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358 (356) 8th St bathroom remodel 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -5814 INSPECTION PHONE LINE 247 Application Number . . . . . 14-00001100 Date 7/09/14 Property Address . . . . . . 358 8TH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 250 --------------------------------------------------------- - - - -------- Application desc bathroom remodel ------------------------------------ Owner Contractor ------------------------ ------------------------ SIGNATURE HOMES & DEVELOPMENT THERRIEN, BENOIT 731 DUVAL STATION RD 186 CHEMIN DU TOUR CANADA CN H8V-3138 STE 107-417 JACKSONVILLE FL 32218 (904) 759-9867 --- Structure Information 000 000 BATHROOM REMODEL occupancy Type . . . . . . RESIDENTIAL ------ -- ------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc - - 55 . 00 Plan Check Fee . 00 Permit Fee . . . . Valuation . . . . 250 Issue Date . . . . Expiration Date . - 1/05/15 ----------------------- -------------------------------------------- ------- 2 . 00 Other Fees . . . . . . . . . STATE DCA SURCHARGE STATE DBPR SURCHARGE 2 . 00 ---------- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 - 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total S9 . 00 59 - 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001100 Date 7/09/14 Property Address . . . . . . 358 8TH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 250 ---------------------------------------------------------------------------- Application desc bathroom remodel -------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ THERRIEN, BENOIT SIGNATURE HOMES & DEVELOPMENT 186 CHEMIN DU TOUR 731 DUVAL STATION RD CANADA CN H8V-3138 STE 107-417 JACKSONVILLE FL 32218 (904) 759-9867 --- Structure Information 000 000 BATHROOM REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . CUSTOM PLUMBING AND TILE Permit Fee . . . . 76 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/05/15 -------------- ------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76 . 00 76 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 80 . 00 80 . 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: �510 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ z QTY TYPE oF FiXTURE QTY TYPE oF FIXTURE 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 Water Heater Lavatory Water Treating System Other Fixtures 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: o Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads o Well ** SJRWD Well Completion Form. Completed-form to be submitted to the-Building Department for final inspection." o Other th he_reby certify that I have read Permit becomes void if work does not commence within a six month period or;Wo--rk is suspended or abandoned for six mon s.I I this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be comp ied with whether specified or not. The permit does not give authority to violate e provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Arx- 2'�OL�e- Phone Number Plumbing Company ews7evi" Afi t 4 Office Phone&0-�q57 _Fax. Co. Address: 4-R_ city I -State Eu zip Z?ZQ State Certification/Registration# IT License Holder(Print).-Tilo 194703_� Notarized Signature of License Holder 20- Before me this_day of Signature of Notary Public BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach,FL 32233 Office (904)247-5826 Fax (904) 247-5845 PermitNumber: Job Address: Legal Description Parcel# T' Floor Areaof Sq.Ft. �q--.1A Valuation of Work 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#-�r—oduct approval form For multiple products use Describe in detail the type of work to be performed: DU-,-y-(kV0C,1f, Property Owner Information: Address: 3SC 'Kt� �J; 'j Name: ?eoVe- city State—Zip—Phone E-Mail or Fax#(optional Contractor Information: a, Company Name: r-(, Qualifying Agent: Zip Address: city State Office Phone Job Site/Contact Number Fax State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address_ Mortgage Lender Name and Address 2nd installations as indicated. I certify that no work or installation has commencedprior to the Application is hereby made to obtain a permit to do the work t,orrinthisjurisdiction. This permit becomes null be per et the standards of all laws regulating construc issuance ofa permit and that all work will , formed to me or work is s ended or abandonedfor qW of SiXP6)months at any time after six(6)months, or if construction, eriod and void If work is not commenced within Yj ;eus,Pools, urnaces,Boilers,Heaters, work is commenced I understand that separate permits must be securedfor Electric Work,Plumbing,Sikns, 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 hereby cert'ry that I have read and examined this a plication and know the same to be true and correct. Allprovisions of laws an dinances governing this to violate or cancel the i ted herein or not. The granting of a permit does not presume to give aut o speclopil type pf work�will be cotnplied with whether brovist.ons of any otherfederal,state, or local law regulating construction or the peFformance of construction. Signature of Owner Signature of Contractor ............................................................. J. ame ........ Print Name Print N ..... ...... S ................. ........................................................................................................................................ Before me Be *---% 20 20 this Day d h 20, .his Day of -�Day --Nj�: EXPIRES:Ap6124,2017 Bonded Thru Notary Public Underwriters LIVIC JENNIFE ALKER '4otary Public 11480 My COMMISSION I FFO evised 10.24.12