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2317 Seminole Rd ,SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Wilt Application Number . . . . . 09-00000115 Date 1/26/09 Property Address . . . . . . 2317 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc re roof portion left by other contractor FL 183 . 10 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEISER, C. KEITH DOMESTIC DESIGNS 2317 SEMINOLE ROAD 438 B FLETCHER AVE ATLANTIC BEACH FL 32233 FERNANDINA BEACH FL 32034 (904) 321-0626 --- Structure Information 000 000 RE ROOF FL 183 . 10 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . RE ROOF 183 . 10 Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 7/25/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 40 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. oil - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826*FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 2.VALUATION OF WORK: 13.SO.FT.UNDER ROOF 1.JOB ADDRESS: ,z 3 19 selri o L-og f-oto A-"A)71�- &,4CW Z�4-6-0 4,LEGAL DESCRIPTION: 5.cLASS OF WORK 6.USE OF STRUCTURE: -g 1.1 WV't.2 0 NEW BUILDING 0 DEMOLITION JKIRESIDENTIAL LOTS BLOCK- SUBDIVISION El ADDITION 0 CONVERTING USE Q COMMERCIAL 7-DESCRIPTION OF WORK: 0 ALTERATION [I ACCESSORY BLDG. 8.FIRE SPRINKLER: IQ REPAIR OPOOL/SPA 0 YES 0 NIA 0 MOVE Q OTHER NO ]��IUIERTIY�..ER�� r COO IkCTOR, ARCHITECT I ENGINEER: 9.NAME: 15.COMPA�NY NAME: 23-COMPANY NAME� S� LA)C_. ho m6sr 16.NAME: 24.LICENSEE NAME: '614 b'b y 10.ADDRESS: 17 STATE OF FLORIDA 25.STATE OF FLORIDA LICENSE NO.: ,-w -�±� 18.ADDRESS: - 26.ADDRESS: *3.P Al- �C!6-7-CH EX 4c#,rY- -3.2g3 .2� r �m '96Ar-li, ,47 1q, 3-RI03 11.OFFI EPHONE: 112.FAX NO.: 19.OFFICE PHONE: 120.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 0 C (?p q.)3 V-0(,.2 A I(f.94-)-3.2/-0 to 13 0 V-)��' 7-1.2 701 13.CELL P 21.CELL PHONE: 29.CELL PHONE: �10 31JO-40917 (,?oV- ) ? -3 30.EMAIL ADDRESS: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: &'f'OL'C-,Pm 8,691Vb WM FEE 3IMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OVMFR) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36,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. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNEFVS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attorney or Agency Letter Required) (Oualff-orgy) 4,�Je-��j 4 .13 0 Date: Signed:/-- A" - ate: Signed: Before me this- y la6�� 206?in the.unty of Before me this_day of 2007 in the county of Duval,State of Florida,has p5rl1l6nally appeareJ-' Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements a declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate- true and accurate. Notary Public at Large,State of(-�"OCounty Notary Public at Large,State of_,County of 0 V6rsonally Known 0 Personally Known ca 14 0 Produced Identification [Vproducedide�mtio 'L Notary Signature: Notary Signature: �6 p On Ml"10441(i 12 COAB FORM BLDG01:REVISED:1/1012008- CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMA-TION ' LOCATION INFORMATION Permit Number: 18397 Address: ni7 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION - Date Issued: 6/21/1999 Name: KEITH MIZNF-K Total Fees: 25.00 Address: 2317 SEMINOLE ROAD Amount Paid; 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/21/1999 Phone: (904)249-8251 Work Desc: REP AC—EMENT j- A- ION FEES CONTRA APPI,C 7 —TC—EAN STATE HEAT AIR PERMIT 25.00 Insppctions Required... INAL NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACTBUILVING DEPT. Date-. 6/21/99 81 Receipt; W66169 14661 CHMKS tolIN63221008 BUILDING AND ZONING INSPECTION DIVISION ciTy or ATLANTIC BEAM ATLANTIC WRACtI. FLOMMA $2230 CAL N NUMBEn APPLICATION FOR MECHANICAL PERMIT IMPORTANT — Applicant to complelo all itains in sections 1, 11, 111, and IV. Sliest Addrew 2-3 !q SleminouE LOCATION OF Wersocling S110611! Between I v —And WILDING (10, 11. IDE NTIF ICATION -- To be completed by all applicants . In C)n1;dQ,&f;0n of p",_;I q;�en 1 0 r 40;mq the .01k of delcribod ;" 160 abo-0 it we h*fQbY AT00 10 P940frn 100d wort ;n acrordAricn ;th 91,0 8118t4d plant and Ip*C;(;C&I;On% -h;Ch are 0 part �11100( and In &ccarZtO w;Ih the COY Of JOrIlOnAls Ordinam4!el and 11Andarch I;1I*d Home :11.�Ivrc�aft;td C"bra 11MI) Molter Haefto of h*p*rfy &4"Nis #1 owast ow III. M!!�INFORMATI2144t,,, A� typo of 09 10 OTHER CONSTRUCTION BRING DONE ON THIS BUILDING OR SITE I J L 0 r.40 U L? 0 Natural Ll Co"Itel Utility C) 04 IF YK$, GIVE NUMBER OF CONSTRUCTION PERMIT 0 014of — Sp*c;fy IV. 1649CHANIC–AL IQUWMINT TO 1111111 IN"ALL&D NATUnK OF WOnK (Pr"kk comploto Net of carnp000ah oil Isoci of this "I novIdemisi or u Commercial $j Has' 0 Space 13 keceit" 0 co6tml 0 now Now BuIld1no C*^Jtf;"i4v 13 It000" U Coo" Existino BUIlding Doct I SY144m: IwI&Nr4L_ niplaoliment of*X16111no system U4210"Won topeelly Now Instaiiation jNo system previously Insistied) C) Extension or add-on to existing system C) C061;*9 fewor: Csisadfy Other — Bp#clfy Pro apAnlklon., Nveol"t, al "a 11IIIII SPACE �Vtt O"jej U Ll G,asoga,* (Rum"") 54 ONLY 0 LPG 0 Ww" pftuvto (:1 50;60 Pormll Apprev%4 FJ Otkor — spft;Fy P"It LIST ALL EQUIPMENT AM CONDIT11OW443 AND REFRIGEIUTIO� IEQUIY)4ENT Numb*r VaJtA M"011 flumbetv It"utactur*r CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlanbc Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT LOCATION*INFORMATION Permit Number: 18187 Address: 2317 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OMER1NFORNATt0W�i!:: Date Issued: 5/06/1999 Name: KEITH MIZNER Total Fees: 25.00 Address: 2317 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/06/1999 Phone: (904)249-8251 Work Desc: REPIPE .......... ......... . .......... IC ...... PL ATION�� WORKMANS KWIK FIX PLUMBING PERMIT 25.00 .............. .............. ..........- ...... .......... ............. ........ FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 Date: 5/06/99 01 Receipt: 0054380 AlIfANTIC BEACH 6UILDING DI�P,�_ CHECKS 1118 00100003221000 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Abantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT �'PERMIT.11�"RMATtON��iii��i�i�� .......,......LOCATION..INFORM.ATIM Permit Number: 18187 Address: 2317 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 011ji!fiffI914I[ER� INFORMATON Date Issued: 5/06/1999 Name: KEITH MIZNER Total Fees: 25.00 Address: 2317 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 5/06/1999 Phone: (904)249-8251 Work Desc: REPIPE CONTRACTQfq%j�;�j��,�r� :L A'P 'S� -n ONTE WORKMANS KWIK FIX PLUMBING PERMIT 25.00 ........... .......... ......... ...... d. ............. FINAL NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.0014 1 Date: 5/06/99 @1 Receipt: 0854380 AIVANTIC BEACH I§UILDING DEPT---, CHECKS 1118 00100003221000 Jul - 11-97 08: 26A P.01 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: fn 1\ ro OWNER OF PROPERTY: PLUMBING CONTRACTOR: Li K pjA, CONTRACTOR'S ADDRESS: Omeciotj STATE LICENSE NUMBER:_N_5qq TELEPHONE: HOW MARY OF THE FOLLOWING FIXTURES INSTALLED SINKS --SHOWERS LAVATORIES WATER HEATERS BATH TUBS —DISHWASHERS URINALS --DISPOSALS CLOSETS WASHI'NG MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50� $13.00 MIN12MUll FEILMIT FEE $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: --------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIX-ZrJRES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMB]N G CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS HUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) A-47-5834. 07/11/97 08:33 TX/RX NO.4132 P.001 CITY OF 4&4akc Be4c4-IMu'da Office of Building Official REQUEST FOR INSPECTION Date IT Permit No. Timev 0 ' 2 5- A.M. Recei ed P M District No. ,� _� got Owner's Job Address Locality Name -Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing C Footing E RoughWiring 0 Rough D A!r.Cond.& 0 Re Roofing 11 Stab El Temp Pole 0 Top Out El Heating Lintel 11 Fire Place 0 Pre Fab READY FOR INSPECTION A.M. (M.n. Tues. Wed. Thurs. Friday-P.M. A. ,,-) Inspection Made P.M. Inspector Final Inspection El Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approvod by I APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL,FIRM: MASTER ELECTRICIAN JOURNEYMAN ioOeZ)- -RFD Box_ NAME. - ADDRESS: BLDG.SIZE BETWEEN: RES.( ) APT.( comm.( I PUBLIC INDUS. NEW ( OLD( REW. ADDITION I TRAILER I TEMPA SIGNS I ) SO. FT. SERVICE: NEWY INCREASE ( REPAIR ( FEE CONDUCTOR SIZE �3 AMPS COPPER VJ ALUMJ SWITCH OR BREAKER 160 AMPS VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE INO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31-100 AMP5. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS MIMLEAAEOUS TRAiu-qs:nRmFR.q- LJIUDFR 600 V. OVER 600 V. 0002489 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ] LOCATION INFORMATION ------- -- PERMIT INFORMATION ---- % 12317 SEMINOLE ROAD per*$t Nuiobor s 2469 Addrows 0aralt Typet MECHANICAL ATLANTIC BEACH, FLORIDA 32233: -------- LEGAL DESCRIPTION ---------- Cli4aw of Works ADDIT ION C 4no.tr. , Type% R/A Lot Block* Sections Pi�'*pomod Uses SINGLE FAMILY townwhIpt Dv 111nout 0 Codes 0 $0. 00 *O.oO #20-00 *20. 00 A 790 �p &F, llk RMATI01t; APPLICATION, FSES PE�N IT 020. 00 ZMER 'CT NOLE ROA -Sit rMP# Ad EACH FLO*1(;�, -8251 WATER METER 711, $0. 00 RADON GAS-H. R. S. 010* C, XNFOR"�ATION RADON GAS *0.00 WA Sit- TAP *0 00 BE ER TAP $0.00 Adi iream 14,71 TLANTIC BLVD. , ACH, FLORID* 32233 HY�RAULIC SHARE 'OP.00 RE' INSPECT FEE an Types 3 j OT�ER NOTES: f NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF�ISSUE BUI LDI,�G MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BEI PLACED IN PUBLIC SPACE,AND MUST BE CLEAR�D UP AND HAULED AWAY BYEITHER CONTRACTOR OR OWNER. 6TA LURE. TO COMPLY WI'TH THE MECHANICSI,,�IEN LAW CAN RESULT IN is TH PROPERTY OWNER PAYING TWICE FOR BU DING IMPROVE 4SUE0 ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PER IT AND SUBJf&Tfi REVOCATI*gR VIOLAN OP APPLICABLE PROVISIONS OF LAW. !0 � ATLANT" 5UILDII E ARTM. T I Ic C By'. BUILDING AND ZOAIN6 INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 311233 0 M CALL-IN NUMBER APPLICATI N FOR ECHANICAL PERMIT IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: a?/7 LOCATION OF Intersecting, Streets: Between And BUILDIN6 Sub-division 11. IDENTIFICATION — To be completed by all applicants , -a- In tonsideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attacKpd plans and specifications which are a part hereof and in accordance w th the City of Jacksonville ordinances and Stan dards of good.practice listed therein. Name, of Mechanical Contractors Cqntractor'�(Print) /I_60Aeu Master Name of Property Owner Signature of Owner Sign oad Age Architeuc'I orf Engineer or A##W J'L" —1 IIL I ep*M A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE 0 Ellocmc THIS 13UILDING OR SITE? 0 "—[3 LP E3 Natural 0 Control Utility IF YES, GIVE!:NUMBER OF CONSTRUCTION 13 00 PERMIT 13 O*or specify IV. MW*"IM IWIPMINT TO It INStALLED t4ATURE OF WORK complete list of compowh on back of t�fsrffi) Residential or El Commercial Ho&t 0 Space E] Illoconsill dKentrol 0 Floor El New Building i Air Conditioning: 0 ROOM Central —"sting!Building Replace M� ent of existing system C3 Doct system: misfeQ Thicknow— A j El New Installation(No system previously Installed) Maximum capacity El Extension or add-on to existing system 0 RoMwation F-1 Other Specify D Cooling tower. Capacity g.pm. 0 FW Ii;prinlillors: Number of hes. C), flevotw 0 Monlift 0 Ewalsfor_(number) THIS SPAM OOR OFF= US*ONLY 0 :Gasoline PumP4 _(number) 0- To -(number) Remarks 13 Lft contains" -(number) a Wired pmaure vow Permit Approved by Permit Fee POW Specify UIST ALL EQUIPMENT AMR CONDITIONING AND REFRIGERATION EQUIPMENT C_wd�y Appravft iM=ber UNAN D"Cliptim Koftl NUMber UsAufacb,"r (TOM) qjylol C- 0 0 rn t- o G) 0 0 13 CP m o s z '13 C, 03 r- 0 0%0) 'A m LO 13 0 En :—e -0 (J) # 0 0 0 (P 0 (P 13 too Ir Aft Aw c1r, Or- ,41Uo4r-, 13e42CA 0, Building otticial , I -TION 01lice Spr-c ,,,UES-r FoR IN permit No. Date P.M. caly -Time Fec&ved ar r 0 ress Contractor G _CVAp,%jCAL Nir Cond.& vieeling owner's ELEC"Ilc Bougin ire PlaCe Name cot4CRETS r 'Ing 1, rat) _tougin Wir -TOP Out, 0 Temp pole Sewer a BUILE)mG C, Footing F, Final Framing D Stab 0 t4SpEc-(lW FridaV Re Fooling 0 L:intel Sr I r Insulation -Pj),j FOR hurs. \jqed. -Tues. 2 P.M. InspertiO V Final anc Mon. C,,tijiate . Mad�e Inspec"01 J)ate ---r J, Am IN Va ;b9PARTf#9WT OF BUILDIING CITY OF ATLANTIC BEACH 'IT INFORNATION - ------- LOCATION INFORMATION, 7 SEMINOLE Number Address., 2�1 BEACH* ROAD Perl Ri t T'Ype , RE-ROOF: C BRACH, ,PLORIDA 32233 AtLANT1 ag;z of Wo' rk; NEW , --------- - - WMAL DESCRIPTION --------- 'Cons"r. TyPet., WOOD-FRAMR YL plock: VrOPVS,�d Us e SINGLE: FAXI L Tow0ship RNG: 0 c 04 e, 0, 'Subdivis n Dwop 'Est 'mited Value- $0,00 _Tm, rov� t 00 oi 2 �:50 , Do L ;of 77!! FIBER0 Sjs 7 911,110"VES OALV NAILS PT RETAL TION APPLICATION FEES. S22 . 50 t,_6 A RT#v , '�4 A 4 PEE, ly 7 42 ''WRTER 'NETER RADON OAS, $0 ,00 c R; NAT RADON�� 0 S 5% L OF�T woo -,2'4 11 L�AV $EW, ��T P, 00 E XTJ E 'LE, ft, 32218 AOL I C �SHARE e: 7 "FEE INS-PEC Typ" $0 (YO �o A Lq El OTHER 0.0,0 ,N OTIE& CNET 0 WINGS MUST,B INSPIttTeor OTI;.E ALL CON, FtO 8EFORE POURING PERMIT VOID SIX MONTHS AF ISSUE TEA DATF-IOP BUILDING MAT15RIA�,RUSSISHAN4D'DegRtg,�ROM THISWORKIMAJST NOT'ij PLAC ED IN PUBLIC SPACE,AXD�MUST BE., AN.DHAULEP'AWA-Y,,B-Y 15 fl� OR OWNER �*�FAI.l Xfl-EITO 0 MPLY,.11AnTTtt-iroe-: "I'l-EWLAWr CA ' RESULT IN WECHANICS N W, NO: ME 014-;1VILDIN IMI*R OW Tw PA I OVEMENTS." 7 O:A -AN ,00 ACCORDING SVHIOH,ARE�PART OF, THIS,PERIV IT AND T TO REVOWaM FOR APP ASLE LIC IF ERM J ILA' T E CH-9lUILb,INGDEPAATMENT A Y , 777 7 A, CITY OF' ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address: —. Phone.- Lot # Block or Unit Subdivi.sion______ Contractor: .2-v// Address;_. Phone:_:Z7�:� State License No...... Describe work to be done: Materials to be used:— Signature OWNER: Date:_ Signature CONTRACTOR: 7- DEPARTMENT OF BUILDING CITY 01�ATLANTIC OEACH PERMIT INFORMATION ------- LOCATION INFORMATION :P4,rimilt Number - 6689 , Address* 23119 SEMINOLE REACH R040 Perini t : Type: RE-POOP AT tANTIC BEACH, pLORIDA" `&;33� as" 'C111 st of Work: NEW --------- d I EQAL DESCRIPTION s r. , Type: WOOD FRAME Lot Ell ock: Sect i on": Pr�6�sed Use,. S I N P314E FAMILY, Toim�� shi p 'I Code: "Dwell Subdivision!: ln4ted Value: 1"Trov. Cost : �0.0(_) otal Fees . $2215,0 riount F04/27/93 NO, 4110 Work e ROOF WITH NEW SHINOLES ION 6111� --- APPLICATION FXES 41 5 Zl� ml T $22 . 50 �Add LE REACH ROAD WATZR� IMPACT FEE $0 .00 CH, FLORIDA SElfWt I MPACY,FEE P0 .00 �4 5 4 00" S MRMAT I ON RADON G)kS 5% N e WATERITAP "I'll" I � I I �$0.00 d -411 SEWER. TAP -- __ _) A d re, IL AV! 0, of ........... J, L 32218, HYDRAULIC SHARE $0'.00 A e, e,% 6 IN15PECT- PER RC 0 Type,: 0 SEC.H ! tMPACT FEE 0 , ell, .............. 'OTH9 f me "i AsZ, 44 5, 'NO �Tf NOTICE—A,LL CON"ETIE FOAMS,A140 FOOT11408,MUST 100#NS, SOFORV POURING SUE" P Rmty-volo SIX�IONT' HSAFTER0A*OF1 �',�SWLDm 3 MATERIAL,RUOSISH AND OESAMF I OT ROM, H WORK MUSTJ4 ,,0E4LAC9 :1,.N'P,UBL,IC SPACE AND MUS' T BE �j CLEARE )UPAN0'kAULEDAWAYLB*: �ITHERi�64*FIACTOO,'OR6:W� OR" , 0 009 T011C.0—m—,ft ',YKE CHAN! ��4,A.4,'WLT IN ill.,_, I"Ar _YVIT711 , CS, IL tt Ov 'i �R, T:TO, �mmw t6 APPOOVVE _�,ft -*141 0 - 00 w w 6L 0 'ROY 90 �;71 7 CITY OF ATLANTIC 131-,A(.'fl PERMIT A13PLICATION FOOFING Owner( s) : Address: .23 Lot # Block or Unit # Subdivision Contractor:— LQ 64 ilC-Ala C- Address; ;�f Phone: State License Describe work to be done: Materials to be used:__.,_.. me- Signature OWNER:_ Signature CONTRACTOR: Date:— April 18 , 1993 Atlantic Beach Growth and Development Department Gentlepersons: This is to advise that I have appointed C. Keith Meiser, 2317 Seminole Beach Road, Atlantic Beach, FL, as my agent for the limited purpose of signing a building permit for the installation of a new roof by Residential Roofing at my house on Seminole Beach Road. (Erignature) J, Z"ay (Printed Name) -�Cm I�O'p L- -9-o--'4614 )&,*j (Address) CITY OF 4&44dw 13WI44-I&". Office of Building Official REQUEST FOR INSPECTION Date 7 -/ Permit No, Time A.M. Received P M. -& Job Addre", Locality Owner's Name - (r,) _—.—Contractor BUILDING ELECTRICAL PLUMBING Ny!;C:HANICAL-1,----> 'r Framing Footing Rough Wiring 1 1 Rough I I Air on F-1 Re Roofing 1-i Slab Temp Pole 1 1 Top Out Heating Insulation 1:1 Lintel I- Final I I Sewer Fire Place El Pre Fab READY FOR INSPECTION (::A�M Mon. (T.Zs Wed. Thurs. Friday A.M. Inspection Made —P.M. Inspecto Final Inspectio rtificate of.Acuancy I Date is CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 '41 on i I Application Number . . . . . 08-00001418 Date 10/20/08 Property Address . . . . . . 2317 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc Reroof FL 9631 . 7 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEISER, C. KEITH CIRCLE L ROOFING 2317 SEMINOLE ROAD 5402 1ST ST ATLANTIC BEACH FL 32233 TALLEVAST FL 34270 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc - - Permit Fee . . . . 50 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4000 Expiration Date . . 4/18/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 . 00 50 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 50 . 00 50 . 00 . 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 Office: (904)247-5826 9 Fax: (904)247-5845 Job Address: 2,317 A,01 &kPet Permit Number: Legal Description -9 77 37-25- Valuation of Work(Replacement Cost) $ 4il.00- • Class of Work(Circle one): New Addition Alteration-- e ai ) �� • Use of existing/proposed structure(s) Circle one): Commer�ciaCT • If an existing structure, is a fire sprink�ler system installed? (Circle one): �si d N 1A I • Is approval of homeowner's association or other private entity required? (Circle oVne Yes Describe in detail the type of work to be performed: Re Aov it'- Property Owner Information Name: A,*:5ese Address: .2317 560/polle 401 city &-gg .4 StateP LZip 3223-1 Phone Contractor Information: Name of Company:— Qualifying Agent: Address: 7175 .2/ " Ji'ller71- 6,44 city . #S,04 -State-C/ Zip 3 Office Phone ?Y f fo P1 >.Z J�o Job Site/Contact Number feV 7$12 Yf5 25 State Certification/Registration# Office Fax# Architect Name & Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commencedprior to the issuance qfa permit and that all work will be ?rformedto meet the standards ofall Te laws regulating construction in thisjurisdiction. This permit becomes null and void 1 work is not commenced within six(6) months, or if construction or work is suspended or abandonedfor a period of six'(6) months at any.time after work is commenced I understand that separate permits must be securedfor Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, 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. i hereby certify that I have read and examined this application and know the same to be true and correct. Allprovisions9f laws and ordinances governing this type ofwork will be complied with whether specified herein or not. Thegrantin&o a ,f permit does not presume to give authority to violate or cancel the provisions bf any other federal, state, or local iaw regulating construction or the performance of construction. Signature of Property Owner: Signature of Contractor: Sworp t Swo to and subscr' befig ,,p and subscr f me r� e Day of this J�jV Day of ?TMA'e'r.ADM this7; Notary Public Notary Public: I GL' V___1 "Olt"I" Allabel.Garcia HEATHER MAS =G 6ommission#DD283090 REVISED 03.05.07 Notary Public-State of Florida ."I Expires:3an 21,2008 ........... MY COmoOssion Expires Jut 26,2011 Bonded Thru Commission# DD 6"115 A,2,ntjcB,,din9C0-,1nc- 8 On d 0 d T ft*N a t i 0 r W N o t a r y A s s n. NOTICE OF COMMENCEMENT Permit No. Tax Folio No. 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. I. Description of property (legal description of property and address if available): 37-77 37-2S-29E . 115 BLUFFS UNIT 2- 2317 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 2. General Description of improvements: Removal and replacement of roof system 3. Owner Information: 2 17 Semin a)Name and Address: Carroll Meiser- Atlantic Beach, FL 32233 b)Interest in property: owner c)Name and address of simple titleholder(if other than owner): N/A 4. Contractor(Name and Address): Circle L Roofing, Inc. 7175 21st Street E, Sarasota, FL 34243 5. _§urety—Information: a)Name and Address: _N/A b)Phone Number: c)Fax Number: d)Amount of Bond: 6. Lender Information: a)Name and Address:—N/A b)Phone Number: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by 713.12(1)(a), Florida Statutes. a)Name and Address: N/A b)Phone Number: c)Fax Number: N/A of 8. In addition to himself/herself, owner designates to receive a copy of the Lienor's Notice as provided in Section 713.12(1)(b),Florida Statutes 9. Expiration date of Notice of Commencement(The expiration date is one(1)year from the date of Recording unless a different date is specified: N/A Signature of Owner: Sworn and subscribed before me this day of 520 0.0 E Known Personally /1D Shown: Signature of Notary: my commission expires: Doc#2008- 7012,0 R B K 14639 Page 165 7, jWy PWft-StMe of Florida Number Pagev W CWAN"Eon On 4.2011 Recorded 09,'16,12008 at 12:07 PM, CCM*Wm#00 739256 CUIT COURT DUVAL JIM FULLER CLERK CIR 3% so"Tho*Nab"Notary Assn cOUNTY RECORDING$10-00 "SS CITY OF ATLANTIC BEACH 800 SENUNOLE ROAD ATLANTIC BEACH,FL 32233 X INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: BLtildigg-deptLa,�coab-us Application Number . . . . . 08-00000069 Date 1/16/08 Property Address . . . . . . 2317 SEMINOLE RD Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------- ---------------------------------------------- -------------- Application desc INSTALL 2 CU ------------------------ ------------------------- ----------- Owner Contractor ------------------------ ------------------------ MEISER, C. KEITH OCEAN STATE HEAT & AIR, INC. 2317 SEMINOLE ROAD 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ------------------------------------------------ ------------- ------------- -- Permit . . . . . . MECHANICAL PERMIT Additional desc . - Permit Fee . . . . S1 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/14/08 --------------------------------------------------------------------------- - Fee summary Charged Paid Credited Due ----------- ------ ------ ---- ---------- ---------- ---------- Permit Fee Total 51 . 00 51 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 51 . 00 S1 . 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 247-5826 Application Number . . . . . 09-00000315 Date 3/09/09 Property Address . . . . . . 2317 SEMINOLE RD Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MEISER, C. KEITH DONOVAN HEATING & AIR 2317 SEMINOLE ROAD 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/05/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MY OF ATLANTIC BEOWM 07- F77 SMSEMBIDUERGAMAMAMCBEAMFLMM NECHANCAL PEMW APPUCATM DWM-COt*ffY AQm-P--Lxw- Beach. 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SOLMM=136 80LEMt2fWM FqlESSLw%VBSB—MEK'FE)02W*NiM ORCMUDUMEM FMOTHM KENk W ;;xr- - -�AS APPROVINB NU� 503DELS UPlaWACRIRER T(m AGIENM OFUMM DESCRVnOK T T EM ,7 13V 3D- 113 wKnK m= -- ---- Xv- 'AIR NUMBER APPMNVWS OF UNUS ussawnom MODEL# A220 1,100.1) 7 I Ttlt-ULWUJ 42a P40PROVING NUMBER MUM MM FOW UD=RIEVISED-gh=U