1969 Brista De Mar 2013 Bath Remodel CITY OF ATLANTIC BEACH
s� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003656 Date 11/14/13
Property Address . . . . . . 1969 BRISTA DE MAR CIR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 18000
--------------------------------------------------------------------------
Application desc
bath remodel
-------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
KANE PHILIP B LAMMLE CONSTRUCTION INC
1969 BRIST DE MAR CIR 1827 AZALEA DR
ATLANTIC BEACH FL 322334525 JACKSONVILLE BEACH FL 32250
(904) 386-6388
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
-----------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee 140 . 00 Plan Check Fee 70 . 00
Issue Date . . . . Valuation . . . . 18000
Expiration Date . . 5/13/14
-----------------------------------------------------------
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 . 10
STATE DBPR SURCHARGE 2 . 10
---------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ------
Permit Fee Total 140 . 00 140 . 00 . 00 . 00
Plan Check Total 70 . 00 70 . 00 . 00 . 00
Other Fee Total 4 . 20 4 . 20 . 00 . 00
Grand Total 214 . 20 214 . 20 . 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
IV
Job Address: In 10 6Y, Permit Number: 3r 56S�
Legal Descriptionq o-" ;)Qq-01�`�1 is se lyd 714 0�1 Parcel# I�U I,V2D'I LD-7 0
QQ 1,0Floor Area of Sq.Ft. qP't
Valuation of Work$ Cli �C.�, Proposed Work heated/cooled 12 '0 non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proosed structure(s)(circle one): Commercial esi
If an existing structure,is afire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval#
For multiple products use product approval orm
Describe in detail the type of work to be performed:Qnab Coo re)
Property Owner Information:
City
�StaterL ZipPhone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name:L MmLe O C Qualifym Agent: zobe(-4 L-,4MM i`e
Address: Gil} City I&A State Zip X25 0
Office Phone — _ 01
r - 3b6Fax# ay 61—61qState Certification/Registration#
Architect Name&Phone# D
,...
_= tE
Engineer's Name&Phone 11 CITY OF
Fee Simple Title Holder Name and Addr s SEE PERMITS F Y
Bonding Company Name and Address MENTS AND .
Mortgage Lender Name and Address IED _ x
„,,�° �.
Application is hereby made to obtain a permit to do the wor an a — 3 * installation has commencedr? to the
issuance of a permit and that all work will be performed to meet the standards o a111aws regu s jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a 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, urnaces,Boilers,Heaters,
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 b certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1work will be complied with whether sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
1
Print Name .7. .1�.e ........ Q .. ............................................ Print Name ...�:-0bC�.....�fY1lYt�.G................
Before a Before a
this Day of 20/3 this l�Day of KAREN E.P (T�QEDER
STATE OF FLORIDA
Notary Public OLIVIA M.CARTER Notary Public Corn y1• Expires 3/4/Z048
Notary Public,State of Florida Revised 01.26.10
15
My Comm.Expires Dec.4,2011
Commission No.EE 856170
S1%1AJj City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
r� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
t 1? E-mail: building-dept@coab.us Date routed: Az
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
b.
De artment review required Yes No
Property Address: &61-0 q
�}�� n uildin
Applicant: Z&,, Q // nning &Zoning
Tree Administrator
Project: i?2ta akddgl— 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: []Approved. ❑Denied.
(Circle one.) Comments: poc—
BUILDING
.----- ---
PLANNING&ZONING Reviewed by: 0 Date:
TREE ADMIN.
Second Review: ❑Approved as revised. ❑De ied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) �1
Permit No. Tax Folio No. �1 f I
State of /_ County of c1
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. a tt mit
Legal description of property being improved:
�e LZi'
Address of property being improved: I� 4 d� u r t iA,
'� eco r - l��J�. L I k � 4
Owner `_ )i e _ n A`116 _
Address
Owner's interest in site of the improvement
Fee Simple Titleholder Cd other than owner)
Name
Address
Co ntractor 1 r0 Arnrn e C✓ C�+1 ` t:
Address
Phone No. C Fax eA
vsurety of arty) "( _o45_,4 I '
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 Lienors Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owners 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
different date Is specified):
THIS SPACE FOR RECORDER'S USE ONLY ] I OWNVR
Signed:_%'Z. � l l " ! `Y DATE
Before me is,�lh day of_ in the
Coialiy qfquvs1to of F a hes personally a peered
Doc#2013290505,OR BK 16595 Page 1131, ��'�'% r herein by
hi e�tfl eer and
and affl.ms that all statements and declarations herein
Number Pages:1
Recorded 11x13/2013 at 03:00 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY _
RECORDING$10.00
Notary Public at Large,State of— Couny of
My commission expires:
Personally Knovm A M.CARTER
Produced Identification blic,State of Florida
My Comm.Expires Dec.4,2016
Commission No.EE 856170
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
"J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003656 Date 11/26/13
Property Address . . . . . . 1969 BRISTA DE MAR CIR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 18000
----------------------------------------------------------------------------
Application desc
bath remodel
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
KANE PHILIP B LAMMLE CONSTRUCTION INC
1969 BRIST DE MAR CIR 1827 AZALEA DR
ATLANTIC BEACH FL 322334525 JACKSONVILLE BEACH FL 32250
(904) 386-6388
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
-------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . STEEG PLUMBING
Permit Fee 146 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/25/14
---------------------------------------------------------------
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 . 19
STATE PLBG DBPR SURCHARGE 2 . 19
----------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 146 . 00 146 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 38 4 . 38 . 00 . 00
Grand Total 150 . 38 150 . 38 . 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(90�) 247-5826 Fax (904) 247-5845
JOB ADDRESS: / � PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE 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 12
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
governing this work will be complied with whether specified
this application and know the same to be true and correct. All provisions of laws and ordinances
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 Tp'vl e Phone Number
Plumbing Company �'/ I� City , )Office Phone Faxy�� 3
/,�"/l i ✓�.��.; ,Sfi �'+ State A) Zip ,�
Co. Address:
License Holder(Print): art fc State Certification/Registration
Notarized Signature of License Holder 4 Ay
Sworn and bscribed be re me this day of 20
Signature of Notary Public
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE) ►1 ��
Permit No. Tax Folio No.
State of. i / 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. L I I
Legal description of property being Improved: 17 `T� -�' fill �� i I�'LALLL
ry
Address of prppertY being Improved: 11 `1 x 1�f "� r 'Q L
nmwW
Owner ^ l t 3 3
Addreall
V1 P, 11A
Owner's interest in site of the improvement
Fee Simpie Titleholder(N other than owner)
Name
Address Ahl r'111 (� \
Contractor
Address
Phone No. L - C L F No.
Surety(if any)C tt^
Address Amount of bond IS,
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 713.08(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
different date Is specified):
' THIS SPACE FOR RECORDER'S USE ONLY OYVN
Signed: DATE1ZJ
Before me Is day of /Ye v fes_in the
County r tele of F hes personally s eared ereln
by
hhnsetr/herself and alfimis that ab statements end declarations herein
are true and accurate
Notary Public at Large.Stab of County of �!`-
monexpires:
Personally Known v-K A M.CARTER
Produced Identiticatlan fjjhk,ftW of HorWs
My Comm Expires Dec.4,1016
Commission No.EE 864170
..., rv.'. st n,-:D-`::.ull'a4'stft¢:`rA7�ttaY�6.!`k_il2�K�1� •d.::C#'.iF`l_.+saaex.tivw.++d.,+..r:<.�6+p..�.,:n..k�,._+..a,.a..�.^.. ....., ,, ,�.
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 13-00003656 Date 11/27/13
Property Address . . . . . . 1969 BRISTA DE MAR CIR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 18000
------------------------------------------------------
Application desc
bath remodel
------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
KANE PHILIP B LAMMLE CONSTRUCTION INC
1969 BRIST DE MAR CIR 1827 AZALEA DR
ATLANTIC BEACH FL 322334525 JACKSONVILLE BEACH FL 32250
(904) 386-6388
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . RESIDENTIAL
--------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . DUTCHER ELECTRIC INC
Permit Fee . . . . 57 .40 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/26/14
----------------------------------------------
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 57 .40 57 .40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 61 . 40 61 . 40 . 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
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: &�i (}i��AS �� U-O— ALr PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main) Service
E10-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps 151-200amps amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
[10-100 amps ❑101-150amps El151-200amps amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE _ amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: '2— 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: Z
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑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 L1 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 h lee Phone Number
Electrical Company ,, 7� �c/n'c �/r Office Phone �'-// -- J Fax
Co.Address: 2 s v� City ,2 - ee k State Zip s
License Holder,(Print): State Certification/Registration# 6'e/,Au/2 J7
Notarized Signature of License Holder1 44 ?
SHIRLEY L GRAHAM
Before me this .day 20 �J
:g'
. .AY COMMISSION#DD 957760
'o' EXPIRES:February 14,2014 Signature of Notary Pu
r�pF 4 ,, Bonded Thru Nnrary Public Underwriters
e esi ence k 1 r
1969 Brista De Mar Circle
FILE C
antic Beach, FL 32233 k
a
Existing permit#13-3656
Changes to Master Bathroom (see drawing for locations)
- remove & replace existing corner shower& curb (new drain pan, new tile, new fixtures)
- replace existing toilet with comfort height toilet
- repair wood sub-floor as necessary due to rotten wood
- new floor tile after floor repairs
Existing Vanity cabinet to remain, sinks to remain
Bathroom is not being enlarged or changed structurally
Please call with any questions... 904-386-6388
�cJ/�
� e c Scar
r ,-1, 1'r 13- ')I'-
s
Rev,
sFo
h
b �
FILE COPY s
clrsb;9 V"N (am",
To yt,H,a.�-v
oik
coy