900 Plaza #112 and 137 2014 interior remodel CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001227 Date 8/07/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 112
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15567
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL
-----------------------------------------------------
Owner Contractor
------------------------
--- ---- ------------- -
SEA-OATS-ACQUISITIONS, LLC SITETEC CONSTRUCTION COMPANY
JEFFREY D. KLOTZ 211 FOREST WALK WAY NC 28144
645 MAYPORT ROAD SUITE 5 SALISBURY
ATLANTIC BEACH FL 32233 (706) 482-8258
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS ------
----------------------------------------------------------------------
Permit RESIDENTIAL ALT/OTHER
Additional desc 130 . 00 Plan Check Fee 65 . 00
Permit Fee . . . . Valuation . . . . 15567
Issue Date . . . .
Expiration Date . . 2/03/15 -----------------------
-----------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total 65 . 00 65 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 199 . 00 199 . 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
800 Seminole Road,Atlantic Beach,Fl,32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 900 Plaza Drive Atlantic Beach,Florida 32233
Legal Descrit)tion Per Official Records Volume 5775.Page 713 Parcel 4 see attached leMl
descriDtion-- t.1123 Sq.Ft
Valuation of Work$15,567.55_ cooled 1123 non-beated/cooled
Class of Work(circle one): New Addition (rlte—miti�o-n> Repair Move Demolition pooVspa window/door
Use of existinglprorosed structure(s)�clrcle one):. ;�� Residentiq�
If an existing struc lure,is a fire sprin er system justalle . Ircle one): Yesc-L�—�/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:Interior Rem el ew 'tchen and bath cabinets,New Faucets.
Remodel Bathroom shbLwer.new flooring and gain
Property Owner Information:
Name: Sea Oats Acguisitions,LLC-Jeffe y D. --Address:645 MAywrt Road
-KlQt7
City Atl aic;Beach.Suite 5 State EL_Zip 32233_Phone
E-Mail or Fax#(optional_
Contractor Information:
Company Name:Sitetec Construction Co. Qualifying Agent- Richard Tucker—
Address:6132 Brookshire Blvd.,Suite C------------CitY Charlotte State NC -Zip 28216
Office Phone 704-394-6969 --Job Site/Contact Number Fax# 704-394-0462—
State Certification/Registration# CGC1515581
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 ul 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 ofa permit and that all work will be pe. d ,the standards ofall laws regulating construction in thisjurisdiction. This pirrmit becomes null
-me 10-el my time a or
Ymo-hs or iffconstruciion or work is Onded or abandonedfor Wriod ofsixp)months at a 11
ul
eas,Pools, urnaces,Boilirrs,Reaten,
work is cam-menced- I understand that separate permits must be securedfor Electri work,Plumbing,Signs,
Tanks and Air Con"nen,dc.
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 Y"61r1i NOTICE OF
COMMENCEMENT.
e to be true and correct. All provisions oflaws and ordinances governing this
I hereb r1i f t I e re an exams is. ting of a permit does not presume to give authority to violate or cancel the
w be co ' wit w et I cite herein or not. gran
i 0 otherfe rat.sta e.or I re ulating construction or the pe�Wmance ofconstruction.
Signature of Owner Signature of Contractor-
Print Name Ri.chard-Tuck..e.r...-......................................................................
Print Name .................. .......1.- 1.
Sworn to and subscribed before me
Sworn tp and subscr#)ed brfore me .2014
this y Of 201� this 31 Day of July
Notary PuFlic
N�o�tarylic;
Ri sed 01.26.10
F---TE;-ti—MAYS
NOTARY PUSUC
cLEVEL.AND COUNTY NC
my confm4n Expm-ya-laki
CINDY DUNGAN
My COMMISSION#FF073701
1(9 D(PIRES:DEC 01,2017
FILE Copy
NOTICE OF COMMENCEMENT
"IPME W DUPLICA-M)
Permit No. Tax Folio No. 171725-0500
State of FLORIDA County of DUVAL
To whom It may concern:
The undersigned hereby Informs you that Improvemnis will be made to certain real property,and In
accordence with Section 713 of the Florida Statuit",the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of prop"being improved: Per Official Records Volume 5775, Page 713
See Attached Legal Description
Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233
Unit Number 112
General description of improvements: Interior Remodel,New Kitchen and bath cabinets,New faucets
Remodel Bath room shower,new flooring and paint
owner Sea Oats Acquisitions, LLC. Jeffrey D. Klotz
Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233
Ownees interest in site of the improvement
Fee SWnple Titleholder(N other than owner)
Name
Address
Contractor Siltetec Construction Co.
Address 6132 Brookshire Blvd,SuIteC,Charlotte,NIC.28216
Phone No.704-394-6969 Fax No. 704-394-M2
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and w1dress 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 James Shear
Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233
Phone No.904-247-53M ext.3" Fax No 904-853-6926
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provkled in
Section 713.06(2)(b).Floride Statutes.(Fill in at Owner's option).
Name Tim Broom
Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216
phone 140. 704-394-6969 Fax No. 704-394-0462
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different deft is specified):
MIN-A%ftftme'a I laq ONLY OVIIINER
Doc#201411-1608,OR BK 16863 Page 1691, f)
Number Pages�3
Recorded 08';01,2014 at 10:25 AM, lyall"Wecl
Ronnie Fussell CLERK CIRCUIT COURT DUVAL hosin by
COUNTY
RECORDING$271.00
CINDY DUNGAN
MY COMMISSION#FF073701
KV) EXPIRES:DEC 01.2 17
iZW_6iLWP,!= o I cc nty or
Personally Known or
Produced IdenINIC111111011
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /1/- /2. 27
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us L Date routed: 4�
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Departa3gent review required Yes No
-Suilding
Applicant: T-0111irrg-&-Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or 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: nApproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: nApproved as revised. nDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001228 Date 8/07/14
Property Address . . . . . . 900 PLAZA
Tenant nbr, name . . . . . . UNIT 137
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15335
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL
-------------------------------------------------------------
Owner Contractor
------------------------
------------------------
SEA OATS ACQUISITIONS, LLC SITETEC CONSTRUCTION COMPANY
JEFFREY D. KLOTZ 211 FOREST WALK WAY
645 MAYPORT ROAD SUITE 5 SALISBURY NC 28144
ATLANTIC BEACH FL 32233 (706) 482-8258
--- Structure Information 000 000 INTERIOR REMODEL
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc - - 65 . 00
Permit Fee . . . . 130 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 15335
Expiration Date . . 2/03/15 ---------------
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total 65 . 00 65 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 199 . 00 199 . 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
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 900 Plaza Drive Atlantic Beach,Florida 32233
Legal Description Per official Records Volume 5775.Page 713 Parcel# see attached Iezal
descriDtion Sq.Ft.989 Sq.Ft
Valuation of Work$15,335.17 WR�Weated/cooled 98�_ non-heated/cooled
Class of Work(circle one): New Addition <rltei;T�i-on Repair Move Demolition poollspia window/door
Use of existingtpro
ct:sed structure(s)�circle one):. Residential—
if an existing stru reisafiresprin ersysteminstall�. xrcleone): Yes��/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:Interior Remodel.new Kitchen and bath cabinets.New Faucets.
Remodel Bathroom shower,new flooring and paint
Property Owner Information:
Name: Sea Oats Acguisitions.LLC.Jeffery D.Klotz -Address:645 MWort Road
City Atlantic Beach.Suite 5 State fL-Zip 32233-----�Phone
E-Mail or Fax#(Optional
Contractor Information:
Company Name:Sitetec Construction Co. Qualifying Agent: Richard Tucker
Address:6132 Brookshire Blvd.,Suite C----------City Charlotte State-- NC Zip 28216
Office Phone 704-394-6969 Job Site/Contact Number —Fax# 704-394-0462
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
or intsal"u'an
A dfcda�
i. ....y :dt dis P. l.
ark is
p
and void
, 'kis'
T
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 Y6M NOTICE OF
COMMENCEMENT.
I here�certo that I have read and amine t is pl tion and know th to be true and correct. All provisions a
,f laws and ordinances governing this
'c uthority to violate or cancel the
9 work will be complied with whether ci Je h in a not. granti of a permit does not presume to give a
1 ons of any otherfederal,sta or local re i co ction or the per ormance ofconstruction.
Signature of Owner Signature of Contractor
Print Name r Print Name Richard.Tu ker ...................................
1;�� is"L!-.7. .................
slttoand subscribfd_bef e Sworn to and subscribed before me
this. ay of ".JA this 3 1_Day of July , . .2014
AC tLgk�-o
Notary P�b—RcO' Not 7 Pu-blic TERI WYS Re,is d 0 1.26.10
NOTARY R)SUC i
CLEVELAND CWNTY NC
*Commission Expwz
CINDY DUNGM
MY COMMISSION#FF073701
EXPIRES:DEC 01,2017
'00�
----------
NOTICE OF COMMZNCEMZNT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 171725-0500
SUt&of FLORIDA County of DUVAL
To whom it May COMM:
The undersigned hereby Informs you that Improvements wiN be mule to certain real propeirly,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT. Per Official Records Volume 5775, Page_713
Legal description of property being improved:
See Attached Legal Description
Address of property being improved: 900 Plaza Drive Atlantic Beach, Florida 32233
Unit Number 137
C"eneral description of improvements: Interior Remodel,New Kitchen and bath cabinets,New faucets
Remodel Bath room shower,new flooring and paint
Ownef Sea Oats Acquisitions, LLC. Jeffrey D. Klotz
Address 645 Mayport Road Suite 5 Atlantic Beach, Florida 32233
Ownees interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Sitetec Construction Co.
Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216
Phone No.704-394-SM Fax No. 704-394-0462
Surety(if any)
Address —Amount of bond$
Phone No. Fax No.
Name and address of any person making 0 loan for the c0nSVUCd0n Of the kq"vOfn&nts-
Name
Address
Phone No. Fax No.
Name of person within the State of Flcrids.other then hirnsaff,designated by owner upon whom notices or other
documents may be served:
Neme Jarrm Shm
Address 645 Mayport Rd.Suite 5 Atlantic Beach,Florida 32233
Phone No. 904-247-53M ext.344 Fax No 904-853-6926
in addition tD himself,owner designates the following person 10 receive a copy of the Lienoes Notice as provided in
Section 713.06(2)(b),Florlds Statutes.(Fill in at Owner's option).
Name Tim Broom
Address 6132 Brookshire Blvd,Suite C,Charlotte,NC.28216
Phone No. 704-394-6969 Fax No.704-394-0462
Expiration date of Notice of Commencement(the expWft dole is one(1)year from the dam of recording unless a
dabrent deft Is specified):
THIS SPACE FOR RECORDER'S USE ONLY
page 1688, 15IWOtA —DATE in ow
7,OR BK 16863 =_9qZL-3_d2y0f
Doc#201417160 SON d Fbrkik __J)TM by
Nurnber Pages 3 iWON—mumift
Recorded 0&01 20,14 at 1 0i25 AM, and dKW&WM
RCUIT COURT DUVAL MW M
Ronnie Fussell CLERK Cl am so U�
COUNTY CINDY DUNGAN
RECORDING$27.00 MY COMMISSION#FF073701
(9 E)PIRES:DEC 01,2017
K--
City of Atlantic Beach APPLICA]TIO�N NUMBER
(To be]assigned by e Bu)�ilding epartment.)
Building Department �Me
800 Seminole Road 'z
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 rou
E-mail: building-dept@coab.us [Date routed:
City web-site: hftp:/twww.coab.us
APPLICATION REVIEW AND TRACKING FORM
men' review req�u�iired No
Property Address: �Id t�"ztzt' =Buildin ?E
g 8,Z i
Applicant: X, Ing on�ng
Tree Administrator
Public Works
Project: Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or 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: FlApproved. [:]Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. oDenied.
Comments:
Reviewed by: Date:
Revised 05/14109
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001228 Date 8/15/14
Property Address . . . . . . 900 PLAZA
Tenant nbr, name . . . . . . UNIT 137
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15335
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL
-------------------------------------------------------------
Owner Contractor
------------------------
------------------------
SEA OATS ACQUISITIONS, LLC SITETEC CONSTRUCTION COMPANY
JEFFREY D. KLOTZ 211 FOREST WALK WAY
645 MAYPORT ROAD SUITE 5 SALISBURY NC 28144
ATLANTIC BEACH FL 32233 (706) 482-8258
--- Structure Information 000 000 INTERIOR REMODEL
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . EASTERDAY PLUMBING INC
Permit Fee . . . . 118 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/11/15 ---------------
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 118 . 00 118 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 122 . 00 122 . 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: 900 PLAZADR#137 ATLANTIC BEACH,,FL 32233 PERMIT#-14-1228
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FixTuRE QTY TYPE oF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower I
Dishwasher Shower Pan I
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 2
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2 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:
Ei Sewer Replacement 0 Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads Li 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 Sea Oats Acquisitions,LLC. JeffeKy D-Klotz Phone Number
Plumbing Company—Easterday Plumbing Inc Office Phone (904)262-5152Fax
Co. Address: 3780 Kori Road—Suite 13 City jacksonville—State FL—Zip 32257
License Holder(Print): TC5i�IL,17 State Certification/Registration# C_F':C /q;?4V 79
Notarized Signature of License Ide
Sworn and subscribed before me this day of 20
Signature of Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001227 Date 8/15/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 112
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15567
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL ----------------------
-- --------------------------------------------------
Owner Contractor
------------------------
------------------------ SITETEC CONSTRUCTION COMPANY
SEA OATS ACQUISITIONS, LLC 211 FOREST WALK WAY
JEFFREY D.. KLOTZ NC 28144
645 MAYPORT ROAD SUITE 5 SALISBURY
ATLANTIC BEACH FL 32233 (706) 482-8258
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS --------------
-------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc - -
Sub Contractor . . EASTERDAY PLUMBING INC
Permit Fee . . . . 118 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 2/11/15 -----------------------
-------------------------------------------- ------- RCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLBG DCA SU
STATE PLBG DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ----------- ---------- ---------- ---------- ----------
Permit Fee Total 118 . 00 118 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 122 . 00 122 . 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: 900 PLAZA DR#112 ATLANTIC BEACH,FL 32233 PERMIT# 14-1227
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FixTuRE QTY TYPE OF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower I
Dishwasher I Shower Pan I
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet 2
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory 2 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:
Ei Sewer Replacement El Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads El Well
** VR WD 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 v�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 Sea Oats Acquisitions,LLC. Jeffea D.Klotz Phone Number
Plumbing Company_jEasterday Plumbing Inc Office Phone (904)262-5152Fax
Co. Address: 3780 Kori Road—Suite 13 City Jacksonville—State FL—Zip 32257 rFL
License Holder(Print): r--f Z State Certification/Registration# NO')
Notarized Signature of License Holder'
Sworn and subscribed before�e this day of 20
Signature of Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001227 Date 8/15/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 112
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15567 ----------------------
----------- -----------------------------------------
Application desc
INTERIOR REMODEL ------------------------ ------
---------------------------------------------
Contractor
Owner ------------------------
------ ----------------- SITETEC CONSTRUCTION COMPANY
SEA OATS ACQUISITIONS, LLC 211 FOREST WALK WAY
JEFFREY D. KLOTZ SALISBURY NC 28144
645 MAYPORT ROAD SUITE 5
ATLANTIC BEACH FL 32233 (706) 482-8258
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS -----------------------
-----------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc LIGHT ELEC CONTRACTORS INC
Sub Contractor DAY 69 - 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date 2/11/15 -------------------------------
---------- -------------------------STATE ELEC DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE ELEC DBPR SURCHARGE 2 . 00
---- -------- ---
---------- ----------------------------Paid Credited Due
Fee summary Charged ---- ----- ----------
----------------- -----69 . 00 69 . 00 . 00 . 00
Permit Fee Total . 00 . 00 . 00
Plan Check Total . 00 4 . 00 . 00
other Fee Total 4 . 00 . 00 . 00
Grand Total 73 . 00 73 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Aug. 15. 2014 9: 15AM ELECTRICAL PERI�HT AYPLICATION No. 3014 P. 17
C11'y OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Seach,FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB AJ)DRESS: 900 Plaza Drive#112 Atlantic Beac4 Florida32233 PER34IT#_14-1227_
JEA INFORMATION REQLTIRED ON ALL PERMITS _AA1PS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 7 Overhead F7 Underground Underground up Pole
--JResidential(Main) Service s .4 of Meters
Eio_100 amps �_-101-150amps 151-200amps 71 amp
Commercial(Main) Service :1 CT Service
-0-100 amps E1101-150amps 151-200amps 7— amps amps
Conductor Type Size
�iMulti-Family(Main) Service
-.0-100 amps 2101-150amps Ei 151-200ainps 4 of Unit Meters
7-Temporary Pole 7 ___�Jnps
SERVICE UPGRADE ::____=P$ 77 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) DCT Service—amps
EiWamps 7150amps 7-200amps 11--_�aMPs
ADDITIONS,REMODELS REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 71��_30amps 31-100amps —101-200amps
Appliances: —0-30amps 31-100amps 101-200amps
A/C Circuits: —0-60amps 61-100amps
Heat Circuits: — # circuits @___)(w
Number of Lighting Outlets, Including Fixtures:
OTBIER ELECTRICAL PROJE �iMotors
-Swimming Pool El SiP 4g*moke Detectors YQty [I Transformers KVA hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK
Qty_volts/amps
REpAIRSMSCELLANEOUS Safety Inspection L-.Panel Change ��:OH to UG
�i Replace BumVT)amaged Meter Can
-L_j Other: eb fy that I have
Tr_�t becomes void if woric does not commence vrMih a six month period or work is suspended or abandoned for six rnonths. I her y ccrti
rcad this application and know the S=e to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. 'Me permit does not give autaority to violate the provisions of any other state or local law regulation construction or the performance of
construction,
Property Owners Name Sea Qats- pclu. jeffe�� Xl=tz Phone Number
qisitions.�LLQ�.
rht Electrical Contractors, inc._Office Phone (904) 766-861 I-Fax—
Electrical Company; Daylig
ZiP a2n
Co.Address- 2973 West Edgewoo", Avenue City Jacksonville-State FL_
State Certification/Registration
License liolder (Print):
Notarized Signature of License Holder -)0—
Sworn and subscribed before me this_ day of
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001228 Date 8/15/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 137
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . To BE UPDATED
Application valuation . . . . 15335 --------------- ------
----------- -----------------------------------------
Application desc
INTERIOR REMODEL -------------------------------
---------------------------------------------
Contractor
Owner ------------------------
------------------------ SITETEC CONSTRUCTION COMPANY
SEA OATS ACQUISITIONS, LLC 211 FOREST WALK WAY
JEFFREY D. KLOTZ 5 SALISBURY NC 28144
645 MAYPORT ROAD SUITE (706) 482-8258
ATLANTIC BEACH FL 32233
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS -----------------------
-- --------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - - ELEC CONTRACTORS INC
Sub Contractor DAYLIGHT
67 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date - - 2/11/15 --------------------------------
---------- ---------------------------------EC DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE EL URCHARGE 2 . 00
STATE ELEC DBPR S
---- -------- ---
---------- ------- -----Charged Paid Credited Due
Fee summary -- ---------- ----------
------ --- -----
Permit-Fee-Total 67 . 00 67 . 00 . 00 . 00
. 00 ' 00 . 00 . 00
Plan Check Total 4 . 00 . 00 . 00
Other Fee Total 4 . 00 . 00 . 00
Grand Total 71 . 00 71 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Aug. 15. 2014 9: 1 5AM No. 3014 P. 19
EI-ECTRICAL PERMIT AYFLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 3)223 3
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADi)RESS: goo Plaza D - Flo 1233 PEKNUT#_14-1228--
JEA INFORMATION REQ171RED O-N ALLFERMITS AMTS —VOLTS PHASE
VALUE OF WOBK$___-�
NEW SERVICE 0 Overhead F-1 Underground ED Underground up Pole
::Residential (Main) Service 7-_=PS 9 of Meters
Eio-100 amps [DJOI-150amps n 151-200amps
L
E:Commercial(Main)Service -
::0-100 amps L7101-150amps El 151-200amps F-----Amps CT Service—amps
Conductor Type size
71muld-Family(Main) Service El 151-200ainps 7___�amps 4 of Unit Meters
-A-100 amps 2 101-150amps
2Temporary Pole
SERVICE UPGRADE CT Service—=ps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) [I CT Service amps
��100amps E1150amPs E200amps 7,-----�amPs
ADDITIONS REMODELS,REpA]:R$ BVILD-OUTS,ACCFSSORY STRUCTURES,ETC.
t 31-100amPs —101-200amps
outlets/Switches: __17, 0-30amps 31-100amps —101-200amps
Appliances: —0-30amps —
A/C Circuits: —0-60amps —61-100amps
Heat Circuits: . - 4 circuits @ --- —1�w
Number of Lighting outlets, Including flxt'�ies'-
OTHER ELECTRICAL PROJE ZokeDetectorsaQty ElTransformers KVA :]Motors hp
E:'Swimming Pool IZ Sign
0
FIRE A.LARM SYSTEM (Requires 3 set., f plans) VAL uE OF WORK S----�
Qty_volts/amps
REPAIRS/INUSCELLANIEOUS L-j Safety inspection [I Panel Change OH to UG
:iReplace Burnt/D=aged Meter Can
�iother-
r' ork is suspended orabmd�i;-e-d for six months. I hereby certi�that I ave
w e whether
pormt becomes void if work does not coremne",=thi,a six inomb-period.o
w the sarne to be true wd correct. All provisions of iaws and ordinanccs governing this work will be cornpli dAith
read this application and 1MO does not give authority to-violate the provisions of any other state or local law rcgulatiorl construction or the perfofmmce Of
specified or not The Permit
construction, �ons LLC. Jeffm D Ylico Phone Number
Property owners Nwne Electrical Coritractors,Inc.—Office Phone (904) 766-861 1--Fax---.
Electrical Company: Daylight
Co-Addxess: 2973 Wes Ed ewood 2%.venue City Jacksonville-State FL-Zip 32209
Bndi'&L. icatiorvRegistration#)��6
State CerO
License)lolder (Print): x1gm -1-1
Notarized Signature of License Holder day of 20
Swcq-1 and subscribed before me this