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
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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