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615 Amberjack Ln 2013 kitchen/bath remodel CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003611 Date 11/07/13 Property Address . . . . . . 615 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ---------------------------------------------------------------------------- Application desc kitchen bath remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ TRAVIS DEBRA A NORTHEAST BROWARD CONSTRUCTION 615 AMBERJACK LANE 1229 FOREST OAK DR ATLANTIC BEACH FL 322334202 NEPTUNE BEACH FL 32266 (904) 860-9425 --- Structure Information 000 000 REMODEL KITCHEN AND BATH Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 150 . 00 Plan Check Fee 75 . 00 Issue Date . . . . Valuation . . . . 20000 Expiration Date . . 5/06/14 ---------------------------------------------------------------------------- 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 . 25 STATE DBPR SURCHARGE 2 . 25 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150 . 00 150 . 00 . 00 . 00 Plan Check Total 75 . 00 75 . 00 . 00 . 00 Other Fee Total 4 . 50 4 . 50 . 00 . 00 Grand Total 229 . 50 229 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r-1rF - BUILDING PERMIT APPLICATIONIb C D OPCITY OF ATLANTIC BEACH I ; h, 800 Seminole Road,Atlantic Beach, FL 32233 NOV 1 2 13 «- Office(904)247-5826 Fax(904)247-5845 Rv Job Address: / Permit Number. 6 �� Legal Description 0( e Parcel# 7/,/?i� nor o t. q. t Valuation of Work$ Proposed Work heated/cooled T non-heated/cooled It Class of Work(circle one): New Addition lterati Repair Move Demolition pool/spa window/door Use of e><istitaglproposed strnctnre(s� circle one):. Commercial R i If an a sUecture,>n a fires r system mstalled?(Circle one): es b N/A Florida Product Approval # For multiple products use product approval form // Describe in detail the type of work to be performed: &�r�jtc� �T.,7'1 Q ��✓J `� Property Owner Information: Name: - Tl.IIG mit City SWS&CAip 7 =on:e /S E-Mail or Fax#(Optional) Contractor Information: Company Name: r G l' g Agene�t: �rt3 Address: i oZ City /Sy State F-) Zip Office Phone, ;24L F Job SiteJContact Number Fax# 5 t State Cer ificatio Ategisuation# C' Architect Name&Phone# l Engineer's Name&Phone# .�.✓ Fee Simple Title Holder Name and Address o Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work a►rd installations as indicated I certify that no work or installation has commenced prior to the issuattre of a permit and that all work will he pe orated to steel the standards of all laws t egYlatirg corutruction in this jurisdiction. This permit becomes null and void f work is not commenced within six(6j�morrths, or if construction ar work is nded or abartdorted far a od of str(6)months at airy time after work is commenced I understand that separate peraeits rrtxst be secured for Ei1e R'ar ,PMrw�B�wg.Si�xs, K'e�lh,Pods. Fitrwsces. BoilCrs,flt, ters. Tatsks and Alr Cot�tiotters,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 h7r ,certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances govern this type o work will be complied with whether ci ted herein or not. The granting of a permit does not presume to give authority to violate or c el the provisions of any other fEed al,stat eyr 1 regulating construction or the performance of construction. Signature of O U � �1Yl iso Signature of Contractor Print Name 1'2A&,0.4 i— • ZJEAJ V1-S_....... _ Print Name .. ..j i.... ..........._..._..... ... �"'.. ._.._. .._............ Sworn to and subscribed f re me Sworn and subscribed bef re me this �' ay of _ ,20 l this Day of C, • eil- ESSIE MERRITT -4-4 Irle ,•�;R�A ESSIE MERRITT '"°'•- N Public =` Notary u F-State of Florida otary 1c ;• My Comm.Expires Feb 10.2017 . c My Comte.Expires Feb 10,2017 g EE$72959 -,, Commission#EE$72959 --':;,�; v1 � �•*"` Sanded Through NstioiW Wary Assn. DBPR- BROWARD, LEIGH B; Doing Business As: NORTHEAST BROWARD CONS... Page 1 of 1 .� 9:40:11 AM 111412013 FILE COPY rI # Licensee Details Licensee Information Name: BROWARD, LEIGH B (Primary Name) NORTHEAST BROWARD CONSTRUCTION INC (DBA Name) Main Address: 1229 FOREST OAK DRIVE NEPTUNE BEACH Florida 32266 County: DUVAL License Mailing: LicenseLocation: 1229 FOREST OAK DRIVE NEPTUNE BEACH FL 32266 County: DUVAL License Information License Type: Certified Building Contractor Rank: Cert Building License Number: CBC006776 Status: Current,Active Licensure Date: Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 02/20/2004 View Related License Information View License Complaint 1940 North Monroe Street.Tallahassee FL 32399:: Email: Customer Contact Center:: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer.Copyright 2007-2010 State of Florida.Privacy Statement Under Florida law.email addresses are public records.If you do not want your email address released in response to a public-records request,do not send elect,onic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850,487,1395. `Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee. However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=AA56AAFAF05EACCA... 11/4/2013 Vii► City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) - 800 Seminole Road / i� Atlantic Beach, Florida 32233-5445 1.4 - 9(011 ? _ 3 V // Phone(904)247-5826 • Fax(904)247-5845 —fit S• E-mail: building-dept@coab.us Date routed: 7 Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: fr a C t review required Yes o Building Applicant: �� 5,/� ��,J(,��1j �4 �T�k p ping &Zoning Tree Administrator Project: Riwdil Z172YA]m 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: APPI-19ATION STATUS Reviewing Department First Review: RfApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Den- d. ❑Approved as revised. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . 13-00003611 Date 11/20/13 Property Address . . . . . . 615 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 -------------------------------------------------------- Application desc kitchen bath remodel ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- TRAVIS DEBRA A NORTHEAST BROWARD CONSTRUCTION 615 AMBERJACK LANE 1229 FOREST OAK DR ATLANTIC BEACH FL 322334202 NEPTUNE BEACH FL 32266 (904) 860-9425 --- Structure Information 000 000 REMODEL KITCHEN AND BATH Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . LIMBAUGH ELECTRICAL CONTRAC Permit Fee . . . . 66 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/19/14 ---------------------------------------------- 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 66 . 00 66 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 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 SOB ADDRESS: I G. 1 _ PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service s # of Meters 00-100 amps ❑101-150amps 0151-200amps ❑ amP ❑Commercial(Main) Service Service amps 00-100 amps ❑101-150amps ❑151-200amps ❑ amPs OCT Conductor Type Size ❑Multi-Family(Main) Service s # of Unit Meters ❑0-100 amps 0101-150amps 0151-200amps ❑ amP ❑Temporary Pole 0—amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTUES,ETC. 0-30atn31-100am s 101-200amps R Outlets/Switches: -330am 31-100amps 101-200amps Appliances: ps p A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kwr� Number of Lighting Of,—es, Including Fixtures: cam. OTHER ELECTRICAL PROJECTS ❑Transformers KVA ❑Motors hp ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG ❑Other: Permit becomes void if work does not commencebe true within a six nd rrect nth ll provisions of laws and ordd or work is inaned ces goverrn ng this r abandoned for twork�will be complied s. I hereby certify t tlwhether at I e read this application and know the same to 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 o construction. �� F � 1 1�.•� 1 Ph9ne Number o` 4 Property Owners Name ' *� (-n f1e e yrC�C.;s' fie Phone c 4(— C I Fax Electrical Company R Zi 3Z�33 l� -�Y.e City Pq I C"0-1;C lS P Co. Address: State Certification/Ristragw # 46 License Holder(Print): Ec1eg300 Notarized Signature of License Folder Before me this a Signature of Notary Public CCD CITY OF ATLANTIC BEACH \ 111 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . 13-00003611 Date 11/20/13 Property Address . . . . . . 615 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 20000 ------------------------------------------------------ Application desc kitchen bath remodel --------------------------------------------------- Owner Contractor - ------------------------ ----------------------- TRAVIS DEBRA A NORTHEAST BROWARD CONSTRUCTION 615 AMBERJACK LANE 1229 FOREST OAK DR ATLANTIC BEACH FL 322334202 NEPTUNE BEACH FL 32266 (904) 860-9425 --- Structure Information 000 000 REMODEL KITCHEN AND BATH Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . C.W. WOOD PLUMBING Permit Fee 118 . 00 Plan Check Fee . 00 Issue Date . . . Valuation 0 Expiration Date . . 5/19/14 --------------------------------------------- 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 PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- - Permit Fee Total 118 . 00 118 . 00 . 00 . 00 Plan Check Total . 00 '" 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 122 . 00 122 . 00 . 00 . 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 JOB ADDRESS: PERMIT# /.3-VoUy-3 61/1 NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE of FIXTURE QTY TYPE of FIXTURE QTY Bathtub Z' Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan �— Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Z Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory -3 _ 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 **SIR WD 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 Company C- �✓� v a-V A,//44'-^9 Office Phone 7`�V—66U y Fax 290 —/7,3o Co. Address: 13 ZE City ��t 1C State �' Zi p3Z z License Holder(Print): �� .Sw J U State Certification/Registration# 0,5 70 Notarized Signature of License Holder W� :,�rpY Oi SHIRLEY L GRAHAM efore me this ' d 2 m'COMMISSION#DD 957760 cXPlRcs:February14,2014 ignature of Notary P lic dondad Thru Notary Public Underwriters i NOTI OF COMMENCEMENT State of Tax Folio No. County of DJ✓��— To Whom It May Concern: The undersigned hereby informs you that improve 0 is will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: / General description of improvements: e" I i r Owner: /!'SSS vt_, e N#it S Address: 6/fit; � 4 c�G p A,vric Owner's interest in site of the improvement: 49 39 -u3.3 Fee Simple Titleholder(if other than owner): �. Name: (} C tractor: r. fd c �� ,l ✓c 7 . t .. \A Address: -� Telephone No.: i Fax No: Surety(if any) l Address: iAmount of Bond S Telephone No: .,Fax No: — Name and address of any person making a loan for tile! bi nspuction of the improvem=' is Name: 'CI II' Address: i Phone No: Fax No: Name of person within th of Florida,other than; imself,designated by owner upon whom notices or other documents may be ,� served: Name: Address: Telephone No: �' I ' Fax No: In addition to himsel f, owner designates the folio I to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statue$. tTill in at Owner's o ' Name: Address: Telephone No: �:, Fax No: Expiration date of Notice of Commencement(the expW, Io�date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY Q. Mi OR 8K 16618 Page 21 78, B e type this day of I the Cunty of uval,State Doc! Of, rids.has personally appeared ., Number Pages:1 NoPublic at Large,State of Florida,County of Duval. f Recorded 12(4!`2013 at 04.30 PM. 0 CLERK CIRCUIT COURT DUAL M� mtnission expires:Ronnie>usse Per mWly Known: COUNTY bood Identification: L or RECORDING$10.00 otity Public rids • ;Ay Comm.Expires Feb 10,2017 Commission#EE 872959 )onded Through National Notary AM. Pira �� CITY OF ATLANTIC BEACH � 800 SEMINOLE ROAD - - rj ATLANTIC BEACH, FL 32233 'J9 1 r I INSPECTION PHONE LINE 247-5814 MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-MECH-704 Job Type: MECHANICAL HVAC ONLY Description: 1 cu 1 ahu 3 tons Estimated Value: Issue Date: 3/26/2015 Expiration Date: 9/22/2015 PROPERTY ADDRESS: Address: 615 AMBERJACK LN RE Number: 171186-0000 PROPERTY OWNER: Name: DENNIS, JAMES R Address: 4641 WHITES PT GENERAL CONTRACTOR INFORMATION: Name: FLORIDA HEATING & AIR INC Address: 13720 Old St Aug RD STE 8-189 Phone: - - PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to inspection. Failure to comply will result in a failed inspection and reinspect fees. No exceptions. FEES: Furnaces and Heating $24.00 AC and Refrigeration $24.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $107.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 rrnnPh(904)247-5826 Fax(904)247-5845 W� JOB ADDRESS: e*Anlberjack lane Atlantic Beach 32233 PERMIT# PROJECT VALUE,S .ARJ 4 SF471gtt REQUIRED _Air Handling Equipment Only LAir Handling Unit&Condenser _Condenser Only �v O NEW AIR CONDITIONING&HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating ` V Duct Systems: Total CFM REQUIRED / REPLACEMENT AIR CONDITIONING&HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 1 Tons Per Unit 3 Ton Heat: W6 Quantity 1 BTU's Per Unit 36000 Seer Rating 13 DuctSysterm: TotaICFM Btu REQUIRED 1200 CFM FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets ofIn ons) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty _ Automobile Lifts Gas Piping Outlets _ Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPING I leat Exchanger Quantity of Outlets Pumps N Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks(gallons) Welts OTHER- - void if work does not ccxnrnrnce within a six month period or work is suspended or abandoned for six months I hcetn cth w that 1 have read this application and lnow the same to be truere and cocr All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit docs not give authority to violate the provisions of any other state or lord law regulation construnion or the performance of cortsimcoon Pfonerty Owners Name dames & Carol Dennis Phone Number