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1810 Selva Grande 2014 bed bath remodel CITY OF ATLANTIC BEACH iJ 800 SEMINOLE ROAD 'J r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 DIM RESIDENTIAL ALT/OTHER MUST CA' I—PX412M FOR bj1PXTnAX-INSl2EC1T0N- 7147-5814 JOB INFORMATION: Job ID: 14-RAAR-142 Job Type: RESIDENTIAL ALTERATION Description: BED BATH REMODEL Estimated Value: $59,860.00 Issue Date: 10/9/2014 Expiration Date: 4/7/2015 PROPERTY ADDRESS: Address: 1810 SELVA GRANDE DR RE Number: 169542-5004 PROPERTY OWNER: Name: CARPER, RICKY L Address: 1810 SELVA GRANDE DR GENERAL CONTRACTOR INFORMATION: Name: KMS SYSTEMS INC Address: Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $159.72 BUILDING PERMIT FEE $319.44 STATE DCA SURCHARGE $4.79 STATE DBPR SURCHARGE $4.79 Total Payments: $488.74 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 3 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 PLUMBING PERMIT INSPECTION PHONE LINE 247-5814 ! CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-PLBG-392 Job Type: PLUMBING ONLY Description: INSTALL 5 FIXTURES Estimated Value: Issue Date: 11/7/2014 Expiration Date: 5/6/2015 PROPERTY ADDRESS: Address: 1810 SELVA GRANDE DR RE Number: 169542-5004 PROPERTY OWNER: Name: CARPER, RICKY L Address: 1810 SELVA GRANDE DR FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $35.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Q Ph(904) 2247-5826 Fax (904)247-5845 JOB ADDRESS: /U/0 �ekek-_ �rA 4 O/e �`- PERMIT # NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE of FIXTURE QTY TYPE of FIXTURE QTY Bathtub 1 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: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** SJR WD 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 of laws and ordinances governing this work will be complied with whether specified he same to be true and correct. Allprovisionsg P this a lication and know t g PP construction or the performance of construction. or not. The permit does not give authority to violate the provisions of any other state or local law regulationp Property Owners Name /Ur- ck 4 �-rlyer- Phone Number Plumbing Company C.�- o�' ��'''L'"t Office / Phone -7 ;(X—6ao Y Fax 73 � 0 ho"- State 1IOln/2e CityZip ✓ Z 1- License License Holder(Print): �� Gd✓i�v�u tate�Certi1fication/Registration#C/�OS 70 7 Notarized Signature of License Holder � wcnl� EL:----- '� Before me this� ay of w 20 JENNIFER WALKE MY COMMIS51ON p FF.0,1480 EXPIRES:Apn124,2017 Signature of Notary Publi?'` Bonded 7hru Notary public underwriters _a -,-.v.is,saw+caMrn�we.MaS#r'-asa?Phwm�ssx.,,.:.,,.. BUILDING PERMIT APPLICATION a. JIL COPY CITY OF ATLANTIC BEACH 800 Seminole Road, atlantic Beach, FL 32233 r =� Office(904)247--s826 Fax(904)247-5845 fol►Address; 1810 SELVA GRANDE DRIVE, ATLANTIC BEACH, FL 32233 Permit Number: Legal Descilption 38-28 09-2S-29E SELVA TIERRA Parcel# 169542-5004 Floor rea of 1,q.Ft. N y. i�% t Valuation +if Work S 59,860.00 Proposed Work- � non-heated/co led C^rc� CCvs>c�-•�� ('I-,ss of Work(circle one): Nei; \ddition Mteration Repair �,;i",._ntia molition pool/spa window door t'se ofexi%ling/pro osed structure(%)(circle one): Commercial d If an ecistina struc�ure, is a fire s ruikler%stem ins lled•. (Circle one): . To N l=\ Florida Product Approval� S For multiple products use product approval form Describe in detail the type of work to he performed: Complete Master Bath Remodel&Custom Build New Addition- Master Bedroom Closet- 10'x8'. 11'ronertv Owner Information: Dame:RICKY L CARPER Address: 1810 SELVA GRANDE DRIVE Citv ATLANTIC BEACH State FLZip 32233_Phone 904-891-8543 1:,_X1ail or Fax,i (Optional)RCARPERC5COAB.US Contractor lnrorniation: Coinpanv Name: KMS SYSTEMS, INC. QuallAing agent: KEVIN P FITZGERALD Address: 1301-C PENMAN ROAD _Citi' JACKSONVILLE BEACH State FL Zip 32250 011ice Phone 904-568-4211 Jot) Site;.;Contact Dumber 904-568-4211 Fax 4 888-583-3480 State Ceitification•Registration =`CBC1258387 .lrcliitcct Name&Phone# Enoincer's Name&Phone t! TOM BRACKET 904-821-7879 Fee Simple'Title f lolder Name and Address - - -- Bonding Company Namc and Address \lor(gagc Lender Name and .address _41v1dic,mon is lzer el)v nzade to obtain a permit to(lo Ilre work and installations as indic•aled. 1 eer•trrf.,11110 no x ork or installation has eomnzenc•ed prior to the is:.uaucc qJ a prrrnil rnzd Ilnrt all work wrll he performed to nzreto zslrrzr tin>,r r+l mrk l c Snc 7 ended z0."7hm d(vezdzfor alz riod of ci.O7z6)mvzjlav ntf(Mv timesynill cifter alzd roirl f tirnrk i.c nn0 commenred within six.hi mozzth., or,fr 1 send:is ronnrzrrre(rl. 1 arnrferczrTrrd that sep7r7tt per nrits Hurst he.cecured,lor Electrical lVork, Phanhing, Signs, ells, PooLc zlrnlcec, J3ailerc, Heaters, Tanks and Air(ont itionerr,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 ATTORNEYBEF R ERECORDING Y61fk NOTICE OF .................. MAp SH(I 11G BO U"ARY SURVEY 0 LOT Z.- BLOCK r AS SHOWN ON MAP OF AS RECORDED IN PLAT BOOK_ �- THE PtJBLJC RECORDS OF DUYAL COUNTY Ft rar,�ma R- PO Ce--R TiF IED FOR: o� �J BUJ C6 r � ` a t, 0. $Z t o 7-, }� o M ti 5 C co rz . City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road �R�• ��Z. Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 City web-site: http://www.coab.us Date routed: Q APPLICATION REVIEW AND TRACKING FORM Property Address: Q V a n a� aertment review required Yes No Lg Applicant: rC ng &Zoning Tree Administrator Project: ��� / / Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature CONTRACTOR EMAIL ADDRESS CONTRACTOR CONTACT # APPLICATION STATUS Reviewing Department First Review Approved. ❑Denied. (Circle one.) Comments: r BUILDIN PLANNING &ZONING Reviewed by: Date: 10- 7-/ _ TREE 0^ 7- TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES - Third Review. ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: REVISED 09252014 r� NOTICE OF COMMENCEMENT State of FLORIDA Tax Folio No. 169542-5004 County of DUVAL To aa`hom It%lay 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 COIvIIvfENCEN 4ENT. Legal Description of property being improved: 38-28 09-2S-29E SELVA TIERRA -------- - - :address of property being improved 1810 SELVA GRANDE DRIVE, ATLANTIC BEACH, FL 32233 __-_...__ __ .._....... General description of improvements: - Complete Master Bath Remodel&Custom Build New Master Bedroom Closet Addition Owner: RICKY L CARPER Address: 1810 SELVA GRANDE DRIVE, ATLANTIC BEACH, FL Owner's interest in site of the improvement. OWNER Fee Simple Titleholder(if other than owner): Name: Contractor: KMS SYSTEMS, INC. ... .------ ._ .._._ . - Address; 1301-CPenman Road, Jax Beach, FL 32250 - ------ Telephone No.: 904-568-4211 Fax No: 888-583-3480 Surety(if any) Address: _---Amount of Bond$__._._..__........_....__..._ ......__...____........._........ ........... -- Telephone No: _— ......... Fax No:-- Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: ___....._.._......__._.__.-- _ _...---.......-- .Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: Name: Address.. ...... ..........—..._............................._......._.._.._............__.... Telephone No: ...- - Fax No:---- ..._....... _........ In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: --- -- Address: "Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): — THIS SPACE FOR RECORDER'S LSE ONLY OWNEAdd Signed: Date: Before da of inval.Siate Of Flori , son y ap gyred Notary Public at barge,Sta f Florida,County of Ihnal. My commission expire,: ..... _.__...._._...__.._.-.__..__....._._....._._...__.__.__....... Personally Known: ....... Produced Identification ——- t It Np(1iru Puohe$tale of 6`iariAA �i terry yaUbi 9tati M lhpYlddi 9ninay!�3raPaix S y L rkeri trtt •u0 �i Exrre4s 02111 C2?r13 o�sR�© Aly Ganm�uen��1)II6l90 �Qa03pt44lOt! it v x C • � s H y c O o C.2 W cin Ai o 8 LO w p U ' LLLUm �' « "'!. C txii Z _U �i z Q 12 'a u a z n Q 72 Z Q q a OG w fl 3 t m (� 0 N C6 z zl .� �r Q tIx ') ^� 5-2 GA w n m x so o c i j3 E i N 3i C 7f= � � rar iJI LL r CL i' L ^J L r � y < � c6 4_ DA 4 It [ QQ wi �6 t— 06.Q� C ^ � .-�,N rn •► r, 00 i I II� I I j � s � C O .� j 3 � � t { i _ I r b O .� "i 6 � � •� .n § rr E � € C I i. � ..... �...,.�,.v. k, ' L I L � O fi O Mz yy, � � rr, L O ,.: � � ., 1�j ��j � .. O � � d G4 r: U oC f� O �y+, i3 Er W 1 cv rrs � v� �ti r; H � ori *•i •.: �; �; r oe u: C r+ rn � :.1 J i v v y O v o [[ 3 tU Flo 0 o m c.ti 61.1 t 1•n 3 '� � � � \ w r I� c.. r r T M"I •y .,�,, V r. n 01 „C 9 ? Vt �' © ma s S o to c.1 a From:Kevin Fitzgerald Fax:(888)5833480 To: +19042475845 Fax: +19042475845 Page 2 of 2 10/21/20149:13 NOTICE OF C'_rMMENCEMENT State of County of L _Tax Folio No. LAL— 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: General description of improvements: a r Owner: ,�e�C - �ew�✓ G 'B Address: VA 6Z4.►,DE f,1� Owner's interest in site of the improvement (� '��`Q m Fee Simple Titleholder(if other than owner): _'__-_,-_ Name:'/_,, - Contractor. Address: X30/. 6°E�l/�. ✓ .2/> .J'"��e ps4 L� �2 � Telephone No.:gt!K� Fax No: 6WNF S83 Surety(if any) — Address: _ Amount of Bond S Telephone No: Fax No: Doc#2014237923,OR SK?6950 Page 365, Name and address of an on ma a loan for the construction of the improvements Num er Pages' Y 1 �$ Recorded 102iJ/2014 at 03 r)1 FM, Ronnie Fusser CLERK CIRCUI-COURT DU`iAL Name: COUNTY Address; RECORDING$1000 i 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 Owners 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 OR NER Signed: _ Date: d Dnfvrc me day o in the Cuu of va,State Of Florida has p onally appeared onally Known: or uced Identification: ry Public: q expires: �Pv Edp�i lorida i N `S, CITY OF ATLANTIC BEACH z j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ELEC-502 Job Type: ELECTRIC ONLY Description: 33 fixtures Estimated Value: Issue Date: 11/24/2014 Expiration Date: 5/23/2015 PROPERTY ADDRESS: Address: 1810 SELVA GRANDE DR RE Number: 169542-5004 PROPERTY OWNER: Name: CARPER, RICKY L Address: 1810 SELVA GRANDE DR GENERAL CONTRACTOR INFORMATION: Name: ALL SERVICE ELEC GROUP Address: 1556 WHITLOCK AVE JOSEPH SULLIVAN/RICHARD SPEAKE Phone• - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Lighting Outlets, Including Fixtures $19.80 Trade Permit Base Fee $55.00 Total Payments: $78.80 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY,OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-55/845 JOB ADDRESS: �C) C�/ �� ��� �2 �f `/C'lj�` °� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole []Residential(Main) Service 110-100 amps 1110 1-I 50amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 11200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: �YT�-30amps 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$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change 11 OH to UG ❑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. n Property Owners Name L'4�0 L� /�' � Phone Number �Y�" 5 �✓ Electrical Company � ��CG� �7�2 i� �9l� OfficecPhone yy� /3�/ Fax��S Co.Address: City nrxsowZJ)Ae� State 151 Zip lW ll License Holder(Print): W Sit V1 `� State Certification/Registration X074 Notarized Signature of License Holder =o1'a"P�.�I MICHELE M.SPEAKER efore me this day w 1 �/�� 20 `7 Notary Public-State of Florida ` ( v y r: �o My Comm.Expires Nov 8, 2016 Signature of Notary Public I v� 1, 1 Commission#EE 843836