982 Ocean Blvd 2014 bath remodel CITY OF ATLANTIC BEA%
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001372 Date 8/22/14
Property Address . . . . . . 982 OCEAN BLVD TION
Application type description RESIDENTIAL ALTERA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 500------------------------------
----------------------------------------------
Application desc
DURAROCK BATH REMODEL ---------------------------------------
-- ---------------------------------
Owner Contractor--------------
----------
OWNER
ROULEAU, DAVID W
982 OCEAN BLVD
ATLANTIC BEACH FL 32233
--- Structure Information 000 000 BATH REMODEL
occupancy Type - - - RESIDENTIAL---------------- --------------
-- ---------------- - - - - - - -----------
Permit . . . . . . PLUMBING PERMIT
Additional desc - - 62 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date 2/18/15 --------------------------------
---------- -------------------------STATE DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
-------- ---
---------- --------------------------------------Credited Due
Fee summary Charged Paid ---------- ----------
------------- --- ---------- ---------- . 00 . 00
Permit Fee Total 62 . 00 62 . 00 . 00
Plan Check Total . 00 * 00 . 00 . 00
Other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 70 - 00 70 - 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00001372 Date 8/22/14
Property Address . . . . . . 982 OCEAN BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 500
-- -------------------------------------------------------------------------
Application desc
DURAROCK BATH REMODEL
---------------------------------------------
Owner Contractor
------------------------
------------------------
ROULEAU, DAVID W OWNER
982 OCEAN BLVD
ATLANTIC BEACH FL 32233
--- Structure Information 000 000 BATH REMODEL
occupancy Type . . . . . . RESIDENTIAL ------
-- -------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . - Plan Check Fee . 00
Permit Fee . . . . 60 . 00 Valuation . . . . 500
Issue Date . . . .
Expiration Date . . 2/18/15 -----------------------
-------------------------------------------- ------- 2 . 00
Other Fees . . . . . . . . . STATE DCA SURCHARGE
STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ----------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 * 00 . 00 . 00
Other Fee Total 8 . 00 8 * 00 . 00 . 00
Grand Total 68 . 00 68 . 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 1(904)247-5945
JOB AIDDRUS: PERMIT#
NEW Ofj� pLACEmEN INSTALLATION: Project Value S-Z'-- Ql�y
P FF
IXTURE QTY TYPE of'FixrURE
Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Ho5e Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating Syste"n
Other Fixtures
RE-PIPE: TYPE OF FIXTURE QTY
TypE OF FIXTURE QTY Septic Tank&Pit
Bathtub Shower
Clothes Wushcr Shower Pan
Dishwasher Stop Sink
Drink,ing Fountain Three Compartment Sink
r1oor Drain Toilet
Floor Sink Urinal
mose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: al Requires 3 sets of plans)
0 Sewer Replacement C3 Back Flow Preventer o Grease Interceptor(Trap) 9 lOns
o Lawn Sprinkler System-Numbcr of Heads C3 Well
** SJRWD Well Completion Form. CompletePb-n—nto be submitted to the—Building Deparunent for final inspection."
0 Other -----------
-- "a"'"
for tl,.t I have
I,pc'miod or work is%us oraban rsix months.I hereby certify that I have
Vcrmit bccomc%�o�idif worok Toe%not conimcnce within a six mon s of laws and ordinances governing this work will be complied with whether SiPcCirlcd
,his application and know thearne:to be true and correct All provision cal law regulation construction or the pc-rormance orconstrucLion.
I other state or to
or not. The pcmit does not give uutliority 10 violate the provisions of any Phone Number
Property Owners Name A/0 Z
Fax
10
Plumbing Company ffice-Phone
city State 2L/-Zip-292411-
Co.Addrm:-1�2��-L4
�'12 L�o
License Holder(Print); r State Certification/Registratioll#LLL—52-1
Man
Notarized Signature of License Holder 20 IL
Before me this day of
Signature of Notary Public DLANE 0.ROCHE
MY COMNUSSION ft FF009958
EXPnkFS:April 21,2017
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach,FL 32233
Office (904) 247-5826 Fax(904)247-5845
Job Address: Permit Number:
Legal Description Floor Area of Tq—.Ft—. Parcel# Sq--.+-t
non-heated/cooled
Valuation of Work$ Proposed Work heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structure(s) circle one): Commercial Residential
If an existing structure,is a fire sprinMr system installed? (Circle one): Yes No N/A
Florida Product Approval# _?
For multiple products use approva orm :A
Describe in detail the type of work to be performed:— 4,122
Property Owner Infor-mation:
14 s: 2—
Name: Addres
L
city Stat Zip Phone
E-MaiA 4 W((Option'ald�_
I or Fax -----------------------
Contractor Information: CONTRACTOR EMAIL AD I)RESS:
Company Name: Qualifying Agent:
Address: city State Zip
Office Phone ob site/Contact Number Fax#
State Certification/Registration
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application 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
meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
issuance of a permit and that all work will be performed to 6)months at any time after
and void ffwork is not commenced within six(6)months, ol if construction or work is suspended or abandonedfor a period ofsixPiurnaces,Boilers,Heaters,
work is commenced. I understand that separate permits must be securedfor Electrical-Work,Pluntbing,Signs, Wells,Pools,
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.
certify that I have read and examined this lication and know the same to be true and correct. All provisions of laws and ordinances governing this
I hereby f X1§ f a permit does not presume to give authority to violate or cancel the
type oj work will be complied with whether speci zed herein or not. The granting q truction.
�f ns
provisions of any otherfederal,state, or local law regulating construction or the pe omance of co
Signature of Own 0 ej Signature of Contractor
PrintName ........................................................................................................................................
Print Name 19 J
.................................................... .......... ...........................................
Before me Before me 20
this—Day of 70 this —Day of
ota Public Nota ublic Revised 01.26.10