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765 SABALO DR 2013 INTERIOR RENOVATE AND WINDOWS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 S SA ) ) "k6bwr -710 Application Number . . . . . 13-0000367S Date 11/18/13 Property Address . . . . . . 765 SABALO DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2499 ---------------------------------------------------------------------------- Application desc interior renovation ---------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HENDERSON, ROBERT & LYNN PHILLIPS BUILDERS LLC 159 11TH ST 1250 SELVA MARINA CIRCLE ATLANTIC BEACH FL 32233 PHILLIPSBUILDERS@COMCAST.NET ATLANTIC BEACH FL 32233 (904) 349-2999 --- Structure Information 000 000 INTERIOR REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2499 Expiration Date . . 5/17/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . S0 101 . 50 . 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 Job Address: Permit Number: Legal Description Parcel# Floor Area of SS q.F t. Sq.Pt Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial Residential If an existing structure,is a fire sprin=system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval Describe in detail the type of work to be performed: "Clel —AZA.J 45b 412A 44-5 A-t.J A �ez,061 Property Owjwr Information: Name: ed 7- Address: JT city A�� 6 Cff State ,—*j_ ip,.52233hone E-Mail or Fa0#(Optional) - Contractor Information: CONTRACTOR EMAIL ADDRESS: ;IJzO Company Name:, f M Qualifying,�Lgent: 7 111 A Address: - 15� Cit State t tip 2,Z XT Office Phone - 2_Q191 Jo I State Certification&�gistration# MR Architect Name&Phone# F AThVwle BEA-m Engineer's Name&Phone# SEE PERMM FOR ADDMUN in n n Fee Simple Title Holder Name and Address RWUw__9mENTs ANI)C()NDMONS. r iL r wiry i Bonding Company Name and Address Mortgage Lender Name and Address REVIEWED BY:--ff I I DAM- IL--- /7 ��* �d ..... A Ii a e eb ade b ain a e i d the work and n a Min ndica ceirat no Vyivor ,�r stllation has commencedprior to the n rm t i t 0 s 2t ng c truction in t 0 0 0 tom tt s s sa i Ora a doned�orqW r f 1 1�w i t to 0 t r p b d he tan d a c c tio h r r Ymd ha a k e e e P an e a e m an i, �s 1 1 s thisjurisdiction. This permit becomes null f k �d b eriod of sixJ6.)months at any time after 0 -3p t wi m rm t or s r or 0 (6 n c str ct 0 t Iwo p ot c p k n n d thi s su 0 and e n n n r u 'or is or i omm c - 0 0 1 S, m c � I u rs t t sp r p is mu t s c, f d1s,Pools, urnaces,Boilers,Heaters, or I cirtc or Plu g, g s, i k c en ed nde land a ate e be e red Ee a k in Tanks andAir Con itiners,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 herelb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances gov=this work will be complied wit whethe ecifz'ed herein or not. The granting of a permit does not presume to give authority to violate or the provist.o 6a&"Wr[jVe aw re ating construction or the peTformance ofconstruction. F L_ 'X"Signature of Owner Signature of Contract /1-1 " Print Name ..................................t . ..........H Print Name . . ................. &M. .1............ ............................ 64d* Before.tt., av Befo this-7 Vayof N 2013 thi A V/ 2-0 H A A A HIRL AM fin Nktar f try: -`2 M�l Zo. P JENNIFER WALKER MYCOMM ISSION#FF 011480 hru N 6 EXPIRES:ApdI 24,2017 Revised 01.26.10 Sonded Thru Notary Public underwriters City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road L3 4& 76� Atlantic Beach, Florida 32233-5445 Phone(904) 247-5826 - Fax(904)247-5845 Date rout ed: E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �7 Department review required 0 i'06 Build_og—�, Applicant: '/7jp'�S 7ranning &Zoning I ree Administrator Project: Public Works Public Utilities Public Safety Fire Services Of 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: 93A"'pproved. []Denied. (Circle one.) Comments: (2��p PLANNING &ZONING Reviewed by: lyn 01 —Date: //—/5-7,7 TREEADMIN. Second Review: RApproved as revised. FID tnied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by-.- Date: FIRE SERVICES Third Review: RApproved as revised. F]Denied. Comments: Reviewed by: Date: Revised 07/27/10 SS CITY OF ATLANTIC BE 800 SEMINZ R�AD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003686 Date 11/18/13 Property Address . . . . . . 765 SABALO DR Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1200 ---------------------------------------------------------------------------- Application desc WINDOW REPLACEMENT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HENDERSON, ROBERT AND LYNN PHILLIPS BUILDERS LLC 159 11TH ST 1250 SELVA MARINA CIRCLE ATLANTIC BEACH FL 32233 PHILLIPSBUILDERS@COMCAST.NET ATLANTIC BEACH FL 32233 (904) 349-2999 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . Valuation . . . . 1200 Expiration Date . . 5/17/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE 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 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. IVBUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904)247-5845 Job Address: Permit Number: Legal Description Parcel# Floor Area of Sq Ft. Sq.Ft Valuation of Work 0 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial Residential If an existing structure,is a fire S er 11styn pr� ,estalled? (Circle one): Yes No N/A Florida Product Approval# 9 For multiple products use product appiroval torm Describe in detail the type of work to be performed: /2t-.V44C_ a-),(AJDO UJ5 Proverty-Owner Information: A) 7W Name: Zoddress: c�7_ city Stat4�jZip,,j7,Z_' -*hone E-Mail or Fax#(6ptional Contractor Information: CONTRACTOR EMAIL ADDRESS: Da. - Company Na e: r m 111,d6- &AU1.Z4VIA6S� Qualifyj Address: -e/-22 4-4 City P_-4 2:97 '-101 V&, 1714 State F-1 Office Phonj Jotl JO State Certification/Reiisfration# Architect Name&Phone# Engineer's Name&Phone# OFATtAN'11CREACH i r r,n D SEE PEIMIWIS I-OR ADDMONAL L. U Fee Simple Title Holder Name and Address U I Bonding Company Name and Address REQUIREM&M X-Uvu K -T Mortgage Lender Name and Address REVjffiEVWEp rR.V_ 4pplication is hereby made to obtain a permit to do the work and installationv av in Y-71,73 7 Veri1jy_Tr1UT7r"F.1., -- dlation has commencedprior to the issuance of a permit and that all work will be pedbrmed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null and void ffwork is not commenced within six(6)months, or ifconstruction or work is suspended or abandonedfor a period ofsixP6)months at any time after work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Sikns, Wells,Pdols, urnaces,Boileiw,Healers, Tanks andAir Conifftioners,eta 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. Ihere certify that I have read amd examined this application and know the same to be true and correct. All provisions of laws and ordinances gov=this 71work will be coTpliedZiA whethellspecifLed herein or not. The granting of a permit does not presume to give authority to violate or the provisi.ons of any otherfeder , te or Xcl .regulating construction or the peifo�mance ofconstruction. Signature of OwneA Signature of Contract Print Name JR01C Print Name Cjt te.'s.................................. . .................... .. ...................................................... ........... .. .......................... ...... Beforeme.- Be this -6ay f 2013 thi_�tDa)yf �20 &VAMMA kh� L\-j I All 1.1 4 No JE1414IFER WALKER 5776 0 k4y P I R E S:F�,bruu L4 It COMMISSION 0 FP jon(ad Thru Notary Public Underwriiers EXPIRES:April 2,i, vised 01.26.10 Sooded Thru Notary Pwbk Undarwrilsq "D 00 --j C� w M ft CD P. CD CL CL CD RDI CD N �l o CD C' CD 4:3 �:3 �71 P IID 01 CD �:: 0 o o CL C) C) (D �jl cA (5— o CD C7, CD 4- 00 CD C) o to ck- 0 LA C) 0 C 'CD L n CD CD CD \C TI C tz 0 20. C—D (D C, CD N ft LAJ �3 (D CL CD C) 0 CD co C) CD 0 CZ) CD % Uy Uf iwifflut; OR=" ArFUUA I IUN NUMBItH Building Deparbnent (ro be assimmd by ft Bu&ft I)Wwbmt) aoo Seminole Road Atlantic Beach,Florida 3=34W Fox(904)247-5M5 Phone(1904)247.6= Date roldpd: E-mit WMnedq*@coab.us Cq""": Nlp:/Mw.coab.Us APPLICATION REVIEW AND TRACKING FORM padment review required Yes No Property Address: �ffl�g 1,7 Applicant PE�nnmg&Zoning Tree Administator Project AD 4L A t) Public Works Public Utififies PubW&a" Fke Services 'Revi-ew fed Clopt Signatut re Other Agency Revkw or Permit Required Review or Receipt Date I of Permit Verified!3y Florida Dept.of Em*=rMft PrOtOc"m loft Florida DepL of Transporlation I St.Johns River Water Management District A Arrr� I rmy Corps of Engineers DMsion of Hotels and Restaurxft Division of Alcoholic Beverages and Tobacco Clher APPLICATION STATUS Reviewing Department First Review: EJ�P-proved. E]Denled. (Circle one.) Comments: (��l�G PLANNING&ZONING ReviewW Date: TREE ADMIN. Second Review ElApproved as revised. []Den�/cl- PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Date-: FIRE SER\ACES Third Review: ElApproved as revised. ElDenled. Comments: ReVWwed Date: Revised 05MM09 C�' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003675 Date 11/20/13 Property Address . . . . . . 765 SABALO DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2499 ---------------------------------------------------------------------------- Application desc interior renovation ----------------------------------------------------- Owner Contractor ------------------------ ------------------------ HENDERSON, ROBERT & LYNN PHILLIPS BUILDERS LLC 159 11TH ST 1250 SELVA MARINA CIRCLE ATLANTIC BEACH FL 32233 PHILLIPSBUILDERS@COMCAST.NET ATLANTIC BEACH FL 32233 (904) 349-2999 --- Structure Information 000 000 INTERIOR REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . - HEATING & AC INC Sub Contractor . . HOKE KELLER Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/19/14 --------------- ------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --------------- - ---------------------------------------------------------- 2 . 00 Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE NVITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax (904) 247-5845 JOB ADDRFSS: (0 PERMrr# PROJECT VALUE S ARI# REQUIRED NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Ratiniz REQUIRED Duct Systems: Total CFM /6?10�2 REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity— BTU's Per Unit Seer Ratin2 REQUIRED Duct Systems: Total 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 of plans) 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 Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems Tanks(gallons) Wells OTHER- -�44,,j get VV 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"�,,44 f C>V-� —Phone-Number Mechanical Company VA, 6"� Office Phon?13/2��6 Fax Co. Address: State V. zip tate Certification/Registration# License Holdler(Print): License Holder Notarized Signature of License Holder is day of V6,1- 2043 'ER ]46327 - ELLETIER worn and subscribed before me th /6............. MAUREEN F 0 ignature of Notary Pub My COMMISSION#FF046327 lic m r 1, 01 N' EXPIRES No,,ember 1,2017 N� ,.7k y S ,exorn