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1091 Hibiscus St 2013 bath tile CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD "J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002916 Date 6/28/13 Property Address . . . . . . 1091 HIBISCUS ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 750 ---------------------------------------------------------------------------- Application desc bath tile work ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BISHOP CATHLEEN M BEETREE HOMES 530 GOLDENROD LA 13751 SAXON LAKE DR NEPTUNE BEACH FL 32266 JACKSONVILLE FL 32225 (904) 333-6187 --- Structure Information 000 000 BATHROOM TILE Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 750 Expiration Date . . 12/25/13 ---------------------------------------------------------------------------- Special Notes and Comments 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 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION P � � � � U T CITY OF ATLANTIC BEACH JUN 212013 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 lBy I :5 2211;.5 Z3 Z 9/p Job Address: lOq I-�ll!3lSGUS SCS b�11.AcNT1G �.U,t� Permit Number: Legal Description Parcel# � Floor Area o q. t. Sq.Ft Valuation of Work $ -75'0— Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration 0epair) 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 approval form Describe in detail the type of work to be performed: EAlU I24W 11LE >lLF,-VPAP- Property Owner Information: Name: CAI" SIS"OP Address: 530 N ItZTL1 City Nnofi UFN jankeL1 State VUip OLo Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: N,!5wA25 Qualifying Agent: LCA-TUt`LA 1-lQ�;IEF� Address: I S&XOW VMJF— City State*:::L Zip 32.22-5' Office Phone Fax# �. 23.5(0 State Certification/Registration# c p� Architect Name&Phone# VJK CODE COMPLIANC Engineer's Name&Phone# C ITY OF ATLANTIC RrLA cu Fee Simple Title Holder Name and Ad ss SEE PERMITS FOR AD r 4 Bonding Company Name and Address NTS AND CONDMONS < .;. ! Mortgage Lender Name and Address q_E TE: .„,, .,,, ,�, Application is hereby made to obtain a permit to o installation has commenced prior ttoo�t�ie issuance of a permit and that all work wt11 be performed to meet the standards f all laws regu ating cons ru is jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of stx 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o1 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 caner Signature of Contracto Print Name .I.S.�1U .............................................................................. Print Name / (.MA.......4.(? ............................................................................ Swor ,t' nd subscri a before me Sworn to and subscribed before me this Gt f 20�_ this ��Day o 20- RESECCA C.AMTHOR4KM IC Notary Public Nota NOTARY NE STATE OF FLORIDA Commw EE214783 STATE OF FLORIDR evised 01.26.10 Expires 7/812016 COm^#EE214783 Expires 7/8/2016 I City of Atlantic Beach APPLICATION NUMBER � Building Department (To be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 f Phone(904)247-5826 • Fax(904)247-5845 It • E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Al A461'_5 6'e Lent review required Yes No CC Building Applicant: 6�� T�''F J ,�� anning &Zoning Tree Administrator Project: / 0.0 _rn Public Works Public Utilities 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: E pproved. [-]Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: Date: 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 07/27/10