1600 Selva Marina Drive 14-00001164 (Bathroom remodel) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
glib ATLANTIC BEACH, FL 32233
'qw- F
Application Number . . . . . 14-00001164 Date 7/25/14
Property Address . . . . . . 1600 SELVA MARINA DR
Tenant nbr, name . . . . . . NEXT TO 1995 FRANCIS AVE
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
REMODEL EXISTING BATHROOM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ATLANTIC BEACH PARTNERS, LLC EIS CONSTRUCTION INC
414 OLD HARD RD SUITE 502 P 0 BOX 600165
ORANGE PARK FL 32003 JACKSONVILLE FL 32260
(904) 292-4269
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit . . . . . . COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 125 . 00 Plan Check Fee 62 . 50
Issue Date . . . . Valuation . . . . 15000
Expiration Date . . 1/21/15
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
----------------------------------------------------------------------------
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.
BUILDING PERma APPLICATION
CITY OF ATLANTIC BEACH
FILE COPY ' '
800 Seminole Road,Atlantic Beack FL 32233
Office(904)247-5826 Fax(904)247-5845
Sam.-
Job Address: 30va-I 177&Zl --lermit Number:4a2 7-0 *7)f
Legal Description_j�� Parcel# 1'7-Z1Q—C>000 Id
Arewof
Valuation of Work &00 2roposed Work Sh%kt�d/cooled 5c,?0
Pated/cooled 3 OV
Class of Work(circle one): New Addition Alteration (F� Move Demolition pool/spa window/door
Use of e�o�tingtproposeAstrqctureQ)(circle one):. Commercial ResidentiaLe-)
If an existing structure,is a fire spr kier system installed?(Circle one): Yes 0 N/A
Florida Product Approval#_ A173k-
For multiple products use produff approval forin
Describe in detail the type of work to be performed: X, F1 71 &,0-- it, I&-!r C
Proverty Owner Information:
N
CE Sta
E-El or M 4(Optional)
Contractor Information:
Com=..y Ngme:-kL7; &,f-s C /0 4 Z�7 lyin A :ent:
Quali 9 &Vie- t-/44,4129-f/W Z�
ss city ///-L- state or zip -7C,0
Addi 7 __!2 7
Office Phone -,79 Z---4(7 Job Site/1 ct UM r
k Win Agent '/i
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State Certification/Registrition ff- P-A-(%Q 1;� 00F CO UANCE
Architect Name&Phone
Engineer's Name&Phone# W-- OF AX4Ac?-M C-Bfitef f
Fee Simple Title Holder Name afitl A ddress 9 PERMffs F-eft Aof)fflo"-
RBQ1URjRM9Nq�;AND GqNpMONS,
Bonding Company Name and Address 11
Mortgage Lender Name and Address Rv 771[Y�
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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 YOM NOTICE OF
COMMENCEMENT.
es governing.this
late or cancel the
Print Name ...........a m-e.s c 6 Print Name A Q-
... ............. ........................
Sworn to and sub me Swo d subscybed before me
this—/--.,Day of .20 I!k this W�d,of U1114 .20 Lq
Notary Public Rik
9040" ADRIENNE BYRD
ibateoffiorida
"'�Ovvmyo,�vt
2 2016
W QA,2015 My Comm.Expires Jan
commission#EE 156522
..........
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City of Atlantic Beach
16 APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date rout
E-mail: building-dept@coab.us ed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
mae mItcel-774, -
Property Address: �RepVtrnent review required -Ye "No
il�f_UUadinq �>
Applicant: _PTa_nr'flng &Zoning
C V Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept SigWel
Other Agency Review or Permit Required Review m-Receipt Date
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: R?A'pproved. FIDenied.
(Circle one.) Comments:
ELDII�)
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. nDeniW
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001164 Date 7/28/14
Property Address . . . . . . 1600 SELVA MARINA DR
Tenant nbr, name . . . . . . NEXT TO 1995 FRANCIS AVE
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
REMODEL EXISTING BATHROOM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ATLANTIC BEACH PARTNERS, LLC EIS CONSTRUCTION INC
414 OLD HARD RD SUITE 502 P 0 BOX 600165
ORANGE PARK FL 32003 JACKSONVILLE FL 32260
(904) 292-4269
--- Structure Information 000 000 BATH REMODEL
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . TRI COUNTY ELECTRICAL
Permit Fee . . . . 59 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/24/15
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59 . 20 59 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 63 . 20 63 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
07/23/2014 05:53 9042609688 TRICOUNTY PAGE 01/01
F LECTWCAL PERNuTAPPjjCAT1ON
CITY or ATLAismic'BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5 826 Fax(904) 247-3 845
JOB ADDRESS: Lot )?ERM]rr# N-00011by
JEA WORMATION REQUIRED ON ALL PERMITS S VOLTS PU-ASE
VAL UE OF WOBW VQ
NEW SERVICE 71 'Overhead Underground Underground up Pole
oResidential (Main)Service
00-100 amps 0101-150atrps F-1151-200amps 13—amps ofm. eters
OCommercial (Main) Service
00-100 amps 0101-150a.mps 01.31-200amps 0—amps DCT Service amps
Conductor Type Size
OM.ulti-Family(Main)Service
00-100 amps otol-150amps 0 151-200ampis o_____ainps of Unit Meters
1-1 Tempomo Pole 0_a-rrips
SERVICE UPGRADE �Mps 0 CT Service amps
NjW FEEDER(ADDITIONS,AC.CXSSORY STRUCTURE S9 ETC.) CICT Service amps
0100amps [1150amps Q200amps M_amPs
ADDITIONS31. MOD PA-W,BUILD-OUTS,ACCESSaRy STRUCTURES,ETC.
outlets/Sw 0;-30amps 3 1-100am.ps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 10 1-200amps
A/C Circuits: —0-60amps 61-100amps
Heat Circults: 9 circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS KVA CMotors
[]SwimmingPoot b9ign 0 Smoke Detectors_Qty OTransformers P
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checktist) VAL UE OF WORK
Qty—volts/amps
REPAIRSMSCELLANEOUS []Panel Change [I OH to UG
CReplace Burnt/Damaged Meter Can 0 Safety In specti on,
D Other:
Work is suspendod or abomdovied for six monthS, I hereby certify tilat I have
Permit becomes v6d if work d=not commence within a six morith period or
read this application and know the same to be true and corroct. M provisions of laws and ordinmoos governing this work will be compiled with whether
specified or tiot The pennit does not give authority to violate the provisions of any other state or local law TC&IIIation construction or the performance of
constructiori,
Phone Number
Property Ovmers Name
/V ione,— �&Of
y
(.A�j �.—OfficePl
Electrical Compan
Co. Addres S':�\(.0 Ci tata-2z' Zip 3—a-a-61-
License Holder(Print): L Cer ':ftcation/Registrati,oil.# I��`�` /"�-/"5�t)
C
;5a Cer
Weer
TAMMY PALL
NOtary Pua 11410 of Florida 0 'bed befor M ,;k day of 20
ni and subsen e V,this
lic $1410 of Florida
res J 18
My COMM, ExP004 Jul 8.HIS,
0 gn
commission#Ff 2()2003' gnatiire of Notary Public
tiiiii I N.Jary
[Ph NotionaL
Nolary Assn.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001164 Date 8/27/14
Property Address . . . . . . 1600 SELVA MARINA DR
Tenant nbr, name . . . . . . NEXT TO 1995 FRANCIS AVE
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0--------------- --------------
----------------------------------------------
Application desc
REMODEL EXISTING BATHROOM ----------------- -----
------------------------------------
Contractor
Owner ------------------------
-------------- --------- EIS CONSTRUCTION INC
ATLANTIC BEACH PARTNERS, LLC P 0 BOX 600165
414 OLD HARD RD SUITE 502 JACKSONVILLE FL 32260
ORANGE PARK FL 32003 (904) 292-4269
--- Structure Information 000 000 BATH REMODEL
occupancy Type . . . . . . BUSINESS -----------------------
---------- ------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc - - EEN PLUMBING
Sub Contractor . . TERRY VER Plan Check Fee . 00
Permit Fee . . . . 195 . 00 Valuation . . . . 0
Issue Date . . . .
Expiration Date - - 2/23/15----------------------------------------
-----------------------------------
Special Notes and Comments
2olo FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE --------------------------------
------------------------------------STATE PLBG DCA SURCHARGE 2 . 93
Other Fees . . . . . . . . . STATE PLBG DBPR SURCHARGE 2 . 93
-------- ---
------------------ ------------------------------Credited Due
Fee summary Charged Paid--- ---------- ----------
----------------- ---------- 195 . 00 . 00 . 00
Permit Fee Total 195 . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00
Other Fee Total 5 . 86 5 . 86 . 00 . 00
Grand Total 200 . 86 200 . 86
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FLUMBIN(Gr PERAUT APPLICATION
CITY OF.,E'TLANTIC BEACH
8010 Seminole Rd Atlantic Beach,FL 32233
Fh(904)247-58126 Fax(904).247-5845
10B ADDRESS: (D 0 PFRMCf#
'�ZM'OR REPLACEI-MN,'T INSTALIATION Project Values
T�FEOFF&71= 077 Tmu o.F FmruRE
Br,h,mb Tank&Pit
Ciothes Washer
Dls'--washer Shower Pan
Drir�king 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 oFFmruRE TYPE oF FmTuRE QTY
-Bathtub Septic Tank&Pit
Clotm Washer Shower
Dislawasher ShowerPan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sin1c Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fix=-es 15� Water Treating System
VESCELLANEOUS:
3 Sewer Replacement o Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of pl us)
D Lawn Sprinkder Systern-Number of Heads o Well
1*VRWD WeZZ Completion Form. Completed fonn to be submitted to the Building Department for final inspectio
3 Other
'urrait becomes void if work does not commence within a six montl i period or work is suspended or abandoned for six months-I hereby certify that I have ead
his application and Imow the same to be true and correct. AM provis-ions of laws and ordinances governing this work-will be complied with whether specif ied
ir not The p=ait doe;s not give authority to violate the provisions,)f any other state or local law regulation construction or the pedormanco of constructic a.
"roperty Owners Name Phone Number
5lumbing Company--M--Y'v�J \J eY-62-n LKnkb !C)&e Phone,���Fax
U —
�o.Address: Ci C) S1 City —YkCIWI�j i State R Zip
,icense Holder(Print): State Certification/Registration 4
Votarged STnature ofLicense Holder
Swom and subscribed before me thi-s 2Q
day of (�31,
V
Signature of Noatry Public
EETERRi EEMS
1.!Y COMMISSION11,'Er 855217
EXPIRES:Apd]18,20117
Binded Thm Notaly Pubbe U16MMIter-S