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1941 Beach Ave 2013 interior remodel y J � °st CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD s) ATLANTIC BEACH, FL 32233 V INSPECTION PHONE LINE 247-5814 r 1119 Application Number . . . . . 13-00002780 Date 6/10/13 Property Address . . . . . . 1941 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 55000 ---------------------------------------------------------------------------- Application desc INTERIOR REMODEL/KITCHEN BATH -------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- DREW, WILLIAM CARK HORN BUILDERS INC 1632 S BAYSHORE DR 12 HOPSON RD MIAMI FL 33133 JACKSONVILLE BEACH FL 32250 (904) 673-4860 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . 75 . 00 Plan Check Fee 37 . 50 Issue Date . . . . Valuation . . . . 55000 Expiration Date . . 12/07/13 -------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 -------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total 37 . 50 37 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 116 . 50 116 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1 BUILDING PEPUMIT APPLICATION L � -- (CITI SY OF ATI 1LA TIC BEACH 6C 6 800 Seminole Road, Atlantic Beach, FL 32233 MAY 31 13 Office (904) 247-5826 Fax (904) 247-50845 Job Address: Permit Number: Legal Description t-b7 SS z�d,�l�J�,B uiU1.7W_-L Parcell# oor Area of sq.Ft. Sq. t Valuation of Work wY.�,�j O,�CQ�Proposed Work heatedlcooledl anon-heated/cooled Ot�c� Class of Fork(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residentia If an existing structure,is a fire sprinkler system installed? (Circle one): es No N /A Florida Product Approval # L For multiple products use product approval form Describe in detail the type of work to be performed: RAqk0A7Z4 Z5W l /�-eg,6[ �jj S:,op ©F L7AQAe"%" r�U.U� �}o.K� �D 7.NGLiJ� 1�'1%G6{-ff�1�2KrijClsl�R+✓ t'3A-7LL 2f3.�IoUA�IiO�✓,4�_!�-iOiU' �b�tlA�r2 /�A-71,F. Property Owner Information: � - Name: w j']Ii qi•A ,Qb2t5,vtJ Address:,/s(�� SDv� City Y ebce�iy i �.✓ /li1JL State�ZipPhone .� > E-Mail or 1 ax;r�vp<<onat) T_ ifi Contractor Information: ILL Company Name: L Qualifying Agent: Address: City Zi , Sri wr Office Phone Job Site/Contact Number - State Certification/Registration# LG D Architect Name &Phone# CITY OFBEACH Engineer's Name & Phone# SEE FOR ADDITION AL Fee Simple Title Holder Natne and Address ESANDCONDITIONS. Bonding Company Name and Address Mortgage Lender Name and Address— DATE 13 — Application is hereby made to ob'airx a permit to do the work and installations as indicated. I cert 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 rzrrll and void if work is not con:nzenced 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. 1 understand that separate permits nusst be secured for Electrical Y�'ork, t�lssPttbang,Slgrts, 6i ells, Pools, urnaces, Bailers, Healers. Tanks and Air Conrlifioners,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 FE' LANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOITR. NOTICE OF COMMENCEMENT. hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this vpe of work will be complied with whether speci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions of any otlser federal,state, or local law regulating construction or the performance of construction. ignature of Owner r000, Signature of Contractor rint Name lv,1/�,?420j... ...�....I rCr,✓ Print Name ....1...... ........................................................... worn to and subscri ed before lite wos _ and subsc d before me tis3Dt4Day _/ i¢ ,C�'� 2013 his 20 \� v1Jo d ?tar, Pu Iic I of Fu ic- R r R DMUILITV"N" Nota licc,, tate of Florida �yPWft8haat �/ commission#EE874608 R AA, iced 0I.26.10 fOn#EE 87888'! My comm.expires Feb.13,2017 41 MY Omn.expires Feb.27 an+s S�:aTl��rCity of Atlantic Beach APPLICATION NUMBER J3 Building Department (To be assigned by the Building Department.) r i ` 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 �� l � ���• E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 19 UDgpgrtment review required Ye No // / Building Applicant: �Dt/7 anning &Zoning J // Tree Administrator Project: �L/XQ��C� — Public Works Public Utilities eaA Public Safety Fire Services Review fee $ Dept Signature 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. (C' e.) Comments: BUILDING 'M PLANNING &ZONING Reviewed by: /C Date: —�—o TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 Property Appraiser - Property Details Page 1 of 2 DREW WILLIAM CARL ET AL Primary Site Address Official Record Book/PaneiT le# 1632 S BAYSHORE DR 1941 BEACH AVE 16002-020 , ,,w,.,,,� ..�.,x .- 9409 COCONUT GROVE, FL 33133 Atlantic Beach FL 32233 MALLOY JENNIE S T/C 1941 BEACH AVE FILE C Property Detail Value Su RE# 169693-0000 - rigre Tax District USD3 Value Method CAMA CAMA — - Procerty Use 0800 MULTI-FAMILY UNITS 2-9 Total Building Value $36,630.00 $7,961.00 #of Buildings 1 Extra Feature Value $0.00 $0.00 15 57 9-2S-29E Land Value(Market) $855,000.00 $855,000.00 Legal Desc. N ATLANTIC BEACH UNIT NO 2 PT Land Value(Aeric.) $0.00 $0.00 Subdivision 03099 NORTH ATLANTIC BCH UNIT 2 Just(Market)Value $891,630.00 $862,961.00 Total Area 19478 Assessed Value $891,630.00 $862,961.00 The sale of this property may result in higher property taxes.For more information go CaP DHI/Portability Amt $0.00/$0.00 $0.00/$0.00 to Save Our Homes and our Prooerty Tax Estimator.Property values,exemptions and Exemptions $0.00 See below other information listed as'In Progress'are subject to change.These numbers are - part of the 2013 working tax roll and will not be certified until October.Learn how the Taxable Value $891,630.00 See below Prooertv Aooraiser's Office values orooerty. Taxable Values and Exemptions-In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions Sales History Book/Page Sale Date Sale Price Deed Instrument Tvce Code Oualified/Unaualified Vacant/Improved 16002-02011 7/2/2012 $900,000.00 MS-Miscellaneous Qualified Improved 08136-00941 3/27/1995 $100.00 WD-Warranty Deed Unqualified Improved 07875-00190 6/15/1994 $100.00 WD-Warranty Deed Unqualified Improved 03786-00770 9/3/1974 $27,500.00 WD-Warranty Deed Unqualified I Improved Extra Features No data found for this section Land&Legal Land Legal LN Code Use Description i ZgplBy Front Depth Category Ung Land Tvce LandLN Legal Description Vale I 1 15-57 9-2S-29E APTS 10 UNITS ORFront 1 0810 ARG-2 150.00 199.00 Common 50.00 Footage $855,000.00 2 I N ATLANTIC BEACH UNIT NO 2 LESS F PT 3 LOT 55 Buildings Building 1 - Building 1 Site Address Element Code Detail 1941 BEACH AVE Atlantic Beach FL 32233 Exterior Wall 23 23 Reinfrcd Concrete r-1--i Roofing Structure 1 12 12 Reinfrcd Concrete " FUA" FUA y Building Type 0801-DUPLEX Roofing Cover 4 4 Built Up or T&G Year Bulk 1975 Interior Wall 5 5 Drywall L °u eas Building Value $7,961.00 Int Flooring 11 ilCeramic Clay Tile Int Flooring 14 14 Carpet Tvce Gross Heated Effective I Heating Fuel 4 4 Electric Area Area Area Heating Type 4 4 Forced-Ducted ----------- --- Patio 72 10 4 I Air Conditioning 13 3 Central Finished upper 168 168 160 story 1 j Element Code http://apps.coj.net/pao_proper-.1vSearchBasic/Detail.aspx?RE=169... 6/4/2013 Property Appraiser - Property Details Page 2 of 2 Finished upper 168 168 160 Stories 12.000 story 1 i I I Bedrooms 2.000 II Base Area 648 1648 1648 Baths 2.000 Patio 52 I 03 Rooms/Units 2.000 Base Area 648 648 1648 Patio 72 I0 4 Total 1828 11632 1627 NotiGe of Pro ose_d_Pro a Taxes Truth in Milla a Notice Taxing District Assessed Value (Exemptions Taxable Value Last Year Proposed Rolled-back Gen Govt Beaches $891,630.00 $0.00 $891,630.00 $6,566.29 $6,013.69 I$6,191.75 Public Schools:By State Law $891,630.00 $0.00 $891,630.00 $5,164.75 $4,772.00 $4,950.60 it By Local Board I$891,630.00 $0.00 $891,630.00 I$2,188.57 $2,004.38 $2,097.83 FL Inland Navigation Dist. I$891,630.00 $0.00 I$891,630.00 $33.59 $30.76 $30.40 li Atlantic Beach $891,630.00 ($0.00 ($891,630.00 I$3,240.50 $3,080.58 I$3,080.58 Water Mgmt Dist.SJRWMD $891,630.00 $0.00 $891,630.00 $322.54 I$295.40 $306.45 Gen Gov Voted I$891,630.00 $0.00 I $891,630.00 I$0.00 I$0.00 I$0.00 School Board Voted $891,630.00 $0.00 $891,630.00 I$0.00 $0.00 $0.00 Urban Service Dist3 $891,630.00 I$0.00 $891,630.00 $0.00 $0.00 $0.00 Totals $17,516.24 $16,196.81 $16,657.61 Just Value Assessed Value Exemptions Taxable Value -- — — - - Last Year $973,563.00 $973,563.00 $0.0-0- $973,563.00 Current Year $891,630.00 $891,630.00 $0.00 $891,630.00 Property Record Card (PRC) The Property Appraiser's Office(PAO)provides historical property record cards(PRCs)online for 1995-2005.The PAO no longer maintains a certified PRC file due to changes in appraisal software;therefore,there are no PRCs available online from 2006 forward.You may print this page which provides the current property record.(Sections not needed can be minimized.)To print the past-year cards below,set your browser's Page Set Up for printing to Landscape. More Information ontact Us I Parcel Tax Record I GIS Map I Mao this property on Google Maps I City Fees Record http://apps.coj.net/pao_propertySearchB asic/Detail.aspx?RE=169... 6/4/2013 Page 1 of 1 � r l 1972 1961 1060 1969 1964 1.237 1955 1950 II 1.958 ��� I I 1951 1947 1046 1945 1952 AO 169693 0000 �� 1935 I 1937 191936 Ii 38 I III a 1031 0 e 1930 V I 1927 1927 m o ---��� SO I 1023 copy Ot4Cl2ooscit-ic4jme®a+vift18 .Fi67 1917 i http://maps.coi.net/output/DuvalMapsSQ-L—itdgism343444880578... 6/4/2013 ,M�,„tyra t CITY OF ATLANTIC BEACH COPY Building Department _ 0\fJ 800 Seminole Road J . v Atlantic Beach,Florida 32233 (904)247-5800 PLAN REVIEW COMMENTS Permit Application # 11- 2. 73-0 Property Address: 1 qyl lsleoc Applicant: Aor/9 ISi1 y vel's Project: -lei-ti r gP sr7 och/ � �i �cfi $ /3,2 A This permit application has been: Approved 0 Reviewed and the following items need attention: o � � f s Sic •� /��rm/r / /��o� Q ��j s as r�sf 100r cr Orr 2 Q /� �r �-e •r Pr rn. aca Please re-submit your application when these items have been completed. Reviewed By: "11#71 ty Date: 6-3-13 CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 )� JF3 c •� Application Number . . . . . 13-00002780 Date 7/11/13 Property Address . . . . . . 1941 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 55000 --------------------------------------------- Application desc INTERIOR REMODEL/KITCHEN BATH ---------------------------------------------- Owner Contractor - ------------------------ ----------------------- DREW, WILLIAM CARK HORN BUILDERS INC 1632 S BAYSHORE DR 12 HOPSON RD MIAMI FL 33133 JACKSONVILLE BEACH FL 32250 (904) 673-4860 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 63 . 40 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/07/14 ---------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS _ ------------------------------- Other Fees STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ___ _ ________ -- Fee summary Charged Paid Credited ----Due--- _ _ --- --------- ---------- ---------- Permit Fee Total 63 . 40 63 .40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 00 . 00 4 . 00 4 . 00 . Other Fee Total Grand Total 67 . 40 67 .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 ` � ��/ J//yj7 800 Seminole Rd, Atlantic Beach, FL 32233 �j Ph (904) 247-5827 47-582 Fax (904) 247-5845 13. Z60027W JOB ADDRESS' / PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS /.<10 AMPS �_VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole -Residential(Main) Service 0-100 amps -101-150amps _1151-200amps amps #of Meters Commercial(Main) Service j0-100 amps 101-150amps ❑151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main) Service '0-100 amps 101-150amps 1151-200amps ! amps #of Unit Meters Temporary Pole amps SERVICE UPGRADE I I_amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) -i 100 amps ❑150amps 1200amps amps CT 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 @ kw j Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Swimming Pool C Sign j 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 []Safety Inspection Panel Change - OH to UG Other: Ro Y 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 !/��� �XT / Electrical Company 1�/< GI/7 �(��'��� Office hone `/�7/�( ax Co. Address: -�D�s�� 7�T �lJ /`7 tP C ty Stat Zip License Holder (Print): �i ' St cation/Registration# Not der e of Florida / (d-5 worn and subscribed efore e this / day o 2 E 850790 59921 7 ignature of Notary P blic CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 - INSPECTION PHONE LINE 247-5814 Application Number 13-00002780 Date 9/11/13 Property Address . . . . . . 1941 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 55000 -------------------------------- Application desc INTERIOR REMODEL/KITCHEN BATH ------- -- ----------------------------------------- Owner Contractor ----------------- -------------- ---------- DREW, WILLIAM LARK HORN BUILDERS INC 1632 S BAYSHORE DR 12 HOPSON RD MIAMI FL 33133 JACKSONVILLE BEACH FL 32250 (904) 673-4860 --------------------- Structure Information 000 000 --------------------- Occupancy Type . . . . . . RESIDENTIAL ----- ---- Permit MECHANICAL HVAC PERMIT Additional desc MO Sub Contractor HAM MOND AIR CONDITIONING INC . 00 Permit Fee 75 . 00 Plan Check Fee . Valuation Issue Date Expiration Date . . 3/10/14 -------------------------------- - ------------------------------------------ Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---- - - ----------------------------- ---- ----- - STATE MECH DCA SURCHARGE 2 . 00 Other Fees STATE MECH DBPR SURCHARGE 2 . 00 ________ ------ Fee summary Charged Paid Credited ----- ---------- . 00 ------- - ------------ -----75 . 00 7500 . 00 . Permit Fee Total 00 00 . 00 Plan Check Total • 00 . 00 4 . 00 4 . 00 . 00 Other Fee Total 79 . 00 00 . 00 Grand Total 79 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH l 800 Seminole Rd Atlantic Beach, FL 32233 a Ph(904) 247-5826 Fax (904) 247-5845 oZ 78 JOB ADDRESS: ) YI 41 -?aj, (fir• A ��oe l���C E� rte- PERMIT# PROJECT VALUE $ / 5 CC) ARI# 44 REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Wells 7/� 1 is f— /�_1 OTHER: %U C 7L f��( -K c�-�t c�rt� (�KJ ( �� �S C C 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 m ' --bro bt Pone Numbe?6 6—"?S 3-9,;2-ZS Mechanical Company � c Y� Office Phone Fai�r c O -S Co. Address:3 q f a &4 Ir 1e e ?0I2 City ,/fiCk J 41L,1,/1P State a- Zip 3 2 Z0 License Holder(Print): a -��yvkroC)04 State Certification/Registration#C'AL ( 1&LS Notarized Signature of License Holder Before me this of •1N`Y P44 SHIRLEY L GRAHAM f: gnature of Notary Public -AY COMMISSION#DD 957760 ar EXPIRES:February 14,?.014 Bonded Thru Nntary Public Underwriters I CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002780 Date 9/11/13 Property Address . . . . . . 1941 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 55000 ---------------------------------------------------------------------------- Application desc INTERIOR REMODEL/KITCHEN BATH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DREW, WILLIAM CARK HORN BUILDERS INC 1632 S BAYSHORE DR 12 HOPSON RD MIAMI FL 33133 JACKSONVILLE BEACH FL 32250 (904) 673-4860 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Sub Contractor . . TURNER PLUMBING CO. Permit Fee . . . . 104 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/10/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 104 . 00 104 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 108 . 00 108 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION 6n-pufy_\,,� CITY OF ATLANTIC BEACH ��'C� 2- fp l�r, �(r����S 800 Seminole Rd Atlantic Beach, FL 32233 13 Vl� Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: lQ g��r,& A , A L PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank& Pit Clothes Washer Shower 1 Dishwasher r Shower Pan Drinking Fountain Slop Sink Floor Drain Three Toilet Compartment Sink Floor Sink Hose Bibs Urinal Kitchen Sink I Vacuum Breakers Laundry Tray Water Connected Appliances / Lavatory 'Z- Water Heater ( /� Other Fixtures Water Treating System I 1 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. Co pleted form to be submitted to the Building Department for final inspection." ❑ Other _9 r 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 ) Office Phone qLFa )� City State ZiO�� Co. Address: License Holder(Print): `' ✓'F"IA.- State Certification/Registration# Notarized Signature of License Holder J Sworn and subscribed before me this - i d y of .20-13— Signature of Notary Public_ j