2233 Seminole Rd # 12 2013 bath room remodel CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DR
J1
Application Number . . . . . 13-00003397 Date 9/23/13
Property Address . . . . . . 2233 SEMINOLE RD UNIT 012
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 12000
----------------------------------------------------------------------------
Application desc
bath remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HUGHES, JAMES D AND SUSAN JEWELL CUSTOM BUILDERS INC
631 BEACH AVE 2701 RICHARDS RD
ATLANTIC BEACH FL 32233 ORANGE PARK FL 3206S
(904) 861-9688
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00
Issue Date . . . . Valuation . . . . 12000
Expiration Date . . 3/22/14
----------------------------------------------------------------------------
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 110 . 00 110 . 00 . 00 . 00
Plan Check Total 55 . 00 5S . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 169 . 00 169 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 [Nn 7otr 11 ?nil
UU -
Job Address* %Vlo� 'Ad 011TTIA 1 &6-61 Fr Per it NumNer: 1714A, e7, 3*3 97
Legal Descri i hArt4/9)AAA10412fe Q-e, AkorA04 W/O PrIel#
ti
Floor Area of Sq.Ft.
0
Pn 5 Proposed Work heated/cooled. Y-12 non-heated/cooled
Valuation of W
Class of Work(circle one): New Addition 6i�;D Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial
If an existing structure,is a fire sprinkler system installed? (Circle one')- Yes
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: &%Ilruo VIL-\ J(f CAVAd el)<_kAon
i
g-01 C L4 a- =i_
Property Owner Information:
Name:Svsan R�A S Address:W3 �e�v4 L40 te plc�
City op 3 -q/;A- 4&q(o
4� A-fw StatefTZip3A2�3 Phone
&&a e —
E-Mail or Fax#(O�tional
Contractor Information:
Company Name:)ewc,)I cvo,�Ovtq &A0jerrJec Qualify' ent:
Address: :32� NY14(l(A —Citv M111fee-W#A0j State z i p 3.2
Fax#
Office Phone q0q-T2
State Certification/Registrafion FOR CODE ICOM
Architect Name&Phone# PLL4,NcF,
CITY OF A7LVqrj
Engineer's Name&Phone C RFACH
Fee Simple Title Holder Name and Add S SEE PERMI'm IFOR ADDITIONAi,--
Bonding Company Name and Address REQUIREfvffiNTs AN-U-C—ONDIT70NS, L
Mortgage Lender Name and Address REVIEWED By.
.c j
------yq_ MAI J-,:
all e" ed he
It prior to t
h work a d a a n at
A ca here ade an a e to do the s ,on as A e c bec e
s I laws a ing n I j t d to omm
s in s
r 0! t
n s �l
h at ny e a er
p
0 r_t i st Od a t'uc 0 s u's
f
b e 0 ed to in t the tanda
d 0 co s r 0 s in
t 0 Pil r' r 0 g-d dt b doned or a e od n
io s by md ha al k
)in s or 's ,t 0 or or 's. n e r a 0 t I rs I t�
i'(6 n k "s
i PP ce o a pe"i t I'o - 'p
h s f I i W
,d d f.ok is ot co, e d t Plu 'g, S.g S,
0, is co, "c'' T 'e -i , t, on it t 0 tr et,C, or mbi 11s, P, 'races,B0 e , Hea
w k in d. I understand that sepa a per s in. be secured or E k,
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 here ,si a hcation and know the same to be true and correct. All provisions of laws and ordinances governing this
,lb certify that I have read and examined thi U
g
work will be complied with whether spe e§i erein or not. The granting of a permit does not presume to give authority to violate or cancel the
o any otherfederal,state, or local taw regulating construction or the pl�tance of construction. 40 _Ijvl�
provisions Z� 01I
Signature if Owner _S_Qk A_Q A=�� Signature of Contral A
�6Print Name Print Name ...... ....... J"I.(...................................................
....................................................................................................................................
Sworn to and subscr�bed �efore me Sworn t and subscrft�Lbefo e
this I I Day of �4evn)i4� 20 13 this 1,—14;ay of '=- y 1 201S
-AY P&. R 1!Nrl
T~SE"JEW&L 19 14
mn VV
Notary Pub&,- MY COMMISSION f EE 175796 SSION 1480
EXPIRES:AprII 24,R017
EXPIRES:March 30,2016
Bonded Thru Notary Pu*Ur*fwftfb Revised 01.26.10
1110, 1
,__v' Bonded Thru Bu*Notary Savim
OF F-or'
FILE COPY '
M
Prepared by and return to: 1111�-
aftaw"146-Mma.
Sandy English t
Ponte Vedra Title,LLC
50 AIA North,Suite 108
Ponte Vedra Beach,FL 32082
File Number: PVT130780,
(Space Above This Line For Recording Data)
Warranty Deed
This Warranty Deed made this 11th day of September, 2013, between Tammy M. Lally, an unmarried woman
whose post office address is 1969 Sevilla Blvd. West, Atlantic Beach, FL 32233, grantor, and James D. Hughes and
Susan M. Hughes, husband and wife whose post office address is 631 Beach Avenue, Atlantic Beach, FL 32233,
grantee:
(Whenever used herein the terms"grantor" and "grantee" include all the parties to this instrument and the heirs,legal representatives,and
assigns of individuals,and the successors and assigns of corporations,trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N01100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate,lying and being in Duval County,Florida,to-wit:
Unit Twelve of Ocean Village One,a Condominium according to the Declaration of Condominium thereof,
recorded in Official Records Book 3710,Page(s)631,of the Public Records of Duval County,Florida,and any
amendments thereto,together with its undivided share in the common elements.
Parcel Identification Number: 1695190124
Together with all the tenements,hereditarrients and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
SUBJECT TO covenants,conditions,restrictions,easements of record and taxes for the current year.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances,except as specified herein.
Warranq Deed-Page I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road - 9.5.6/ -7
Atlantic Beach, Florida 32233-5445 12
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site, hffp:/Awm.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: D ent review required Yes,1 No
Building_)
Applicant: -'=�6 __nninlg &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
I 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. MDenied.
(Circle one.) Comments:
CBUILDI�N
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: [:]Approved as revised. MDeVied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 06114109
NOTICE OF COMMENCEMENT
State of F'tjr('d(.k Tax Folio No.
County of JA 11a
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 stateo in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: �- I)- ()Ce4LA,
I.n 11-Cl flo#k- 3 6 Pa�e-L-3 /
Address of property being improved: 29,31 Sey%A'1�1 &C"a, P1. W"�-u
12'Z
General description of improvements: etc J t-�, 3 .1,A.33
Owner: 51A C-AA �A A6- Address: SC(%AAe-
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor:, )ePej[ (,U S,�CMn bl,&� der�
- U177 1616LVYIJ(V�61, Nod. mt,mleUAY�� IFI- 3,,�LW?
Address:
Telephone No.: q oq- q13 Fax No: 9-0 V
Surety(if any) --
Address: Amount of Bond$
Telephone 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 o Florida, ther than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone Noq�'/- 9a-A Fax No:go
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:-���A Date:
Before me this 19 --aay of ADj-3 in the County of Duval,Stat��
Doc#2013241855,OR BK 16532 Page 2167, X Florida,has personally appeared
Number Pages:1 Islotary Public at Large,State of Florida,C of Duval'
yunty
Recorded 09il 9/2013 at 10:46 AM, Ay commission expires.
Ronnie Fussell CLERK CIRCUIT COURT DUVAL :)er onallynyin n., 41 or
Y"�COUNTY :)ro uce at C-'
RECORDING$10.00
fXP OIS'E SWZa rc F3'0',2016
Bmiled TW W Nday SmM
OF
H
CITY OF ATLANTIC BEAC,
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003397 Date 9/24/13
Property Address . . . . . . 2233 SEMINOLE RD UNIT 012
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 12000
----------------------------------------------------------------------------
Application desc
bath remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
HUGHES, JAMES D AND SUSAN JEWELL CUSTOM BUILDERS INC
631 BEACH AVE 2701 RICHARDS RD
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065
(904) 861-9688
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . WAYNE CONN PLUMBING INC.
Permit Fee . . . . 76 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/23/14
----------------------------------------------------------------------------
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 PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76 . 00 76 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 80 . 00 80 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
13_ poo,�' 33 �7
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
k' PERmrr#
JOB ADDRESS: ;:')' 3-:�) Se-m
Uf
$
NEW OR REPLACEMENT INSTALLATION: Project Val Ly
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
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 0 Grease interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinkler System-Number of Heads — Li Well — inal inspection."
** SJRWD Well Completion Form. Completedform to be submitted to flie Building Department for f
o Other
months.I hereby certify that I have read
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six
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.
'—)�J C;0 Phone Number
Property Owners Name
Plumbing Company WF4�A�_ 0_'C)'C\ Office P06nV Fax
Co. Address:P.C--), State_�EL Zip
License Holder (Print): State Certification/Registration#CEC_'��\04
y '�: C
Stat:Certi=catior
Notarized Signature of License Holder '1Z
#0 Py Notary public State of Florida worn and subscribed before me this day of YA' 20_k!�_
kDeborah A conn
o
my commission EE 162442 ignature of Notary Public
Pras 01r
OF 231201 6
Expires 0112312016
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003397 Date 9/30/13
Property Address . . . . . . 2233 SEMINOLE RD UNIT 012
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 12000
----------------------------------------------------------------------------
Application desc
bath remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HUGHES, JAMES D AND SUSAN JEWELL CUSTOM BUILDERS INC
631 BEACH AVE 2701 RICHARDS RD
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065
(904) 861-9688
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc 2
Sub Contractor MARIANO ELECTRICAL CONTRACTING
Permit Fee . . . . S6 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/29/14
----------------------------------------------------------------------------
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 ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total S6 . 20 56 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 60 . 20 60 . 20 . 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
IL14 E RMIT# k"- --0 00 0 Slot-7
JOB ADDRESS: _;� X-� ?'-,� Q'I -
JEA INFORMATION REQUIRED ON ALL PERMITS I C:), AMPS VOLTS PHASE
VAL UE OF WORK$ Al 00 or->
NEW SERVICE F-1 Overhead Underground Underground up Pole
OResidential(Main)Service
LIO-100 amps 0101-150amps E 151-200amps El_amps #of Meters
[]Commercial(Main)Service
[10-100 amps 11101-1 50amps El 151-200amps _amps :I CT Service amps
Conductor Type Size
DMulti-Family(Main)Service
E10-100 amps 0101-150amps E 151-200amps []—amps #of Unit Meters
[]Temporary Pole El amps
SERVICE UPGRADE El amps 11 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100amps [1150amps 0200amps El amps ECT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ..a 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
D Swimming Pool D Sign []Smoke Detectors_Qty El Transformers KVA [I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) -��'Zo
Qty_volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
D Replace Bumt/Damaged Meter Can D Safety Inspection D Panel Change DOH to UG
DOther:
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 3cwq\V% �kj<Y\'r-`5, Phone Number
Electrical Company nokkz\R06 E�:AC-OA-V4k(1�8�k\-Qffice Phone-9Ga-069 ( Fax-�
Co.Address: LiSS1 51.- AtAt)-�,\-vAcr Qmd City-5AQLI&�.J�t State F Ik- Zip-,��1
t^-Vt Stat�Certification/Registration# 17se 13d 133 W
License Holder(Print): ^62 A/- Q - ,
Notarized Signature of License Holder
STAR1 MARIANO B ore me this 0 day f 20 13
rnmission#EE 183087
--ires May 8,2016
Wdd Ttu Ty Fam kmm-W0-38� ature of Notary Public C'