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331 7TH ST SUMMER KITCHEN 2014 f� CITY OF ATLANTIC BEACH r s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001137 Date 8/07/14 Property Address . . . . . . 331 7TH ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 123000 ---------------------------------------------------------------------------- Application desc courtyard/backyard remodel/summer kichen ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ OSWALT, SUSAN M HORN BUILDERS INC 4827 MAXWELL DR 12 HOPSON RD MASON OH 45040 JACKSONVILLE BEACH FL 32250 (904) 673-4860 --- Structure Information 000 000 SUMMER KITCHEN Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 549 . 00 Plan Check Fee 274 . 50 Issue Date . . . . Valuation . . . . 123000 Expiration Date . . 2/03/15 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 8 . 24 STATE DBPR SURCHARGE 8 . 24 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 549 . 00 549 . 00 . 00 . 00 Plan Check Total 274 . 50 274 . 50 . 00 . 00 Other Fee Total 16 .48 16 .48 . 00 . 00 Grand Total 839 . 98 839 . 98 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. .�....., ._r.., . �'^ BUILDING PERMIT APPLICATION k CITY OF ATLANTIC BEACH FILE C 800 Seminole Road, Atlantic Beach, FL 322(3 -- Office (904) 247-5826 Fax (904) 247-584 JUIN Job Address: 33/ `�?"` S`r, ��za.�� Ae rg 3 ZZ 3 3 Permit Nu yer: U Legal Description �`�� W•� "S�. Parcel# oor Area oT Sq.kt. q t Valuation of Work$ I Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/pro osed structure(s) (circle one): Commercial esidenti If an existing structure ,is a fire sprinkler system installed? (Circle one): es N/A Florida Product Approval # For multiple products use product approval form (, Describe in detail the type of work to be performed: 3Ac-Y,94b n�Atic�oy6� w� �� i vT 12�r�y�#rzcws _ F g s Property Owner Informatio piAzwo Ivo i5rz u cr-A ecs bfi-A 9 Name: 5"aKw Address: 331 7-r' 5'T City 13-6-4e.H State FFLZip 3 i2.3--?.Phone �S/ Soz-'f9i�/ E-Mail or Fax#(Optional) Contractor Information: Company Name: Hates Rx�,b6% nye _ Qualifying Agent: Cj-jj4z.Lcs uoc44%4 Address: 1l215- S-7-Z--MNs P.ew/ City State F& Zip 3 z2�1(11 Office Phone Zqz,-z-KC'0 Job Site/Contact Number (,113-Yg'4,a �ax#L-o State Certification/Registration# C C-C)S' o Architect Name& Phone# N/ 2r.,4; Aa-ce 2TSGT ""2�6 1 2Y e. Engineer's Name&Phone# �• Fee Simple Title Holder Name and Address t.1/4 Bonding Company Name and Address N/� Mortgage Lender Name and Address s'e-A Application is hereby made to obtain a permit to do the work and installationslork s 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 alllawsng construction in thisjurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if constuction or is suspended or abandoned for a_period of six months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, beaters, 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 b certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type oIlMrk 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 provtstons of any other federal,state, or local law regulati g construction or the performance of construction. Signature of Owner Signature of Contractor Print Name �-DHNDSWA6-r Print Name G: ............ ............ . . . ........ ......................... Sworn to and subscribed before me Sworn to and 3 Daysof scribed befA P-ore me 20/,( thisz-3 Day of ��^� , 20 1y this Notary Public Notary Public PAMMFdm PAFfIfCKR1CH Revised 01.26.10 ••••• * MY MWISSM i FF 054015 ap;••••. MY COWISSM t FF 054015 " EXPIRES:S6ptembe►15,2017 , EXPIRES:S6ptwom 15,2011 Doc # 2014159545, OR BK 16847 Page 1717, Number Pages: 1, Recorded 07/17/2014 at 12 :48 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10-00 � . FILE O NOTICE OF COMMENCEMENT Tax Folio No. _-- State County of 'D Cir Y"04 To Whom It May Concern: you that improvements will be made to certain real property, and in accordance with Section 713 of The undersigned hereby informs the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: lrrf r z __fit u_c'is 9 p/pr N6 / SuaA2-V_-r:=6rV A L/rr /l r+�IL q-fc arc ,��,kc If 1z rff'�a b 6,� tiN p Address of property being improved: 3 3 '" ST / 77 T ATL,riv7�N t3 En4_'-< I F=-,- 3 2-4-3,`� General description of improvements: P.0 cr.YAnb Address: Sat 7"`' 5-r. A7L 13Gp�it zZ 3 ; Owner: Sett ro d5 z''� -- Owner's interest in site of the improvement: _- Fee Simple Titleholder(if other than owner): Name: Contractor: NVQ 3d12<1c Address: //4/5_ ST .TNr�s �� sryrx ti 3zZY Telephone No.: Z�/2 - Fax No l%GV z Z d_o 1 Suret (if any) — Amount of Bond$ Address: --- — Telephone No: _,. Fax No: Name and address of any person making a loan for the construction of the improvements Name: t"1 A• ^ 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: Telephone 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: N ------ -----_ — Address:_.--- -- ----- ----- —_ _ Telephone 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 OWNER Sign d' Date: Before me this_ ?3 f° day of in the County of Duval,State Of Florida,has personally appeared_ -�oH t� o9wH� Notary Public at Large,State of Florida,County of Duval. My commission expires:_-3// � or Personally Known: X Produced Identification: FATRICKRICN Sly CowISSION 11 FF 054075 it * EXPIRES:$§Omb r 15,2017 �;?Mti� goWTwuUpNftrYIMvkM =--;-� City of Atlantic Beach I APPLICATION NUMBER Building Department ro be assigned by th Building Department.) �= 800 Seminole Road — Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904) 247-5845 Date routed: 17 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FOR 351 -77W ��" Department review required Yes o Property Address: Building Planning &Zoning Applicant: Tree Administrator �- Public Works Project: Q Public Utilities Wo Public Safety Fire Services Review fee $ Dept Signature Review or Rece3M' Other Agency Review or Permit Required of Permit Verifie%_ r.:v Date 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: Approved. ❑Denied (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:7 0 — TREE ADMIN. Second Review: ❑Approved as revised. ❑Deniz PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: s Reviewed by: .. Date: Revised 05/14/09 i j,,fir CITY OF ATLANTIC BEACH '6 Building Department r w 800 Seminole Road —; Atlantic Beach,Florida 32233 (904)247-5800 'J131 PLAN REVIEW COMMENTS Permit Application # &— l/3 `2 Property Address: '331 S1 / Applicant: Ark?_ /JV ) ,Pr S- Project: y rG /34G Xc YCI/Gf 1�-Ps�IVVa /rc; 1 This permit application has been: Approved 0 Reviewed--and-the foIIoWi gitems need attention: / o /� Col?SVrAneewl a S'cz P,*? 'r-PP2. ,pec. 7/2- > m0 ::�eco/ �y Please re-submit your application when these items have been completed. Reviewed By: Date: /-074'/ bd Y C� o o b b �! eD = D eb p �o 00 -1 01 to � W N -- C W N �D C 'C (CD .� m n a 'CD CD a- ^�" v4 0 cr CL ao o o zr ttq d fD P fD = Tera O C (IQCD CD C0 C w O .o a- ` . r CDCL 1"'1 oIrDw r C -16y a CD 5. b CD y rn� CD h o d d CD 0 d CD o o ., cu ITI CCD N . 2. CDCD P to r o CD 0 D CD. N � W W y 0 0 0 � o (71 eb N C CCD O Cr � CD Sv ^ n � l i a\ cn W N O I-p 00 v a1 Vi W N -- x 00 -1 O\ CDN `D CD CD i A� QQ O 'C3 CD O (Jq p� 2 CD S ^s t7 A> 'Cf y S O C1 O S tSD N N CCD/) O ,0 Ai A CD -a Lon ora m ° _ ° aG O n �" O < o o W CD n O OS OG r-+ cn Q= rD '� y SI) CD s� ° c C `t b . -s O C d A C7 `S O O A7 O O O M ft A CDCD 4t o I G� ;T7 t� n M W N r O �O Oo �1 01 to .? N -- O y �1 O� to � W N `r ►moi 7Q � CD CD CD x o `n o - FA CD En -n ` C Ln O I pi rD n I O yj -t 3 G Z � z � i r 0 �. � N � d eDo _ r 0 0 CD C" 0 (D n o n 0 V2 0 n `ff a P CD A+ cL �. C� � c O CD CD 112 CD CA A En3 = o b � cr C7 CD CD '� 3 3 to -, CD op'.`a �d �" aro 2 �,r 'iD rb O o ovCD C7 s < =r > N kA a1 coo A~ CD. o W , ____._ -1 ,4 v, O CD Z oCDcn jn. to- LA CD iu cn CD CD ° o . CD cr ITI CD =1 n n Oh CD I z CD fb r M. r ,� °•• CD s N Z ° cn r E' CD w n � rV CD oN CD eb 3 a � c a' 17 CD CD Cis 6' O O� to ¢' 1. CCD Xk CD o �o C) CD 3 0 `� o O 0 W A CDOrD rte„ ° O O CCD CL =rCD �s O CD O Z3 CDD O CD CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814 =� ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMA o - Job Type: RESIDENTIAL ALTERATION Description: courtyard/backyard remodel/summer kichen Estimated Value: $123,000.00 Issue Date: 9/18/2014 Expiration Date: 3/17/2015 PROPERTY ADDRESS: Address: 331 7TH ST RE Number: 169922-0000 PROPERTY OWNER: Name: OSWALT, SUSAN M Address: GENERAL CONTRACTOR INFORMATION: Name: HORN BUILDERS INC Address: Phone: - - FEES: PERMIT FEES $549.00 STATE DCA SURCHARGE $8.24 STATE DBPR SURCHARGE $8.24 PLAN CHECK FEES $274.50 State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Swimming Pools $40.00 Lighting Outlets, Including Fixtures $4.20 Trade Permit Base Fee $55.00 Total Payments: $103.20 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITN' OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-58826 Fax (904) 247-5845 JOB ADDRESS: 33' q}h ��u"��e' PERMIT#tial13` JEA INFORMATION REQUIRED ON ALL PERMITS IC AMPS t9't`-' VOLTS ' PHASE VALUE OF WORK$ I BOO.00 NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole —Residential(Main) Service ❑0-100 amps ❑101-150amps !❑151-200amps ❑ amps #of Meters Commercial(Main) Service 0-100 amps = 101-150amps ❑151-200amps ❑ amps -,:CT Service amps Conductor Type Size _ Multi-Family(Main)Service 0-100 amps -I 101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑ -Temporary Pole ❑ amps SERVICE UPGRADE 'Ll—amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps ❑150amps ❑200amps _amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: (p 0-30amps 31-100amps 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: 1 OTHER ELECTRICAL PROJECTS ❑Motors h ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA p FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can []Safety Inspection ❑Panel Change ❑OH to UG VOther: 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 governig this work will be complied with whether n 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 ��,,++rr� •� Office Phon �3��`�� Fax��" Electrical Company ► s Address: `J" 1,t5 City State Zip '` Co .� Sta Certi ti n/Registration#EVW1!S3jtD License Holder (Print): Notarized Signature of License Holder Sworn and subscribed efore me this_ [ ^day 20,1-,V Notary Public State of Fbtida Anna M Daly My commission EE 850790 Signature of Notary Pu lic Expires 0112512017 CITY OF ATLANTIC BEACH .` 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814 ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORM 3ab 115. .lob Type: ELECTRIC ONLY Description: INSTALL 21 OUTLETS Estimated Value: Issue Date: 11/10/2014 Expiration Date: 5/9/2015 PROPERTY ADDRESS: Address: 331 7TH ST RE Number: 169922-0000 PROPERTY OWNER: Name: OSWALT, SUSAN M Address: 4827 MAXWELL DR GENERAL CONTRACTOR INFORMATION: Name: AMERICAN ELECTRICAL CONTRACTOR Address: 5065 ST AUGUSTINE RD APT 13 QA EARL W. FRICK Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Switch Outlets $7.20 Lighting Outlets, Including Fixtures $5.40 Trade Permit Base Fee $55.00 Total Payments: $71.60 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 ry JOB ADDRESS: _:�Z I 7 PERMIT#A-1 JEA INFORMATION REQUIRED ON ALL PERMITSAMPS r `tV VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole --Residential(Main) Service ❑0-100 amps 101-150amps ❑151-200amps ❑ amps #of Meters Commercial(Main) Service ,D0-100 amps ❑1014 50amps ❑151-200amps ❑ amps ❑CT Service amps Conductor Type Size -]Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps E. amps #of Unit Meters Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: /I 0-30amps 31-100amps 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: 9 _ OTHER ELECTRICAL PROJECTS J Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA C Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter /Can El Safety Inspection ' �,,_ ❑Panel Change11 OH to UG Alien �S [I pq`iO Y WA e tCCW+ �f I�I�Q�� r 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 Electrical Company tCGL ► Office Phone`1N`4W Fax Co.Address: - City e l StateZip 9 License Holder (Print): t C i ation/Registration#E N I older Notary Pudic State of Florida • Anna M Daly Sworn and subscribed be f e me t ''s ay f OUPt'y1 20 My commission EE 850790 a,,,, Expires 01/25/2017 Signature of Notary Public