Permit Renovate Womens Bathroom 800 Seminole 2012 \I 4,,, '.. 4
"rl CITY OF ATLANTIC B
, l �
.; BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
J i INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000977
Property Address 800 SEMINOLE RD Date 7/30/12
Application type description COMMERCIAL ALTERATION
Property Zoning RES SF DISTRICT
Application valuation . . . 23384
Application desc
3enovate womens bath
Owner Contractor
CITY OF ATLANTIC BEACH E B MORRIS GENERAL CONSTRUCTIN
800 SEMINOLE RD 7011 BUSINESS PK BLVD 101
ATLANTIC BEACH FL 32233 JACKSONVILLE
FL 32256
-- Structure Information 000 000 RENOVATE WOMENS BATH
Occupancy Type BUSINESS
Permit COMMERCIAL ALTERATION /OTHER
Additional desc .
Permit Fee . . . 170.00 Plan Check Fee
Issue Date 85.00
Valuation 23384
Expiration Date . . 1/26/13
Other Fees STATE DCA SURCHARGE
2.55
STATE DBPR SURCHARGE 2.55
Fee summary Charged Paid Credited Due
Permit Fee Total 170.00 170.00 .00
Plan Check Total 85.00 85.00 .00
Other Fee Total . .00
5.10 5.10 .00 .00
Grand Total 260.10 260.10 .00 .00
PERMITI 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
Job Address: 800 Seminole Rd, Atlantic Beach, FL
Legal Description Permit Number:
Parcel #
. t
Valuat of Work $ 23 , 3 8 4. 00 oor A rea o q t
Proposed Work heated /cooled 115
n
Class of Work (circle one):
Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one):
Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes
Florida Product Approval # No N /A
For multiple products use pro uct approva
Describe in detail the type of work to be performed: Renovate ex i s t in
�� S% g bathroom - new finishes
Property Owner Information 'r
Name: City of Atlantic Beach
City Atlantic Beach Address: 800 Seminole Rd.
E -Mail or Fax # (Opional) State FT-Zip 33 2 __ 2 3 3 Phone 904 -2 4 7- 5 813
Contractor nformation
Company Name: E .B . Morris General Cont . , In
Address: 707.1 Business Park Blvd., �QualifyingAgent: Eric Morris
Add Office s• 70 1 Business N. City Jacksonville
State Ce rtification/Registration # CGC5 74 Z t 5 Contact Number 908 -8 3 g-2929 Fax # 9 0 4- 9 9 8- g 5 8 4 State FL Zip 32256
Architect Name & Phone # N A ----
Engineer's Name & Phone # N A
Fee Simple Title Holder Name and Address
Bonding Company Name and Address Bonds Onl , Inc 1515 CR
Mortgage Lender Name and Address 210 W,
Jacksonville, FL 32259
Application is hereby made to obtain a permit to do the work and installations as indicated. I certi that no o
iss of a permit and that all work will be performed meet the to meet d e standards of all laws regulating construction in this
and void o, work eS not commenced within work l six e months, or t and a or of al is suspended or abandoned or a
and is commen I understand that separate permits must be secured for work Electrical Work, or d or or e riod l ofsix u) months has commenced a ny time to the
Tanks and Air Conditioners, etc. if rs jurisdiction. This permit becomes null
Plumbing, ns _ ,Wellsells, , Pools, six Furnaces, Boo a ilers, Heaters,
s s, ,
b', Sib' �
WARNING TO OWNER: YOUR FAILURE T
C OMME!�CEMENT MAY RESULT IN YOUR PAyI O RECORD A
FOR NOTICE OF
TO YOUR PROPERTY. IF Y NG TWICE
OU INTEND TO OBTAIN FINANCING, CONSULT IMPROVEMENTS
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING NG FOUR NOTICE OF H
I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions laws and ordinances governing
type of work will lire complied with whether specified herein or not. The granting of a permit does not
provisions of any other federal, state, or local law regulating construction or the performance of constructipree sume to give authority to 'late or canceon.
e l th this
the
e
Signature of Owner
'.... Signature of Contractor
Print Name .
.... .....G .......... .. P..6 - Ce...k,.1, ......... .............. .. Print Name Eric
" e Morris
3w• o and sub ib • • efore ............
his Day o , 20 Swor. o an, subscrib-. b; fore me
Notar • r r �J:Q( F
ary Pu i s
r MV COMMISSION # DD 9577E0 ' • '<+ 0
` COMMIS' ON # DD 996568
1 - ; = EXPIRES: February 14, 2014
d')4 m EXPIRES: July 4 2014
R!`, Bonded Ten! Notary Public Underwriters r N � Bonded ThN Budget R ev i sed 01.26.10
....._ ., . o Fl .^ N ot•ry Services
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