Permit Remodel 94 Stanley Rd 2012 s� CITY OF ATLANTIC BEACH
s3 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001470 Date 10/10/12
Property Address . . . . . . 94 STANLEY RD
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 98000
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Application desc
REMODEL 4 UNIT APT BUIDING UNITS 1 TO 4
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Owner Contractor
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BEACHES HABITAT FOR HUMANITY BEACHES HABITAT
1671 FRANCIS AVE 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-1222
--- Structure Information 000 000 INTERIOR DEMO AND REMODEL
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 472 . 00 Plan Check Fee 236 . 00
Issue Date . . . . Valuation . . . . 98000
Expiration Date . . 4/08/13
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 7 . 08
STATE DBPR SURCHARGE 7 . 08
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 472 . 00 472 . 00 . 00 . 00
Plan Check Total 236 . 00 236 . 00 . 00 . 00
Other Fee Total 14 . 16 14 . 16 . 00 . 00
Grand Total 722 . 16 722 . 16 . 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 FILE COPY
F
Office (904) 247-5826 Fax (904) 247-5845 M.
Job Address: S7'/4tyte� Pdt4D T/��y�'ie ?fes permit Number:
Legal Description,4T/Z "13le,4e/fl P���`�d�Kt9' P pS !� /GSR Parcel#
Floor Area o q. t. q. t
Valuation of Work$ ov0 Proposed Work heated/cooled / do non-heated/cooled
Class of Work(circle one): New Addition Alteration e ai Move Demolition pool/spawindow/doo
Use of existing/pro osed structure(s) (circle one):. Commercial esidentia ,
If an existing structure,is a fire sprinkler system installed? (Circle one): es d N/A
Florida Product Approval# ! / wt�t-t3,.s 3/ Deolrs
For multiple products use product approval orm
Describe in detail the type of work to be performed: -Soe- A P Ac k c A
Property Owner Information:
Name: P86,'rAT t;,r,- #V-",4n,1'y Address: 1&71 F'haNCfs /4ve ;
City 6qT-L,4 r 0 c 93-e A CA State j_Zip 3 u 31 Phone ;2y / 122-2-
E-Mail or Fax# (Optional) (�x-y 9G y Zyt �3/6
Contractor Information:
Company Name: (�e"5 #,9 lit r47-F,4z /",q Qualifying Agent:
Address: Fi-arrcis Rve City AtLakfi'c 8rla-44 State lCL Zip 3.2 243
Office Phone ,2, 22Job Site/Contact Number qoy � 3;g gt 7/ Fax#
State Certification/ egistration#
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 toobtain 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 pernsit and that al[work wtld 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(t5)months, or if construction or work is suspended or abandoned for apertod of six 6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electricai Work,Plumbing,Signs, Wells,Pools, urnaces, 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 this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name � ... . ........... Print Name AGZoo LD 6,es7A
................................................ r-sati
Sworn to and subscribed before me Sworn to and subscribed before me
this '2`dDay of f tom- t-r 2012— this T`V Day of 2017-
Notary
01ZNotary Public KYLE HURRAY Notary Public
•
3a : . MY COMMISSION 0 EE186723 '� KYLE M Y Re ised 01.26.10
EXPIRES April 02,2016 :•: •'= MY COMMISSION 6 EE1a67=
a am EXPIRES Aprl 02,2016
[CF
NOTICE OF COMMENCEMENT I L E COPY
Permit No. 70 Tax Fo
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, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
���/ S7ArLQy h�dAD : 71t4nTle P1r+T rtk/9 r?/tSaS &14
2. fG,�eneral Description of improvements:
Lc
Je Na�Rrf 6 4,C-,Z/J ar ?'o
3. Owner Information:
a)Name and Address: I rtacLs /9,,o & �-47- T^o,-e yu,*,ilk,r ry jli7/ F;-,o,vel 19ve 19t,L,9„r,"r A--e Fl
b) Interest in property: Gw ren
c)Name and address of simple titleholder(if other than owner):
) 4. Contractor Information:
a)Name and Address: '3Pn� /1/R131r�T F,-rg /621 /9 Pe /97-4,4.,7,ic F1
b) Phone Number: y y i 2-7-
5. Surety Information: W N
Doc#2012209918,OR BK 16083 F g 498, ,
a)Name and Address: Number Pages: 1
Recorded 09/26/2012 at 03:17 PM,
b) Phone Number: JIM FULLER CLERK CIRCUIT COU T BA O
c) Amount of Bond: $ COUNTY �y
RECORDING$10.00 + z
6. Lender Information: 0 Wed C A d
a Name and Address: z
b) Phone Number: W A
7. Person within the State of Florida designated by owner upon whom notices or other documents m �ds
provided by 713.13 (1)(a) 7, Florida Statutes: U
a)Name and Address: 09
b) Phone Numbers of Designated Person: w W
8. In addition to himself/herself, Owner designates of A oLerentdate
e14
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 of Notice of Commencement(the expiration date may not be before the completioiJ
and final payment to the contractor, but will be one (1) year from the date of recording unless a di
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
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.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are.true t9 the best of my knowledge and belief.
C:aI-esi l-,4Ti PN
Si a re of Owner or O
NOLO �uST,9 r5�r i�i{pec ra/Z
er's A rized Officer/Director/Partner/Manager Signatory's Printed Name&Title/Office
2 E. /�-- / 72/e'`/ G,-
III P SHOWING SOUND RY SURVEY QEF
LOT 12, BLOCK 18, ACCORDING TO THE PLAT OF "DONNERS REPLAT", AS RECORDED IN PLAT BOOR 19,
PAGES 16 AND 16A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO:
THOMAS J. STREIT, JR., JILL A. STREIT, ADRIENNE L. GILLA AND ANDREA J. GILLA,
LAWYER'S TITLE INSURANCE CORPORATION,
GIBRALTAR TITLE SERVICES AND
EVERBANK.
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a DETERMINED FROMM I.E.M.A.FLOOD NAPS PANELNOL %iOM HREM4 LIES NO. / pDAAE�p_�'�47 EST
A SSOCIATEC) SURVEYORS INC. 3.THIS IS A SURFACE SURVEY ONLY. THE EXTENT OF UNDERGROUND FOOTINGS,
LANO & ENGINEERING SURVEYS PIPES AND UTILITIES IF ANY, NOT DETERMINED.
4.JURISDICTIONAL ANO/OR ENVIRONMENTALLY SENSITIVE AREAS IF ANY, NOT
WO
31 9LANDINO EICUIEVAROLOCATED BY THIS SURVEY.
JACKSONVILiE, Rlpq 32210 S.1HIS SURVEY BASED ON LEGAL DESCRIPTIONS FURNISHED. THE PU8{IC
904-771-6468 RECORDS WERE NOT SEARCHED 8Y THIS SURVEYOR FOR EASEMENTS,
CE7TTIFlCATE OF AUTHWR ATION N0. LB 0005488 TITLE, COVENANTS. RESTRICTIONS, CLOSURES, TAKINGS OR ORDINANCES, ETC.
THERE COULD BE OTHER MATTERS OF RECORD THAT AFFECT THIS PARCEL
S.UNLESS OTHERIMSE STATED ALL IRON PIPES FOUND HAVE NO IDENTIFICATION.
3 HERESY CERTIFY THIS SURVEY 'WAS DONE UNDER MY
DIRECT SUPERVISION AND MEETS THE MINIMUM TECHNICAL LEGENDIAMEVIATIONG
C) SET IRON PIPE OR REBAR P,C.-POINT OF CURVE BTN.-BETWEEN
STANDARDS FOR LAND SURVEYING^PURSUANT TO CHAPTER SET
OR L.9.54aS P.T. -POINT OF TANGENCY CND) - CHORD
61G17- FL RlDA ADMWISTRATION '.,ODE CH R 472, F.S, f FOUND IRON PIN OR PIPE (IP) P.R.C. -POINT OF REVERSE CURVE.
■ FOUND CONCRETE UGN�IUMENT C.N.) P.C.C. =POINT OF COMPOUND CURVE
9Y. _ X CROSS CUT OR ORILL.HOLE C/L - CENTER LINE R/W-RICK OF WAY
(R) ..RECORD L = ARC LENGTH CONC. -CONCRETE D.T.- BUILDING TIE
CFIARLES 8. HATCHER FLORI A C TIFICATE N R -RADIUS (M) - MEASURED A\C -AIR CONDITIONER (E.T.) - EAVE TIE
CHARLES L. SWUNG FLORIDA C, RTIFICATE NO. 4579 C&R-COVENANTS & RESTRECTIONS WM =WATER METER UP- UIIUTY POLE
RAYMOND J. SCHAEFER FLORIDA jFkTIFICATE NO. 6132 O.R.V.-OFFICIAL RECORD VOLUME P.EO. -POCC%IUPMENT A-GUY ANCHOR
P.R.M.-PERMANENT REFERDICE MONUMENT -O.U.--OVER HEAD U11JJT ES
JOB NO. 49oyo DATE �9 MsttJ 2aaG B.R.L=BUILDING RESTRICTION UNE X—X FEN.,CE N &D-NAP &DISK
/'+Zd' DRAFTER S/e.c c E.F. -ELECTRIC TRANSFORMER & PAD W—W WIRE FENCE E.gg ELECTRIC BOX
SCALE
J.EA -JACKSONOAE ELECTiw/UTHOIUtt I RFF.COR.-REFERENCE C6RNFR
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER
PROPOSED WORK ON 94 STANLEY ROAD ATLANTIC BEACH
RENOVATION OF THE EXISTING BUILDING TO INCLUDE:
• REMOVAL& REPLACEMENT OF:
1. SHEETROCK
2. PLUMBING FIXTURES
3. ELECTRICAL WIREING
4. FINISH FLOORING
S. INTERIOR AND EXTERIOR DOORS/TRIM
6. INSULATION
7. KITCHEN CABINETS/APPLIANCES
8. WINDOWS TO EGRESS SIZE
• INSTALL 4 HVAC SYSTEMS
• REPAINT INTERIOR/EXTERIOR
• REPLACE FRONT STAIRWAY WITH SAME DESIGN TO CODE
• BUILD A 4'X4' LAUNDRY ENCLOSURE ON EXITSTING PORCH(AS DISCUSSED WITH
BUILDING ) aFF/e0
• REPAIR EXISTING PORCH RAILINGS
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City of Atlantic Beach APPLICATION NUMBER
s Building Department (To be assigned by the BIMrtment)
i 800 Seminole Road
"%�^ =' Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept(Mcoab-us Date routed:
City web-site: W://www.mab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4� .S77mky _Departlppent review required Yes., No
Building
Applicant: �Q��i�S�_779' anning&Zoning
Tree Administrator
Project: /'y7 1-2 W/4'P 77 471dJ Public Works
Public Utilities
6 di L Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: Approved. ❑Denied.
(Circle one.) Comments:
BUIL
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review:
Approved as revised. ❑Dented.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY ' ` Reviewed by: Date:
FIRE SERVICES Third Review: (]Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27110
CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . 12-00001685 Date 11/13/12
Property Address . . . . . . 94 STANLEY RD 01
Tenant nbr, name . . . . . . UNITS 1-4
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
20 NEW FIXTURES
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Owner Contractor
-
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BEACHES HABITAT FOR HUMANITY ADVANTAGE PLUMBING
1671 FRANCIS AVE 880 MAYPORT RD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 247-9848
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Permit . . . . . . PLUMBING PERMIT
Additional desc . . 20 NEW FIXTURES
Permit Fee 195 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 5/12/13
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 93
STATE PLBG DBPR SURCHARGE 2 . 93
---------------------------------------------------
Fee summary Charged Paid Credited ----Due---
----------------- ---------- ---------- ------
Permit Fee Total 195 . 00 195 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 86 5 . 86 . 00 . 00
Grand Total 200 . 86 200 . 86 . 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)247-5845
JOB ADDRESS: L� PERMIT#
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
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory T Water Heater
Other Fixtures T Water Treating System V
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 **
**SJR WD 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����C�aS 11A I /JZ Phone Number 6A
Plumbing Company �'/U'►1 / f Office Phone17
'}
Co. Address: City State zip,5e.?
License Holder(Print): SJftte Certification/Registration
N er
g�•�n ��n er S Vanover�rY Public Stgw of F�
Sworn and subsc ' efoIthis 3 f _20�
N+Commission EE730705 4\.x
Expires 0 911 51201 5 Signature of Notary Pub i