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621 Aquatic Dr 2013 bath remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002226 Date 2/26/13 Property Address . . . . . . 621 AQUATIC DR Application type description RESIDENTIAL ALTERATION Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 150 ---------------------------------------------------------------------------- Application desc bath remodel tile board ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ QUIONEZ DEBORAH A SIGNATURE HOMES & DEVELOPMENT 621 AQUATIC DR 731 DUVAL STATION RD ATLANTIC BEACH FL 32233 STE 107-417 JACKSONVILLE FL 32218 (904) 759-9867 --- Structure Information 000 000 BATHROOM Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . - Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 150 Expiration Date . . 8/25/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total S5 . 00 S5 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 8 . 00 8 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002226 Date 2/26/13 Property Address . . . . . . 621 AQUATIC DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 150 ---------------------------------------------------------------------------- Application desc bath remodel tile board ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ QUIONEZ DEBORAH A SIGNATURE HOMES & DEVELOPMENT 621 AQUATIC DR 731 DUVAL STATION RD ATLANTIC BEACH FL 32233 STE 107-417 JACKSONVILLE FL 32218 (904) 759-9867 --- Structure Information 000 000 BATHROOM Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . CUSTOM PLUMBING AND TILE Permit Fee . . . . 76 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/25/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76 . 00 76 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 8 . 00 8 . 00 . 00 . 00 Grand Total 84 . 00 84 . 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 OFATLANTic BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTUP-E 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 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: [-i Sewer Replacement El Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads o Well ** SJR WD Well Completion Form- Complete&—fonn to be submitted to the Building Department for final inspection. C1 Other /;U 411,` 41,-.,ezl -e-,-- 4-1 '2" 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 1 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 Phone Number 33 Office Phone(k��Q- �L51 Fax�k'L��(-_-3' Plumbing Company ,,- W&7''0 :�:�,�4�, V-7-/,/, . - 0/ f city State Q Zip 3 a22 Co. Address: c27V'�t c5e 177�5A 'DR IV License Holder(Print): ot.c State Certification/Registration 4 Q< 27-3S- Notarized Signature of License Holder r Before me this �2&-, day of 1 20 MEUSSA A.W -7 _Z3 MYCOMMISSME861W5 4 Signature of Notary Public EXPIRES:January 1,2017 Bonded Thru Notary Pulk Undwmftam BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: hic-_ -Permit Number: Legal Description Floor Area of Sq.Ft. Parcel 9 Sq.Ft Valuation of Work$ 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 Residential If an existing structure,is a fire sprinkler system installed? (Circle.one): Yes No N/A Florida Product Approval# _____Ff For multiple products use product approva orm Describe in detail the type of work to be performed: Property Owner Information: Name: Address: city State—Zip Phone E-Mail or Fax 9(Optional)— Contractor Information: CompanyName: �Aov-cy,* V, Qualifyigg Agent: Address: '73 1 t_ . I o7 -#-t-7 Citv J State Zip 315-19 oo V a I S jtc Office Phone —Job Site/Contact Number -7�) 9-990 Fax State Certification/Registration# P_6C­04-165'� � Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address ica e e ade ana er d he nd n a ns a 'ndicat rtify that no work or installation has commencedprior to the i m to work a t t 1 s a" t 0 s s'I Irs A ' 7' li it 0 0 t d to m he tan aid al ction in thisjurisdiction. Thispermit becomes null io s' ym k be e e r ork su nedfor a period of six P6)months at any time after p v r to o't f rm hs, or Z "t s ,t or od p c t and tha r e o ape t (6 n n p i's' all w hPii s f a 'or mi t 0 .w and id k s ot com enced t 'o t ", is, ."i ' n m 0 it t Obe secured or E c'J'a signs, Wells,Pools, A urnaces,Boilers,Heaters, k ced. I, derstnd that separate Perm s m, 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihere certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordin ces governing this t does not presume-to give authority to olate or cancel the a 0 nd r or din ces go 1�work will be complied with whether s ecified herein or not. The granting of a permi viestoto"goLl"austh ly to olate oi provisions of any otherfederal,state, or local raw regulating construction or the pe�formance of construction. Signature of Owner Signature of Contractor,, ......... . ..... ........ Print Name Print Name . .................. .... .......... ................. ................. ......... .................. .... ....... ....................................................................................................................................... Before me re 20 this Day of . 20 is koly COMW31 E u 11cLjn6er,%,q:r,,-,. Notary Public Revised 10.24.12