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857 Amberjack Ln 2014 remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 W D11 1 Application Number . . . . . 14-00000588 Date 4/21/14 Property Address . . . . . . 857 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc interior remodel ----------------------------------------------------- Owner Contractor ------------------------ TRI-H CONSTRUCTION LLC KSN INVESTMENT CORP 11215 ST JOHNS INDUSTRIAL PKWY 9191 SKINNER PKWY STE 501 JACKSONVILLE FL 32256 UNIT 10 JACKSONVILLE FL 32246 (904) 54S-9978 --- Structure Information 000 000 INTERIOR RENOVATION Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc - - Permit Fee . . . . 100 . 00 Plan Check Fee 50 - 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 10/18/14 ----------------------- -------------------------------------------- -------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE To THE BUILDING DEPARTMENT IMMEDIATELY. --------------- ---------- -------------------------------------------------- 2 . 00 Other Fees . . . . . . . . . STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 00 - -------------------------------------------------------------------------- Fee summary Charged Paid Credited- Due--- ----------------- ---------- ---- -------- --- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 - 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 1S4 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEAC14 ORDINANCES AND THE FLORIDA BUILDING CODES. DEMO AND RENOVATION PLAN FOR 857 AMBERJACK LN ATLANTIC BEACH FL FILE COPY � i APRIL 7, 2014 L.11 I If y JvV WATW A FMACE 0-XA vfft*:f fAi.w INCOAS Am Aw G, 4� F,�N DEM r4%WAUS .......... u BuILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 lq-0.5,6 Job Address: 857 Ambejack Lane, Atlantic beach,FI 32233 Permit Number: & Legal Description 30-60 38-2S-29E Rq ,yal Palms U6it I Parcel# 171181-0000 Floor Area of Sq.Ft—. Sqrt Valuation of Work$ 00 Proposed Work heated/cooled 1470 non-heated/cooled 44 Class of Work(circle one): New Addition AEera:t:io:n) Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial Residenti id _Xce If an existing structure,is a fire sprinkler system installed? (Circle one): 0 N/A Florida Product Approval # 2 A�4fJV4 L- For multiple products use product approval form Describe in detail the type of work to be performed 'gEpld 114-�7'f?n —Interior Property Owner Information: j-77 7f 41'01, FILE COP Name--KSN Investment Corp. Address: 9191 Skinner pkwy Suite 501 710-2884 city Jacksonville, State FLORIDA—Zip 32256 Phone 904- E-Mail or Fax#(optional) (P(A4 Contractor Information: cell Company Name: Tri-H Construction LLC Qualifying Agent: Anton Harasz III Address: P. 0. Box 331118 City Atlantic Beach State FLORIDA Zip 32233 Office Phone 904-328-2228 ivr Job Si �Ce~_N=ber 9-04-545-9978 E 9Q4-328-2224 State Certification/Registrafion# CBC0h01 1jum Architect Name&Phone#n/a_ I,FIM COD9 C Engineer's Name&Phone# n/a_ CM OF AnA"( BEACH Fee Simple Title Holder Name and Address SM PEIM179 F0T,kDDM0NAj, Bonding Company Name and Address D 05NDMONS. Mortgage Lender Name and Address ::::�j�=T!��Mtn q �na'�d yhrjr�vm W tion has commencedprior to the 7,=, diceii I ceHW�Mftrharlro-w Application is hereby made to obtain a permit to do the,�rkan lnstaali�o4s"W;_ih 't becomes null issuance ofa permit and that all work will be performed to meet the standards�ofall laws egulating construction i isju s iction. Thisperim eriod o 5 months at any time after (6)months, or ifconstruction or work is suspended or abandoned o aj Is f sixpu) and void if work is not commenced within six j work is commenced. I understand that separate permits must be securedfor Electricar Work,Plumbing, Si e Pools, urnaces,Boileis,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. Ihere ce?pfy that I have read and examined this a ication and know the same to be true and correct. All provisions oflaws and or&nances governing this 117work will be complied with whether s eci e he 'n or not. The granting of a permit does not presume to give authority to violate or cancel the provisi.ons of any otherfe state,or lo a r u g construction oype eFformance ofconstruction. 7T- Signature of 0 U Signature of Contractor r 4— Print Name .1% ................ ........... Print Nam S_ ..... ..... .. .......... Sworn subscribRd before me SworR to and subscnib d before me this ay of 2014— this _L5 Day of .20 Ax2 k:� V�291 A MRVA Notary Public— AMWAA BRYANT WRK*IT Notary FuTfi—c ANGELA BRYANT WRIGKr NOTARY 01.26.10 AKANOTARY PUBLIC STATE YOM& STATE OF FLORIDA FF000340 0 Comn*FF089M Expfts 213/2018 41M E)OM 2rNM8 ,.I% , City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building De rtment.) Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 - Fax(904)247-5845 routed: p E-ma il: building-dept@coab.us City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address 1-1;vak rtment review required rYesNo L_ Buildin 'Ol6� Planning &Zoninq Tr Ft Applicant: J_r'-1 on tr tor Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature A Review or Receipt Date Other Agency Review or Permit Required 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: BA"'p p r o v e d. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ]D a t:e:.] TREE ADMIN. Second Review: FlApproved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000588 Date 5/20/14 Property Address . . . . . . 857 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc interior remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KSN INVESTMENT CORP TRI-H CONSTRUCTION LLC 9191 SKINNER PKWY STE 501 11215 ST JOHNS INDUSTRIAL PKWY JACKSONVILLE FL 32256 UNIT 10 JACKSONVILLE FL 32246 (904) 545-9978 --- Structure Information 000 000 INTERIOR RENOVATION Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . BECKWITH PLUMBING INC Permit Fee . . . . 139 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/16/14 ---------------------------------------------------------------------------- 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 . 09 STATE PLBG DBPR SURCHARGE 2 . 09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 139 . 00 139 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 18 4 . 18 . 00 . 00 Grand Total 143 . 18 143 . 18 . 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: 44,u- PERMIT # :�ACL uo 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 Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater 7— RE-PIPE:Other Fixtures Water Treating System 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: Ei Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads Ei Well **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." Ei 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 K IS 10 —Phone Number Plumbing Cornpanyj&CLU.'��',k� I Kr_ Office Phone 69&0;!;6 Fax6 9S-0 r19 P Co. Address: lb53 4,rrla city \,I C4-�'-- State Fl, zip 3-Z2 7/ License Holder(Print): M4& &C&A), State C rti ication/Registration# e1c 0'rX 015 Notarized Signature of License r �A&t Before me this day of 20 Signature of Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000588 Date 6/12/14 Property Address . . . . . . 857 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc interior remodel ----------------------------------------------------- Owner Contractor ------------------------ --7 TRI-H CONSTRUCTION LLC KSN INVESTMENT CORP 11215 ST JOHNS INDUSTRIAL PKWY 9191 SKINNER PKWY STE 501 JACKSONVILLE FL 32256 UNIT 10 JACKSONVILLE FL 32246 (904) 54S-9978 --- Structure Information 000 000 INTERIOR RENOVATION occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc - - Sub Contractor . . JAX ELECTRICAL CONTRACTING INC Permit Fee . . . . 112 . 20 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/09/14 --------------- ---------------------------------------------------- -------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. --------------- 2 . 00 Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE STATE ELEC DBPR SURCHARGE 2 . 00 - -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 112 . 20 112 . 20 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 116 . 20 116 . 20 . 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 Ph(904) 247-5826 Fax (904) 247-5845 PERMIT# JOB ADDRESS: 7 ho, 6 e r V) 150 JEA INFORMATION REQUIRED ON ALL PERMITS 3-6-� AMPS 7—L/15 VOLTS PHASE VALUE OF WORK$ 2_#_�_ - /5 C C- C-3 NEW SERVICE 0 Overhead Underground Underground up Pole DResidential(Main)Service 00-100 amps 0 101-150amps E 151-200amps El amps #of Meters ElCommercial(Main) Service 00-100 amps Li 10 1-15 Oamps El 151-200amps El—amps OCT Service amps Conductor Type Size OMulti-Family(Main)Service 0 0-100 amps 0 10 1-1 50amps El 151-200amps El—amps #of Unit Meters E Temporary Pole 0 amps SERVICE UPGRADE [�— /50 amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) E1100amps 11150amps [1200amps El amps OCT Service amps ADDITIONS REjff�,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. 17 101-200amps Outlets/s tches: 0-30amps 31-100amps 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 OSwimmingPoo1 OSign El Smoke Detectors_Qty LiTransformers KVA 11 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S_Z Qty_volts/amps REPAIRS/MISCELLANEOUS PReplace Burnt/Damaged Meter Can 0 Safety Inspection []Panel Change OOH to UG 00ither: 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 -lee office Phoine'royq?3 9 3SF�Fax Electrical Company_j_Lox C City �ji-e.,c)6oll-ilfe StateELZip 32-->Io Co.Address: Zo/7 Lq,%e- License Holder(Print): State Certification/Registration K9 13o q 2-3 9 Notart ��ddjSi nature of License Holder 0 y"Ilks Notary Public State of Florida B ore me this day of 20 Shirley L Graham M Expires 02/14/2018 mature of Notary Public y Commission FF 086990 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000588 Date 6/26/14 Property Address . . . . . . 857 AMBERJACK LN Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ------ -- ------------------------------------------------------------------- Application desc interior remodel ------- -- ----------------------------------------- Owner Contractor-------------- ---------- ------------------------ TRI-H CONSTRUCTION LLC KSN INVESTMENT CORP 11215 ST JOHNS INDUSTRIAL PKWY 9191 SKINNER PKWY STE 501 JACKSONVILLE FL 32256 UNIT 10 JACKSONVILLE FL 32246 (904) 545-9978 --- Structure Information 000 000 INTERIOR RENOVATION occupancy Type . . . . . . RESIDENTIAL ------ ---------- ---------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc - - ING INC Sub Contractor . . DONS AIR CONDITION . 00 Permit Fee . . . . 99 . 00 Plan Check Fee 0 Issue Date . . . . Valuation . . . . Expiration Date . - 12/23/14 -------------------------------- - ------------------------------------------ Special Notes and Comments 08 NATIONA1 ELECTRIC CODE 2010 FLORIDA BUILDING CODE, 20 *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE To THE BUILDING DEPARTMENT IMMEDIATELY. ------------------------ ----- ---- --- - ------------------------------------STATE MECH DCA SURCHARGE 2 . 00 Other Fees . . . . . . . . . STATE MECH DBPR SURCHARGE 2 . 00 --------- ------------------------------------------------------------------ Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ---------- --- Permit Fee Total 99 . 00 99 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 4 . 00 4 . 00 . 00 . 00 Other Fee Total 103 . 00 103 . 00 . 00 . 00 Grand Total PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 006o CITY OF ATLANTIC BEACH e7 MECHANICAL PERMIT APPLICATION Date: Property Address'. myt yo. —6 Telephone Owir.ier* 0 oj,� Telephone#t Contractor:— contractor Address: Fax 4: orm said work in accordance �ea In mu"UWu" emel'it, hereby agree to pe ch ordinances and standards of In con sideration of permit given for doing the work as Qullueci in m%; with the City of Atlantic Bea 'o ions which are a part hereof and in accordance n r - t, with the attached plans and sPecifIcat construction is being done on this bWlding ood Iractice listed thercin if other ilding permit number: T�, Type 0�illtivg wFuel* site,list the bu' jj' Electric 13 Gas: Natural —Central Utility - Oil [3 Other-S C:1111 URE F WORK Ari.4"1" 1'10 B INSTALLED NATURE MECHANICAL EQUIP -, C3 Heat _Space _Recessed J.Acentral —Floor 0' Residential U AirCOnditioning: —Room —Central Commercial ZI Duct System: Material__.Thickness_ U Maximum capacity —cfm New Building ci Refrigeration gpm 0 Existing Building 0 Cooling Tower:Capacity c3 Fire Sprinklers:Number of Heads Manlift_____)Escalator— umber) C] Replacement of Existing System • Elevator: —- (Number) In • Gasoline Pumps----------- (Number) L3 NeW Stallation c3 Tanks umber) (No system previously installed) LPG C5ontziners U Extension or Add-on to Existing System c3 Unfired Pressure Vess- P1 r-4Y- A4f- a Boilers Other-Specify • Gas Piping loi4lllfu q0y'3`W, -22"c • Other-Specify— A, 04 LVCj,4AA1A-1- :pecify -7 y 3� LIST ALL EQUIPMENT Approving T� ency AIR CONDITIONING,RVRUGERATION EQUIPMFNT&CONDENSO S Wrer ,s Agency ]R�a Ton's Model# Manufacturer 1,:4umber Units Description a no— u: Approving ILyM,FMPLACFS&AM IIANDLER'S BTU's Agency HEjkTING-FURNACES,BO Model# Manufacturer Number Units Description 9E .. 0 Serial Approving 0 ype Liquid MaDufikcturer No en TA14KS Contained tiow Many &Dimensions 33-5445 800 Seminole Road-Atlantic Beach,Florida 32 Phone (904)247-5800* Fax: (904)247-5845- http://Www.ci.atiantic-beach-fl-us