371 Plaza kitchen remodel 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002650 Date 5/10/13
Property Address . . . . . . 371 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 17000
----------------------------------------------------------------------------
Application desc
KITCHEN REMODEL
-------------------------------------------------------------
Owner Contractor
------------------------
------------------------
CLAYTON, THEODORE B JONSSON CONSTRUCTION
555 SELVA LAKES CIR 333 SAN PABLO RD N
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 591-0599
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . . 00
Permit Fee . . . . 135 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 17000
Expiration Date . . 11/06/13 ---------------
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 03
STATE DBPR SURCHARGE 2 . 03
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 06 4 . 06 . 00 . 00
Grand Total 139 . 06 139 . 06 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, 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
Job Address: A4V Permit Number:
Legal Description j /�—Z 5 Parcel#
Yloor Area ot Sq.Ft. Sq*Ft
Valuation of Work Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Add ition,�L,&Iteration` 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.onc4-_��es --No N/A
Florida Product Approval 4
For multiple products use Fr—oduct app—r—owaT46-rin
Describe in detail the type of work to be performed:
Property Owner Information:
Address: 46�1
Name: Z�' 4z X4�3 Z4'Zip 7 17 Y/
city State _,�_�Phone 2 1
E-Mail or Fax# (Optional
Contractor Information:
Company Name: Qualifying Agent: 4b
Address: ?-yy AU/�, _City State �4/ zip zej
Fax
Site/Contact Number
Office Photie� Jo
�1� 14
State Certificati(;"- egistration t�-
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 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 thisjurisdiction. This permit becomes null
mmenced within six(6)months, or if construction or work is suspended or abandonedfor a period ofsixp�)months at any time after
and void if work is not co urnaces,Boilers,Heaters,
work is commenced. I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools,
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.
Ihereb certify that I have read and examined this application and know the same to be true and correct. Allprovisionso
f laws and ordinances governing this
typ e o7work will be coTplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or local taw regul ' t t'on or the peFformance of construction.
Signature of Owner Signature of Contractor
T .. ......... Print Name .... . ... ... .. . .........................................
Print Name ............................... .':& .............
/ .......... ....
..................................................................
Befo
Befo in
this D . 20 HAM
N' )j��E RqbPuary
.t. b1l, �d
0 Pu li MMIA&WNOD Pubi y
4
IFtES.Fgbmarj 141201
p0jr UndwfflW Revised 10.24.12
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
C !tit
Application Number . . . . . 13-00002650 Date 5/10/13
Property Address . . . . . . 371 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 17000
----------------------------------------------------------------------------
Application desc
KITCHEN REMODEL
--------------------------------------------------------------
Owner Contractor
------------------------
------------------------
CLAYTON, THEODORE B JONSSON CONSTRUCTION
555 SELVA LAKES CIR 333 SAN PABLO RD N
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) S91-0599
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc - -
Sub Contractor . . ATLANTIC COAST PLUMBING CORP. . 00
Permit Fee . . . . 62 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/06/13 ------
------------------------------------------------------------- --------
Special Notes and Comments
need noc
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Ma�j 10 13 02: 40p Susan Parrish 904-246-3673 P. 1
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph,(904)247-5826 Fax(904) 247-5845
PERMIT# C'�
JoB ADDRESS: 77-7
NEW 01�ICEPLACEMENT NSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPE or,Frxrvj?E Q7Y
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 Wa�cr Healer
Other Fixturcs Water Treating System
RE-P]PE:
TYPE OF FIXTURE QTY TYPE OF FIXTURE Q7Y
Bathtub Septic Tank& Pit
Clothes Washer Shower —
Dishwasher Shower Pan —
Drinking Fountain Stop Sink —
Floor Drain Three Compartment Sink —
Floor Sink Toilct —
Hose Bibs Urinal —
Kitchen Sink Vacuum Breakers
Laundiy Tray App:iances
LavatM Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
:1 Sewer Replacement C3 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Rcquires 3 scts of plans)
0 Lawn Sprinklcr System-Numbcr of Heads 11 Well
** SJRWD WellCompleflon Form,Completed ll7orm to be submitted tofhe Building Department for final inspection."
o Other
Pc?Tnitbcconx-s void if work docsnot(mrnmencc wiNn asix wonth period or work 4%uspendcd or dbandoncd for six montlis.I licreby certify that I liave read
this npplication and know the%ame to be tme and correct. All ptovisions of lawq and ordinances,goverminS Lhis work wi I L be cornp lied with whether 3PcCi red
or not. ne permit does not give outlioritY to viola(e Me provisions of any otliersuite or local Iftw regulation construction or the peti'ormance ol'construction.
Property Owners Nwne -t"'<� 77 PhoneN=ber��
Z
;VpiZ Office Phone 1, _Fax
Plumbing Company /7
Co. Addrm: City, Stat,-. �f,' Zip 3.2,2
stabI6
Certification/Registration
License Holder(Print);
Xotarized Signature of License Hoider
o vt,/'
20
Beforemethisf
Signature of Notary Public
L/1. d EL9E 91Z 106 << Sligg L472 -idea BULPI !na 20: LL OL-50-Eloz
Rl
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State Of 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
COMMENCEMENT.
Legal description of prope being impred: Z- 4�
V
Address of property being Improved: 23:k
General description of improvements: 14,,k7ie-4,
owner
Address.
Owner's interest in site of the Irn ent
Fee Simple Titleholder(If other than owner)
Name
Address
Contractor. if '7V�'"5
Address
Phone No. Fax No.
Surety Qf any)
Address _Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
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
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lientorr's Notice as provided In
Section 713.06(2)(b),Florida Statutes.(FBI In at Owner's option).
Name
Address
Phone 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
Signed: &L=—DATE
Before me this_day of in the
Doe#2013119412,OR BK 16365 Page 1636, County of Duval,State of Florida,has personally appeared herein by
Number Pages: 1 hknseW herself and affirms that all statements and declarations herein
Recorded 05113/2013 at 12:25 PM, are true and u
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
^-K1 a rin —or
u 1 -1-1 414
WyPubllcU��
4()nzThTU
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002650 Date 5/13/13
Property Address . . . . . . 371 PLAZA
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 17000
----------------------------------------------------------------------------
Application desc
KITCHEN REMODEL
-------------------------------------------------------------
Owner Contractor
------------------------
------------------------
CLAYTON, THEODORE B KNIGHT ELECTRIC LLC
555 SELVA LAKES CIR 910 11TH AVE S FL 32250
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH
(904) 247-9884
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc RELOCATE 3 RECP, 1 CIRCUIT
Sub Contractor KNIGHT ELECTRIC LLC . 00
Permit Fee . . . . 57 . 40 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/09/13 ---------------
-------------------------------------------------------------
Special Notes and Comments
need noc
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57 .40 57 . 40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 61 .40 61 .40 . 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(904) 247-5826 Fax (904) 247-5845 PERMIT#
JOB ADDRESS: P1
42A
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead F-1 Underground D Underground up Pole
-Residential(Main) Service amps of Meters
�0-100 amps 7_101-150amps [I 151-200amps E____ —
-Commercial(Main) Service -_CT Service amps
-- 0-100 amps ---101-150amps 11 151-200amps Ll______amps
Conductor Type Size
Multi-Family(Main)Service
-JO-100 amps F-101-150amps El 151-200amps FJ_amps of Unit Meters
-Temporary Pole El amps
SERVICE UPGRADE 0—amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-1100amps E1150amps L1200amps ---amps ECT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0-30amps 31-100amps —101-200amps
Appliances: —0-30amps 31-100amps —101-200amps
A/C Circuits: —0-60amps -_61-100amps
Heat Circuits: # circuits (j� ___kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS Transformers KVA Motors hp
,-SwimmingPool ESign �i Smoke Detectors—Qty 11
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty_volts/amps
REPAIRS/MISCELLANEOUS
-Replace Burnt/Damaged Meter Can El safety Inspection E Panel Change [I OH to UG
J,4"K
06ther: &0C_AtC
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mo ths. I hereby certify th7t 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 M r Office Phone Fax
Co.Address: — go City 1,41L Xk State zip
License Holder (Print): State Certification/Registration 9
Notarize 'U mah—
y
0
g !R,., ,3FMAM
I me this 75 d f
MYCOMMISSIONOD9577ddel re
3;F EXPIRES:February 14,2014
C
6=W Thru Notary Mic Und"
Pu
glature of Notary