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 )
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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
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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
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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
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Print Name
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Before.tt., av Befo
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P JENNIFER WALKER
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ISSION#FF 011480 hru N
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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
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% 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