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1619 Beach Ave 2013 enclose balcony CITY OF ATLANTIC BEAC 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 oil Application Number . . . . . 13-00002844 Date 6/17/13 Property Address . . . . . . 1619 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 ---------------------------------------------------------------------------- Application desc ENCLOSE EXISTING BALCONY ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MOODY, DOUGLAS W FLA DESIGN BUILD INC 1619 BEACH AVENUE 5 GUANO DRIVE ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082 (904) 874-7395 (904) 759-7087 --- Structure Information 000 000 REMODEL GARAGE APT Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00 Issue Date . . . . Valuation . . . . 12000 Expiration Date . . 12/14/13 ---------------------------------------------------------------------------- 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 . . . . . . . . . DEV-REVIEW SFR UNIT 50 . 00 STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ------ Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total 55 . 00 55 . 00 . 00 . 00 Other Fee Total 54 . 00 54 . 00 . 00 . 00 Grand Total 219 . 00 219 . 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 APPLICATION NUMBER Js Building Department (To be assign by the Building Dertment.) 800 Seminole Road 2 0r/ �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 :� ; �• E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: / UG� I`i' nt review required Yes No =* ' Applicant: S/ �7 ��� Zr->/ Planning &Zoni Tree Administrator Project: �h A/ �� S��' le D Public Works Public Utilities Public Safety Fire Services Review fee $ '3)•40 Dept Signatures 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: EfApproved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONI G Reviewed by: C Date: �p 0 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 rSyL�;y City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Depqrtment.) 800 Seminole Road .. 2 �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax-(904)247-5845 - - E-mail: budding-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM nt review required Yes No Property Address: ��� U�� n ✓� B " Applicant: 5/ �? Gu L� Planning &Zoni Tree Administrator �n cl os� ��c�� s�f 9 / 4 Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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: [Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Ilk Date: G��?'<3 TREE ADMIN. Second Review: QApproved 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 05/14109 ---:BUILDING PERMIT APPLICATION mw 4 I CITY OF ATLANTIC BEACH COPY ?$00 Seminole Road, Atlantic Beach, FL 32233 4 247-5826 Fax 904 247-5845 LL13 - Office (90 ) ( ) q.- Job Address: I 59W-4 'aV e, 109-111AWflL � �36 � Permit Number: Legal Description Gpr 4. 5 o- 1-vr,1*+1 A TS 00 IT -0 1 Parcel# 1 09(04.0--006 Floor ea ot zsq.vt. �iq. t Valuation of Work$ 12)000 Proposed Work heated/cooled FS'V,P, non-heated/cooled Class of Work(circle one): New GD Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residenti If an existing structure,is a fire sprinkler system installed? (Circle one): Yes (No N/A Florida Product Approval# Sr& MJ I rlstr` For multiple products use product approval form Describe in detail the type of work to be performed: ��VGLus FJGY�wlsz 0!9' (;Q yg x e� V b kJ 1�1 TGt 1 tel✓ c/9���7�Y Property Owner Information: Name: Address:1 f0:W 617OWAtm City G State�LZip 37133 Phone No$) s3'74•--73R6- E-Mail or Fax#(Optional) Contractor Information: Company Name: L o JL,0 I Qualifying Agent: BONN Pow/W Address: 1!03'1 664q( i5L City St 01Ce� State P' _ Zip �-v Office Phone(TQ+)I -71501_,7o07 Job Site/Contact NumbFax# IU State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# ` c t dpv-\ Fee Simple Title Holder Name and Address jU Bonding Company Name and Address If- Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 thpis jurisdiction(. This permit becomes null pended or and work er void nmenced I understand that separate permits mor ut be secuconstruction red for Electrical Work,Plumbing,Signs,aWells,Po eriod of six montBoilers,s at tHea1 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 BEOR ERECORDING YOUR NOTICE OF COMMEN1 here b 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 give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner Signature of Contractor , n I p Print Name ..o.JS.�Gk.S......./` ...I. .Q Print Name Nr✓ 1 .........1 © ..................................................... Before MeBefore jne 3 this,_Day of ��MP 20 6 this3 D of Ste-n 20 OBBIE J JOHNSON ;. Notary Publi " MY COMMISSION#FF001 Notary Public ,1.. ate, MY COMMISSION#FF004282 ..y: °•'.?a ;oQ.,' EXPIRES April 3,2017 2 d 10. 11S Aprit 3,2017 �-„ (407)398-0153 FloridallotaryService.com (407)398-0153 FloridallotaryService.com � V cd ® Oto 4t Cd M O O � � a O 0-4 .+�. o I a� W W o o rA U z W a) o O , > x Cd Cd a 1 4 o p -,ad cz' v ao p O . ° o cd o o 0 0 ',��� o F' � � � O z � x U Q w d a a, Q kn 00 o ° U r i �k .r C� V O a 0 0 A 0 s.. a wTIT Cd � I o ° UId 4, bn � o ' ° A ; ; o ¢, a� w UO od 53 an tD N 4 �. '� bq +� o cd 4 i W w JS o y w °o o ° ° ° o o ani °o ¢ o v°� W rig U �✓ C7 C7 r� O Q .Z bA -- cV cYi d kr; �D M d vl \p r,: 00 01 .~- F-I -" N M �p l� 00 01 -- �-- •- •-- •-- + V U A i u a a 0 a 0 A v a 4 0 U � Cd N 0 bA � o U W O H W U U a Q 3 ,-- V W w o 0 o CA a " a, °14 nn v� N U d N 14, O U U ow Cd O cd a 4:1 a UD � M U U U '•'d ;jcd +j ° cd 0 44 Cd V w U O WW U Z, 5 ai U x o U U U U H U NOTICE OF COMMENCEMENT State of Tax Folio No. County of pOlf/-L 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 property being improved: Z-074 AQD S o1::�' POPTH AVt LAX116, 604OK-W FF 4#-, � Address of property being improved: 1�O) 6 ' -1 ,� /�7L1�Ail�L ly1✓�1C4=/ L, General description of improvements: lC/ cf4i5p i>119'ejd1/,H-tto-) - 5e)U-CC1;F1- G D';i5t 450 �E3Ll C�/tiJ� Owner. POL)o Address: SMP? /9!5 /°J80Ut:—: Owner's interest in site of the improvement: rifi� IYI PLC Fee Simple Titleholder(if other than owner): Name: Contractor: Gam• i 5g:sb / 9C))L j,> iIU6, - ^J©N1) 1,za 1A / clec- 03-54-14 Address: lb-SCI jggq: .( 151-V,Q -J jjLY QA/V b/7G�-I,-T/-3A Q07 Telephone No.:(g0!9:) :7`T9-7l 7 Fax No: /A Surety(if any) Address: Amount of Bond S Telephone No: Fax No: Name and address of anperson making a loan for the construction of the im r Doc b 2013147462,OR BK 16405 Page 416, Y Pe g P Number Pages: 1 Recorded 06i1112013 at 10:51 AM, Name' Ronnie Fussell CLERK CIRCUIT COURT DUVAL Address: COUNTY 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 Signed: �2 /" Date: 6 -11-13 Before me tffiday of in the County of Duval,State Of Florida,has personally appeare Notary Public at Large,State of County of Duval. My commission expire Personally Known: A or Produced Identific *on: MV'--- Ori 957760 ,unary 14 201 V nan:Publir,Underwrit CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 J13��`� Application Number . . . . . 13-00002844 Date 6/26/13 Property Address . . . . . . 1619 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 -------------------------------------------------------- Application desc ENCLOSE EXISTING BALCONY ------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MOODY, DOUGLAS W FLA DESIGN BUILD INC 1619 BEACH AVENUE 5 GUANO DRIVE ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082 (904) 874-7395 (904) 759-7087 --- Structure Information 000 000 REMODEL GARAGE APT Occupancy Type . . . . . . RESIDENTIAL --------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/23/13 ------------------------------------------------- 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 PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 87 . 00 87 . 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) 247-5826 Fax (904) 247-5845 JOB ADDRESS: / &e-4 Cl PERMIT 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 Sunk / Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures p%b ..1i 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 NamePhone Number Plumbing Company &/AVye bll Office Phone,��GZ�ax Co. Address: OCity State ZipQf License Holder (Print): G k State Certification/Registration 4 <,05'—I JWI�v Notarized Signature of License Holderth day 20 � MY COMMI S 3 ; , ! r'XPIRES' abrua ta,2014otary Public iRf F�' iondedThru CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002844 Date 6/26/13 Property Address . . . . . . 1619 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 12000 -------------------------------------------------------------- Application desc ENCLOSE EXISTING BALCONY --------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- MOODY, DOUGLAS W FLA DESIGN BUILD INC 1619 BEACH AVENUE 5 GUANO DRIVE ATLANTIC BEACH FL 32233 PONTE VEDRA BEACH FL 32082 (904) 874-7395 (904) 759-7087 --- Structure Information 000 000 REMODEL GARAGE APT Occupancy Type . . . . . . RESIDENTIAL --------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . BILL THOMPSON ELECTRIC CO, INC Permit Fee 61 . 60 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/23/13 ------------------------------------------------------- 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 ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ------------------------------------------------ Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 61 . 60 61 . 60 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 65 . 60 65 . 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(904) 247-5826 Fax (904)247-5845 Jos ADDRESS: -, ' j / ���G� /¢dam PERMIT JEA INFORMATION REQUIRED ON ALL PERMITS /,J—D AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole FJ Residential(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service [-10-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: _/67 0-30amps 31-100amps 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 ❑Safety Inspection ❑Panel Change ❑OH to UG ❑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 /'JX Phone Number Electrical Company /j/1 h �L Office Phone /�/'�49/ FaC.- Zip Ci 4w" /��i, State�� Zip 3ZZ"E Co.Address: /`��O�' J-� �' License Holder(Print): ail-"I! CA-1 State C rtification/Registration# �dU3�7 Notarized Signa t �J���y �,,NNN �HIRLt.1 r: MYCOMMIS� a is day f EXPIRES:February 14,2014 ,„ eadearntiNm Notary Public