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2327 SEminole Rd 2014 bath remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000293 Date 3/04/14 Property Address . . . . . . 2327 SEMINOLE RD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 35000 ------------------------------------------------------------ Application desc bath remodel ----------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SEDGWICK, STEPHEN R. PRO-BUILDERS OF FLORIDA LLC 2327 SEMINOLE ROAD 1115 OAKS RIDGE DR S ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 386-0094 --- Structure Information 000 000 BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee 225 . 00 Plan Check Fee 112 . 50 Issue Date . . . Valuation 35000 Expiration Date . . 8/31/14 -------------------------------------------------------- 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 3 . 38 STATE DBPR SURCHARGE 3 . 38 ---------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ----- Permit Fee Total 225 . 00 225 . 00 . 00 . 00 Plan Check Total 112 . 50 112 . 50 . 00 . 00 Other Fee Total 6 . 76 6 . 76 . 00 . 00 Grand Total 344 . 26 344 . 26 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ?s�:avf City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road � Q z Atlantic Beach, Florida 32233-5445 A 7 Phone(904)247-5826 • Fax(904)247-5845 o;; E-mail: building-dept@coab.us Date routed: d f City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address:C�3 ,2 46 E 7Q t ent review required Yes No Building Applicant: - Planning &Zoning Tree Administrator Project: 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 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: KvJApproved. ❑Denied. (Circle one.) Comments: QUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: QApproved as revised. ❑Den g�� PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACHFFE8,12 0 800 Seminole Road, Atlantic Beach, FL 32233 8 2014 Office (904) 247-5826 Fax (904) 247-5845 toy— Job Address: Z Se m l f7 0 l e- kc—Qd Permit Number: Legal Description 3 7-7 7, 3 ::_ -.1 Q E. B I Uff'S Unit Lo�'3 Parcel# /(n g q O 9- /A0 �o Floor Area o q. t. 'q.Ft Valuation of Work$ 5 D00 ,OU Proposed Work heated/cooled 0--,off-non-heated/cooled Class of Work(circle one): New Additionlteratio Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial �esiden�ti 1 If an existing structure,is a fire sprinkler system ;installed? (Circle one):r s To N/A Florida Product Approval# A07 AA 4 For multiple products use product approvalform Describe in detail the type of work to be performed: n m D vr l X4yY'c-5 q nd 1'e��gC e- 1 n Y�1 C�S�'e►� and Q v es-t b o+h l n S lvJ/ n eu1 f(oo ri nq o nd pq in-' zA.iQJ IS as n P_ec� ed Property Owner Information: Name: h /I -I MQ,r Sed W IC-KAddress: P 3 01-] Se rn 1 nvl e Roo C/ City t e &&-QCA State_ ip 3-'k13 APhone q0 q) 7" q 44 5 0 E-Mail or Fax# (Optional) S_ S�cP4+�icK Contractor Information: C Company Name: 0 �S �l Quali ing Agent: Address: I Lt e 4C_ e-tVc-� t_-SO 0 City State Zip Office Phone 'O - 6 a� Jo tact tuber Fax# State Certification/Registration# Architect Name&Phone# R CODE COMMUMM — Engineer's Name&Phone# A MY Fee Simple Title Holder Name and Address Bonding Company Name and Address REQUI R. EiM:2fE NIS ND Mortgage Lender Name and Address DATE: Application is hereby made to obtain a permit to do or to tallation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of al aws regulating construction tot is jurisdiction. This permit becomes null and void tf work is not commenced within siz(t5)months, or if construction or work is suspended or abandoned for a period of siz6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, urnaees,Boilers, Heaters, 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 YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereb certify that I have read and examined this application and know the same to be true and correct. All provisions flaws and ordinances governing this type oJYwork will be complied with whether speci ted herein or not. The granting of a permit does not presume t ri to vio or cancel the provisions of any other federal,state, or local law re ulating construction or the performance of construction. Signature of Owner r Signature of Contractor Print Name -' w �� Gv 11544, Print Name 4--U k S S 0 ............ . . . ............................ ................................................. efore e Befo e Gf t 5_D of �llQ� 20 th' D f 20 ota Publi Dawn Busbin No n i a Florida ry My Commission EE 827431 S irtey L fah 410 Expires Commi Fise 10.24.12 sr Expires 02/14/2018 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICATE) Permit No. 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. q C, y Legal description of property being improved: 37- 7 X 7. 01—• 5 f 4S A 1 o fr-S fUnf•7 Q Address of property being improved: �.��.� S�'M J /l t7 j� �p Q d General description of improvements:Re""ryd iff-I m 4.5t'er' q!1 GI! G V eSt r(X,WS/ tj Owner Address ! `G Owner's interest in site of the improvement -5c,)E n w h.e t'" Fee Simple Titleholder(if other than owner) Name Address Contractor 5 Address 2^( fc`L- c��cL� �SZ �- S 7i Phone No. O CJ L 4 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: Namer�� Address J 5 5 �� - tZ(.Q �/CL. ` J Phone No. 6 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 Statutes.(Fill in at Owner's option). Name Address Phone 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 O NER Sig L DATE Before met`' . ' —day of in the County.o val,State of Florida,h p rsonaltyappeared himse f/,erself and affirms that all a mems and decl tion$,N in Notary Doc#2014053211,OR BK 16713 Page 1282, are,kue and accurate � Noat�PB bllicl,: of Florida Number Pages: 1 c f Recorded 03110 2014 at 03:14 PM, / 0 My Commission EE 827431 Ronnie Fussell CLERK CIRCUIT COURT DUVAL hg Of Nf Expires 09/0312016 COUNTYotary Public at Large,State ( County of In Y�C. - RECORDING$10.00 My commission expires: Personally Known i - or Produced Identification CITY OF ATLANTIC BEACH is) 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000293 Date 3/11/14 Property Address . . . . . . 2327 SEMINOLE RD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 35000 ------------------------------------------------- Application desc bath remodel ------------------------------------------------- Owner Contractor _ ------------------------ SEDGWICK, STEPHEN R. PRO-BUILDERS OF FLORIDA LLC 2327 SEMINOLE ROAD 1115 OAKS RIDGE DR S ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 386-0094 --- Structure Information 000 000 BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL --------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . ZELLNER' S PLUMBING AND CONST. . 00 Permit Fee . . . . 90 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/07/14 --------------------------------------------- Special Notes and Comments need noc 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --------------------- ----------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- -- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 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. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (9904) 247-5845 /I Z q 2 23alOB ADDRESS: 5 Gx- G+'IIUo�� PERMIT# �lf I J NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE of FIXTURE QTY TYPE of FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet 1 Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE of FIXTURE QTY TYPE of FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ 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 �J / Phone Number Plumbing Company Lc vl�'x-� "�✓�t Office Phone 7�y/3�-1Fax Co. Address: 731 /ll­t l cetr City "I Statek Zip -r'?C'G License Holder(Print): •�a�„ ZL/�^ State Certification/Registration# No i i e 1 e Hokler 000'1 Notary Public State of Florida Before me this day of Shirley L Graham y z My Commission FF 086990 Y�OF fvo Expires 02/14/2018 Signature of Notary � 7 -g0 - Zoe —� CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD .J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 JJ 14-00000293 Date 3/13/14 Application Number 2327 SEMINOLE RD Property Address . . . . . Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 35000 ------------------------------ Application desc bath remodel ------------------------------ Contractor Owner SEDGWICK, STEPHEN R. PRO-BUILDERS OF FLORIDA LLC 2327 SEMINOLE ROAD 1115 OAKS RIDGE DR S JACKSONVILLE FL 32225 ATLANTIC BEACH FL 32233 (904) 386-0094 Structure Information 000 000 BATH REMODEL Occupancy Type RESIDENTIAL ----- ---- Permit • ELECTRICAL PERMIT Additional desc . . Sub Contractor COVENANT ELECTRIC INC 00 Permit Fee 57 .40 Plan Check Fee Valuation 0 Issue Date Expiration Date . . 9/09/14 -------------------------------- ---------- --------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------- ------------------------------------STATE ELEC DCA SURCHARGE ---- 2 . 00 Other Fees STATE ELEC DBPR SURCHARGE 2 . 00 Fee summary Charged Paid -- Credited -------- ------------ . 00 . 00 _ _ -- ----- 57 .40 ----- Permit Fee Total 57 .40 00 00 . 00 Plan Check Total • 00 . 00 4 . 00 4 . 00 . 00 Other Fee Total 00 . 00 Grand Total 61 .40 61 .40 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 Z Ph(904) 247-5826 Fax(904) 247-5845 JOB ADDRESS: Jsit OIJi1 �Ql� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS VOLTS VOLTS PHASE VALUE OF WORK S NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole ❑Residential(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service [10-100 amps Li 101-150amps [I151-200amps ❑ 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 ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps �.S,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. ADDITIONS,REMOD�Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA El Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VAL UE OF WORK S Qty volts/amps REPAIRS/MISCELLANEOUS ❑Safety Inspection ❑Panel Change ❑OH to UG ❑Replace Burnt/Damaged Meter Can ❑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���� � I � �r�R�C L oy O Office Phone GI ��Z0LA-55q=� Fax ` G ( City k_ksawt � State'& Zip'=IT Co.Address: /�)�-t W��T"A State Certification/Registration License Holder(Print): Notarized Signature of License Holder REHDefore 40 ic State of Floridaefore ethis 13 da 20 rahamssion FF 086990 ignature of Notary Pc _ O14/2018 Q