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