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