900 Plaza # 37 2014 drywall CITY OF ATLANTIC BEAD
J 800 SEMINOLE ROAD
J
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
f JJ3 SA
Application Number . . . . . 14-00000043 Date 1/16/14
Property Address . . . . . . 900 PLAZA
Tenant nbr, name . . . . . . UNIT 37
Application type description RESIDENTIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 850
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Application desc
DRYWAL WORK
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Owner Contractor
------------------------
------------------------
SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES
JEFFREY D. KLOTZ P O BOX 367
645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635
ATLANTIC BEACH FL 32233
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 850
Expiration Date . . 7/15/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
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Other Fees .
. STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----- ---------- ----------
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 . 00 . 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH JAN 1 4 2 014
800 Seminole Road;Atlantic Beach,FL 32233
Office (904)247-5826 Fax(904)247-5845 B
Job Address: AaA 1 'Z. f-1Permit Number:
Legal Descri tion Parcel#
Le
g P Floor Area o q. t. Sq.kt
Valuation of Work$ Proposed Work heated/cooled�— non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move_Demolition pool/spate window/door
�
Use of existing/proposed structure(s)(circle one): Commercial side
If an existing structure,is a fire sprinkler system installed? (Circle one): es o N COPY Florida Product Approval# FILE
For multiple products use product approva orm {
Describe in detail the type of work to be performed: 0 v
Property Owner Information:
Name: � 3 Address:
City T i �.4c� State£LZip _Phone G � .a 7 � '� - S Z'2�1
E-Mail or Fax#�(Optional)
Contractor Information:
Company Nape. �I., �.� L�.v'�"�'it�L i i o rJ Qualifying Agent: C-03 �`'
Address:
City �A`n J, a-� State Zip:!-.
Office Phone 3 S - S 14- 1$ 1 Job Site/Contact N ei
State Certification/Registration C.-
Architect Name&Phone# T1Aq1'1CjEACH
Engineer's Name& Phone# DITIONAL
Fee Simple Title Holder Name and Add ess A RLQUflkFNffiNTs AlqD
OILS
Bonding Company Name and Address
Mortgage Lender Name and Address IRE
ced prior to the
Application is hereby made to obtain a permit to do the work and installations as indicated cert= t
FFU UM
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in tliis jurisdiction.. This permit becomes null
or and work void if
n work is commenced
I understand thatwithin
separate permits muor st be secured for Electrical-Work,construction o,work is suspended
or abandon
Plumbing,Signs,aWellS, ols Plirnaces, Boilers,tiHeaters,
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 YOTU INTEND TO OBTAIN ORNEY BEFORE RECORD G OiTR NOTICE OF H
YOUR LENDER OR AN ATG
I hereby certify that 1 have lreadied w and
whether this specifiedhereinor not. Theesame to be true granting of a pea doesnd ct.no�prll esun:ei�o provisions of
I a thoritys and rtol vtolatences gor cancel this
ll�e
type of work will be complied
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Contractor
Signature of Owner /
Print Name D• � Print NameL.....................................................
......... ..........................
Sworn to and subscribed before me Sworn to and subscribed before me
this Day of 20 y this ( Day of 20
Notary Publi - No ary Publi
ised 0 1.26.10 CINDY DUNGANCINDY DUNGAN
MY COMMISSION#iFF073701 MY COMMISSION#FF073701
EXPIRES:DEC 01,2017 a,,,pif EXPIRES:DEC O1,2017
rS.Alj_ City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
1 � 800 Seminole Road /�/_ Q Q V-3
_ Atlantic Beach, Florida 32233-5445
Phone (904) 247-5826 - Fax (904)247-5845
"1-119r E-mail: building-dept@coab.us Date routed:
"J City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
q66 / Qapaftiknt review required Yes No
/�
u i l
Applicant: ��� S j r kCII 00 Planning & Zoning
Tree Administrator
Project: I6 Idw We Ar 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 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
i Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: nh Date: / '/4-/y
TREE ADMIN. Second Review: ❑Approved as revised. ❑Deni
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