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462 Inland Way 2013 w/d CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002951 Date 8/22/13 Property Address . . . . . . 462 INLAND WAY Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 ---------------------------------------------------------------------------- Application desc remove wall for w/d ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAMANN CHRISTOPHER G & LISA R PHILLIPS BUILDERS LLC 462 INLAND WAY 1250 SELVA MARINA CIRCLE ATLANTIC BEACH FL 32233 PHILLIPSBUILDERS@COMCAST.NET ATLANTIC BEACH FL 32233 (904) 349-2999 ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00 Issue Date . . . . Valuation . . . . 8000 Expiration Date . . 2/18/14 ---------------------------------------------------------------------------- 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 90 . 00 90 . 00 . 00 . 00 Plan Check Total 45 . 00 45 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 139 . 00 139 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION *Pursuant to F.S. 553.721 & F.S. 468.631, a surcharge fee will be collected on any permit regulated under the FBC. Job Address: 4—Lo 2 L N LAN D IA)Rv>, A .� . �"1. 3Z Z,33 Permit Number: /5 02 a Legal Description Project Valuation W C�P W D `r J Class of Work: ❑ New ❑ Addition Alteration ❑ Repair ❑ Move ❑ Replacement ti 2013 Use of existing/proposed structure(s): ❑ Commercial V Residential gy If an existing structure, is a fire sprinkler system installed? ❑ Yes INo ❑ N/A Roofing Materials: Main Material FL Approval # Underlayment FL Approval Describe in detail the type of work to be performed: w gm c g- MT4�kj • ' i law. f CODE COMPLIANCE a v Property Owner Information: CITY OF ATLANTIC BEACH Lr.� Name: G Pr9_S F1 RnA..&N O Regis red Ag I[W R� Address L LAPP A f3 AND CONDI Stater/ County wol_Zip 3L2, Phone 11REVIEWEDbWail �- Contractor Information: Company Name: PN-t Wt PS 96[Aa Q_-C, Name of License Holder: Address: I ZSd Lely» AI'zO c M_ City 4 .3 - State Pt. ZiD72,WJ Office Phoneme X49-Z°1°1 al Office E-Mail or Fax# State Certification/Registration# C C3G I Z S 7 314 Job Site Contact Name/Number 34q - �-`149 Architect Name, Address & Phone Engineer's Name, Address & Phone Application is hereby made,00b tain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance o a ermit and that all work will be performed to meet the standards o fall laws regulating construction in this jurisdiction. This permit becomes null and void if work snot commenced within six(6)months, or if construction or work is suspended or abandoned fora period of six(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. Owner's Affidavit:I hereby 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 o1 any other federal,state, or local law regulating construction or the performance of construction. l `rWAuaGivvy %NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEF RE C RDING YOUR NOTICE OF COMM CEMENT Signature of Owner_ Signature of Contrac U)�:;7�MQ_�_ Print Name ......... ..U. ... .. ........ ...�. ay..,�, y...... ��...11.......................... Print Name................................................................................................................................................... STATE OF FLORIDA, COUNTY OF STATE OF FLORID , COUNTY OF Sworn to (or affirmed and subscribed before me this S o o ( r affirme ) nd s bscribed before me this of 20 a of 20 Nota'fy Public i ature (Print or Type Commissioned Name Below) N C 1 or T ommissioned Name Below) (Affix S ... r MY MISSION 60 CATHERINE PEARCJAentification ... *: F eb ..... ......................................... ......................... ❑Personal) Known/OR ` _XPIRES.F Na y i •.... 3wdedThruNotaryPut>ficUnderwriters ❑Personally Known/OR MY COMMISSION M EES437Typer1�)e entification/Cype `— �, EXPIRES October 15,2016 DO N WRITE BELOW THIS LINE: OFFICE USE ONLY Applicable Codes: 2010 Florida Bui ing Code Review Result(circle one): Approved Disapproved Approved w/ Conditions Review Initials/Date: Development Size DCA/DBPR Surcharge$ Habitable Space Non-Habitable Impervious Area Total Area 1 st Floor 2nd Floor Garage Lanai Porches/Patios/Balcony Miscellaneous Information Conditions/Comments: Occupancy Group Type of Construction Number of Stories Zoning District - -- #Parking Spaces - - — — Max. Occupancy Load Fire Sprinklers Required Flood Zone - 11 North 3rd Street Phone (904) 247-6235 Fax (904) 247-6107 FBC 2010 Revised 3/15/12 City of Atlantic Beach APPLICATION NUMBER �S Building Department (To be assigned by the Building Department.) _ s 800 Seminole Road �• z� �, X Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: O? City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �- `I h C/ (NQ y Department review required Yes No Buildin Applicant: J anning &Zoning � , L Tree Administrator �C �� Project: 0 ✓L �/3 �/ � 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: ED/Approved. ❑Denied. (Circle one.) Comments: CBILDING PLANNING &ZONING Reviewed by: Date: D `0�6 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denie . 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 CITY OF ATLANTIC BEACH s1 J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 13-00002951 Date 8/26/13 Application Number . . 462 INLAND WAY Property Address . . • • Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 ----------------------- ------------------------------------ ---------------- Application desc remove wall for w/d ----------------------------- Contractor Owner ------------------------ --------------- HAMANN CHRISTOPHER G & LISA R PHILLIPS BUILDERS LLC 1250 SELVA MARINA CIRCLE 462 INLAND WAY PHILLIPSBUILDERS@COMCAST.NET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 349-2999 ---------- -----Permit . PLUMBING PERMIT Additional desc Sub Contractor TDG PLUMBING . 00 Permit Fee 62 . 00 Plan Check Fee Valuation . . 0 Issue Date . . . • Expiration Date . . 2/22/14 -------------------------------- ---------- --------------------------------- Special Notes and Comments need noc 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. _____ ------------------------------------ ----- 2 . 00 Other Fees STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE------ -- ------- ---------- ----------------------------- ------ PaidCredited Due Fee summary Charged -- -------- --------- ---------- - --- . 00 62 . 00 62 . 00 . 00 Permit Fee Total 00 00 . 00 . 00 Plan Check Total 400 . 00 . 00 . Other Fee Total 4 . 00 00 . 00 Grand Total 66 . 00 66 . 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 .TOB ADDRESS: ` • L-m^A t�_2 �P; PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY BathtubSeptic 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 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 Companf • Q •r L�b`AQ �^� Office Phone�'c4S--Ay I Fax �-' Cit �'� State F Zip Co. Address: L1,-E2 �e y License Holder(Print)C__T_ +p ci nA `^may State CertificationiRegistration# Notarized rP of I iceycP =' J3 ,. ..... SHRLEYLGRAHAM T rn and subscribed b ore ay of 20 *, My COMMISSION#D °<` EXPIRES:February 14,2014 � Pf d�` BondedThruNoraryPubilelJnderwri 9 ature of Notary Public NOTICE OF COMMENCEMENT 1 (PREPARE IN DUPLICATE) Permit No. l`� I Tax Folio No. State of \ C<.. 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 property being improved: Address of property being improved: General d of ` improvements: `1°�" �CN v,, Owner i 0. CD WI�vIV�� Address —It Owner's interest in site of the improvement 9't<'A-C' .�. Fee Simple Titleholder Of other than owner) Name Address Contractor'] L 1 Address tJ t-- p at r2 Phone No. r r I . Fax No. Swety(if 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 Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill 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 Jo dlfferent date Is specified): THIS SPACE FOR RECORDER'S USE ONLY /OWNER ' Signed; i DATE— )L5 4 Before me this" aY in the Doc#2013228533,OR BK 16515 Page 1737, Cty of Duvet,State of FI rsa ride,has penely appeared m oun herein by V : ffl Number Pages:1 himself/herself and aRimrs that efl statements and declarations herein Recorded 09/04/2013 at 02:31 PM, re true and accurate z n Z Ronnie Fussell CLERK CIRCUIT COURT DUVAL (n COUNTY RECORDING$10.00 m z X Pub k at ,Sian COlnlir of u A N x My mission exprres: N m Personally Knownor N m Produred IdenVication� - o rJ l MS CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !J ;" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002951 Date 9/04/13 Property Address . . . . . . 462 INLAND WAY Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8000 ---------------------------------------------------------------------------- Application desc remove wall for w/d ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HAMANN CHRISTOPHER G & LISA R PHILLIPS BUILDERS LLC 462 INLAND WAY 1250 SELVA MARINA CIRCLE ATLANTIC BEACH FL 32233 PHILLIPSBUILDERSQCOMCAST.NET ATLANTIC BEACH FL 32233 (904) 349-2999 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . KNIGHT ELECTRIC LLC Permit Fee . . . . 59 . 80 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/03/14 ---------------------------------------------------------------------------- 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 59 . 80 59 . 80 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 63 . 80 63 . 80 . 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 j JJ Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 4 �IAt✓O WA"/ PERMIT# •J " �9� _ JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground QT Underground up Pole ❑Residential (Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters ❑Commercial(Main) Service '_'0-100 amps ❑101-150amps ❑151-200amps ❑ amps FICT Service amps Conductor Type Size Multi-Family(Main) Service ❑0-100 amps [1101-1 50amps ❑151-200amps ❑ amps #of Unit Meters Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 11200amps LI-amps ❑CT Service amps ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 7_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: If__ OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty FJ Transformers KVA [_j 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 Phone Number Electrical Company �► <<- `L G Office Phone Fax City If lk (1- State y Zip �22SD Co. Address: License Holder (Print): �>✓ State Certification/Registration# —el?of 2 52-1 Notarized Signature of License Holder ,Ia�xFERwwa�R Before me this t�day of 20 _*. £ MY COAMAISSION FFF 011480 EXPIRES:AprH 24,2017 Signature of NotaryPublic ��ltt�th' BOWW Tleu tbtM Pubk undewrken g