1733 oceanGrove Dr 2014 Kitchen-bath remodel �s := CITY OF ATLANTIC BEACH
ij 800 SEMINOLE ROD
J � ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
!tit
Application Number
14-00001360 Date 8/27/14
Property Address . . . . . . 1733 OCEAN GROVE DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation 25000
-------------------------------
Application desc
KITCHEN BATH REMODEL
------------------------------
Owner Contractor
------------------------
KELLY, GREGORY MATHIEU BUILDERS
1733 OCEAN GROVE DRIVE 1778 OCEAN GROVE DR
FL 32226
JACKSONVILLE
ATLANTIC BEACH FL 32233 (904) 813-3661
Structure Information 000 000 KITCHEN BATH
Occupancy Type
RESIDENTIAL
-----
Permit----
• RESIDENTIAL ALT/OTHER
Additional desc Plan Check Fee 87 . 50
Permit Fee . . . . 175 . 00 25000
Issue Date Valuation
Expiration Date . . 2/23/15
_____ -----------------------------------
--- 2 . 63
Other Fees
STATE DCA SURCHARGE 2 . 63
STATE DBPR SURCHARGE
________ -----
Fee summary Charged
Paid Credited
______ 175 . 00 ------- . 00 . 00
Permit Fee Total 175 . 00 g7 50 00 . 00
Plan Check Total 87 . 50 5 26 00 . 00
Other Fee Total 5 . 26 . 00
Grand Total
267 . 76 267 . 76 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
v. ....._ R . ., .,..
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH D
FILEC 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904)247-5845 AUG 1
Job Address: IIJ 3 1('ec�t pro de, 4;"`' Permit Nu der:
`l-
l�rc�.. 4eve �n-r N0 Z Parcel# 16 q 6 °9 - 000
Leal Description � O
g P Floor Area ol q. t. SqTt
Valuation of Work$zC '° ProP osed Work heated/cooled /?00 non-heated/cooled
mr).
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 Residenti
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval orm
Describe in detail the type of work to be performed: fc,L", e✓ QfG� 64 f�
00`ra
Property Owner Information:
Lel% u� Address: l 133 DG�a n �ro✓e, /��
Name- 9 y G
City f1-f(a,2 J% �3�a h State r--Zip Z��3 Phone
E-Mail or Fax#(Optional)
Contractor Information: /�
Company Name: MCI> �,d 6,., ac"s To L_ QualifyingAgent: ��S�in
City M-la,l f r c 6ca(� State C, Zip 3 22 33
Address:-39 W f�S Fax#
Office Phone �3"36C Job Site/Contact Number ��3 3 6
State Certification/Registration# G B c- 1 LS S
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
t to do the t no work or
llation
commenced
the
Applicationis hereby
anmadedot obtain
ll wor will beperformedtoomeet the stanrk and ldards of all ations as indicated.
regulatinconstruction in this juQisdictio�his permit becomerior s n
ull
and f permit
work void ommencied of 1commenced understand within six
separate permits muor st be construction
for Electrieual Work,Plumbing,Sigor ns,or aWells�Pools,x�uinaees,Boilmonths at ers tHeaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR RECORD
ORD
E OF
COMMENCEMENT MAY RESULT IN PAYING TW OR IMPROVEMENTS
BTAIN
CONSULT
TO YOUR PROPERTY. IF YOU INTEND EOO�RE CORDING YOUR NOTICE OF H
YOUR LENDER OR AN ATTORNEYCOMMENCEMENT.
1 here certify
w 11 t I have read d complied with whetheed pt eis ciQedlica therein o not. The granting of a pew the same to be true a dcesnd cnot presumelto giveons of authority uthows rity tol vlolatences gor cancel this
type of
provisions of any other federal te, or local[mv regulating construction or the performance of construction.
Signature of Owner Signature of Contracto
6Print Name ..................... ....... .... ....��5_--.� `-' '� .
Print Name1.P--660 ./............................../
20
.............
S orn t�•end s f scribed before me SW o F and subscribed fore me 20
t `D A u 1 _ th' Day of
JAssn.
tary Public ;.�tp° ALBERT MORENONNotary Public-State of Revised 01.26.10My Comm.Expires May 2Commission # EE 91Bonded Through National Not
City of Atlantic Bea€.h APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
yr
Atlantic Beach, Florida 32' 33-5445
Phone(904)247-5826 • Fax(904)247-5845 2�
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / 73 3 !� C a� ro V Department review required Ye No
J Building
Applicant: �Q' i� �� �� ( nning &Zoning
Tree Administrator
Project: L Eh Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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 Rei -ants
Division of Alcoholic Beve -is and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review Approved. [:]Denied.
(Circle one.) Comments:
=BUILDING
PLANNING &ZONINGReviewed by: E-. 5? '�
TREE ADMIN. Second Review: Reviewed
as revised. ❑De d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by: Date:
FIRE SERVICES Third Revie•. ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
NOTICE OF COMMENCEMENT
State of �' 1z Tax Folio No.
County of pt,�.V-4 L/
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
Address of property being improved: ��3 QGean
rp dE r, [lv (,7
c G.e..
General description of improvements: �c.co✓4 Address:
//
Owner: U�� a ell
Doc#2014[93:85,OR BK o89i rage:409,
Owner's interest in site of the improvement: e,�e S ^�
i
Number Pages:1
Fee Simple Titleholder(if other than owner): Recorded 08/2712014 at 08:17 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVA
�X, Name: COUNTY
Contractor: Wclh . e K ��e�s �hcv RECORDING$10.00
Address: 3 G✓ S�
1414a'c
Telephone No.: IL Fax No:
Surety(if any)
Amount of Bond$
Address:
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
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:
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 OWN0aa
Signed- � Date: � 1e7 1Before 7'`�day of Y v in the County of Duval,State
ALBERT MOf�ENO Of Flor , personally appear: ✓ L�"`;7 -
Notary Public at Large,State of lorid County of Duval.
Notary Public-Stale of Florida g CJ 5�� G7
• My Comm.Expires May 26,2015 My commission expires: 5 or '
Commission# EE 9/846 Person ly own:
••�i,��UF FtU` Bonded Through National Notary Assn. Produ I ntif c ti n:
� �j!..•L`1,rJr�
CITY OF ATLANTIC BEACH
s�
j� 800 SEMINOLE ROAD
J rr ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001360 Date 9/04/14
Property Address . . . . . . 1733 OCEAN GROVE DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 25000
---------------------------------------
Application desc
KITCHEN BATH REMODEL
--------------------------------------
Owner Contractor
------------------------
KELLY, GREGORY MATHIEU BUILDERS
1733 OCEAN GROVE DRIVE 1778 OCEAN GROVE DR
ATLANTIC BEACH FL 32233 (904)JACKSONVILLE FL 32226
--- Structure Information 000 000 KITCHEN BATH
Occupancy Type . . . . . . RESIDENTIAL
----- ----------
PermitELECTRICAL PERMIT
Additional desc REMODEL LITCHEN/BATHS
Sub Contractor FERRANTI ' S ELECTRICPlanCheck Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date . . 3/03/15
-------------------------------------------- --
Other Fees .
_ STATE ELEC DCA SURCHARGE 2 . 0
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------- ----------
. 00----------
Permit Fee Total 90 . 00 90 . 00 00 . 00
Plan Check Total . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total
Grand Total 94 . 00 94 . 00 Op . 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: I 33 c7CP— 6rUyE PERMIT # I �,' - ! -3 L�
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps (_I 150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAHIS/MISCELLANEOUS
F1 Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
[40ther: �emo be k,re_Ao,.) , gATIJWVDA,S
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 &qZt C, K� y Phone Number
Electrical Company Fe
r/'c^A LZe2Tr, c L L C Office Phone S'-1S-&6 ! S Fax SZ S •)Y2 L
Co.Address: /6 4I ��� R v A City (-C s /° State Zip 3 2v 9
License Holder(Print): State Certification/Registration# C-
Notarized Signature of icense Holder
Before me this day of 20
Signature of Notary Public
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
►Jjilt
Application Number . . . . 14-00001360 Date 9/02/14
Property Address . . . . . . 1733 OCEAN GROVE DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 25000
--------------------------------------------------------------------
Application desc
KITCHEN BATH REMODEL
----------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
KELLY, GREGORY MATHIEU BUILDERS
1733 OCEAN GROVE DRIVE 1778 OCEAN GROVE DR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32226
(904) 813-3661
--- Structure Information 000 000 KITCHEN BATH
Occupancy Type . . . . . . RESIDENTIAL
-------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc 17 FIXTURES
Sub Contractor PROFESSIONAL PLUMBING SERVICES
Permit Fee 174 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/01/15
---------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 61
STATE PLBG DBPR SURCHARGE 2 . 61
-----------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 174 . 00 174 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 5 . 22 5 . 22 . 00 . 00
Grand Total 179 . 22 179 . 22 . 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 130
JOB ADDRESS: / 7 s e G `F-)q W 6 ?tI D ir PERMIT#
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 TrayWater Connected Appliances
Lavatory - Water Heater
Other Fixtures Water Treating System
RE-PIPE:
TYPE oFFIXTURE QTY TYPE oFFIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
DishwasherShower Pan oe
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs _ Urinal
Kitchen SinkVacuum Breakers
Laundry Tray —� Water Connected Appliances
Lavatory _ - Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well **
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.**
❑ 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 Phone Number
Plumbing Company. 4r, W4Z %W!5! s&V'-0 Office Phone Fax
Co. Address: Y$-2, Y /1A0V0vct 42" '#'Z' City Stat/1q. Zip-rLuy
License Holder(Print): /7-////C QeqV4-ro State Certification/Registration# C QrCb
Notarized Signature of License Holde
JeN=APdIgnature
fore me this 2� day of } 20
MY COM80 C
EXPIR � nature of Notary Public
a, d° Bonded Thrwrfl�f0 g
h'.