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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