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1798 Selva Marina Dr 2014 Kitchen remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814 CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ELEC�!18 Job Type: ELECTRIC ONLY Description: SWITCH ES/OUTLETS Estimated Value: Issue Date: 10/1/2014 Expiration Date: 3/30/2015 PROPERTY ADDRESS: Address: 1798 SELVA MARINA DR RE Number: 172012-0000 PROPERTY OWNER: Name: REITER, DEE D Address: 1798 SELVA MARINA DR GENERAL CONTRACTOR INFORMATION: RVICE Name: WADE'S ELECTRIC SE Address: Phone: FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Switch Outlets $18.00 Trade Permit Base Fee $55.00 Total Payments: $77.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, Fl, 32233 Ph(904)247-5826 Fax (904) 247-5845 JOB ADDRESS: V775 5e).1vQ (naD'A2o DF--- PERMIT# -04�lq 6 JEA INFORMATION REQUIRED ON ALL PERMITS _:g�G .AMPS 2 LiO VOLTS PHASE VALUE OF WORK$ �3, 000 NEW SERVICE El Overhead Underground D Underground up Pole EResidential(Main)Service E10-100 amps 0 101-1 50amps 0 151-200amps E—amps #of Meters OCommercial(Main) Service 00-100 amps 0 101-1 50amps El 151-200amps. 11 amps OCT Service amps Conductor Type Size 0 Multi-Family(Main)Service LIO-100 amps El 10 1-1 50amps 11 151-200amps I]--- of Unit Meters OTemporary Pole Ll amps SERVICE UPGRADE 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) E1100amps D150amps 0200amps D amps 0 CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: __Lg 0-30amps 31-100amps 10 1-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including fli-x—tures. OTHER ELECTRICAL PROJECTS 0 Swimming Pool El Sign E Smoke Detectors_Qty D Transformers_KVA []Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPAIRSIMISCELLANEOUS 0 Replace Burnt/Damaged Meter Can E Safety Inspection 0 Panel Change [JOH to UG 40 AA-2 t"y OOther: Permit becomes void if wo"es not comm 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 Electrical Comp'llc�s P_�-'AL Office Phone V-3--992-L—Fax �2_21 -3 000 Co.Address: 76c) PlcasLzr'§� 8,�)(v �2,,,- — city-D-00- StateELzip _5?_ZZ5 License Holder(Print): "oke State Certification/Registration#.LR,'4300/-539 Notarized Signature of License Holder Before me this day of 20 Signature of Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 19 DEMOLITION PERMIT 04115W GA11-B* 4PM FOR NO= DA*T-b1'--"Pfi=- 305" -147-5-214 JOB INFORMATION: 3ob ID: 14-DEMO-52 Job Type: DEMOLITION Description: demo interior for kitchen remodel Estimated Value: Issue Date: 9/23/2014 Expiration Date: 3/22/2015 PROPERTY ADDRESS: Address: 1798 SELVA MARINA DR RE Number: 172012-0000 PRO 'ERTY OWNER: Name: REITER, DEE D Address: 1798 SELVA MARINA DR PER 1IT INFORMATIO 4: FEES: Demolition Fee $100.00 Total Payments: $100.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 JobAddress: 1-718 Selvc�, rpow�rv- "bl- 4 Permit Number: OCK fel#& 1% (41 ,4 q pe go 1;l`q* Legal Description IA4 I JI,& Of"Krcel 9 1-7 il:)-01-� -000 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move D ,CmolDition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial Residential If an existing structure,is a fire sprin=system installed? (Circle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: IC AAv, ProRerty Owner Information: Name: VeCoo D Address: 1-1?3 city'&HOVVIG &k StatefAZip 3A;�M Phone !?10y - E-Mail or Fax#(Optional)—d-r-0 A�ieOr- (ef* 4-ee, cn)� Contractor Information: CONTRACTOR EMAIL ADDRESS: CompanyNarne: Qualifying Agent: Address: city State zip Office Phone Job 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 a s here ade I tain e d e work and n a a i n a 'nd ca d e 'hat no work or installation has commencedprior to the y i f i rti nstructfo nthisjurisdiction. This permit becomes null ca��do ed r aWeriod of six�6.)months at any time after a ,rmi'to 0 0 t' tom tt i st " t r�s ds s t, n e i Ymd h a rk pi be e med he stan�a 0 a"law 'a ng ix f k .s s d d or ba n �o r ), t or c str i s 6 ct 0 r 0 d hin on u n , i u 1_ . ,P -s,Heaters, t t sp ( Ct 1� k Iii I'g,S1 S, e p s mu t be s cu or ric or p p c 0 t w Issua c 0 a permi an a and O'd work s'at commence w f d I understand a arate e e red E a gn Pools, urnaces,Boilet is "'c' k co Tanks andAj,Con itioners,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 I work will be complied with wh s ecifz'ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ofany otherfede stat r oc aw regulating construction or the peifo�mance of construction. Signature of Owner Signature of Contractor r n 000000, Eyo Print N -b 40 Print Name .......................... ............ ................................. ........................................................................................................................................ Bef Before me this ay 20 /4 this Day of 20 Notary Public y Public Stq* 0:yld1RUb c 14 Soho'ey L Graham MY COMmission FF 086990 or 0 Expires 02114/2018 Revised 0 1.26.10 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 SI JPERVISE THE CONSTRI JCTION 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. THE BUILDING MI JST BE FOR YQUR 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 TIES EXEMPTION. YOU MAY NOT HIRE 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 A D 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 UNDER ANY CIRC—UMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY 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. q0y - Py-2- 1 PHONE NUMBER ADDRESS PRIN E q(,) SIGN TURE DATE Beforemethis -yof 20�q the county of Duval,State of Florida,has personally ap ar d herin�y mse herself and affi that all statements and declarations are true an a c rate. Notary Public at Large,State of County Pirsonally Known .4 rucedidentifica n-- 0 Not8rY Public State Of Flor, 01 y — n FF 086990 Notary Signatu y CommISSIO Explr8s 021`14/2018 FJBLDGO�er-Builder Affadavit;REVI 6/2009 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PLUMBING PERMIT INSPECTION PHONE LINE 247-5814 ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOBINFORM Job ID: 14-FUSU-1 12 Job Type: PLUMBING ONLY Description: 3 fixtures Estimated Value: Issue Date: 10/9/2014 Expiration Date: 4/7/2015 PROPERTY ADDRESS: Address: 1798 SELVA MARINA DR RE Number: 172012-0000 PROPERTY OWNER: Name: REITER, DEE D Address: 1798 SELVA MARINA DR GENERAL CONTRACTOR INFORMATION: Name: TDG PLUMBING Address: Phone: FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $21.00 Trade Permit Base Fee $55.00 Total Payments: $80.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: Sc 1 v Is P%,NN Q)R- PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE oF FixTupx 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: Ei Sewer Replacement El Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans) o Lawn Sprinkler System-Number of Heads Ei Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." Ei 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 04te 9-C I.-\V-q— Phone Number Plumbing Companv�_,Co Office Phone ZUG-e)WA I Fax S-Vi zip -Ia:k�j Co. Address: a(, L.Z��t Z CL — CitVZ StateF�� License Holder(Print). _1\11 State Certification/Registration#C_'PC-\427?02. Notarized Signature ofLicense Holder Before me this d 20 Signature of Notary Public 1*jiiL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD #j ATLANTIC BEACH, FL 32233 MECHANICAL GAS PIPE PEMPECTION PHONE LINE 247-5814 ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMA�ftW Job ILIJ: 'ITIVICHG-202 Job Type: MECHANICAL GAS PIPING Description: 1 OUTLET Estimated Value: Issue Date: 10/13/2014 Expiration Date: 4/11/2015 PROPERTY ADDRESS: Address: 1798 SELVA MARINA DR RE Number: 172012-0000 PROPERTY OWNER: Name: REITER, DEE D Address: 1798 SELVA MARINA DR GENERAL CONTRACTOR INFORMATION: Name: PERFORMANCE GAS SYSTEMS LLC Address: Phone: FEES: Gas Pipe Outlets $10.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $69.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: PERMIT PROJECT VALUE $ ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating_ Duct Systems: Total CFM REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity_ BTU's Per Unit Seer Ratin REQUIRED Duct Systems: Total CFM FIRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires-3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) FIRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty_ Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators ALL OTHER GAS PIPI Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells 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 of any other state or local law regulation construction or the performance of construction. not. The permit does not give auth to Violate the provisions Property Owners Name 6F,4�Llza� Phone Number 1-941WIP Mechanical Company 3E 2 6195 S-2-14�,Office Phon 9—Pax 737- /X 6ej6� Z" 06 City State,�—Zip Co. Address: License Holder(Print): State Certification[Registration Notarized Signature of License Holder Before me this_day of 20 Signature of Notary Public