86 NIcole Ln 2014 bath/kitchen remodel CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000002 Date 1/08/14
Property Address . . . . . . 86 NICOLE LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 100000
----------------------------------------------------------------------------
Application desc
interior remodel 2 baths kitchen
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HETH DONALD G & VIRGINIA S JONSSON CONSTRUCTION
768 RIVENOAK 1 333 SAN PABLO RD N
BIRMINGHAM MI 480095782 JACKSONVILLE FL 32225
(904) 591-0599
--- Structure Information 000 000 INTERIOR REMODEL BATH AND BEDROOM
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 480 . 00 Plan Check Fee 240 . 00
Issue Date . . . . Valuation . . . . 100000
Expiration Date . . 7/07/14
----------------------------------------------------------------------------
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 7 . 20
STATE DBPR SURCHARGE 7 . 20
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 480 . 00 480 . 00 . 00 . 00
Plan Check Total 240 . 00 240 . 00 . 00 . 00
Other Fee Total 14 . 40 14 . 40 . 00 . 00
Grand Total 734 .40 734 .40 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
RECORDING $10 . 00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
PermitNo. Tax Folio No.
State of County of
To whom It may concern;
The undersigned hereby Informs you that improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
ZX� 2�1-4
Address of property being improved: 41 Z,
General description of improvements: 11-111��-'1-1'i-,--
//e/Z
fez
Address –zzez&-
Owner's Interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
Address 533 Wk-XX 4i!ZZfZ
Phone No. ii�� !4,0.2 Fax No.
Surety(if any)
Address Amount of bond$
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 designater the following person to receive a copy of the Henor's Notice as provided in
Section 713,06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Fxpiration date of Notice of Commencement(the expiration clate Is one(1)year from the date of recording Unless a
different date Is specified):
THIS SVACE FOR—RECORDEWS USE ONLY NEIR C,
Signed. DAIE 61 in thf�
Before me thIs�f�day o
CouZ of Duval StrAfFlod ppeared
jqty2d has ersorl crein by
01 &21A11k
himselff herself and atiqms innt Hti statements and deciai-anons nerain
are true and accuratri
,qO,N Notary Public State of Flonds
b " a
Nancy E=Bailey
70 n EE 1""6
%cW My Commission EE 156116
re
–A=j.�—EMxpires 021r08r201 6
Stateof---Z GOUD —ALW--
sion expires:
PeisonallyKnown or
Produced Identification
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: FKa Z�jl� XIV. Permit Number: C)
Legal Description
_9!V 421-45 _Z��1'4 - 5,i��Parcel# aq-5v _6�7Zz:;1
P'loor Area bf/ �q.rt. Nq Ft
Valuation of Work$ ProposedW--k ]/cooled non-heated/cooled
a- r
Class of Work(circle one): New Addition
Repair Move Demolitio
Use of existing/proposed structure(s)(circle one): Commercial Ze-s i d e_nt i a I Apt
If an existing structure,is a fire sprinkler system installed? (Circle one): es
Florida Product Approval# ILE COPY
For multiple proaucts use product approval fform
Describe in detail the type of work to be performed: c::�2 rot
'r/Re sa-
Propertv Owner Information:
Name: Address:
City— 145r,4' State7/Zip �Z233 Phone_ CZVk) 81EZ 7
E-Mail or Fax# (Optional)
Contractor Information: CONTRACTOR EMAEL ADDRESS:
Company Name: Q alifying Agent:
Address: 333 eV 4�'
_aAld City State Zip -Z 7-2
Office Phone ;jQ1z ,STZ1- 3:3��O Job Site/Contact Number 5-�5;55 Fax
State Certificafion/R�gistration 12_5�020e
Architect Name&Phone# t'_ /,Z-/,A,
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of�ao ermit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
f P
and void rk is not commenced within six(6)months, or if construction or work is suspended or abandonedfor eriod of six�6)months at any time after
work is commenced. I understand that separate permits must be securedfor Electrical Work, Plumbing,Signs,aWells, Pools, Furnaces,Boilers,Heaters,
Tanks andAir 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 lication and know the same to be true and correct. All provisions of laws and ordinances goverm ng this
ty,r ) work will be complied with whether speci 70 herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherje�dler st e, or local law regulating construction or the pe�jbrmance of construction.
Signature of OwnXer 41AL Signature of Contractor..., ee_�
V,C
Vk t G__ —
Print Name Print Name
.......................................................................................................
i�p_ . ............ . ..............................................................
Before me e— Be
this 6(0 Day of AMYOIL" 20 It) f n201
Notary Pub or Notary PubliCstateof Florida
Nancy E Bailey
My CommissionEE 156116 Revised 0 1.2 6.10
oF wee Expirea 02/08/2016
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b th B ilding Department.)
;o, 800 Seminole Road em
r) I Z_
:5 Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address: _QaparLment review required Ye No
_J6 Building :��) 7
��_=P�ningM Zoning
,�aUC6.
Applicant: n-C.6 0 a 0(1 Tree Administrator
Public Works
Project: 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: [EfApproved. DDenied.
(Circle one.) Comments:
PLANNING &ZONING 6-1 el
Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. F1 D(;�/i e d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date�
FIRE SERVICES Third Review: nApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-Oo000002 Date 1/09/14
Property Address . . . . . . 86 NICOLE LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 100000 -----
----------------------------------------------------------------------
Application desc
interior remodel 2 baths kitchen ------------------------ ------
-- ------------------------------------------
Owner Contractor--------------
----------
------------------------ JONSSON CONSTRUCTION
HETH DONALD G & VIRGINIA S 333 SAN PABLO RD N
768 RIVENOAK I MI 480095782 JACKSONVILLE FL 32225
BIRMINGHAM (904) 591-0599
--- Structure Information 000 000 INTERIOR REMODEL BATH AND BEDROOM
occupancy Type . . . . . . RESIDENTIAL-------------------------------
-- ------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc ATLANTIC COAST PLUMBING CORP.
Sub Contractor 111 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 7/08/14 -------------------------------
--------------------------------------------
Special Notes and Comments 08 NATIONAl ELECTRIC CODE
2010 FLORIDA BUILDING CODE, 20
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY. -----------------------
----- ---- --- -
------------------ -----------------STATE PLBG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLBG DBPR SURCHARGE 2 . 00
--------------------------------------------------------------------- ------
Fee summary Charged Paid Credited ----Due---
----------------- ---------- ---------- ------- - 00 . 00
Permit Fee Total 111 . 00 111 . 00
Plan Check Total . 00 ' 00 . 00 . 00
Other Fee Total 4 . 00 4 ' 00 . 00 . 00
Grand Total 115 . 00 115 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan 09 14 07: 15p Susan Parrish 904-246-3673 P. 1
PLUMBING PERMIT APPLICATION
CffY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,,FL 32233
Ph (904)247-5826 Fax(904)247-5945
Jou ADDRESS: Pmvirr
NEW OR FLACEME INSTALLATION: Project Value S
L
Q7,Y
TYPE OF IXTURE QTY TYPE or FjxruoE
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
I-lose Bibs Urinal
Kitchcn Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
uvator� Water I-Icaler
Other Fixtures Water Treating Systern
RE-PIPE:TYPE OF FIXTURE gry TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three ComparAment Sink
Floor Sink Toilet
Hose Bibs U rinall
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
0 Sewer Replacement o Back Flow Preventer [I GTease Interceptor(Trap)_gallons ',]Requircs 3 sets Of pluns)
o Lawn Sprinkler System-Number of 14cads C3 Well 104
g artme t 3 in ns ec
SJRWD Well Completion Form. Completed forin to be submitted to the Buildin Dep n f r r a i p, tion.
o Odier
o�kismu,.per�ded'oa-b-a-ndoncdfor--.i,.,Otli.,.III bycc,-6fyTi1g1tlhavcrcad
P,,,,Iit b.coMC5 Vrd!of=orkNdocs=gncn."id!--,
this applicadon and know die q -and ordinances governing th'g work will be cwmplied with whether�pccirlcd
.amc go be irue and correct. All provisions of inw%
or noc. The perrnic does not give autitority to viola�c the provisions orany other satc or local iaw regulation Znstruction or the pgr*Corrnnncc of construCLIGn.
Phone Number
Property Owncrs Name qq� 3�,/ 1-1 4
1 �h 0J h4) Officeftonc_L� _Fax4 ��3 4_SL�
PlumbingCompariv
Co.Address: 5_3 city
2
1; State Certification/Registration t?��O
Liccnsc Holder(Print).
Notarized Siraf ure of License 11older...,............
:k
Before me thi's day of 2
Sipature of Notary Public
""�"Nz V. XUt�HL
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r'ji
Application Number . . . . . 14-00000002 Date 8/06/14
Property Address . . . . . . 86 NICOLE LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 100000
----------------------------------------------------------------------------
Application desc
interior remodel 2 baths kitchen
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HETH DONALD G & VIRGINIA S JONSSON CONSTRUCTION
768 RIVENOAK 1 333 SAN PABLO RD N
BIRMINGHAM MI 48009S782 JACKSONVILLE FL 32225
(904) 591-0599
--- Structure Information 000 000 INTERIOR REMODEL BATH AND BEDROOM
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . KNIGHT ELECTRIC LLC
Permit Fee . . . . 63 . 40 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/02/15
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 63 . 40 63 .40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 67 . 40 67 . 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
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: 1vt u(e- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead E�] Underground Underground up Pole
OResidential(Main) Service
00-100 amps L1 10 1-15 Oamps El 151-200amps L I—amps #of Meters
0 Commercial(Main)Service
00-100 amps 0 10 1-15 Oamps 0 151-200amps O—amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps El 10 1-1 50amps 0 151-200amps O—amps 4 of Unit N4eters
OTemporary Pole [I amps
SERVICE UPGRADE O—amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100amps 0150amps 0200amps El amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __ 'L_0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimmingPool OSign 0 Smoke Detectors_Qty LITransformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection El Panel Change 11 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 Phone Number
Electrical Company AA114' LUT-f9ty— 4-4 Office Phone Fax
j �M
Co.Address: City J�i-A 19A State r. Zip
L
License Holder(Print): �kvL �w(1A State Certification/Registration# kjW01?,g2
Notarized Signature of License Holder va—
Before me this day of 20
Signature of Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00000002 Date 8/06/14
Property Address . . . . . . 86 NICOLE LN
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 100000
----------------------------------------------------------------------------
Application desc
interior remodel 2 baths kitchen
-------------------------------------------------------------
Owner Contractor
------------------------
------------------------
HETH DONALD G & VIRGINIA S JONSSON CONSTRUCTION
768 RIVENOAK 1 333 SAN PABLO RD N FL 32225
BIRMINGHAM MI 480095782 JACKSONVILLE
(904) 591-0599
--- Structure Information 000 000 INTERIOR REMODEL BATH AND BEDROOM
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit ELECTRICAL PERMIT
Additional desc - -
Sub Contractor . . KNIGHT ELECTRIC LLC . 00
Permit Fee . . . . 63 .40 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/02/15 -----------------------
-----------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 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 63 .40 63 .40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 67 .40 67 .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
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: PERMIT
VALUE OF WORK$
NEW SERVICE 'D Overhead F-1 Underground Underground up Pole
El Residential(Main) Service # of Meters
DO-100 amps E101-150amps E 151-200amps Ll_amps
El Commercial(Main) Service
[10-100 amps FJ101-150amps El 151-200amps ECT Service amps
Conductor Type Size
LIMulti-Family(Main)Service
EO-100 amps 7_101-150amps 11 151-200amps �1_amps #of Unit Meters
[]Temporary Pole LI—amps
SERVICE UPGRADE El—amps L-11 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) FICT Service amps
[1100amps 1-1150amps E200amps D amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ___1_0-30amps 31-100amps —10 1-200amps
Appliances: —0-30amps 3 1-1 00amps _101-200amps
A/C Circuits: —0-60amps 61-100amps
Heat Circuits: # circuits @______kw
Number of Lightini-6—utlets, Including Fixtures: *7
OTHER ELECTRICAL PROJECTS Transformers KVA D Motors hp
I Swimming Pool D Sign [I Smoke Detectors
L __Qty 11
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty_volts/amps
REPAIRS/MISCELLANEOUS
D Replace Burnt/Damaged Meter Can [I Safety Inspection Panel Change F-i OH to UG
D 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 Fax
Electrical Company, All aafscy.' L office Phone
Co.Address: city State r. Zip
L
License Holder(Print): SkvL 44()A — State Certification/Registration#_k9j2P0Y_27__
Notarized Signature of License Holder YU
Before me this day of 20
Signature of Notary Public