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239 Beach Ave 2014 bath remodel plumb CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000600 Date 4/17/14 Property Address . . . . . . 239 BEACH AVE Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc BATH REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HYMAN, CHARLES D AND JANET S OWNER 239 BEACH AVENUE ATLANTIC BEACH FL 32233 --- Structure Information 000 000 BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 500 Expiration Date . . 10/14/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total S5 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IS ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0000M BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: c>).5 As&0,A 4VL Permit Number: Legal Description Floor Area of _9q.Ft. Parcel 4--S-q- .Ft Valuation of Work$ .51040 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Property Owner Informajtiqp_� Name: Address;_ 61;a a/) city Stat ip hone E-Mail or Fax 4 (Optional. Contractor Information: CONTRACTOR EMAIL ADDRESS: CompanyName: F"'!5f C045-t ffor+te.5 t6 Qualifying Agent: Citv YNe-k -e State ri. zio Address: 171 q tu. - OfficePhone laq Job Site/Contact Number 94*q :5-ev7-,)g-1W Fax# State Certification/Registration e 0,6- Architect Name&Phone#— AV Engineer's Name&Phone# A/1A Fee Simple Title Holder Narnee-and Address Bonding Company Name and Address Mortgage Lender Name and Address_ - 4pplication 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 performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null or a period of sixP6)months at any time after and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedf work is commenced. I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters, Tanks andAir 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereb certify that I have read and examined this application and know the same to be true and correct. Allprovisions of laws and ordinances governing this type o7work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherfeaeral,state, or local law regulating construction or the pe�fbrmance of construction. Signature of Owner Signature of Contractor PrintName ...............I.......................................................................... Print Name ........................................................................................................................................ Befor Before me is this—Day of 70 this ay o 20 ic Notary Public :N o _I ic Revised 01.26.10 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 A Application Number . . . . . 14-0000OS61 Date 4/14/14 Property Address . . . . . . 239 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HYMAN, CHARLES D AND JANET S STEEG PLUMBING CO. , INC. 239 BEACH AVENUE P.O.BOX 330536 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5191 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/11/14 ---------------------------------------------------------------------------- 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 JOB ADDRESS: 4f:26d 44.-_ PERMIT NEW OR REPLACEMENT INSTALLATION: Project Value $ 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 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: u Sewer Replacement o Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) El Lawn Sprinkler System-Number of Heads o Well ** SJR WD Well Completion Form. Completed—fonn to be submitted to the Building Department for final inspection. El 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 47A_',01 Phone Number Plumbing Company Office Phone �2 K9'-S?�71 Fax—A Co. Address: 1A01 city State d��l Zip �VZV License Holder(Print): nfm�, State Certification/Registration# e-�W__3 Notarized Signature of License Holder Sworn and ascribed 13-efore me this day of 20 Signature of Notary Public