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349 3rd St 2014 exterior door and wall removed CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD J N� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 14-00000040 Date 1/15/14 Application Number . 349 3RD ST Property Address . . • • Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES SF DISTRICT Application valuation- - - - - - - - --------5500 -------------------------- - Application desc interior drywall remove non load bearing-wall ------------------------- ----------- --------------------------------- Contractor Owner ------------------------ ------------------------ BROWN ASA D JR 787 PC 3 349 3RD ST 3787 PALM VALLEY RD 2-153 ATLANTIC BEACH FL 322335231 PONTESTE OVEDRA BEACH FL 32082 (904) 537-3236 Structure Information 000 000 DRYWALL/NON LOAD BEARING WALL Occupancy Type RESIDENTIA ----- ----- Permit . . RESIDENTIAL ALT/OTHER Additional desc Plan Check Fee 40 . 00 Permit Fee . . . . 80 . 00 5500 Valuation . Issue Date • • • ' 7/14/14 Expiration Date . --------------------------- 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 DCA SURCHARGE 2 , 00 • STATE DBPR SURCHARGE ---------------------------------------Paid------Credited Due Fee summary Charged . 00 Permit Fee Total 80 . 00 80 . 00 . 00 40 . 00 40 . 00 . 00 Plan Check Total 4 . 00 . 00 . 00 Other Fee Total 4 . 00 00 . 00 Grand Total 124 . 00 124 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rS�s>tir City of Atlantic Beach APPLICATION NUMBER �s Building Department (To be assigned by the Buildin Department.) 800 Seminole Road l �� j Atlantic Beach, Florida 32233 5445 _s Phone (904)247-5826 - Fax (904) 247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 7 I O► ST 4Department review required rYesNo ldingApplicant: //7 C- nning & Zoning e Administrator Project: 7 d /� val/i,2 'X Public Works Public Utilities �Qn zo ad - ��j�(/Q/ /7 G� Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B 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: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: -7 Date: TREE ADMIN. Second Review: [-]Approved as revised. ❑De d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION D [ [ Q CITY OF ATLANTIC BEACH JAN 1 2014 800 Seminole Road, Atlantic Beach,FL 32233 Office (904) 247-5826 Fax (904) 247-5845 U_Nv J Job Address: ZZ Permit Number: 2q E d�tLAhtTIC S3 Parcel# 1b9$23- 2000 Legal Description 5-�9 -2S - t 0 0 oor rea o q• t• q" Valuation of Work$ �i �. Proposed Work heated/cooled I,�7o _ non-heated/cooled Class of Work(circle one): New Additioneratio a ai pool/spa window/door Use of existing/proposed structures)(circle one): Commercial Residential N/A If an existing structure,is a fire sprinkler system installed? (Circle one): Yes Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: of Noel wA.di3�t�R��tb vJ�, � Property ner n ormahon: AY 1 d _Address. Name: State� ip? - / city -rL_p i-4-nc P�EKN- Z � Phone A E-Mail or Fax# (Optional) Contractor Information: LC AMG�A F U L �G Qualifying Agent: Zi 8Z Company Name: O Z-15 i 5 Cij�p State F(.- P�1 — Address: �1 Job Site/Contact Number - Fax# 60 fel Office Phone L ( # ( O Z State Certification/Registration# Architect Name&Phone# N Engineer's Name&Phone# Fee Simple Title Holder Name d Address lei Bonding Company Name and Address N A Mortgage Lender Name and Address ISI 0, p months at any time after work work will be erformed to meet the standards of all laws re lating construction in thisjurisdiction.(6) This permit becomes null k at Application is hereby made toll obtain a erm to do the work and installations as indicated. 1 certify that no work or installation has commence prior to issuance of a-permit and that a months, ed t construction d work is sus ended or abandoned or eriod'of six(6) void if work is not commenced within six(6) f commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, ells,Pools,Furnaces,Boilers,Heaters, Tanks and A Conditioners,etc. `+ RFA E FWED FOR CODE COMPLIANCE Vhft1`" CITY OF ATLANTIC B EACH SEE PERMITS FOR ADDITIONALFILE COPY .U. REQUIREMENTS AND CONDMONS.(� r • WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE FOR OF COMMENCEMENT MAY PROSULT IN YOUR PAYING R IMPROVEMENTS TO YOURTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOURLENDERCEO COMMENCEMENT.BEFORE RECORDING YOUR NO TI hereby certify thatn have read oand oexamined l behco complied application h whend theor speci the same ed herein orenot The granting of a jperm t does ons of laws anot ordinances govern tYPe presume to give aut ority to via ate or cancel the provisions of any other fe ral,state, or local law regulating construction ort e performance of construction. Signature of Owner Print Name _........ ?_✓__G!...... ..... _. -ti-w_..___._._._....._._._ _._. Sworn to and subscribed before me this Day of� 2VP=u-b-1)iC� ANNA MARIE BLWW my commisilm#EE ION "P aaryry 18,2018 = BMW SN"PuDietMdMw�Mwe Signature of Contractor Print Name l-Cfl '!4'.12 .f ._...-.._.__.._... Sworn to and subscribed before me 12014-- this �,-(-Da of________ Notary Pub e is d 01.26.10 KAREN HUGHES l�'av Pf/B•ice• Notary Public State of Florida •_ My Comm.Expires Apr 3,2017 Commission# FF 004846 ••'�e OF "�', Bonded Through National Notary Assn. Doc # 2014009831, OR BK 16659 Page 2447, Number Pages: 1, Recorded 01/14/2014 at 12:19 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDQ, R.- FILE COPY Ae t NOTICE OF COMMENCEMENT State jof SLA B pa Tax Folio No. 1(o9 a23- D D 0 County of SIVA L 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: 5-(09 1 -ZS-29E An-,artTIG F3EaGFI Address of property being improved: S49 27" S'r LSTLdl�1TIL$E�c_{} FL �i 223 General description of improvements: 11.1' 15iZIOR Rj;346VAT't D�( Owner:_AAD�5mAN Da.V1d A. Address: 349 3(Zd S1.ATL&R-I%CF�C1} T Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): N Q Name: Contractor: C. Address:3 7 S7 P VA-WZ-Y R� 102-153P0�(T� ESI�za �L 3 Zo g Telephone No.:&4) V7-3123(e Fax No: Surety(if any) R/& Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: 14 & 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: C7LZAR AAA EGZ5DN Address: Zj7S7 PkI.MY4yt." KA. Sr��oz-i53 Poar�y�d�a �L 3zoSZ Telephone No:1�4) 537-323 4o Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone 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 OWNER., Signed: L--e"' , Date: Before a this day of o20I in the County of Dbval,State Of Florida,has personally appeared Dal. Naffinar-% ANNA MARIE BURIM Notary Public at Large,State of Florid County of Duval. 3t N � My My commission expires: ;z-l8".901(0 1. ' EXPIRES:raNdoyrusry 1U8 1� Personally Known: ✓ or PubYe Produced Identification: CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 + INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000039 Date 1/15/14 Property Address . . . . . . 349 3RD ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 800 ------------------------------------- Application desc exterior door -- ------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BROWN ASA D JR FGC, INC 349 3RD ST 3787 PALM VALLEY RD ATLANTIC BEACH FL 322335231 STE 2-153 PONTEOVEDRA BEACH FL 32082 (904) 537-3236 ----------------------------------------- -----Permit WINDOW AND/OR DOOR PERMIT ' Additional desc . . Plan Check Fee 27 . 50 Permit Fee . . . . 55 . 00 800 Issue Date Valuation Expiration Date . . 7/14/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS 2 . 00-------------------------------- STATE DCA SURCHARGE Other Fees 2 . 00 STATE DBPR SURCHARGE ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due _ _ ---------- ------ -- ---------- - - 00 . 00 Permit Fee Total 55 . 00 55 . 00 00 . 00 Plan Check Total 27 . 50 27 . 50 00 . 00 Other Fee Total 4 . 00 4 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach F(Tobe PLICATION NUMBER gned��e Building Department.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 �� Phone (904)247-5826 - Fax(904)247-5845 Date routed: I E-mail: building-dept@coab.us City web site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �7 / �'1 6 Building ent review required Yes No Applicant: A anning & Zoning Tree Administrator �V��� Dip �' Q D Q Q� Public Works Project: Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required of Permit Verified B 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: [qApproved. ❑Denied. (Circle on Comments: BUILDING PLANNING & ZONING Reviewed by: ` Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni d. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: � FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by. Date: i Revised 05/14/09 ' BUILDING PERMIT APPLIGATION ]1 CITY OF ATLANTIC BEACH JAN 14 014 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 B Job Address: 3�� �Rd Sr l�n"a,J-nc' K Permit Number: r�.(v � tP- 2$- Z`� E AiLoNTIC_ I-}-Parcel# ►b°IQ�23- ©�pT� Legal Descriptiont oor Area o q• t• 9' Valuation of Work$ Q700 Proposed Work heated/cooled ka SQV;C_ non-heated/cooled Class of Work(circle one): New Addition caikii Repair Move pool/spa windo 00 one : Commercial esidenUse of existing/proposeatcle ) .If an existing structure, stem installed. (Circle one) esdezN/A Florida Product Approvrova ormFor multiple products PP Describe in detail the type of work to be performed: 1% T`?�otZ St E DeoR Property Owner Information: 1)av l d b. . Address: Name: � rhone Y�`t l 'T L L" Z�i1 City LST W t�4C 5AG State I— E-Mail or Fax#(Optional) Contractor Information: C T>dL., Quali mg A n : 7L=tl�(NAM61�St� Company Name- -' Ci E St to L Zip 17Z2,Z Address: 7 Fax# —1(014 Office Phone - 2 Job Site/Contact Number 140 X3"1-�l'Z3� State Certification/Registration# L # Architect Name&Phone# til Engineer's Name&Phone# N Fee Simple Title Holder Name and Address N d Bonding Company Name and Address N d Mortgage Lender Name and Address N need rk or Application is hereby and that all obtain ork will be iit to perforior to thi rmed to meet the stannd dards fall laws tions as indicated egulating co truction inthat no othis urisdictaon.nThis permhas it becomes null ani issuance of a�ermit a p f p eriovoid if work is not commencer within six Omonths,mst r i eeured fo rElectrical lWork,Pluembing,S gnsneWells,aPools,Fu naesix es Boilers,Heaters,months at nTanks and Ai, commenced. 1 understand t p permits Conditioners,eta t bAWi�`iAtiMi•'�il*t'�'t^,,•:<J.r..+_w:: ':?iY-'.;+•. REVIEWED FOR CODE COMPLIANCE ! �=�a '""��'�•` ���`:� CITE'OF A tANTIC .9EACH � FILE COPY PERMITS FORA SEE PER + LREQUIREMENTS AND CONDITIONS• 1E�1�BY: DATE: ` WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR BTAIN IMPROVEMENTS TO YOUR PROPOEURTRY11.ENDER ORTAN AT TO OORNEYY FINANCING, CONSULT WITH BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. nd I hereby nancesrtrovthat I have erning s rtype o{ rk will behis copied wth whether specified herow the same to ein oreno d The grantinorrect. All g of a permirovisions t doeslaws 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. ILSignature of Ownerd - Print Name _......._At�i(.{....A...............:.rN'!.9.�ti............._....._......_.._..._.._.------. Sworu.to. and subscribed before me this W Day of.YCLn u 041=94- 20 L/ Notary Public ,Kr syr= ANNA FMAM BUFFIIJS .r. �. W coMW M i EE 16884(1 EXPIRES:February'18,2D16 ar;'h ft"The Not ry Peen tlederrrNen Signature of Contractor PrintName I.CNi•( M .�� .......................................__------- Sworn to and subscribed before me 20 (`�' this ay of r Notary P b 1c Revised 01.26.10 KAREN HUGHES t�µµr P`B, dry Notary Public-State of Florida •: My Comm.Expires Apr 3,2017 Commission#FF 004846 Bonded Through National Notary Assn. M ,r , CITY OF ATLANTIC BEAVH s 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000040 Date 1/24/14 Property Address . . . . . . 349 3RD ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 5500 ---------------------------------------------------------------------------- Application desc interior drywall remove non load bearing wall ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- BROWN ASA D JR FGC, INC 349 3RD ST 3787 PALM VALLEY RD ATLANTIC BEACH FL 322335231 STE 102-153 PONTE VEDRA BEACH FL 32082 (904) 537-3236 --- Structure Information 000 000 DRYWALL/NON LOAD BEARING WALL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . ADVANCED WIRING SERVICES INC. Permit Fee . . . 59 . 80 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/23/14 ------------------------------------------------------------------------- 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 ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59 . 80 59 . 80 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 63 . 80 63 . 80 . 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 l r J JOB ADDRESS: 3 9 Gi 3 rd S_((ee? PERMIT# I `1 `"I Q JEA INFORMATION REQUIRED ON ALL PERMITS - AMPS Zy VOLTS ) PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole ❑Residential(Main)Service ❑0-100 amps 1110 1-I 50amps ❑151-200amps amps #of Meters El Commercial(Main)Service 110-100 amps 1110 1-I 50amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size []Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters []Temporary Pole ❑ amps SERVICE UPGRADE El-amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: g 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: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign El 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 ❑OH to UG ❑Other: Re_kOUle a. A Swr>c-1,es , 5wrip ce_,h ; l.iyktt 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 'DA V ta( 14 p (ZIt h Phone Number Electrical Company Ad✓hrced W trr,%u Office Phone 74y' YNy & Fax `77-z-i 2,z f Co.Address: 3061 pk4ltl,ns d way, S14r1i I o i City TAIlusO^y,Ire, State A?L Zip 22W License Holder(Print): (A L(erc L,JG 99� � C State Certification/Registration# A C /3 0o 5 t,o3 Notarized Signature of License Holder L✓AA tj A 1'1 So_C1I vl``— `D- -- Before me this �-�+�day of V lam\ 20 14 JENNIFER ZT7K , ElV MY COMMISSiCty d rY Ct 1At7:' Sl nature of Notar Publica EXPIRES:Apri124,10t7gBonded Thru Notary Pudic undae.,.._..,