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290 Poinsettia St 2014 interior remodel and window CITY OF ATLANTIC BEACH sis -tel 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000367 Date 3/21/14 Property Address . . . . . . 290 POINSETTIA ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15000 ------------------------------------------------- Application desc REMODEL ------------------------------------------------ Owner Contractor - ------------------------ ----------------------- ALLIANCE RENEWAL INVESTMENTS GORDON' S CASTLE LLC 290 POINSETTIA STREET 220 E FORSYTH ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32202 (904) 686-4593 --- Structure Information 000 000 INTERIOR REMODEL Occupancy Type . . . . . . RESIDENTIAL ----------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee . . . . 125 . 00 Plan Check Fee 62 . 50 Issue Date . . . . Valuation . . . . 15000 Expiration Date . . 9/17/14 ---------------------------------------------- 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 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total 62 . 50 62 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 191 . 50 191 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Jun 0514 03:28p Robert Dykes 904-543-0104 p.1 ..�cce�rae,!L � `Iouscczcd r`�euidecctest�' - �aoarsse•:cittE 904-821-0220 Jacksonville Air Conditioning 924-249-6111 Beaches 1 Qonte Vedra Heating ,!5 -940-9294 St.Augustine M/,11 W-M IVAIVGE Refrigeration 4r 6. FiRPA1Fi 11MC. License#CAC 1813855 i'^ Box 50526 Jacksonville Beach, FL 32240 justcal/tim.com FILE COPY r PROPOSAL FOR DUCTWORK ADDITION: ;Iobert Dykes 290 Poinsettia Street Atlantic Beach, Florida 32233 Proposal for ductwork addition as follows: Fumish &supply 8"Supply duct. Including: Boot,flex duct,tap, and grille. Return bypass,cut in over the door to garage/room. Including: Two stamp grilles. Load calculaiion performed. Ductwork permit pulled. Total investment............................,.................................. $694.00 Regards, Aaron Haire All Care Services, Inc. Cell (904)566-1002 Office(904)821-0220 AH:sf p e� oo 3to1 o c 5 a LO- JUN 05 2014 Bv_ Ci. e.). oc J34 SAAB 1(�'' 0. L. I.a.l In a i nsvl . w 1 '51 g G.W.Jd CS n k nAf-rlol b O �0 �•— wOE 1 4 C1 60 l c (Ud gf-A o beLo me- a- I ° °' A a U � Ao 0 C.�na��tmnQ.� s pace t-oc of -tu . o k w q W g ;Tw U 71 4 a ho4 CD of 1 6 Pt cgiem r%ci 800c bJM's 5GrvN1O c h liA 'fb e%C41,I\j Cc ,e watt 6&&<c1 ��a�e, w� 5 P�►�an� t�r�a,�DM amt sA 's 16" o .L . wu t-V3 bcy\vINS t a 1 r\ ba S f BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH Q f �o 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 MqR 11 JobAddress: a90Qe�nse-k�aS� A-��a ,vim B �� Permit Number y Legal Description Parcel# � oor rea o q. t. t Valuation of Work$ / Proposed Work heated/cooled !42'3 non-heated/cooled &0 Class of Work(circle one): New Addition Alteration Repair Move Demolition p� cl /cleior Use of existing/proposed structure(s) (circle one): CommercialResidential If an existing structure,is a fire sprinkler system installed? (Circle one): eso N/A FILE COPY Florida Product Approval # For multiple products use product approva orm .;. Describe in detail the type of work to be performed: Property Owner Information• �j-605' /r114 JeJll�' Name: obe,r� L Address: 10g ' Qur^Ar AX 4-• ie qll 'SAY Ft 3aas(o City_z4-crr.<a,►v',Q L2 State Zip_12Mphone !jp!l-a q'7-p C'j 9 j E-Mail or Fax#(Optional)_A Optional) q 04- 4 q-) - Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: (Torela40%'� �ty��t L�. C Qualifying Agent: 6►.rh4t, ma r kz-A Address: 2 2 O Ea&* Gr ST).h �,}. City M C1,,6A v I% State i_Zip Office Phone 90 q-&P`U j X77 Job Site/Contact Number �(�y.(o g(o-y S4 3 Fax#5rj ,, q.2-1-7 y 7 State Certification/Registration# L, S Op 9 Architect Name&Phone# yj A RWMvE— - Engineer's Name&Phone# Fee Simple Title Holder Name and Address v Grp L. D AT Bonding Company Name and Address AIIRWTS FOR Mortgage Lender Name and Address P A vv1XtUWENTS AND C ONMUZOM Application is hereby made to obtain a permit to do the work and installations RFVate . r§� m r tnst s� 0nced p r to the issuance of a permit and that all work will be performed to meet the standards o ict is ura����ie 'mes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a pert ime after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbiriz Signs, Wells,Pools, Furnaces,�7lpfs,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. I hereb certify that I have read and exami is plication and know the same to be trite and correct. A 11provisions of laws and ordinances governing this type o work will be complied with wh er s t ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,st c regulating construction or the performance of construction. Signature of Owner Signature of Contr�o.r Print Name O O Print Name d.. t'..............L. ......... .... . .w►.. ..s... . l .a.. � .... _ ...... Before jne Before If / this- ay ofthis ay f 5 20 JOSHUA 0.KEEPERMAN .........,.ru—, r Nota - of '' DA B OSBORN SR Notary Pub ' Comft Exrk"AK 26.2017 Nota blic ISSION#FF093716 CG MniNi011/ff 010571 EXPIRES �j�r �y 1 2018 6a1N �w A1M (ao>)3eo-0i53 ReF � oTa"ryrvice:com Property Address: 290 Poinsettia Street Atlantic Beach, FL 32233 Property Owner: Robert L Foote 10961 Burnt Mill Rd Suite 411 Jacksonville, FL 32256 Scope of work associated with this permit Alteration Permit Scope: • Replace deck flooring, not frame or post. 2 r FG- �eS i d��'►�S • Replace deck rail _ eol�---e i�4 p • Replace interior flooring • Repaint interior • Repaint exterior • Remove nonstructural wall at stairs to open area �• • Install new countertops • Install new cabinets • Install approximately 125sf of pavers at front door to rear gate • Repair popcorn ceilings as needed • Replace tub/surrounds with steel tub and tiled surround. _ Ory eva I ba oke{ board en g?%P o f,V^ C-0 ne;de.l. � // OYb�ac,�c ' U Ad.*r-s4u^J s JOB COPY THIS PLAN4AUP-91 ON JOE SITE li=OR EACH INSPE ON RMEWED FOR CODE COMPLMNCE CUy OF ATLi-iNTIC BEACH SEE PERMITS FOR.ADDITIONAL REQUIREMENTS AND CONDITIONS. P,L7VIVVT-D BY: /2"1 DATE: 3'l9-/5/1 �j�aw;lJ City of Atlantic Beach APPLICATION NUMBER V, Building Department (To be assigned by the Building Department.) r800 Seminole Road Q 3� 7 Atlantic Beach, Florida 32233-5445 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: �� �$� / 2/ De artment review required Yes No Buildin Applicant: 00 4 do P &J<61_1L.,4 Panning &Zoning / Tree Administrator Project: /7? / /Q �m Q�� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or ReceiptDate 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: �ved. ❑Denied. (Circle one.) Comments: BUILD NG PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 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 CITY OF ATLANTIC BEACH sig J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5814 �JI3l�� Application Number . . . 14-00000366 Date 3/21/14 Property Address . . . . . . 290 POINSETTIA ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 7000 ----------------------------------------------------- Application desc window/door ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- ALLIANCE RENEWAL INVESTMENTS GORDON' S CASTLE LLC 290 POINSETTIA STREET 220 E FORSYTH ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32202 (904) 686-4593 ---------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . Permit Fee 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . Valuation 7000 Expiration Date . . 9/17/14 ------------------------------ Other Fees . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 50 131 . 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 D Q YI] 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 MAR 11 2014 Job Address: 2 q0 ir7i^SCAMk0^)T►L l&ac.h _C1..32.?Rrmit Num Legal Description Parcel# 0,,s Floor Area o q. t. Sq* t Valuation of Work$ 7400 Proposed Work heated/cooled1'42'� non-heated/cooled ?(a[-, Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa endow/door Use of existing/proposed structure(s)(circle one): Commercial esi—de If an existing structure,is a fire srinkler system installed? (Circle one): es o N/A Florida Product Approval# II-TS? _1916- For 19 6- For multiple products use product approval orm -79IS- Describe in detail the type of work to be performed:QtOk Q G� l k)i n I w'•S a ^1► S �:13•La r`S l.jj-.kAn Poc%lawUd V v'4 GnA rtl V G j'�-Gnr► 5 _ Property Owner Information: nn tt Name: Address: r 41 City State f Zip 3 QPhone 410 y-4 R•7-O 14 -7 E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: ('r-orCa,\% C4 AX t LL(,- Qualifying Agent: 73a w,-e S kk Q f k.�r% Address: - f City State F!. Zip 3X?0:2 Office Phone --)->-)I Job Site/Contact Number q-(0 '&14-YSR 3 Fax# qD He y.Z• 17(47 State Certification/Registration# S Architect Name&Phone# N A Engineer's Name&Phone# Fee Simple Title Holder Name and Address L... G Bonding Company Name and Address Mortgage Lender Name and Address oQ4 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 be per to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void tf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces, 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. I here, certify that 1 have read and exam. his application and know the same to be trite and correct. All provisions of laws and ordinances governing this type o17work will be complie speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other fede 1,state 1 law re ul iwg construction or the performance of construction. Signature of Owner ,� Signature of Co:ntt-raaccttor Print Name ..e .... ..... .... .v.B.fe................ Print Name ....... CL ........... ........... Befor�,r}ie Before m this Day o rn0.� � ��„i,�„ this / ay of 20 ` EFFO Ftorid� '�'. ID B OSBORNotary Pu c . Mir Comm.ExW6.2017 taffy Public , , = MY OMMISSION#FF093716 CamwAaloo 0571 a Fd'' EXPIRe�� �18,2016 6/� A/M• (aor)398"ot51`eV1�S��d��otlbS�V ce.com Property Address: 290 Poinsettia Street Atlantic Beach, FL 32233 Property Owner: Robert L Foote 10961 Burnt Mill Rd Suite 411 Jacksonville, FL 32256 Scope of work associated with this permit Window/Door Permit Scope; • Replace windows with like Florida approved product • Replace sliding doors with like Florida approved product Florida Building Code Online Page 1 of 2 Business & Professional ..II rar� ma�� "�1'IUC L»_'parirrent�d BCIS Home Log In User Registration Hot Topic Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links Search Busines '' Professional • Product Approval USER:Public User Regulation Product Anoroval Menu>Product or Application Search>Application List>Application Detail • FL# FL7915-R2 ' Application Type Revision Code Version 2010 Application Status Approved *Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer THERMOPLAST Address/Phone/Email 3035 boul Le Corbusier Laval,FL 33012 (450)687-5115 Ext 206 maroisj@ggc.com Authorized Signature Jean Marois maroisj@ggc.com Technical Representative Jean marois Address/Phone/Email 3035 boul Le Corbusier Laval (514)247-7303 jmarois@thermoplast.com Quality Assurance Representative Michel Pepin Address/Phone/Email 3035 LeCorbusier Laval,FL 33012 (450)687-5115 Ext 229 mpepin@thermoplast.com Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency National Accreditation&Management Institute, Validated By National Accreditation&Management Institute, Referenced Standard and Year(of Standard) Standard Year AAMA/NWWDA 101/I.S.2-97 1997 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 08/01/2011 Date Validated 01/15/2012 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQWtDgsYmboA8NXJ... 3/21/2014 Florida Building Code Online Page 2 of 2 Date Pending FBC Approval Date Approved 01/16/2012 Summa of Products FL# Model,Number or Name Description 7915.1 8'Opera Patio Door Vinyl Sliding Glass Door(SGD-LC50) Limits of Use Certification Agency Certificate Approved for use in HVHZ:No FL7915 R2 C CAC NI005194-R4.odf Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date Impact Resistant:No 07/31/2015 Design Pressure: +50/-50 Installation Instructions other:SGD-LC50 Nominal size: 8'0"X 6'8"Configuration: FL7915 R2 II 08-00019B.odf OX-XO"Glass Complies with ASTM E1300-04" Vrified Cnal Accreditation reated by:Independent Third Party:Management Institute, Evaluation Reports FI-7915 R2 AE 510020(2).Ddf Created by Independent Third Party:Yes Back Next Contact-5Zs Orth Monroe 51reet Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida.::Privacy Statement::AcQessibilib Statement::Refund Statement under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email ad Fss wa cli hich ran ck made here .available to the public.To determine if you are a licensee under Chapter Product Approval Accepts: E____3 N securityN}TRIC http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgsYmboA8NXJ... 3/21/2014 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned hy the Building Department.) 800 Seminole Road / Atlantic Beach, Florida 32233-5445 Vf Phone(904)247-5826 - Fax(904)247-5845 r'!ro E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us / APPLICATION REVIEW AND TRACKING FORM Property Address: �9Q :A.:Ma?� S7 e ent review required Yes No Building Applicant: T g Zoning -9ZTree 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 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: ❑Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. 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 CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD JATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000367 Date 4/03/14 Property Address . . . . . . 290 POINSETTIA ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 15000 ----------------------------------------- Application desc REMODEL ---------------------------------------- Owner Contractor ------------------------ ------------------------ ALLIANCE RENEWAL INVESTMENTS GORDON' S CASTLE LLC 290 POINSETTIA STREET 220 E FORSYTH ST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32202 (904) 686-4593 --- Structure Information 000 000 INTERIOR REMODEL Occupancy Type . . . . . . RESIDENTIAL ------------------- Permit . . . . . . PLUMBING PERMIT Additional desc Sub Contractor C.W. WOOD PLUMBING . 00 Permit Fee 97 . 00 Plan Check Fee . Issue Date . . . Valuation 0 Expiration Date . . 9/30/14 ------------------------------------- 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 PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 Fee summary Charged Paid Credited Due ---------- ----------------- ---------- Permit Fee Total 97 . 00 97 . 00 . 0000 . 00 Plan Check Total . 00 . 00 4 . 00 4 . 00 . 00 . 00 Other Fee Total Grand Total 101 . 00 101 . 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 r JOB ADDRESS: Z /Q D s/ PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE of FIXTURE QTY TYPE of FIXTURE QTY Bathtub 2- 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 Z Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE oFFIXTURE QTY TYPE oFFIXTURE 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 **SIRWD 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 �TUr dt� ns C ez,.ST�f Phone Number y3�/_ 6�L Plumbing Company 4:�'• yyd ��v",�;•,� Office Phone 7`/ma y Fax 7103 17.3 0 Co. Address: /3 L 93 /�or►,.,a y s/ City TTX- State—G Zip License Holder(Print): �� J wTi State Certificati egi ration#4:�1ZL" 0S7097 Notarized Signature of License Holder CIL,) Before me this 3 Y-qday of_ 20 JENNIFER WAU(=R MV COMMISSION#FF 0114&) Signature of Notary Public EXPIRES:April 24,2017 p; oC Bonded Thru Notary Public Under#Aers NOTICE OF COMMENCEMENT /LI Opo 0 03` 7 (PREPARE IN DUPLICATE) Permit No. /S/ 6 O Oy 0 rl G Tax Folio No. State of i. 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. p /. Legal description of property being improved: l Cr' "I.S, Address of property being improved: 7 0 r�"43 f- � s T• /7�/�.✓! G c7ch General description of improvements t ' � � - Owner F�ci1 Address �09!✓/ I�ri! �f� rn 11 fc . .3225"4 Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor t ;lc�siri S CrFS� Li Address O C ; tv,,5 y' k s4 .a x 1 3,� 4 a Phone No. X10�l' L�/-1 7 Fax No. 90 q &q-2 /7 q 7 Surety(f any) Address Amount of bond$ j Phone No. Fax No. Name and address of any person making a ban 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 bese g Name / Address Phone No. 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�lorida Statutes.(Fill in at Owner's option). Name f� I Address Phone No. Fax No. Expiration date of Notice of Commencement(the expiration date is one 1 from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: �DATELfBefo e t da of Co o el, to of odds,h rsonaly appeared Doc#2014077576,OR 6K i 674 3 Page 2356, L erein byMrfiA Number Pages:1 self/herself and a� m tms that all statements and declarations herein 9 are true and accurate Recorded 04!09/2014 at 10:26 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 T Notary Publl t Large State f Co �ffl.,q e . arson or ro uced - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �Js3I�� Application Number . . . . . 14-00000633 Date 4/22/14 Property Address . . . . . . 290 POINSETTIA ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc relocate 2 recess can lights & 2 switches ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALLIANCE RENEWAL INVESTMENTS ADVANCED WIRING SERVICES INC. 290 POINSETTIA STREET 3061 PHILLIPS HIGHWAY ST 101 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 744-4446 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 57 .40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/19/14 ------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57 . 40 57 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 61 .40 61 .40 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 2 Ph (904) 247-5826 Fax (904) 247-5845 ' �f JOB ADDRESS: Po nSO_ 1164 4 <'?re`2 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS LO VOLTS C PHASE VALUE OF WORK$ 300 ,00 NEW SERVICE ❑ Overhead 5Z Underground ❑1 Underground up Pole Residential (Main) Service 0-100 amps 101-150amps 151-200amps amps # of Meters Commercial (Main) Service 0-100 amps 101-150amps 151-200amps amps CT 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 200amps amps CT Service amps ADDITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC. Outlets/Switches: 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 Smoke Detectors_Qty Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRSIMISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG Other: Ke—l°C-r-te Z Re_cosS Gsar2 I.�SIMS cr..� ���_tJ >reh�S. Permit becomes void if work does not commence\�ithin 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 tyavrced W t r"^S ;e r w i, e-C —c.- Office Phone 7114-40/6 Fax 727r-12zf (o l pini Il s 1 I,Ja�,��r(Hc,�©l City -7 f1"Ou+w,lie State Fi- Zip A2.2 Co. Address: -�-- -` `— License Holder (Print): LO E• Llea- L'� a l ll;R i-�' State Certification/Registration N tori ed Si nature of License Holder A)&ffi 7✓ WITTANE KURT worn and subscribed before me this �_day of Kpr d 20114- 11"y Pvbk-=t n of FkWW& My CpMM.Exl*"Mir 2.2019 ignature of Notary Public CoaanisSW 0 FF 097714