval form
Describe in detail the type of work to be performed: fY? 5.,V f--- rG.InVt'.t c '"�..".-'"—„
Property Owner Information: /
Name:�t(71 7� / '1 �� - , // i Address: . (j Lan,e 46 3-,), City 44-tr.., po( State ,Zip 3X233 Phone `tar 5 Yr 5 i >57
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: (J;7Sc -� j vi` v) G41 CJ t r 5 Quali in Agent � i Ar . a ;..%
Address:?) . Olaf f(411 � City t _0 — State ► Zi 2
3� —
Office Phone ' 2 Job Site/ Contact Number so ya 33 09'0 r # ` ,2
State Certification /Registration # C.6C_ / 2-51)24 2-
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. / understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo 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.
I hereby certify that I have read and examined this application 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 sp= r: herein or not. The • . ting of a permit does not presume to give authority to violate or cancel the
Ow provisions of any other federal, state, or local w re; ulating co , tructio ,r 1 e performance of construction.
T
Signature of Own= A milLip l Signature of Contract, 7,
Print Name ji,c.Tai /-f C�, 'z Print Name Z-41 /d "cif "V
Sworn to and subscribed before me Sworn to and subscribed before me
this „a.a ' //Day of z c c - . , 20 / a this , v--o Day of , -- , 20/ Z
(Lii.k - , 4 `'4._ WILLIAM L. POPE _ / WILLIAM L. POPE
Notary Public Notary Public, State of Honda Notary Public Notery Publis,3tate of Fforiob
My Comm. Expires Oct. 19, 2015 My Comm. Expires Oct. 19, 2045
Commission No. EE 128745 Revis@@>elidi6Npo, EE 128745
Doc # 2012060562, OR BK 15885 Page 506.
NOTICE OF COMMENCEMENT Number Pages: 1
Recorded 03/2072012 at 02:45 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Permit No. �7 COUNTY
RECORDING $10.00
Tax Folio No.
'I'I IE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
I .Description of property (legal description) : j O _2 ,R(2"
a) Street (jog) Address: ,2_33„y C,_ !! �, 3 T3 —
2.General description of improvements: /y\ ` 1
wner Information -- - - - - --
a) Name and address:
6
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractor Information — -- —
a) Name and address. _ 5 — u7 :14_ Cn4r4,G4 - �C` 4632.2-33 _
b) Telephone No.: 70 y a2 D3 Fax No. (Opt.) (7( �) 3a
��
5.Surety Information C
a) Namc and address:
b) Amount of Bond:
c Telephone No.: t - - --
Fax No. (Opt.)
6.l.ender
a) Name and address:
— — — Phone No. _
7. Identity of person within the State of Florida designated by owner upon whom notices or other docu
a) Name and address:
9`�Crv+...
b) Telephone No.: - — —
Fax No. (Opt.)
8.In addition to"himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No. (O 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless n different date
is specified): _
WARNING TO OWNER: ANY PAYMENTS MAi)1 BY THE OWNER AFTER THE EXPIRATION 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 'FO YOUR PROPERTY,
A NOTICE OF COMMFNCEMFN r MI IS'11?<F: RFCORDFD AND P0', rrt ON fU F 1013 SITE BEFORE THE I?IRS'1'
INSP1 (1 JON. 1E YOU INTEND 1'0 081 A IN FINANCING, CONSULT YOUR LEN ; OR AN A110 Y BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE 01 COMMI?NC
A , .
STATE OK FLORIDA WILLIAM L. POPE OUP" � r
MINTY ()N' I'INe:I.I.AS Notary Public, State of Florida 10.
My Comm. Expires Oct. 19, 2015 urc 0 want -er wner' A uthonAxt Ofl car /Diruu;tor /Peanut /Manager
Commission No. EE 128745 31 M �`� G �
Print Namc
The foregoing instrument was acknowledged before me this 0 day of , 20/ Z , by
as
(type of authority, e.g. officer, trustee,
attorney in fact) for (name of party on behalf of whom instrument was executed).
P r >b'n OR Produced I dent ificalion Notary Signature
Type of Identification Produced Nanic (print)
OR
Verification pursuant to Section 92.525, Florida Statutes, llndcx penalties of perjury, I deelare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
rI1R M1IN(N'na(12U10
ti it ,n;rlurr ul N;rlwHI Pcrsnn Sir (in lint. /1 0)) AIN)vC