900 Plaza 2014 Interior remodel Unit 13,14,16.17 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001261 Date 8/15/14
Property Address . . . . . . 900 PLAZA
Tenant nbr, name . . . . . . UNIT 13
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL
-----------------------------------------------------
Owner Contractor
------------------------
------------------------
SEA OATS ACQUISITIONS, LLC PLATINUM BUILDERS OF PALATKA
JEFFREY D. KLOTZ 2987 S ATLANTIC AVE APT 2103
645 MAYPORT ROAD SUITE 5 DAYTONA BEACH FL 32118
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS ------
----------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . - 60 . 00
Permit Fee . . . . 120 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 13157
Expiration Date . . 2/11/15 --------------
---------------------------------------------------- --------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
--------------------------- ------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total 60 . 00 60 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 184 . 00 184 . 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: Z4 -1--) 413
c_j Permit Number:
Legal Description /2 /_,,!�77-Floor Area of sq.Ft. Parcel# Sq.Ft
Valuation of Work$ 9--�, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Add it i or<7Alt�rati o Repair Move Demolition pool/spa window/door
Use of e.xi�ting/pro osed structureQ) (�ircle one): Commercial Residenti
If an existing strucrure,is a fire sprinkler system installed? (Circle one): Y e s &D N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: L�-�11,7kl C
Ozosii 2)"s ,�z�,, V,7,6 LeA 1-
p
Property Owner Information:
Name: AC41 Vj 6n !g Address: lip
city 4_v�n Ara,=4, State_TF_Zip3Z7__?,3 Phone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name --rrc- Qualify- g Agent: S-r_�rnz,5
Address:ZSVI S. A,,,:r city 1_)rl� i&� State 5- Zip 3 7,11
Office Phone CK)4- Zn-'w S7 -Job Site/Contact Number cjqq-�3D_'R/9-7 Fax# /)/A
State Certification/Registration# CG C_ 1-io-9 1
Architect Name&Phone# r\kA
Engineer's Name&Phone# n�A
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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 permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of six(6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers, Heaters,
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 YOUk NOTICE OF
COMMENCEMENT.
I here certify that I have read and exami.ned this a plication and know the same to be true and correct. A 11 provisions of laws and ordinances governing this
typ e work will be comp 'er ec 0
IV _lied with wheth i Azei herein or not. The granting of a permit does n t presume to give authority to violate or cancel the
provi.si.ons of any otherfederal,state, or localsplaaw regulating construction or the peTformance of construction.
q
Signature of Owner ��Wden Signature of Contra r
UPrint Name _75.0V1nr.&_S CI.A4..............................................................
Print Name .................................. ......
...... ...... ............................
Befo e me Before me
this ay of 20/4 this ay of 201
Notar�Tubl otary U
CINDY DUNGAN
.T.Up
CINDY DUNGAN
f., i, OMMISSION#F*9MiSi d 01.26.10
My COMMISSION#FF073701 OF EXPIRES:DEC 01,2017
or EXPIRES:DEC 01,2017
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001263 Date 8/15/14
Property Address . . . . . . 900 PLAZA
Tenant nbr, name . . . . . . UNIT 14
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL
-------------------------------------------------------------
Owner Contractor
------------------------
------------------------
SEA OATS ACQUISITIONS, LLC PLATINUM BUILDERS OF PALATKA
JEFFREY D. KLOTZ 2987 S ATLANTIC AVE APT 2103
645 MAYPORT ROAD SUITE 5 DAYTONA BEACH FL 32118
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . 60 . 00
Permit Fee . . . . 120 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 13157
Expiration Date . . 2/11/15 ---------------
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total 60 . 00 60 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 184 . 00 184 . 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: 9_,D0 P1,Az_A bz;,jz� PA160b'c- Ra,9� _�4, �IZ_7Q3 Permit Number:
Legal Description /!5�7-Floor Area of Sq.Ft. Parcel# Sq'Ft
Valuation of Work —ProposedWork heated/cooIed ID00, non-heated/cooled
Class of Work(circle one): New Addition (_A'_1t_erat_ion) 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 N/A
Florida Product Approval#
For multiple products use product approval To-rm
Describe in detail the type of work to be performed:--,g��ee,,',)(L J2,�Fpioi,4, ' < k_7 ��c
Jud=7 Zo1o,,4F- -4-
f
Property Owner Information:
Name:'Stia Address: 5!2 e'&a—
city StateVI Zip 3 Phone Z 41-`5-3 S
E-Mail or Fax# (Optional) n tA
Contractor Information: CONTRACTOR EMAIL ADDRESS:--Yi rv.%1,ajke (3� 0 YA�,,7
Q lifyin Agent:
Company Name. I n, i/n, TD uai 1 '?3� Sl,,. z�*State N-1 Zip 2,?_1 11�
Address: 4*1,ArA I c� pt'jiZ city - 1.1)" oynA
Office Phonect-09- Z-�-1- %10") - Job Site/Contact Number 1-NIA -Fax# V)I A
State Certification/Registration# C ZT-C k4�D _qfz:�'q
Architect Name&Phone# 6 0
Engineer's Name&Phone# V1)10
Fee Simple Title Holder Name and Address -f)l
Bonding Company Name and Address Y�I A
Mortgage Lender Name and Address y�\),A
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance of a permit and that all work will be pei-formed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of six�6,)months at any time after
work is commenced J understand that separate permits must be securedfor Electricar Work,Plumbing,Signs, Wells,Pools, urnaces, Boilers, Heaters,
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.
Ihere certify that I have read and exam ined th plication and know the same to be true and correct. Allprovisionso
's a f laws and ordinances governing thi's
type 111work will be coTplied with whether ecifleZ herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any otherfederal,state, or localspl,w regulating construction or the peFformance of construction.
Signature of Owner 4.JA Signature of Contracto
'r
Print Nam Print Name am a.5 %Eel-w........................................................
e ................... .......................................... ..................
Before me Before me
this Day of MIS L.4av of 201
A
ul;;?_
Notar3�_Puli Notary Publi,
.., !r CINDY DUNGAN U CINDY DZAAI
0 '' �r MY COM 26.10
MY COMMISSION#FF073701
EXPIRES:DEC 01,2017 EXPIRES:DEC 01,2017
OF
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
W1
Application Number . . . . . 14-00001262 Date 8/15/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 16
Application type description RESIDENTIAL ALTERATION
Property zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157 --------------
--------------------------------------------------------------
Application desc
INTERIOR REMODEL
-----------------------------------------------------
Owner Contractor
------------------------
PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ FL 32118
645 MAYPORT ROAD SUITE 5 DAYTONA BEACH
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
Occupancy Type . . . . . . BUSINESS ------
-- ---------------------------------------------------------- --------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc - -
Permit Fee . . . . 120 . 00 Plan Check Fee 60 - 00
Issue Date . . . . Valuation . . . . 13157
Expiration Date 2/11/15 -----------------------
2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 120 - 00 120 . 00 . 00 . 00
Plan Check Total 60 . 00 60 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 184 . 00 184 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
Ir CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
C_ LqcJ-\ "T4, '�Zg_
Job Address: ')-,Do 1-2)0 3!� Permit Number:
Legal Description r loor Area of Sq Ft. Parcel# �Sq Pt
Valuation of Work$ 1) _1;1q �004-1 -Proposed Work heated/cooled IDDZ) non-heated/cooled
Malt,- - , I
Class of Work(circle one): New Addition (Alterationi) Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(�) (circle one): Commercial Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes N/A
Florida Product Approval#
For multiple products use jir—oduct approval ro-rm
Describe in detail the type of work to be perfonned:-�Vee_)�-)L
14 ��U_Vze In
Property Owner Information:
Name:-5aa /qc_!�Ujsl�)Ons Address:-bq"5- ffl1qL'_R2K-+ Z9,40 51,
city ow)-hc, , StateVI Zip z�z-?,3 -Phone p qj S�)
E-Mail or Fax#(Optional) n 1A
Contractor Information: CONTRACTOR EMAIL ADDRESS:-5-1 Y,&AL LZ P YA�,7,3 - COW)
Company Name__�1,4�j' j/,, fa ing Agent: -75_Ayy,,��-S U_AIC-6
n .-Qualifyi
Address:ZSSD f*1iAnA-;c, Pt�ji� city- PA, !S'�,,,t_-_SState -K-N. Zip .;�Z,I
Office PhoneG(-)*-4- I Job Site/Contact Number ln� Fax# Y)JA
State Certification/Registration#�C Q
Architect Name&Phone# 6 0
Engineer's Name&Phone# VI�0
Fee Simple Title Holder Name and Address nj-j�
Bonding Company Name and Addres
Mortgage Lender Name and Address Y-\),A
d d erti tha "a work or installation has commencedprior to the
y in thisjurisdiction. This permit becomes null
f
n
u a b nttdr-o cn e do r aWeriod of six,�)months at any time after
on Is e e ade an a e d he work and a a ns a i n 'C t, g co
-4p m "st Od sa a-s e la
ca
�s s ork is S' nd, or a �o 11 Pools, urnaces, Boilers, Heaters,
r it to 0 0 t to t t d
Y_d th 0 o't rk p be med he stan ar
ct'o'or S.
cur f
s 0 1 ctr, or Pu. e s lij
i r ' I 'fr tse' e d OE e ca 1� bs ng, Igns,
Xi
(6)m nt , Or, c
P'ica 0 p"'it an at.110 p
i" a c' i " s 't co, d hin
and id k e 0 0
" 'is co"",i - I un_"c, 'i it t be
,k ed. der to d that separate per s m,
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 herebl 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
y to violate or cancel the
type work will be cotnplied with whether specified herein or not. The granting of a permit does not presume to give authorit
provisions of any otherfederal,state, or local law regulating construction or the pe�fbrmance of construction.
Signature of Owner 94J40ALm- Signature of Contractor
Print Name 5................��hi..................................................
Print Name ..................... .......................
.................... D.-SIvn.. " I
Bef me B,e for'me
OVnc
D f I th, 2
this La . 20 is D f
_Ut Public
Notary P C/X/Dy DUNGAN
,(g CINDY DUNGAN Revised 01.26.10
MY COMMISSION#FF073701 W COMMISSION#FF073701
EXPIRES:DEC 01,2017 EXPIRES:DEC 01,2017
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001259 Date 8/15/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 17
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157 ----------------------
-----------------------------------------------------
Application desc
INTERIOR REMODEL
--------------------------------------------
Owner Contractor--------------
----------
------------------------ PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ FL 32118
64S MAYPORT ROAD SUITE 5 DAYTONA BEACH
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS ---------------
-------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc - - 120 . 00 Plan Check Fee 60 . 00
Permit Fee . . . . Valuation . . . . 13157
Issue Date . . . .
Expiration Date . - 2/11/1S --------------------------------
-------------------------------------------- SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE DCA
STATE DBPR SURCHARGE 2 . 00
------------------ ---------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ----------- ---------- ---------- ---------- ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total 60 . 00 60 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 184 . 00 184 . 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
�416nbi 14,
Job Address: 5DO .3�5 Permit Number:
Legal Description 13 /.67- Floor Area of bi Ft. Parcel# Sq.Ft
Valuation of Work 11 1:4 Proposed Work eated/cooled IDO-_) 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 <Njo N/A
Florida Product Approval#
For multiple products use product approval Morm
Describe in detail the type of work to be performed:-3;:�i�,--zi'�-)a_ -4—
N;;IV"
Property Owner Information:
Name:-5aa U i 5410A�; Address:
city "VA'C' State"VI Zip 3,.��3 Phone Z Lf"I—113'3 S
E-Mail or Fax# (Optional) n [A
Contractor Information: CONTRACTOR EMAIL ADDRESS:--Yi r,-N I-��A6 (jZ 0 YA
-PlAt n V, 1)j Gi-Nc A Qualifyin Agent: Ayvji�s L�A,_e
Company Name..
Address:ZS,;�-1 APN <13 City 41 U-%A ..S'1,t*State Zip I ICK
Office PhoneG09- Z-3-7- I 1120 Job Site/Contact Number Yax# NA
State Certification/Registration# C
Architect Name&Phone# (\\�_
Engineer's Name&Phone# VI)A
Fee Simple Title Holder Name and Address
Bonding Company Name and Address n)A
Mortgage Lender Name and Address 1101 A
A ica, e ade ana e d the work a d n a a ns as i ndi cat or installation has commencedprior to the
0 1 T 'to " i s' ",tiods I law thisjurisdiction. This permit becomes null
r 11 b 0 0 ed to m Z t the tan a' -1 1 s s )months at any time after
1, i, m s s ct, n or Odork s' aWeriod of six(6
7 h or, c _Sir
pp' c io is eby md h al k e e
e o ape a a r
)_ t
ss.- 'it t Iwo p 6
"d i id f work is ot commenced'it in s ( on 0 ' 0 lectr ca e Pools, Furnaces,Boilers, Heaters,
,k s co.""cd. I understand that separate per,ts m, t be secured or E
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.
Ihere certify that I have read and examined th' plication and know the same to be true and correct. All provisions of laws and ordinances governicneg this
work will be comp "'a §herein or not. The granting of a permit does not presume to give authority to violate an I
typ e � eciflep or c the
Vied with whether
provi.st.ons ofany otherfederal,state, or localsflw regulating construction or thepeTformance ofconstruction.
if I/
Signature of Owner 1,D �kj..'A Signature of Contractor
q 1 1/a_ _
Print Name A., Print Name k-M es.......... ...........................................
............... ...................................... ................................................ ................................
Befop me Befor me
this f 201/- [ this of &1t:�V11A 209
0_��aay o -1 f L; y - 4
A A��
3lic No C
Rotary POblic CIND DWAN
c
My COMMISSION*FMF073701
vise 01.26.10
e
....... CINDY DUNGAN
7, EXPIRES:DEC 01,2017
V
1\�MOFId'
My COMMISSION#FF073701
0, EXPIRES:DEC 01,2017
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r
Application Number . . . . . 14-00001261 Date 8/19/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 13
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL
-----------------------------------------------------
Owner Contractor
------------------------
------------------------
SEA OATS ACQUISITIONS, LLC PLATINUM BUILDERS OF PALATKA
JEFFREY D. KLOTZ 2987 S ATLANTIC AVE APT 2103
645 MAYPORT ROAD SUITE 5 DAYTONA BEACH FL 32118
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - - TRIC SERVICE LLC
Sub Contractor . - TURNER ELEC Plan Check Fee . 00
Permit Fee . . . . 82 . 60 Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 2/15/15 --------------
-------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 82 . 60 82 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 60 86 . 60 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
E—L—ECTRICAL PERMIT"PLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
�00 ,,,,Ph(904j247-5826 Fax (904)247-5845
JOB ADDRESS: PERMIT # 10'1,dJ
JEA INFORMATION REQUIRED ON ALL PERMITS lc>O AMPS ,)qo VOLTS _ PHASE
VALUEOFWORKS 1000
NEW SERVICE El Overhead F-1 Underground 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 Typ Size
Multi-Family(Main)Service
0-100 amps 10 1-1 50amps 151-200amps 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 STRUCTI ES,ETC.
Outlets/Switches: _ L4�_0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-I 00amps 10 1-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors 19ty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
3ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six month by certify that I have
ead 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
pecified 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
onstruction.
'roperty Owners Name Phone Number
"Iectrical Company
Lb�Cl_?-)cfl <Ek-Ui LE LIL Office Phone9d4 Fax
0 'S t-r4 A'_P� btL
.0.Addre"jj""=. AIA C State Zip
city p
'icense Holder(Print): State Certification/Registration# 300
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTic BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 0--b PU-s.2 A PERAUT # 14/�6
Notarized Signature of License Holder
Sworn and subscribed before me this day of A%AQA 20A
Signature of Notary Public
S
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
r jt
Application Number . . . . . 14-00001263 Date 8/19/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 14
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157 --------------
--------------------------------------------------------------
Application desc
INTERIOR REMODEL
---------------------------------------------
Owner Contractor
------------------------
------------------------ PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ FL 32118
645 MAYPORT ROAD SUITE 5 DAYTONA BEACH
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS ------
-- ---------------------------------------------------------- --------
Permit ELECTRICAL PERMIT
Additional desc - - ICE LLC
Sub Contractor TURNER ELECTRIC SERV
82 . 60 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 2/15/15 -----------------------
-------------------------------------------- --------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ----------- ---------- ---------- ---------- ----------
Permit Fee Total 82 . 60 82 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 60 86 . 60 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAI PERMIT APPI ICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,Fl,32233
000 Ph(904)247-5826 Fax (904) 247-5845 Iq 0_6�)
JOB ADDRESS: L-"%-Tk 1 J4 PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS b,.> AMPS X)u VOLTS PHASE
VALUEOFWORKS 10bL-
NEW SERVICE [:] Overhead Underground ED 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 Typ Size
Multi-Family(Main)Service
0-100 amps 10 1-1 50amps 151-200amps 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: ��0-30amps 3 1-1 00amps 101-200amps
Appliances: I 0-30amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors3_Qty Transformers_KVA Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
"ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify t I have
cad this application and know the same to be true and correcL All provisions of laws and ordinances governing this work will be complied with whether
pecified 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
:onstruction.
Iroperty Owners Name Si3� (:3RTS Phone Number
'SVOW L6 W Office Phone qd4 Fax SL—%'
liectricalCOmPanY
Zip
.o.Address: 32,P4-S Na- City ST- Av-(- State
'icense Holder(Print): �4 _T�-X)j eiL, State Certification/Registration#,&L / �ooi&cL
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(9�Q4) 247-5826 Fax(904)247-5845
JOB ADDRESS: �Q)o )qL PERMIT # L/
Notarized Signature of License Holder
Sworn and subscribed before me this day of AiA.Q un�- 20 lq
Signature of Notary Public
UMC.AKS
pdft-sm so now
my Cww,fq*w AV n.M
CR
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
C jt
Application Number . . . . . 14-00001262 Date 8/19/14
Property Address . . . . . . 900 PLAZA
Tenant nbr, name . . . . . . UNIT 16
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157
----------------------------------------------------------------------------
Application desc
INTERIOR REMODEL
-----------------------------------------------------
Owner Contractor
------------------------
PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ FL 32118
645 MAYPORT ROAD SUITE 5 DAYTONA BEACH
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS -----
----------------------------------------------------------------------
Permit ELECTRICAL PERMIT
Additional desc - -
Sub Contractor . . TURNER ELECTRIC SERVICE LLC
Permit Fee . . . . 82 . 60 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/15/15 -----------------------
-----------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 82 . 60 82 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 60 86 . 60 . 00 . 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) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 0 U p4s,2-K -11�I k PERMIT # M
JEA INFORMATION REQUIRED ON ALL PERMITS ) 0 o Amps )-40 VOLTS PHASE
VAL UE OF WORK$ 10 00
NEW SERVICE El Overhead F'_j Underground 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 101-150amps 151-200amps
#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,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: �K 0-30amps 3 1-I 00amps 101-200amps
Appliances: __J_0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors3-Qty Transformers KVA Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VAL UE OF WORK$
REPAEIZS/AUSCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
lermit 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
ead 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
pecified 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
onstruction.
lol/
Iroperty Owners Name PAZ�J_S A, C�lA, <F�l 0� J Phone Number
'lectrical Company Zrilf i P__rVicc 0-C Office PhoneC1N-277-,q5t3Fax7Z94
kc IF W 13
FL zimll/=
State L
.o.Address: Q�71) Sat) city A. AUq
,icense Holder(Print): i Uc neC State Certification/Registration#
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTic BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: PERmrr # lyw�
Notarized Signature of License Holder
Sworn and subscribed before me this day of -A..-A r%,, 20A
Signature of Notary Public
W Cow.4ow AV 13.2017
Fie
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
ON PHONE LINE 247
INSPECTI
Application Number . . . . . 14-00001259 Date 8/19/14
goo PLAZA
Property Address . . . . . . UNIT 17
Tenant nbr, name . . . . . .
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation ----13157------------------------------
------------------------------------ -----
Application desc -------
INTERIOR REMODEL ----------------------------------
-----------------------------------
Contractor
Owner ------------------------
-------------- PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ DAYTONA BEACH FL 32118
645 MAYPORT ROAD SUITE 5 (904) 237-8107
ATLANTIC BEACH FL 32233
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS ---------------- ---------------
- -----------------------------------PERMIT
Permit . . . . . . ELECTRICAL
Additional desc ECTRIC SERVICE LLC . 00
Sub contractor TURNER EL Plan Check Fee
82 . 60 0
Permit Fee Valuation
Issue Date 2/15/15 ---------------
Expiration Date ----------- ------------------
- ------------------------ ---- STATE ELEC DCA SURCHARGE 2 . 00
other Fees STATE ELEC DBPR SURCHARGE 2 . 00-----
------------------------------------------ --
-------------------------- Credited Due
Fee summary Charged ---Paid--- ---------- ----------
----------------- ---------- 82 . 60 . 00 . 00
Permit Fee Total 82 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00
4 . 00 4 . 00 . 00 . 00
other Fee Total 86 . 60 86 . 60 . 00
Grand Total
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
JOB ADDRESS: �C)Q_�> LNLA k-)2 PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS )CKD AMPOq0 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead E] Underground 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 10 1-15 Oamps 151-200amps 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,REMODUS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches; 30amps 3 1-I 00amps 10 1-200amps
Appliances: 3SP-0-30amps 3 1-I 00amps 101-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke DetectorsaQty Transformers KVA Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
I I
"ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify t have
ead 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
pecified 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
onstruction.
Phone NumberToq ��b
'roperty Owners Name Nc_(�)LA I -,rn 0-'j
'I �Fax
ectrical Company �4 ��/Lj_ LLL Office PhoneTO_�
'o.Address: city S—r A[A State
,icense Holder(Print): State Certification/Registration#9-C �aQ)
-ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 2 7-5826 Fax(904) 247-5845 PERMIT #
JOB ADDRESS: 0 c)
Notarized Signature of License Holder
Sworn and subscribed before me this day of —20-14
Q�,
Signature of Notary Public _a�
§Wpy Pdft So of FWW
cow..hom Ap n.w
ComissM 0 FF 11331
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001261 Date 8/15/14
Property Address . . . . . . 9oo PLAZA
Tenant nbr, name . . . . . . UNIT 13
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157 ----------------------
----------- -----------------------------------------
Application desc
INTERIOR REMODEL ------------------------ ------
---------------------------------------------
Owner Contractor--------------
----------
------------------------ PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ DAYTONA BEACH FL 32118
64S MAYPORT ROAD SUITE 5
ATLANTIC BEACH FL 32233 (904) 237-8107
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS --------------
-- ----------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc FLORIDA EMPIRE PLUMBING INC
Sub Contractor 76 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date - - 2/11/15 -------------------------------
-------------------------------------------- G DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLB
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited ----Due---
----- ----------- ---------- ---------- ------- - 00 . 00
Permit Fee Total 76 . 00 76 . 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
,!!I-�41--whPERMIT
JOB ADDRESS: 9
le-1
0-0
NEW OR REPLACEMENT INSTALLATION: Project Value$_tk0Q=
TYPE OF FiXTURE QTY TYPE OF FiXTURE QTY
Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
RE-PIPE: TYPE OF FiXTURE QTY TYPE OF FIXTURE QTY
Septic Tank& Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Stop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: er o Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
Ei Sewer Replacement o Back Flow Prevent Ei Well
o Lawn Sprinkler System-Number of Heads i-form to be submitted to the-Building Department for rinal inspection."
** SJRWD Well Completion Form. Complete
[i Other
ence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
if work does not comm verning this work will be complied with whether specified
Permit becomes void e same to be true and correct. All provisions of laws and ordinances go th rformance of construction.
this application and know th isions of any other state or local law regulation constructiopA e pq
or not. The permit does not give authority to violate the prov ox�lNi Zmb4dr I
Property Owners Name Office Phone
Plumbing Company State /-- Zip _-3_zz-,5-e
city _e!�!
Co. Address: State Certification/Registration#
License Holder(Print):
f Lice Ider
r7ecd_IW�� 20
"W"', PAULA STEIN befor me is y of
Sworn and subscribed
n 'IQ MY COMMISSION#EE035063
All,,,W". F_XPRES Octobw 17,2014 Signature of Notary Public
3 Floridalloteryseovkwcom
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
it
Application Number . . . . . 14-00001263 Date 8/15/14
. . goo PLAZA
Property Address . . . . UNIT 14
Tenant nbr, name . . . . . .
Application type description RESIDENTIAL ALTERATION
Property zoning . . . . . . . TO BE UPDATED
Application valuation 13157------------------------ -----
-- ------------- --------- - - - - -----
Application desc
INTERIOR REMODEL ------------------------ ------
-- -----------------------------------------
Owner Contractor--------------
----------
------------------------ PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ DAYTONA BEACH FL 32118
645 MAYPORT ROAD SUITE 5 (904) 237-8107
ATLANTIC BEACH FL 32233
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS ---------------
---------- --------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
, Additional desc ORIDA EMPIRE PLUMBING INC
Sub Contractor FL 76 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . - 2/11/15 --------------------------------
--------------------------------------------BG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PL
STATE PLBG DBPR SURCHARGE 2 . 00
--------------------------------------------------------------------- ------
Fee summary Charged Paid Credited ----Due---
------------- --- ---------- ---------- ------- - 00 . 00
Permit Fee Total 76 . 00 76 . 00 . 00
Plan Check Total . 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
-ji)r ZA PERMIT
JOB ADDRESS:
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:
o Sewer Replacement 0 Back Flow Preventer Ei Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads Ej Well
** SJRWD Well Completion Form. Completei-f—orm to be submitted to the—Building Department for final inspection."
Ei Other
hereby certify that I have read
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I
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
I law regulation const t. or th rformance of construction.
violate the provisions of any other state or loca ruc i?RA.e
or not. The permit does not give authority to oul- 4 _ � 1 -
.11% 111 11, 110le tho umb�/r
Property Owners Nam6tcA_��D gn4��
Plumbing CompanyUbn alc�" E Office Phone ax—
Co. Address: Cit State T—�Zip
License Holder(Print): State ertification/Registration#0'WJAf)1_+3qJ
License Ider
"_0AULA'STEIN 20 8
".*1
A& %' my Sworn and subscribed befor me thi day of C&146t�
1� Z COMMISSION#EE035063
EXPIRES October 17,2014 Signature of Notary Public
L(407L)j3j9jM 153 FWidallotwySe,ic,,C,,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001262 Date 8/15/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 16
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157 ----------------------
-----------------------------------------------------
Application desc
INTERIOR REMODEL ------
-- -----------------------------------------
Owner Contractor--------------
----------
------------------------ PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ DAYTONA BEACH FL 32118
645 MAYPORT ROAD SUITE 5 (904) 237-8107
ATLANTIC BEACH FL 32233
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS ---------------
-------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc FLORIDA EMPIRE PLUMBING INC
Sub Contractor 76 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date - - 2/11/15 --------------------------------
--------------------------------------------BG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PL
STATE PLBG DBPR SURCHARGE 2 . 00
- -------- ------- ---------------------------------------------------------
Fee summary Charged Paid Credited ----Due---
----------------- ---------- ---------- ------- - 00 . 00
Permit Fee Total 76 . 00 76 . 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
t M 14 tz
JOB ADDRESS: L
Project Value$_Uo�i 00
NEW OR REPLACEMENT INSTALLATION TYPE OF FIXTURE QTY
TYPE OF FIXTURE QTY Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: er [i Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
Ei Sewer Replacement 0 Back Flow Prevent Ei Well
Ei Lawn Sprinkler System-Number of Heads— be submitted to the Building Department for final inspection."
** SJRWD Well Completion Form. Completed form to
Ei Other
ce within a s7x'month period or work is susPe7ded or abandoned for six months.I hereby certify that I have read
ther specified
Permit b7comes void if work does not commen rovisions of laws and ordinances governing this work will be complied with whe
this application and know the same to be true and correct. All p ther state or local law regulation constru ti or the performance of construction.
:)t give authority to violate the provisio s of any o c 3 CW4
or not. The permit does ni Phone umbe?
Property Owners Nam Office ho ax !i2�651-
Plumbing Company zip 322,C58
Cit State
Co. Address: State Certification/Registration
neZ=
License Holder(Print):
otarized Sig2ature of License Holder VY �o 201�
k— 20a—
PAULA STEIN Sworn and subscribed b��reme
i MY COMMISSION#EE035063
EXPIRES October 17,20% Signature of Notary Pu
3 F10WaN0t-. ySerViC8,WM
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001259 Date 8/15/14
Property Address . . . . . . goo PLAZA
Tenant nbr, name . . . . . . UNIT 17 TION
Application type description RESIDENTIAL ALTERA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 13157----------------------- ------
----------------------------------------------
Application desc
INTERIOR REMODEL -------------------------------
--------------------------------------------
Contractor
Owner ------------------------
-------------- --------- PLATINUM BUILDERS OF PALATKA
SEA OATS ACQUISITIONS, LLC 2987 S ATLANTIC AVE APT 2103
JEFFREY D. KLOTZ DAYTONA BEACH FL 32118
645 MAYPORT ROAD SUITE 5 (904) 237-8107
ATLANTIC BEACH FL 32233
--- Structure Information 000 000 INTERIOR REMODEL
occupancy Type . . . . . . BUSINESS -----------------------
----------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc FLORIDA EMPIRE PLUMBING INC
Sub Contractor 76 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date 2/11/15 --------------------------------
----------------------------------- STATE PLBG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLBG DBPR SURCHARGE 2 . 00
-------------------------------------------------- ---------------
---------- Paid Credited Due
Fee summary Charged -- ---------- ----------
------------- --- ---------- . 00 . 00
Permit Fee Total 76 . 00 76 . 00 . 00
Plan Check Total . 00 . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total 80 . 00 80 . 00 . 00 . 00
Grand Total
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 PERMIT#
JOB ADDRESS-1to
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher stop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Septic Tank& Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: er o Grease Interceptor (Trap) gallons(Requires 3 sets of plans)
• Sewer Replacement Ei Back Flow Prevent o Well
• Lawn Sprinkler System-Number of Heads
** SJRWD Well COMPletion Form. Completd—form to be submitted to the—Building Department for final inspection."
Ei Other
ed or abandoned for six months.I hereby certify that I have read
ted
id if work does not commence within a six month period or work is suspend s governing this work will be complied with whether specif
Permit becomes vo e same to be true and correct. All provisions of laws and ordinance ation constructio or the erformance of construction.
this application and know th . ions of any other state or local law regul
or not. The permit does not give thority to violate the provis :1&b
(Au 61 QJ_
umber
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Property owners Fax
office Fhon
Plumbing Company
Cit State V-1—zip
Co. Address:
state Certification/Registration
License Holder(Print):
Notarized Signature of License Holder day'JI;Z7_�20R_
......... pAULA STEIN Sworn and subscribed
My COMMISSION#EE035063
Notary lic
EXPIRES October 17,2014 Signature of
ecoM
)3 8- 163 Forida