888 Seminole Rd 2014 Bath remodel RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-RAAR-125
Job Type: RESIDENTIAL ALTERATION
Description: BATH REMODEL
Estimated Value: $5,000.00
Issue Date: 10/8/2014
Expiration Date: 4/6/2015
PROPERTY ADDRESS:
Address: 888 SEMINOLE RD
RE Number: 171969-0000
PROPERTY OWNER:
Name: PADGETT, DONALD A
Address: 888 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: SONSHINE CONSTRUCTION,INC.
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $1.13
STATE DBPR SURCHARGE $1.13
Total Payments: $77.26
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
Job Address: Ong 5*m A14kk f4i A/k(AX-4 14 5PF5 Permit Number:
Legal Description Floor Area of Sq.Ft. — Parcel# Sq Ft
Valuation of Work Proposed Work heated/cooled no*n-heated/cooled
Class of Work(circle one): New Addition Alteration 6�>ove Demolition pool/spa window/door
Use of existing/pro osed structure(s) circle one): Commercial Residential
If an existing structure,is a fire sprinMr system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approvaFTo—rm
Describe in detail the type of work to be perfonned: Aaik,
Property Owner Information:
Name: ,. ;2.1, 9 /
Address: tr__�
city .44 sk, Statcf.4Zip-1529,V Phone
E-Mail or Fax#(Optional
Contractor Information: CONTRACTOR EMAILL ADDRESS: lVe-GA ICA(C-f A- t1,t11&0 .40-tl
Company Name: �0�,Wemw T_A�_Qualify' g gent: &_Kyo -
Address:-414#7A4&M4c /Val d- Ci of 054,&4 St
Office Phor;e %2 V Z: Job Site/Contact Numberfp$��,O MI _Fax#VZ:-W/?w
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
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 thisjurisdiction. This permit becomes null
and void ffwork is not commenced within six(6)months, or if construction or work is suspended or dbandonedfor a period qfsix�6)months at any time after
work is commenced I understand that separate permits must be securedfor Electricar Work,Plumbing,Slins, Wells,Pools, jurnaces,Boileis,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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I herelb 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
work will be co�nplied with whether specified 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 local law regulating construction or the pe-ifi:irmance of construction.
Signature of Contractor 1�q
Signature of 0 r
Print Name
Print Name
Befo Befor
this thisAayag ;�20
T7
Nc
Ublt Stare of Florida
Shirley L Graham hirley L Graham
NotmrfLTI ire ly, NotN'�Tublic utarY Public State of Florida
IV �Ay Commission FF 086990 myc
of", Expires 0211412018 _.-=jV8FM62V.10
q Of I E,,p,,
CITY OF ATLANTIC BEACH
N dffl
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
PLUMBING PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMA
J00 lu:
Job Type: PLUMBING ONLY
Description: 1 fixture
Estimated Value:
Issue Date: 10/8/2014
Expiration Date: 4/6/2015
PROPERTY ADDRESS:
Address: 888 SEMINOLE RD
RE Number: 171969-0000
PROPERTY OWNER:
Name: PADGETT, DONALD A
Address: 888 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: STYLES SMITH PLUMBING, INC
Address:
Phone:
FEES:
State PLMG DBPR Surcharge $2.00
State PLMG DCA Surcharge $2.00
Plumbing Fixtures $7.00
Trade Permit Base Fee $55.00
Total Payments: $66.00
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
1OB ADDRESS: 5emir, PERMrr#
,jEW 0;j�R�EPLA�CE����TALLATION: ProjectValues
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
Drinkinc,Fountain Slop Sink
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:
• Sewer Replacement 0 Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn SpHn1der System-Number of Heads ci Well
** SJRWD Well Completion Form. Completei-f—orm to be submitted to the—Building Department for final inspection."
Ei Other
rtify at I have read
a six month period or work is suspended or abandoned for six months.I hereby ce th
Permit becomes void if work does not commence within . this work will be complied with whether specified
this application and know the same to be true and correct. Ali provisions of laws and ordinances governing
or not Tie 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 � -�8 - -7 S (P3.
Plumbing Company ' OfficePhone 'ZL41 - 4131- Fax2q q- �13�
Co. Address: 91-'—state A_Zip_3Z_�=5�
m::, 1) �Iv
License Holder(Print): 51ate Cert* i n/Registration# cmill i
Notarized Sigutature of License Holder
Sworn and subscribed before me this—day of 20
Signature of Notary Public