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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