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202 Pine St 2014 Bath remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000298 Date 3/04/14 Property Address . . . . . . 202 PINE ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1800 -------------- ------------------------------------------------------------- Application desc bath remodel tile durarock -------------- ------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ S .E.JONSSON CONSTRUCTION, INC. STANG KAREN KLEE 8 STARFISH PLACE 202 PINE ST ATLANTIC BEACH FL 322334014 PONTE VEDRA BEACH FL 32082 (904) 545-2714 --- Structure Information 000 000 BATH TILE DURAROCK occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc - - Plan Check Fee . 00 Permit Fee . . . . 60 . 00 Valuation . . . . 1800 Issue Date . . . . Expiration Date 8/31/14 ----------------------- 2 . 00 Other Fees . . . . . . . . . STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 00 ---------- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ----------- ---------- ---------- ---------- ---------- Permit Fee Total 60 - 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 64 . 00 64 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY 4F ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904)247-5826 Fax(904) 247-5845 to Permit Number: Job Address: in 1. OSS-8 Legal Description lb-ld 521ki�_- Sm 5 Parcel# 11 oor Area ot sq.Ft. Valuation of Work$ Proposed Work heated/cooled ented/cooled Class of Work(circle one): New Addition Alteration (:R:e� Move Demolition pool/spa window/door Use of existing/pro osed structure(s) circle one): Commercial 9Q_� If an existing structure,is a fire sprin=system installed?(Circle one): Yes No N/A Florida Product Approval#--- For multiple products use prod-uct approval form Describe in detail the type of wor o be perf rmed: t, z bvw,� Pronertv Owner Info ation: "W Name: Address: city 1- a E-Mail or Fax#(Optional Contractor Information: Company Name. Quali iwnAVnt:5V'41 lilbkQ :1 Z,j)5�U y Address: eete4 -_state 7-- 40 1 Job Site/�Contact Numb Fax# Office Phone j I ti State Certification/Regaistration 4 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application 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 a permit and that all work will bepedbrmed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null enced within six(6)months, or i(construction or work is suspended or abandonedfor aWeriod ofsix(6)months at any time after i and void ff work is not comm umu 1,6 a� sirnaces,Boileis,Heaters, work is commenced I understand that separate permits must be securedfor Ejecoical-Work,P1 ng,S ns, 11s,P ols, F Tanks and Air ConfiVdoners,eta 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1here certify that I have read and examined this,a lication and know the same to be true and correct. Allprovisionso I and ordinances governing this f, me to gi e a thori i ate or ca. el the he h ;peci Ned herein or n . The granting of a permit does not presuv '0 0 t a jn, �d ordin.a,,..n..ce gove nicn,ithis s r g r1t type pl�work will be complied w, w y te or ca. e he 'I,st provisions ofany otherfedfra �ewor Itocari'law,regulating constru ion or the pe�formance of construction. Signature of Ow3ne Signature of Contractor Print Name ............. . ...... .. . 5V. ..... ............................. ........................................................................ .............. . . ........ .... ... Print Name ............................ Sworn to d b o e sw to aand su 0 "'YREDERICK L.DAKE this�5��3alysof sc Mr-Dr-RWAV tNEEP thi Day of Ila 14tv u%Wv"u Notary Public-State of Florida -1 My Comm.Expires Jun 26,2015 In My Comn.ExD 59 "4%, Bonded Through National Notary Assn.. #EE 10 09 c Commission#EE 105909 Bonded Through National Notary Assn. —kevisecf0r. ell CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -5814 INSPECTION PHONE LINE 247 "C Application Number . . . . . 14-00000298 Date 3/18/14 Property Address . . . . . . 202 PINE ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1800 ----------------------- ----------------------------------------------------- Application desc bath remodel tile durarock ----------------------- ----------------------------------------------------- Owner Contractor-------------- ---------- ------------------------ S .E.JONSSON CONSTRUCTION, INC. STANG KAREN KLEE 8 STARFISH PLACE 202 PINE ST ATLANTIC BEACH FL 322334014 PONTE VEDRA BEACH FL 32082 (904) S45-2714 --- Structure Information 000 000 BATH TILE DURAROCK occupancy Type . . . . . . RESIDENTIAL ------ ---------- ---------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc - - Sub Contractor AMELIA PLUMBING 69 . 00 Plan Check Fee . 00 Permit Fee . . . . Valuation . . . . 0 Issue Date . . . . Expiration Date . - 9/14/14 -------------------------------- ----- ---- - - - - - - - - - ----- -- -----Other-Fees STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ------------------ --------------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ------- -- ---------- --- Permit Fee Total 69 . 00 69 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 73 . 00 73 . 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(904)247-5845 JOBADDRESS: c�[Q- '�i W–.1 tk PERMIT NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oF FixTupx QTY TYPE oF FixTupx 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 RE-PIPE: TYPE oF FixTuRE QTY TYPE oF FixTuRE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher ShowerPan 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: Ei Sewer Replacement EJ Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads Ei Well SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. o 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 Plumbing Company ,LC- _Office Phone .04104830 —Fax Co. Address: Q�Zl MDLY-f)� city ftu State-6 Zip3XXO� License Holder (Print): I ) �Ckk Stae Ce cation/Registration# OFCA Notarized Signature of License Holder REEql"re me this d of 20 Oue, Notary Public State of Flo a A � Sriiriey L Graham MyCorrmissionFF08699oSi ature of Notary Public If ExPli'66 0211412018 of V�