316 7th St 2012 bathroom addition CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000733 Date 6/20/12
Property Address . . . . . . 316 7TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
----------------------------------------------------------------------------
Application desc
Bathroom addition
----------------------------------------I------------------------------------
Owner Contractor
------------------------ ------------------------
SAYERS, GREGG AND ERICA BOSCO BUILDING CONTRACTORS
316 7TH STREET 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
--- Structure Information 000 000 BATH REMODEL
Construction Type . . . . . TYPE S-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ADDITION
Additional desc . .
Permit Fee . . . . 150 . 00 Plan Check Fee 7S . 00
Issue Date . . . . Valuation . . . . 20000
Expiration Date . . 12/17/12
----------------------------------------------------------------------------
Special Notes and Comments
1 . Need foundation plan for masterbathroom addition. 2 .
Roof framing plan for addition. 3 . Wall sectio for
addition.
2010 FLORIDA BUILDING CODE, 2008 NkTIONAl ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DkMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 25
STATE DBPR SURCHARGE 2 . 2S
---------------------------------------- ------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 150 . 00 150 . 00 . 00 . 00
PERMIT IS4�V�k%R& XoAli��;RDANCE WITWX&OCITV OF A'-L7A;TIP%EACH ORDINANCPSOAND THE FLORII)�0
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLAN�Ic BEACH
800 Seminole Road, Atlaotic Beach, FL 32233
Office (904) 247-5826 jFax (904) 247-5845
Job Address: �4-re& 44a�,kc Permit Number: _775
Legal Description dt�,-vihC_ Parcel #
Floor Area of Sn.Ff. Sq.Ft
Valuation of Work IW-, - Proposed Work h'ea-t-d/cooled non-heated/cooled
Class of Work(circle one): New Additio' Oti4ii�oiP Repair Move Demolition pooUspa window/door
Use of existi ng/p ro posed structure(s) circ e one): Commercial Re-s-k-Wgiff>
vs
If an existing structure,is a fire sprin er system in talled? (Circle one): Yes No qg:Lk
Florida Product A proval # 4" 5-41 /41 -&v,- -7C t.,S'
For multiple prosucts use product approval form
Describe in detail the type of work to be performed:— 111�-41011zt-17zfw
Pro6erty Owner Information:
C#+ 1AYL
Name: G KEG 0"e- -W f Address: 51,�
City- ���/c Stat*��LZip Pho ne 3 2 7-5-
E-Mail or Fax# (Optional
Contractor Information:
Qj'�6 CdAj'W.J�(T�ltf -rcor_> A- 66,yca
Company Name: bgo 6ut� Qt alifying Agent:
Address: 2,1<b _1"4-VPd1t7_ f2f1W Cit I n,, State Zip -;�2�2 �
Office Phone q0 q - ZA I - 6-3 2-C) Job Site/Contact Number fn6l - 2,33 -0" ax W4�L-7_41 - 032(p
State Certification/Registration# C15 C- 12, -2-
Architect Name& Phone# -_
Engineer's Name & Phone# ""I
Fee Simple Title Holder Name and Address i vii r r a
innu
Bonding Company Name and Address L UUL I
Mortgage Lender Name and Address
he e ade b a'n a ermit to do the work and installations as i idicated I certify that no work or installation has commenced prior to the
11 be performed to meet the standards ofal laws regulating construction in thisjurisdiction. This permit becomes/III//
'a 0 p
h t all work wi
.'pp'ica'io 1 is r r by md t d w thi months,or ifconstrpction fsi; months at any time after
is"a ceo a e mit an a
k s at co
"d'aid f war i 7 "ence i n six(6 or war is suspended or abandonedfor a period a -c
."k is commenced I understand that separate permits must be securedfor Eletricar Work, Plumbing,Sijns, Wells, Pools, Purnaces, Boilei-S, Heaters,
Tanks and Air Conditioners,eta
WARNING TO OWNER: YOUR FAIL RE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR AYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO BTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEF RE RECORDING YOUR NOTICE OF
I
COMMENC MENT.
I herelb certify that I have read and examined this falication and know the same to be true and correct. All provisions oflaws and ordinances governing this
p
type.). work will he co�nplied with whether I ec le, hereinornot. The granting of a permit does not presume to give authority to violate or cancel the
provisions ofany otherfederal,state,or local faw r u ting construction or the peiformance ofconstruction.
Signature of Owner Signature of Contract
e 1�
J..(( Print N
Print Nam ( 0 K GtU4 ame AMr /V
....S4 -11.................................. ..... ....... ................ ..............I..................................jo. ................................................
Sworn to and subscribed before me Sworn to and subscribed before me
this_L(___Dayof .201- Z- this Dayof 20(C-
MMAM L.PE)PE- wtPOPE
Notary gublic Notary Public V114LUAIVI
Notary Public,State of Florida Notary public,State of Florida
my Comm,Expires Oct.19,M15 %*#AW4-Afisl*Ct 19,Z06
(;ommission No.EE 128745 Commission No.EE 128745
Doc#2012120236,OR 8K 15965 Page 508,
NOTICE OF COMMENCEMENT Number Pages- 1
Recorded 061 1�20,11 at 02:47 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
Perrilit No. 753 RECORDING$10.00
Tax Folio No.
e *wF I LF,
THE UNDERSIGNED hereby gives notice that improvements will b made to certain real prop rt anf=ac
1
7 13.13 of the Florida Statutes,the following information is provided in this NO riC E 0 F COCY
MMEN
].Description of property(legal description):
a)Street (joh)Address:
2.General description of improvements:
3.Owner Information
a) Name arid address:
b)Name and address of fee simple titleholder(if other than ownj)
c) Interest in property
4.Contractor Information
a)Name and address: 'MC) 0000V-1 61 Z,
b)Telephone No.:
5.Surety Information Fax No.(Opt.)
a)Name and address:
b)Amount of Bond:
c)Telephone No.:
6.1,ender Fax No.(Opt.)
a)Name and address:
Phone No.
document----
7. Identity of person within the State of Florida designated by owner upon Nhom notices or other s may be served:
a)Name and address:
b)Telephone No.:
8.In addition t;himself,owner desi Fax No.(Opt.)
713.13(l)(b),Florida Statutes: gnates the following person to receive,� copy
of the Lienor's Notice as Provided I Section
a)Name and address:
b)'I"elephone No.:
Fax No.(Opt.)
9.Expiration date of Notice�;f C�mi�enetment(the e�piratio�date—is-one—year from the date of recording_��less_Wdifferewit date
is specified),
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER APTER THE EXPIRATION OFTHE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAVMENTS UNDER CHAPTER 713,PART I.SEC110N 713-13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TW Cr,FrOR IMPROVE,MENTSTO YOUR PROPERTV.
A NOTICE OF COMMENCEMENT mus,r AF RECORDED AND N)STED ONT"F JOH
, si'm HFrORF,T11E FIRST
INSPEC'I'ION. IF YOU INTVNDTO OBTAIN FINANCING,CONSJ�J;I'VOUR LENDFROR AN A17 RNEV BEFORE
COMMEN(AN('. Wt)RK()11 1?VC011401ING YOUR NOTRA.',011 Cj)pjMj,",N(,T.Mj�,1N,j,. '0
SIATIC OF V1,091DA
COUNIV OF PINELLAS 10.
Signalure 0H)w1m oi Ownwer's Al,,Ihi�cer/l)iiuc.ior/Pttl-uic(/Maiiaget
Print Name
The foregoing instrument was acknowledged before me this (Jay of 1Aa_ Z�y
as (type Of e.p,. Officer,trumee,
attorney ill fact) ror (name f Porlyon t)eh,,irorwiojll jostruille"it was executed).
_Ptffg��111 OR Produced Identification Notary Signature
Type of Identification Produced Name(print)
OR
a it Ics, Undcr pcnhlii(�or )CrijIT
the facts stalcid in if are true to thc bcst of my knowlt(lip'C'and belict. d0c1hre thal I havc rcad Ow forc.g(ijilp.And t1jill
JORMSWX "W'010 OLLIAM L POPE
PO-011 Swnlrl!�(in finc�1 10)A
Niplory Public,State of Florida
My Comm.Expires Oct. 19,2015
Commission No.EE 128745
Y City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
WM 800 Seminole Road
Atlantic Beach, Florida 32233-5445 12 733
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 2
City web-site: http:/AwAv.coab.us r I
APPLICATION REVIEW AN 1) TRACKING FORM
Property Addrets: Department review required YeS No I
C_guilding__D
Applicant: Planning&Zoning
Tree Administrator
Project: ...... Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Re dew 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 Fimt Review: ElApproved. Egbenied.
(Circle one.) Comments:
�,,JPUILDING
PLANNING &ZONING
Reviewed b),: Date:,":7*
TREE ADMIN.
Second Review: EjApproved as revise I. F�Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed
_.. ��� Date:
FIRE SERVICES Third Review: [-]Approved as reviseq. E]Denied.
Comments:
Reviewed by Date:
Revised 07/27/10
Aj\j
e CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
SO
ATLANTIC BEACH,FL 32233
-5814
�INSPECTION PHONE LINE 247
Application Number . . . . . 12-CO000733 Date 8/20/12
Property Address . . . . . . 316 7TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000 --------------
---------------------------------------- ----------------------
Application desc
Bathroom addition
---------------------------------------
Owner Contractor
------------------------
------------------------
SAYERS, GREGG AND ERICA BOSCO BUILDING CONTRACTORS
316 7TH STREET 2158 MAYPORT RD.
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-0320
--- Structure Information 000 000 BATH REMODEL
Construction Type . . . . . TYPE :-)-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
--------------------------------------- ------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc - -
Sub Contractor . . COGBURN AND WNKEFIELD PLBG
Permit Fee . . . . 104 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/16/13
----------------------------------------------------------------------------
Special Notes and Comments
1 . Need foundation plan for masterbathroom addition. 2 .
Roof framing plan for addition. 3 . Wall sectio for
addition.
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TC INSPECT FASTENERS
--------------------------------------- -------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
ST4TE PLBG DBPR SURCHARGE 2 . 00
--------------------------------------- -------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ----------- ---------- ----------
PERMIT IS )a*lib" AtV IrTQ&"- DANCE W44 4ALL0 PITY OF ATkQ*IC0kACH ORDINANCA qND THE FLORIDAP 0
BUILDING CODES.
CIT"YOF ATLANTIC BEACH
M
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-CO000733 Date 8/20/12
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 IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF j TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
l
PLUMBING PERMIT XPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atia ic uch, Fl, 32233
Ph (904) 247-5826 Fax (71) ) 247-5845 PERMIT -7
JOB ADDRESS: -7
NEW OR REPLACEMENT INSTALLATION: Proje(t Values -L—.5-00 .C>O
TYPE OF FixTuRE QTY T WE OF FixTURE QTY
Bathtub Septic Tank& Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain T iree Compartment Sink -7—
Floor Sink T)ilet
Hose Bibs U rinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory ez_ Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE OF FixTuRE QTY 7 YPE OF FixTURE QTY
Bathtub S,-ptic Tank& Pit
Clothes Washer S lower
Dishwasher S lower Pan
Drinking Fountain S op Sink
Floor Drain hree Compartment Sink
Floor Sink oilet
Hose Bibs L rinal
Kitchen Sink 'vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory V later Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
Li Sewer Replacement El Back Flow Preventer i:i Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
1-1 Lawn Sprinkler System-Number of Heads El Well
SJRWD Well Completion Form. Completed form to be submi�ted to the Building Department for final inspection."
i-i 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 T>0 5 ed> I (A il a I &A/ ( '11.A-) Phone Number 17 6LI 0 Y/ 6 3 Zo
Plumbing Company vi ALU T111,01- tom.I."IV 0 ffi e Pho ne, cla Y 5-2 7-"'2,*F ax ?b Y-3?,f-6 03
IQL, 322-10
Co. Address: (0Z 01 1 � A :5- City A State f7L zip
License Holder(Print): ��46 0,6 U q�-.j Sp(b Certification/Registration# 1 y2jrlvo
Notarized St n AM L,
y 96
'my M a/subscribed be e this a 9,f 20L2-
RFS-Februa 14,201
EXPI -
U OidervIlite
ry pu lie
NOtary PU
c
ondedTh ature of Notary