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276 Ocean Blvd bath remodel 2014 u� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 !tic Application Number . . . . . 14-00000778 Date 5/15/14 Property Address . . . . . . 276 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 11175 ---------------------------------------------------------------------------- Application desc REPLACE SHOWER TILE, REPLACE CEILING IN KITCHEN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KOECHLIN TRUST, MARY BETH RICHARD BELL BLDG CONTRACTOR C/O MARY BETH POSR 1952 BEACHSIDE COURT 276 OCEAN BLVD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 ---------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00 Issue Date . . . . Valuation . . . . 11175 Expiration Date . . 11/11/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 --------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total 55 . 00 55 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 169 . 00 169 . 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 OF ATLANTIC BEACH MAY 12 2014 r 800 Seminole Road, Atlantic Beach, FL 32233 FILE 0 Office (904) 247-5826 Fax(904) 247-5845 By Job Address: Ce—*. Q 1 v d Permit Number: /y— 77d Legal Description 1-075 S L (hock zj lic 4 eA Parcel# tjQ 2.00 '0000 Floor Area ot iq. t. q- t Valuation of Work$ 111 - Proposed Work heated/cooled A"-- non-heated/cooled ^� Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)f(circle one): Commercial esidenti If an existing structure,is a fire sprinkler system installed? (Circle one): es No iN/A Florida Product Approval# For multiple products use product approval form Describe in d tail the type of work to be performed: Aep" �os4;^�5 0,0W� ivt ke �„ Qom'` '��"�`r Pt��OYS�'- . r C Property Owner Information: 1 Name: ( 1e r ✓1 Address: I-A Q�-ar, h�zL I City- +`w State& Zip �'LZ3 3 Phone ' WX -Ol fr 3 E-Mail or Fax#(Optional) Contractor Information: Company Name: u C631Vr AZ Qualifying A ent: kut 6&-Li-- Address: SZ City State -tom _Zip_3 _ Office Phone ?A-q <b t3 l Job Site/Contact Number Zg4 6t o 5 Fax# State Certification/Registration# C.Ge—o 3,'3\,2�— 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 permrt and that all work w�t1 be performed to meet the standards of al!laws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within six(ti)months or if construction or work is sus ed or abandoned for ag��eenod of s,!.x'r)months at any time after work is commenced. 1 understand that separate permits must be secured for Ele Work,Plumbing,Signs, WeI Pools,1 urtraees,Boilers,Heatas, 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 I have read and examined this a lication and knave the same to be true and correct. All provisions of laws and ordirranc governing this type owork will be complied with whether sp�eeci herein or not. The granting of a permit does not presume to a authority to vi e r cancel the prowsrons of arry otherfederal,state,or local Iaw regulating construction or the performance of constructiott. Signature of Owner Signature of Contractor Print NameL1 Print Name .......I.. ... Sworp��Libel o me Swo subscribed b ore ne this// 7Da //�`'// 201 this a of 20q Al. Notary Public # ' * IrtY COMMISSIM t EE 135285 N ublic FF Ot 1480 EXPIRES:November 5,2 JENNIFER W&MR r ,; %"r; ,; Revised 01.26.10 �f%F 1 'Eonftm .: MY COMMISSION 11 ��WAEXPIRES:ApN 24,2017 F IL E COPY k NOTICE OF&I E3 State of FLORIDA Tax Folio No. County of DUVAL 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. Legal description of property being improved:5-69 16-2S-29E,Lots 5&6,Block 25,Atlantic Beach Address of property being improved: 276 Ocean Blvd. General description of improvements:Retile bathroom,drywall kitchen ceiling,&paint downstairs Owner:Mary Beth Koechlin Trust Address:276 Ocean Blvd,Atlantic Beach 32233 Owner's interest in site of the improvement:Fee Simple Fee Simple Titleholder(if other than owner): Name: Address: Contractor:Richard Bell Building Contractor,Inc. Address: 1952 Beachside Ct.,Atlantic Beach,Florida 32233 Phone No: 249-0131 Fax No: Surety(if any): Address: Amount of Bond$ Phone No: Fax 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: 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),Florida Statues.(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 OW Sign G .Dr / heBefore ° dayof t y of DvtoqFloridao j ly ap ed Doc#2014104540,OR BK 16777 Page 1626, Number Pages:1 No lic at Large,State of ri Cdunty of Recorded 05/12/2014 at 01:39 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL Duval. ip`�;:::;�4% DM KDYAL COUNTY My commission expires MY COWSSKA t E 19W RECORDING$10.00 Personally Known: orn wn �r .2016 f!VProduced Identification: �an- Sin City of Atlantic Beach APPLICATION NUMBER Js f Building Department o be assigned by the Building Department.) 800 Seminole Road ;r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 J4t. E-mail: building-dept@coab.us date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 2�l ��- � �3vd ment review required Yes No Building Applicant: 1c�► )Q �V� f� l \ Planning &Zoning e1,. �, Tree Administrator S Project: ►�v� +1 [t, Public Works GI Ohl IAD t 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: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: / ' _ Date: �3 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denis:'. 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 J 800 SEMINOLE ROAD r� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �J;31T � Application Number . . . . . 14-00000778 Date 6/10/14 Property Address . . . . . . 276 OCEAN BLVD Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 11175 --------------------------------------------- Application desc REPLACE SHOWER TILE, REPLACE CEILING IN KITCHEN ------------------------------------------ Owner Contractor _ ------------------------ KOECHLIN TRUST, MARY BETH RICHARD BELL BLDG CONTRACTOR C/O MARY BETH POSR 1952 BEACHSIDE COURT 276 OCEAN BLVD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 ---------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . WILLIAM' S BIG BOY PLUMBING INC 00 Permit Fee . . . . 62 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/07/14 ------------------------------ Other Fees . . STATE PLBG DCA SURCHARGE 2 . 0 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 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) 247-58"_ Q 26 Fax(904) 244-7 5845 l j� JOB ADDRESS: CQ 7 4P �/ / ' PERMIT# /L/ 7�O 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 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 El Back Flow Preventer El 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 (2 a r S w s period or work is suspended or abandoned for six months.I hereby certify that I have read Permit becomes void if work does not commence within a six month 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. Phone Number Property Owners Name G Pe I e,w >f�,� O .`C � ffice Phone 24 ( — Plumbing Company (,k) tj�t G Co. Address: S­ t& I / City Q- State Zip License Holder(Print): k ©o pc « State Certification/Registration# R6"&& ?O3 Notari po m11 Notary Public State of Florid 41�6re met Shirley L Graham p� My Commission FF 086990 aadExpires 02/14/2018ature o otary P C CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD J v� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r lilt 14-00000778 Date 7/23/14 Application Number 276 OCEAN BLVD Property Address . . • . Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 11175 ---------------------------- Application desc REPLACE SHOWER TILE, REPLACE CEILING IN KITCHEN ------------------ Contractor Owner KOECHLIN TRUST, MARY BE'T'H RICHARD BELL BLDG CONTRACTOR C/O MARY BETH POSR 1952 BEACHSIDE COURT 276 OCEAN BLVD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-0131 ----- ---- Permit • ELECTRICAL PERMIT Additional desc . Sub Contractor . . UNITED ELECTRIC COMPANY OF . 00 Permit Fee . . . . 90 . 00 Plan Check Fee 0 Valuation . Issue Date . . . . Expiration Date . . 1/19/15 -- ------- Other Fees - - STATE ELEC DCA SURCHARGE 2 . 00 00 STATE PLBG DBPR SURCHARGE ---------------------------------------Paid------Credited Due Fee summary Charged . 00 Permit Fee Total 90 . 00 90 . 00 . 00 . 00 . 00 Plan Check Total . 00 4 . 00 . 00 . 00 Other Fee Total 4 . 00 00 00 Grand Total 94 . 00 94 . 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) 247-58�2J 6 Fax (904)Q24/7-5845. ,/ JOB ADDRESS: a , L t D G �/�/✓ ;� ` y� - PERMIT# N— 7 S.— JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE ,VALUE OF WORK$ G 00. 00 NEW SERVICE El Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service #of Meters 00-100 amps 0101-150amps 0151-200amps ❑ amps ❑Commercial(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family(Main) Service #of Unit Meters 00-100 amps - ❑101-150amps 0151-200amps ❑ amps ❑Temporary Pole ❑ amps a SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amIA 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 31-l 00amps 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&Fire Alarm Checklist) VALUE OF WORK$ 1 Qty volts/amps C-to REPAIR.S/NIISCELLANEOUS o I^ •i--^ ✓t - ❑Replace Burnt/Damaged Meter Can ❑Safetypection ❑Panel Change pOHjo GG Til 5 }.a 11 r-tp�AC o-C, A, oo1y) r�P�ac� lN� r�n� I.. C �f1 V Other: L �,e c1 c a [? i t �C►` }-�i.e 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. n Phone Number -I o y- to to�— Property Owners Name � � � �`'`' U �-�,Q �t c.>Lr� � �' o F J c-� Office Phone 131 Ll 0' Fax �31 -53 Electrical Company n � - 5� I S�- J'5Jk"t (L.l City �" Stated Co.Address: v 19 � - zip 3?, License Holder(Print): ' *.CA ,o State Certification/Registration# CL 3 9 0 53 b l Notarized Signature of License Holder Sworn and subscribed before me this a 3 rj day o Jul 20-L� BRENMA K.G�`tl "'yy Signature of Notary Public w hfY R41SS3U"d#FFV 1753 '9 0 E`{t'IPTS:April 23,201 8 b