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
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Application desc
remove wall for w/d
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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