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355 Plaza 2013 Garage and office CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003491 Date 10/11/13 Property Address . . . . . . 355 PLAZA Tenant nbr, name . . . . . . 960 Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 96000 ---------------------------------------------------------------------------- Application desc garage and office ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BLEDSOE JAMES A JR THOMAS E KOHN 4653 EMPIRE AVE 15 GUANA DR JACKSONVILLE FL 322072192 PONTE VEDRA BEACH FL 32082 (803) 243-0395 --- Structure Information 000 000 GAP-AGE W/ OFFICE Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ADDITION Additional desc . . Permit Fee . . . . 464 . 00 Plan Check Fee 232 . 00 Issue Date . . . . Valuation . . . . 96000 Expiration Date . . 4/09/14 ---------------------------------------------------------------------------- Special Notes and Comments Full right-of-way restoration, including sod, is required. 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 DCA SURCHARGE 6 . 96 DEV REVIEW-SINGLE & 2-FAM 50 . 00 ENG REV RESIDENTIAL BLD 2S . 00 STATE DBPR SURCHARGE 6 . 96 UTIL REV PRE APP >3 HRS 50 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 464 . 00 464 . 00 . 00 . 00 PERMIT ISR1ftWVCb0Q1h' fRQ"4RDANCE W?PWALQQATV OF ATURT-IO(AEACH ORDINANCAPAND THE FLORI&Q0 BUILDING CODES. CITY OF ATLANTIC BEA 'q 800 SEMINOLE ROfD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Page 2 Application Number 13-00003491 Date 10/11/13 Other Fee Total 138 . 92 138 . 92 . 00 . 00 Grand Total 834 . 92 834 . 92 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMOrr APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Allantic.Beach,FL 32233 Office(%4)247-5826 Fax(%4)247-5845 JobAddrew 35� 0-k.i-A- 0, Legal Description PermitNumber. 3V91 VIIB&don of Work S Parcel# Floor Area of Sq.ft Sq.Ft-- Proposed Work hea cooled non-heated/cooled Class of Wer1k(cude one) New Addition 6�;;) Repair Move pool/spa wjiMmIdDoor Use of exishieWpoposed.structare(s (circle one): Commercial ResideutW Has eidsdog sbwtmM is a fire sprinkler S.Vsfem.instsdied?(Circle one): Yes No N/A florida.Product AWoval# For Multiple products use prod ict appanvalTo—nn Describe in den&the tyW of wu&to beperformed:- &.4-Or" re*0ZA1 tt Af 4r I/ Property Owner LiLformation: I Name- 14 ZIrr NL-4(- cily*:! S P phone 13? V-079 E-Maidl or Fa=x,# Contractor Information: Company Name:-4mok—f- A410� Quali4-ing Agent o4.w i�: k4— Addnns: 14- ,6,j'w Nif Z- 3 7-0 -L pfi -.6ity A/!� -state Office PhonepF tr*0 rMF Job Sitel Cowact-Number VV5 'wY5,0*5fJ— Fax 9 '"/tz- Stme CertificationdfRegisnation 9 C'f.1 5; Aidfifi=Name&Phone# Engineer's Name&Phone tFeeSnnpleTide11olderN`=e;mdAdd;rss -XA,"z6 1>,Adt q. A 4 00 5 Bonding Company Name and Address 'w—/,&. hlorWage Lender Name and Address- W4;d-4.S A'44 4-- d#,- A4, /J ?z4j, 't 4(PSS 6:"q'Pd'eCff '4va .�' 5 ,,IP-Phraftom a laere&y awl*to aiw=apenwe to do dw warkamdmadLadow as bmdwamd ictraft d"no-work or Lonlaftation ha commenmdpnor to dw Mbn�!� WARNING TO OWNER: YOUR FAMURE TO RECORD A NOTICE OF CO-MLMENCIEMIENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTyw IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. gowrnmg 1his Print Namwe es 12le Print Name Before 19 20 Befere me of wV or this.LO Day -2013. Aj Pubtic Public WAK S.BAP)ES MES A.BLEDM JR. W0DMMISSION#DDM12 MY COMMISSION#EE 220079 Revised 10-24-12 EXPIRES:August 7,2016 -0, EXPIRES:October 16,2013 Uxled Thru Budget"S— T40"F:7'de BMW Tku kod"S"M City of Atlantic Beach APPLICATION NUMBER Building Department oc (ro be assigned by the Building Departrmnt.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 13 ?I/w Phone(904)247-5826 - Fax(904)247-5,845 E-mail: building-dept@coab.us Date routed: 4Z -:3 It 2-/1 J City web-site: hffp:/Avww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I Department review re uIred Ye Applicant: 11AI-2) /n a- S --4!� le //A/ V�=Fin�—g & Z J-T4—ve�_?�stratar Project: 11c Works u I Utiliti-e-s---,, Public a Fire Services .Review fee Dept Signat�re( Other Agency Review or Permit Required Review or Receipt Date Florida Dept..of Environmental Protection of Permit Verifi By Florida Dept.of Transportation er Water Management District Army Corps of Engineers n, isio- cf Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLICATION STATUS Reviewing Department First Review: QApproved. FIDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: 10 TREE ADMIN. evIewing Depa;t ment (Circle one BUILDING P NNING &ZONING Second Review: FlApproved as revised. [:]Denied. 0 P PTILE S- Comments: TI I PPUBLIC S�TAF�� Reviewed by- Date: FIRE SERVICES Third Review: DApproved as revised. nDenied. Comments: Reviewed by: Date: Zevised 05114/09 City of Atlantic Beach APPLICATION NUM13ER (To be assigned by the Building Deparwvnt) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 -9/ Phone(904)247-M26 - Fax(904)247-W45 B E-mail: buildinoept@coab.us Daterouted: 2- City web-site: hffp:/AwAv.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7- A- Department review re uired Ye ull Applicant: M a- S Z� k4O//A/ ning &Zonin lstrat6r- Project: _FL6611c Wo u I Utiliti—es- Public a tV-- Fire Services Review fee Dept SignatUre Other Agency Review or Permit Required Review or Receipt Date of Permit Veriffed B Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns Ri er Water Management District Army Corps of Engineers Division of Hotels and Restaurants Divisi n of Alcoholic Beverages and Tobacco rOther. APPLICATION STATUS Reviewing Department First Review: ElApproved. nDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING evie wing Depa�ment Circle one BUILDING P NNING &ZONING TREE ADMIN. Reviewed by: Date: OJ te Second Review: DApproved as revised. E]Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by- Datle: FIRE SERVICES Third Review: FlApproved as revised. nDenied. Gornments: Reviewed by: Date: tevised 05114/09 DO NOT WRITE BELOW- OFFICE USE ONLY Applicable Codes: 2010 FLORIDA BUILDING CODE Review Result (circle one): Approved Disapproved Approved w/ Conditions Review Initial s/Date: 1M /o-7-,;2o/:,r Development Size Habitable Space =�Ir-Non-Habitable Impervious area Miscellaneous Information Occupancy Group je- 3 Type of Construction 17- 8 Number of Stories / Zoning District 9 5- 2— Max. Occupancy Load Fire Sprinklers Required Flood Zone Conditions/Comments: h City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Deparftmnt.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 2- nit City web-site: http:/Aww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: z Department review required I Yep/1 No I /4�/ !"gn Applicant: . //71b ma Ai®riiing &Zonfn� Project: f., lic Wo S Pu 1C Utiliti-e-s----, Publll�dffiy— rFire Services Review fee $ Dept Signature -----T- --- Other Agency Review or Permnit Required Rev�ie:w or Receipt Date of P it of Permit V %ed B e Ver;e Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns Ri er 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: BA-PIP roved. FIDenied. (Circle one.) Comments: PLANNING ONIN Reviewed byz�sao,44�-L'7 Date: TREE ADMIN. go., Date: 0 SecondReview: F]Approved as revised. ElDenied. PUBLIC WORKS "R7 nts: PUBLIC UTILITIES PUBLIC SAFETY Reviewed b . Date: /0 o FIRE SERVICES Third Review: ElApproved as revised. E]Denied. Comments: Reviewed by: Date: tevised 05114/09 CD ft CA a- CD :� CD 0 4rD aq UQ n P, CD 7. CD CD fa, J:L r- cr CD ft CD " M CD 00 un + CD 0 CD ri 43 �5 cr 0— CD r- sn.. CD Cr 0 woo CD I.- "0 00 7Q C) C/) Cn til cn cn 0 C) m '--� Cn CD CD 0 0 PK C) 0 CD 0- s- CD �i 0 F UQ CD 0 74 aq CD 0 0 M 0 0 g, IID 0 CD CD Im �i I P. CD 0 CD CD f CL aq R. C) -Q CD CD CD 0 0 CD CD CD C, E CD C9 -LL I I I I eD CrQ ?o -,a CN cn cn tz� �31 CD a w A P�: -0 p CL CD On C) p CD n CD CD CD W CD CD GrQ CD I A i 1 . C) CD 0 ;:+ in- P3 c-, 0 0 CD CD CA 0 0 CD CD CD CD CD CA CD Z- no CD 0 -9 cr CD 0 CL CD 0 rA ;,t n t -1 C4 fD 0 eD CD CD COD cn Ln 0 CL En P-1 0 0 M CITY OF ATLANTIC BEA4ft 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003491 Date 1/21/14 Property Address . . . . . . 3S5 PLAZA Tenant nbr, name . . . . . . 960 Application type description RESIDENTIAL ADDITION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 96000 ----- ---------------------------------------------------------------------- Application desc garage and office ----------------------- ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ BLEDSOE JAMES A JR THOMAS E KOHN 4653 EMPIRE AVE 15 GUANA DR FL 32082 JACKSONVILLE FL 322072192 PONTE VEDRA BEACH (803) 243-0395 --- Structure Information 000 000 GARAGE W1 OFFICE Construction Type . . . . . TYPE 5-B occupancy Type . . . . . . RESIDENTIAL Flood Zone . . . . . . . . ZONE X ------ ------------------------------------------------------------- -------- Permit . . . . . . PLUMBING PERMIT Additional desc - - Sub Contractor . . STEEG PLUMBING CO. , INC. . 00 Permit Fee . . . . 132 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/20/14 -------------------------------- -------------------------------------------- Special Notes and Comments including sod, is required. Full right-of-way restoration, 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 132 . 00 132 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 PERMIT ISCA:FP-A4EDT@;A4N ACCORDANCE Wh;6AI-qOCITY OF ATR�TIP 9EACH ORDINANCAOAND THE FLORWAO 0 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: 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 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: [i Sewer Replacement [-i Back Flow Preventer o Grease Interceptor (Trap) gallons(Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads D Well ** SJR WD Well Completion Form. Completei—fonn to be submitted to t e Building Department for final inspection." D 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 authorit to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Nam .21eAme Phone Number Plumbing Company Office Phone 411-1-5-141 Fax ty State r—( Zip Co. Address: Ci Ae E License Holder(Print): State Certification[Registration# Notarized Signature of License Holder <4", '*'— - 20 0 m fore s a9subscribed be ak f NIRLEY L GRAHAM 9 �"(A`l ISSION#DD9577:60 0 y 1 014 ature of Notary Publi �V FebrLiary 14,2014 ntary Public Underwrtterms I, jond�,d Thru N CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000250 Date 2/20/14 Property Address . . . . . . 355 PLAZA Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu 2 tons ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BLEDSOE JAMES A JR COOL R US 4653 EMPIRE AVE 8210 HAWKS LANDING DRIVE JACKSONVILLE FL 322072192 JACKSONVILLE FL 32217 (904) 790-9110 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 91 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/19/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 91 . 00 91 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb 19 2014 13: 44 HP LnSERJET FAXCOOL R US 9042812108 page 4 AUCHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904)247-5826 Fax (904)247-5845 OB ADDREss: % ERMIT # PROJECT VALUE$ ARI# I f Air Handling Equipment Only Air Handling Unit & Condeoser Condenser Only MW AIR CONDMONING& HE TING SYSTEM INSTALLATrON Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rat' U19- Duct Systems: Total CFM REQUYRED LEPLACEMENT AIR CONDITIOPaNG & HEATING SYSTEM I14STALLATION Air Conditioning: Unit Quantity Tons Per Unit A fZ�, �m %—; Heat: Unit Quantity BTU's Per Unit c2 (Z%ZD Seer Ratina Duct Systems: Total CFM REPQ 'IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 ets of plans) Fire Standpipe Quantity (Requires 3 oets of plans) Underground Fire Main Value (Requires 3 803 of plans) Fire Hose Cabinets Quantity (Requires 3 s6ts of plans) Commercial Hoods Quantity (Requires 3 s�ts of plans) Fire Suppression Systems Quantity (Requires 3 sks of plans) IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty_ Automobile Lifts Gas Piping Outlets Boflers BTU's Elevators/Escalators LL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks (gallons) Wells THER: mit becomes void if work does not commence within a six month period or work is suspended or abandoned Nr six months.I hereby certify that I have read application and know the same to be true and coTrect- All provisions of laws and ordinances governing this w�rk will be complied with whether specified or The permit does not give authority to violate the provis.on th stme k)cal law regulation oonstrudtion or the performance of construction. s of an or :)perty Owners Name Ph6ne Number -1chanical CompanA��� ��Office Phoneg�4(9d�Max . Address: State O�Z Feb 19 2014 13: 44 HP LASERJET FAXCOOL R US 9042812108 page 5 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247- 45 oB ADDRFSS'-__� f),"AIERMIT # L CT -X -C ,icense Holder(Print): --j��1. --- State Certification/Registration \-Iy- lotarized Signature of License Holder Before me thi, d�y 4:)-j 20 Signature.of Notary Public PATRICIA A 8TARK MY COMMISSION#F-EI385M EXPIRES October 17,2015 F1orWa"ewyServbeAmm