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353 5th St 2013 kitchen remodel ,=� z CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ±� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 JF3S SA Application Number . . . . . 13-00002592 Date 5/03/13 Property Address . . . . . . 353 STH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc KITCHEN REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HORTON, JOHN W EASTERN SHORES CONSTRUCTION 345 4TH ST 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-7878 --- Structure Information 000 000 KITCHEN REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 10/30/13 ---------------------------------------------------------------------------- Special Notes and Comments NEED NOC 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 154 . 00 154 . 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 Fax (904) 247-5845 Dno Job Address: S5 �-� c,n�1-,� - `- Permit Numbe : MAY O"2013 -�� ' Legal Description Parcel# oorINTILNE o q• t• q Valuation of Work$ t� 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# For multiple products use product approva orm Describe in detail the type of work to be performed: A W Property Owner Information: Name: Address: City State ip e E-Mail or Fax# (Op onal Contractor Information: .,,,, an Name: �� '^ ���'�" N �J`� , Qualifying Agent: Lxv­>�- �`�'�`�'`' D Z 3 Comp y ty � State —zip 3 Address: b 5 11^-c. v1Ec rU'1"Cl c..n c. 11131111:111 C.-_1 Office Phone Job Site/ContactIn State Certification/Registration# VS Architect Name&Phone# C BE Engineer's Name&Phone# R ADDITIONAL Fee Simple Title Holder Name and AddressREOU `,ME NDTI'IONS. Bonding Company Name and Address � Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicate . cer i • merited 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.. permit becomes null and work void if o wmenced.not commenced within six I understand that separate permitsomu t be secuconstruction red for Electrical Work,Plumbing,Signs,or aWe/Is�P ols,XFurnaces,Bomonths ilers time after Tanks and Air Conditioners,eta 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 BEOM RRETCORDING YOUR NOTICE OF COMME1 hereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to ve authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owne _ Signature of Co�ntracto Print Name t Print Name 4(��, `..t41 t✓ ...................................... Before e �� Befo e 20 20 this ay o Q t D y of Not bli ,'tiw" :'' 1y Pu lic MY CO ISSI N#DD 957760 EXPIR ruary 14,2014 Revised 10.24.12 �� �^ dt° Bonded Thru Notary Public Underwriters �� '7/D City of Atlantic Beach - PPLICATiQN NUMBER Building Department (To be assigned y the'Buldi66 Department.) .' 800 Seminole Road " ,. Atlantic Beach, Florida 32233-5445K. Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@coab.us :,Date routed ? `- City web-site: httpa/www.coab.us APPLICATION REVIEW AND TRACKING. FORM Property Address: nt :ST- Department review required Yes No Buildin Applicant: 5 �cL ing&Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services e y; Other Agency Review or Permit Required Review 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 First Review: proved. [Denied. i (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. [De ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. [:]Denied. Comments: Reviewed by: Date: Revised 07/27/10 \ti CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DII Application Number . . . . . 13-00002592 Date 5/06/13 Property Address . . . . . . 353 5TH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc KITCHEN REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HORTON, JOHN W EASTERN SHORES CONSTRUCTION 345 4TH ST 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-7878 --- Structure Information 000 000 KITCHEN REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . TDG PLUMBING Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/02/13 ---------------------------------------------------------------------------- Special Notes and Comments NEED NOC 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 73 . 00 73 . 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 OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247t-5826 Fax (904) 247-5845 q JOB ADDRESS: IS"3 5 " 1 PERMIT# ` 2 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 Z 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: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **SJRWD 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 Phone Number Plumbing Company�� ��•ft 41 �` Office Phone S4 S 41 Fax "��`s Co. Address: L- -A o4� ^^ City �7"- State�Zip 32.2`' License Holder(Print t° Q �`1: , 0 CoA: ' State Certification/Registration# Notarized Signature of License Holder LE`ILGRMAMSwo and subscribe4,13,e e this day 20L3 ' ' = MY COMMISSION#DD 957760 ; ' ' EXPIRES.February 14, 1A o„ BondedThruNotaryPublicUnd' i1 re of Notary Pub Ic i f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002592 Date 5/08/13 Property Address . . . . . . 353 5TH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ----------------------------------------------------------------------- Application desc KITCHEN REMODEL ---------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- HORTON, JOHN W EASTERN SHORES CONSTRUCTION 345 4TH ST 1015 ATLANTIC BOULEVARD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 545-7878 --- Structure Information 000 000 KITCHEN REMODEL Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------------------------------ Permit ELECTRICAL PERMIT Additional desc . . Sub Contractor . . LIMBAUGH ELECTRICAL CONTRAC Permit Fee 66 . 60 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/04/13 ------------------------------------------------------------ Special Notes and Comments NEED NOC 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ------------------------------------------------------ Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- Permit Fee Total 66 . 60 66 . 60 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 70 . 60 70 . 60 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 _ Ph(90 247-5826 Fax (904) 247-5845J3—&TO'7J!.''f� Jos ADDRESS. PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS`_AMPS! VOLTS PHASE VALUE OF WORK$ IZ-5'67 0 ' 00 NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole FResidential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters Commercial(Main) Service JO-100 amps [1101-1 50amps ❑151-200amps ❑ amps ECT Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps 7 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ECT Service amps ADDITIONS,REMODEL ,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-l 00amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can�/ L1 Safety Inspection []Panel Change r El OH to UG they: v/pnt!emt.14—s- , 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 -Phone Number Electrical Company U rnbaurh Btc tr I cal &I(' c-ct% (Mice Phone 24('- q 16( Fax Co. Address: 42 lam+ . S retest City -� (.{G Oe e F t Zip X233 License Holder (Print): State Certification/Registratio -113002296 Notarized Signature gfLicense Holder LE A- & 2 Before me th s�_da 20 ( �J �.► w Notary Public State of FjiI na re of Notary Public �1G� Barbara Kaye Kennelly �+� My Commission EE 884831 aRe1' Expires 03/17/2017 NOTICE OF COMMENCEMENT ) -flnl r State of Tarfvmrno- County of To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMIVMNCEME fiT. f :23� ' Legal Description of property being improved: 3 c F1'f'C� *- Qf1 Address of property being improved: General description of improvements: ' �,-� Address: 3 �' ��Y-( 7Qr 1 e a CA Owner: r'1 -- i Z,oZ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: / Contractor: fiM �', d �i►�l J .1 �� A Ott �- `r Address: 1 0 vS n�',�•,n�"l c-- ��1�t ��t� - cK 1�'''Jb`' �GC 1-1� f{t 4(y4- -1�vs EaxNo: Telephone No.: Surety(if any) Amount of Bond$ Address: Telephone No: Fax No: Doc#2013113666,OR 8K 16357 Page 2378, Name and address of any person making a loan for the construction of the improveme: RecdPages:/ Recorded 2013 at 02:11 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL Name: COUNTY Address: RECORDING$10.00 Phone No: Fax No: Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: — — Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER �.^ l 3 Date: �i,gn�' in the Coun of D val,State fore m s day of Of Florida,has personally appeared lorida,County o My Bbfflumu or P69