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434 Sailfish Dr 2014 bath remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001334 Date 8/19/14 Property Address . . . . . . 434 SAILFISH DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc bath remodel --------------------------------------------- Owner Contractor ------------------------ ------------------------ GAVIN, WALTER L. OWNER 434 SAILFISH DRIVE E. ATLANTIC BEACH FL 32233 --- Structure Information 000 000 BATHROOM REMODEL occupancy Type . . . . . . RESIDENTIAL -- ------------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc 65 . 00 Plan Check Fee . 00 Permit Fee . . . . Valuation . . . . 2400 Issue Date . . . . Expiration Date - - 2/15/15 ----------------------- ----------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 8 . 00 8 . 00 . 00 . 00 Grand Total 73 . 00 73 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. A% % . )U - CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5814 INSPECTION PHONE LINE 247 C !tit Application Number . . . . . 14-00001334 Date 8/19/14 Property Address . . . . . . 434 SAILFISH DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------------------------------------------- Application desc bath remodel --------------------------------------------- Owner Contractor ------------------------ ------------------------ GAVIN, WALTER L. OWNER 434 SAILFISH DRIVE E. ATLANTIC BEACH FL 32233 --- Structure Information 000 000 BATHROOM REMODEL occupancy Type . . . . . . RESIDENTIAL -- ------------------------------------------------------------------- ----- Permit . . . . . . ELECTRICAL PERMIT Additional desc - - Plan Check Fee . 00 Permit Fee . . . . . 60 Issue Date . . . . 8/19/14 Valuation . . . . 0 Expiration Date 2/15/15 ------------------------------- ------------------------------------STATE DCA SURCHARGE 2 . 00 Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 Due Fee summary Charged Paid Credited ---------- ----------------- ---------- ---------- ---------- . 00 Permit Fee Total . 60 . 60 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 8 . 00 8 . 00 . 00 . 00 Grand Total 8 . 60 8 . 60 . 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 JobAddress: q3q ScLITA*4s,Al Ort_14r, Permit Number: Legal Description Parcel Floor 2k�ea of Sq.Ft. Valuation of Work'S q00D.Cso Proposed Work heated/cooled non-heated/cooled C�4 pit.) 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 No N/A Florida Product Approval# For multiple products use product apV—r_—ov—aTTo_rm Describe in detail the type of work to be performed:—&"63 "10 Property Owner Information: Name- Address: 5 a q sa; Dc 1h city State: zi&,MPI onq !?t3q. Ay E-Mail or Fax#(optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: Qualifying Agent: Address: city ate P Office Phone Job Site/Contact Number X State Certification/Registration# Architect Name&Phone# A IiL. Engineer's Name&Phone# 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 o the w nd installations as indicated. I certify that no work or installation has commencedprior to the issuance of a permit and that all work will be e ormedt eet the standards of all laws regulating constructi'on in this jurisdiction. This permit becomes null ix month if construction or work is suspended or abandonedfor aWeriod qf SiXP6)months at any time after and void zywork is not commenced within t be securedfor Electricat Work,Plumbing,Signs, ells,Pools, urnaces,Boilers,Heaters, work is commenced. I understand that s arate er is mus 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 FINANCIN439 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I here�certify that I have read and examined thisa lication and know the same to be true and correct. All provisions of laws and ordinances governing this y to violate or cancel the ty P, ? work will be complied with whether speci ie§d herein or not. The granting of a permit does not piesume to give authorit provisions of any otherfe&deral,state, or local 1 regulating conStruCtion or the peTformance of construction. Signature of Contractor Signature of Owner Print Name j yj A Ui 0 ............. Print Name ...................................................................................................................................... ............................ .................................. Before me Before me - 20 this ay o 20 this Day of orida otary ublic, blic Shirley L Graham My Commission FF 086990 Revised 01.26.10 Of Expires 02/14/2018 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,Fl, 32233 Ph(904,241-1821 Fax(904)247-5845 PERMIT# JOB ADDRESS: ---- JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$� NEW SERVICEE] Overhead F-1 Underground D Underground up Pole oResidential(Main) Service L]151-200amps 0 am s # of Meters E10-100 amps 0 101-150amps p []Commercial(Main)Service [I 151-200amps am s E CT Service amps 00-100 amps D101-150amps p Conductor Type, Size oMulti-Family(Main)Service Ll 151-200amps Ll amps #of Unit Meters [10-100 amps [110 1-15 Oamps OTemporary Pole 11 amps SERVICE UPGRADE El-amps E CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) EICT Service amps [1100amps D150amps E1200amps El-amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: _]�__0-30amps -31-100amps _101-200amps Appliances: -0-30amps _31-100amps _101-200amps A/C Circuits: -0-60amps -6 1-1 00amps Heat Circuits: - # circuits @-kw Number of Lighting Outlets;�Including Fixtures: _ qj�� OTHER ELECTRICAL PROJECTS oTransformers; KVA o Motors hp oSwimmingPool [] Sign []Smoke Detectors-Qty FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK Qty_volts/amps REpAIRS/MISCELLANEOUS 0 Panel Change [I OH to UG []Replace Burnt/Damaged Meter Can El Safety Inspection .ElOther: ork is suspended or abandoned for six months. I hereby certify that I have Permit becomes void if work does not commence within a six month period or w 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 Fax �Wiceftone Electrical Company J01A city State_Zip Co.Address: State Certification/Registration# License Holder(Print): Notarized Signature of License Holder 20- Before me this day of Signature of Notary Public J CITY OF ATLANTIC BEACH OWNER / BUILDER AFFIDAVIT 1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT IURE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. 11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. ill. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED LIN CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. -OCCUPATIONAL LICENSE" IS NO THE OWNER SHOULD PHYSICALLY 455-228(l). AN 3 T ADEQUATE. SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826) IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. _05 30 3 q PHONE NUMBER 4DATrj A ESS rd f7 P R;1111A M E Sl TURE Before me this_day of 2Q___ in the county of Duval,State of Florida,has personally appeared herin by himself I herself and affirms that all statements and declarations are true and accurate. Notary Public at Lar state of_,county of 0 Personally wn 0 Produ entificabon- ;4,t-_ IN10tafy Public State of Florida ey ra am My Commission FF 086990 S-Pifiss OV14/2018 Notary AAA FJBLDG/0"er-Builder Affadavit; D:4/16/2009 ,'L V CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001330 Date 8/18/14 Property Address . . . . . . 434 SAILFISH DR Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------- -------------------------------------------------------------- Application desc 3 FIXTURES --------------------------------------------- Owner Contractor ------------------------ SKINNER PLUMBING GAVIN, WALTER L. 1416 ARLINGTON AVE 434 SAILFISH DRIVE E. FL 32211 ATLANTIC BEACH FL 32233 JACKSONVILLE (904) 727-7000 -- ------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . - Plan Check Fee . 00 Permit Fee . . . . 76 . 00 Valuation . . . . 0 Issue Date . . . . Expiration Date . . 2/14/15 ----------------------- -------------------------------------------- -------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76 . 00 76 . 00 . 00 . 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 JOBADDRESS: 14 Le , 4T, 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 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 F-1 Back Flow Preventer 0 .Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Ei Lawn Sprinkler System-Number of Heads Ei Well ** SJRWD Well Completion Form. Complete&f—orrn to be submitted to the Building Department for final inspection.' 0 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 1 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 W&77PJ� 6AV,*-fV .Phone Number-904*"??3 P" Plumbing Company P1 06, K, —Office Phone -7 OW Fax State-F—L–Zip 7t�J/ Co. Address: 1480 FrILLZINCt"00b AV69 city 0."4 License Holder(Print): r*A#VL- <k a e�rtification/Registration# d PCO Va 0 6 Notarized Signature of License Holder Before me this_day of 20 Signature of Notary Public a*:��