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1767 W Park Ter addition 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ;r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 19 RESIDENTIAL ALT/OTHER MUST GALL BT?Pi i-FOR NEXT BAY!NSPECTIBN" 317 68 34 JOB INFORMATION: Job ID: 14-00001505 Job Type: RESIDENTIAL ALTERATION Description: BATH REMODEL AND SCREEN ROOM OVER EXISTING SLAB Estimated Value: $6,500.00 Issue Date: 10/22/2014 Expiration Date: 4/20/2015 PROPERTY ADDRESS: Address: 1767 W PARK TER RE Number: 172020-0380 PROPERTY OWNER: Name: PACE, JOHN PARK & ELAINE, Address: GENERAL CONTRACTOR INFORMATION: Name: LOVEJOY CONSTRUCTION SVRS INC Address: Phone: - - PERMIT INFORMATION: FEES: STATE DCA SURCHARGE $1.24 STATE DBPR SURCHARGE $1.24 BUILDING PERMIT FEE $82.50 PLAN CHECK FEES $41.25 Total Payments: $126.23 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT State of, FI, Tax Folio No. County ol'_DIJVAI. To Whom It Mav Concern: The undersigned hereby inl2rnns you that improvements will he made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description ol'property being improved: Address of property being improved: i OT 21 BLOCK 12 OF SEL VA MARINA I NIT NO 8 Pi A'I'ROOK 34 PAGE 85 Parcel #172020-0380 General description of improvements:Remodel master bathroom, add screened addition over existing slab and add outdoor shower Owner:_JOHN AND ELAINE PACE Address:_3380 PLAZA WAY Salt Lake City,Utah Owner's interest in site ol'the improvement:_Rental property_ _ Fee Simple Titleholder(il'other than owner): Name: C Lr t( . L OVEJOY CONSTRUCTION SERVICES,INC. Address: 2160 FORTIES ST.JACKSONVILLE.FL 32204 — !!!"" Telephone No.:_(904)521-4379 ___ Fax No:_NO FAX-EMAIL-I)DOUGI IM(a)COMCAST.NI f Surety(iF-any) Address: Amount of Bond$ Telephone No: Fax No: Name and address ol'any person making a loan for the construction of the improvements Name: NA ---- 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 LOVFJOY CONSTRUCTION SERVICES.INC:. Address: 2160 FORBES ST.JACKSON VILLE,Fl,32204 Telephone No:_(904)521-4379 Fax No: EMAII;DDOI1(;HMra!0'OMCAST.NFT In addition to himself.owner designates the following person to receive a copy ol'the Lienors Notice as provided in Section 713.06 (2)(b),Florida Statues. (Fill in at Owner's option) Name: LOVEJOY CONSTRUCTION SERVICES,INC. Address: 2160 FORBES ST.JACKSONVILLE,FL 32204 'telephone No: (904)521-4379_ Fax No:_F,MAIL,-DDOUGI1M MCOMCAST.NF,'F Expiration date ol'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 OWNER 0o�oi-' Sc(.4- L ct �e Signed:�{'` Alt Datr 7 Before me this / _day of - u the County t)f'Ftnrida,has personally appeared :,e GfG-2- Notary Publie'at Large.'State of Florida,County of Duval. My commission expires: .j(',f Personally Known: ',14�� or Produced identification: ANIF 313{3{ i .:,t.-t•• 3.4' l.� :y ,z!r.: i..:ion Fa.sr 1 Doc#2014240499 0 9.-C l OR BK 16953 - d� <; +P cl t tial, Number Pages. 1 Page r4<. Recorded 10122,,2 014 2: 37 Ronnie Fussell CLERK CIRCUIT CQ ! URT DUVAL COUNTY • RECORDING$10.00 Y BUILDING PERMIT APPLICATION IL COPY CITY OF ATLANTIC BEACH 800 Seminole Road.Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 i Job Address: 1767 Park Terrace W. Permit Number: LU I Legal Description 1 M 172020-0380 Floor Area of Sq.Ft. Sq.Ft Valuation of Work S��Proposed Work heated/cooled non-heat d.'ooled Class of Work(circle one): New Addition Alteration Repair )emolition pool/spa window/door Ilse of existing/pro �structure(s)( imic one): Commercial Reside If an existing structure,is a fire sprinkler system installed?(Circle one. N/A Florida Product Approval# For multiple products use product approve orm Dcscnbe iin detail the type of work to be performed: Remodel master bathroom,add screened addition over existing slab and add outdoor shower Properly Owner Information: Name: JOHN AND ELAINE,PACK Address: 3380 PLAZA WAY City SALT LAKE CITY State_UI_Zip 84109 Phone (801)837-2733 r Mail or Fax#(Optional) ECHOLAINE(r?GMAIL.COM Contractorinformation: -Pj>l33&k1 M00CoM0CAt5y Company Name: LOVEJOY CONSTRUCTION SERVICES,INC. Qualifying Agent: DAVID T.DOUGHMAN Address:2160 FORBES ST City JACKSONVILLE State F_Zip 32204_ Office Phone(904)5214379 Job Site/Contact Number_DAVID OR JOHN—Fax# State Certification/Registration# CBC1250325 Archft;ct Name&Phone# SCOTT LEUTHOLD (904)389-5456 Engineer's Name&Phone# BILL LF.IITHOLD(SIGNED AND SEALED) Fee Simple Title Holder Name and Address NA Bonding Company Name and Address NA Mortgage Lender Name and Address NA A�ppphcafion is hereby made to Obtain a perntit to do(he work gind installations as indicated I cerliJi,that no work or+nstallalirm hav c•on+menced prior m+ tlnc•issumxre of a perma amt Mat all war*will he performed to meet the.standanty of all laws regulating construction in thisYursdtctiw=. 71+ts perms becomes null mid void if work is not commenced within.sir(6)months,or if construction or work ns suspended or ahandrmed for a L'enod of sis(6)manth., at any time after work is commenced. 1 ur+dersimid ilial.separate permilx must be secured for Elecit al Work Plumbing, gns.melts.Pools,Furnaces, Boilers,Heaters,nmaksandAirCandidenem 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 heryby eenijv that I//=ave mad and,cxamined Ibis ap icmion and know the.same to be trio•anal correct. 411 p4give an( ovrmimg this tl pc of w6r*will he complied with whether spec ted heroin or not. The grranmg of a permit does not presu •io/roe or once/thr Prtrvcsionsofenvotherfederal•slate,orlocal law re latingconstntclionor the perfrowmneofconsiruction. Signature of Own r'` Signature of Contractor Print Name ' Print Name 7yH Sworn to and subscribed before rye Swo an bscrib o thi Day of rl9zf�1��c f 20 19 this ay of Notary Public Notary Revised 01.26.10 iA v.°rrnA m w Notary Public� h CONNIE RANDS �- 43 - 341- 0 Cammission#655255 K v r My Commission Expii-es Yy July 9,2016 to _„•�s. �State of Utah Notary Public Stats of Florida Y� Shirley L Graham My Commi"lon FF 086990 99pires 02/14/2018 FILE COPY PRODUCT APPROVAL INFORMATION SHEET � PROJECT NAME: PACE RESIDENCE Permit# PROJECT ADDRESS: 1767 PARK TERRACE WEST,ATLANTIC BEACH, FLORIDA Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. Exterior Doors 1. Swinging Neuma Doors 5'-4" x 6'-8" Outswing Hinged Patio Door Non- Impact, +50/-50 psf DP 14752.5 2. Sliding 3. Sectional 4. Rollup 5.Automatic 6. Other B. Windows 1. Single Hung 2. Horizontal slider 3. Casement 4. Double Hung Marvin Windows & Doors Wood Ultimate Double Hung Non- impact,+40/-40 psf DP 13524 5. Fixed 6. Awning 7. Pass-through 8. Projected 9. Mullion 10.Wind breaker 11. Dual action 12.Other C. Panel Wall 1.Siding 2. Soffits 3. EIFS 4.Storefronts 5.Curtain Walls 6.Wall louvers 7.Glass block 8. Membrane 9.Greenhouse 10.Synthetic stucco 11.Other D. Roofing Products 1.Asphalt shingles 2. Underlayments Parabase FS Siplast/Icopal Asphalt coated fiberglass base sheet meeting ASTM D 4601,Type II with polyolefin film backing Design Pressure+0/-82.5 psf 1075.6 3. Roofing fasteners 4. Nonstructural metal roof 5. Built-up roofing 6. Modified Bitumen Paradiene 20 Siplast/ Icopal Asphalt elastomer sheet, random glass mat reinforced Design Pressure +0/-402.5 psf 1075.8 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10.Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other E. Shutters 1. Accordian 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6. Equipment 7. Other F. Structural Components 1. Wood connector/anchor ABU66 Simpson Strongtie Post Base 10849 H2.5T Simpson Strongtie Hurricane Tie 11478 H3 Simpson Strongtie Hurricane Tie 10456 HTS16 Simpson Strongtie Strap 10456/ 13872 HUC210-3 Simpson Strongtie Hanger 10655 LS50 Simpson Strongtie Angle 10446/ 11478 MSTA24 Simpson Strongtie Strap 10852/ 13872 2. Truss plates 3. Engineered Lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. Skylights 1. Skylight 2. Other H. New Exterior Envelope Products 1. 2. In addition to completing the above list of manufacturers, product description and State approval number for the products used on this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed instructions, along with the list above, on the job site available to the inspector. The products listed below did not demonstrate product approval at time of plan review. I understand that before these products can be inspected,they must be submitted for review for code compliance and approved by a Plans Examiner. This form will be revised to include each new product in the categories listed above and will be highlighted to indicate the new products and required information. Authorized Project Agent: (Contractor or Design Professional) Scott Leuthold Date William Leuthold Architect, Inc. 2742 Herschel Street Jacksonville, FL 32205 ph: 904.389.5456 fax: 904.389.3805 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road.Atlantic Beach,FL 32233 pdg/coo�led_ .Ottice(904)247-5826 Fax(904)247-5845 �IJob Address: 1767 Park'lerrace W. _ Permit NumbLegal Description '° I ' ' 172020-0380 Floor Area of Sq.Ft. Sq.Ft Valuation of Work$�(gL Proposed Work heated/cooled�_ non-heat (lass of Work(circle one): New Addition Alteration Repair M )cmolitton pool/spa window/door Use of existing/proosed structure(s)(circle one): Commercial // Reside If an existing structure,is a fire sprinkler system installed?(Circle one N/A Florida Product A proval# For multiple products use pro uct-approval form Describe in detail the type of work to be performed: Remodel master bathroom,add screened addition over existing slab and add outdoor shower____ Pro"rty Owner Information: Name: JOHN AND FT AINF PACE Address: 3380 PLAZA WAY Citv SAI T I:AKF CFPY State 1L—Zip 84109 Phone (801)837-2733 F-Mail or Fax#(Optional) FCl TOLAINFWl GMAIL"COM LV —_ Contractorinformatiow DD�Z�MtVC9� Y' ^'�` Company Name: LUVF.JOYCONSTRICT ION SERVICES,INC:. (lualilvingAgcm: DAVIDT.DOUGIIMAN Address-1160I7QRRFS ST City JACKSONVILLE State Fl, Lip 32204_ 017ice Phone (9041521-4--00 Job Site/Contact Number_DAVID OR JOI IN—Fax I/ StateCertitication/Registration# Architect Name&Phone 11 SCO'Cl'Ll3tll'I IOLI) (904)389-5456 limaincer's Name 8 Phone# BiLI.1.1.T IT]IOLD(SIGNED AND SEALED) Fce Simple"title Holder Name and Address_NA _ Bonding Company Namc and Address NA -- -- Mortgage Lender Name.md Address NA I�/rplrcnnorr is hrnfir nnule ur nhtuur u penrnt to do[he worA Sn+J urc[u/la0uns us mdicrr/eal I cerli/i•tha!rut u•nr$ar nasialla6,,n lrac eonrmenced prior to the rssuunre of a prion!and t/en u!/work will he perlonned w meet du•.emnJrnLs,,full lams wigutanug avnslrncltWr tit dies lurisdrrhun. This 1wruur hecurnrs rill//and rill it surrrk i.c nut csanureW+:rd r+'rtl»n sex(61 ntonl1m.ur rfconstrucnon or ll,wk is srt.,y+ended or ahmulneed firr a[�•mad nfs+.r(6)nunrrh., N mil•arae ru/ier work is cuutnrenced. I tit dervand that seprurm•pern+ils'nnrs[he sec:atal for Electrical lf'ork-,Plttmbing,Signs,1Q'Ils,Pools,Farnrrres, Boilers,Healers,Trrnlu'and:lir Conditioner,,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. 1 hrrehv ez'rrifr'thin l lune rend and cutmined flris applicntlnn and laras+�the.came m hr(ore nnrf eorrre't. All rnn•rsionsof 7m++s and• , nitres arerning ibis hyii of Nrink tri!/he complied a•i(Ir u•hc[hrr s7x e{llred herein ur nut. I hr gnrnlrng afu panni!dors no!pra•s+nnc m givr rrrnlunittt •ndrnr or mord fit, prnricionc uJ ur+v olAer fida•r•crl,svu(e•,ur Inas!low rr+,r+durnrg a nr+stnartian or thr rn•r/annrmre of eurrc(nrcuon. 2 Signature of Own Signature of Contractor ....... ......._. ........ . Print Name Print Name .. �Jn;� Sworn to and subscn. ed before a Swo ran bscribr o_, this /i Day of ii- 20 this ay of - --- �0 Notary --- Notary Public Revised 01.26.10 43 a�'oi Notary Public State of Florida _ Shirley L Graham My Commission FF 086990 "i 29pires 02/14/2018 f i City of Atlantic Beach ` APPLICATION NUMBER ro be assigned by the Building Department.) ,�• Building Department �/ N y 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone (904)247-5826 • Fax(904) 247-5845 Date routed: E-mail: building-dept@coab.us L_ City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM �N ® ent review required Yes No Property Address: Buildin d �11s�r077 anning&Zoning Applicant: r or li/.///� �( I t�rPublic Werk- Project: Public Uti+__ies Public S,�_;'iy CQ g Fire Sei vices Review fee $ Dept Signature Review or RecE=' ' Date Other Agency Review or Permit Required of Permit Verified 6 Florida Dept. of Environmental Protection Florida Dept.of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: AP PLICATION STATUS Reviewing Department First Review: ❑Denied(Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by:J�%! — Date: 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 05/14/09 F APPLICATION NUMBER City of Atlantic Beach (To be assigned by the Building Department.) Building Department �S aiy 800 Seminole Road Atlantic Beach, Florida 32233-5445 /� l Phone(904)247-5826 • Fax(904)247-5845 Date routed: �..p r E-mail: building-dept@coab.us U1i1� City web-site: http://www-coab.us APPLICATION REVIEW AND TRACKING FORM �, ) J!D ent review required Yes No Property Address: �� !N V d /1 ,�LT744 - &Zoning Applicant: V �J or orks Project: ilitiesoOmOafetyJIYG „ ices Review fee $ Dept Signature _.. Review or Rece�:pt Date Other Agency Review or Permit Required of Permit Verified By Florida Dept. of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS artment First Review: Approved. Denie��+.. Reviewing Dep (Circle one.) Comments: BUILDING Date: PLANNING &ZONING Reviewed by'. TREE ADMIN. Second Review: [-]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES Date: Reviewed by: PUBLIC SAFETY FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: 7 Reviewed by:_�.--_-- Date: Revised 05114(09 _ CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 PLUMBING PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-PLBG-679 Job Type: PLUMBING ONLY Description: INSTALL 4 FIXTURES Estimated Value: Issue Date: 12/18/2014 Expiration Date: 6/16/2015 PROPERTY ADDRESS: Address: 1767 W PARK TER RE Number: 172020-0380 PROPERTY OWNER: Name: PACE, JOHN PARK & ELAINE, Address: 3380 PLAZA WAY GENERAL CONTRACTOR INFORMATION: Name: KELLEYS PLUMBING CONTRACTING Address: 3866 VALENCIA RD MICHAEL RYAN KELLEY Phone• - - — FEES: State PLMG DBPR Surcharge $2.00 State PLMG DCA Surcharge $2.00 Plumbing Fixtures $28.00 Trade Permit Base Fee $55.00 Total Payments: $87.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904)247-5845 JoB ADDRESS: /7�7 �t�- l��=� w PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 L 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 ** ** SJRWD 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 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 Plumbing Company � ^"J�^ �� IAII Office Phone 3f Z"Z?�� Fax Co. d re,�s,, 79-' lII� V-A 64A, �_ ` City State Zip F VK14 O V . ✓ State Certification/Registration# 7F-do�75yJ1 License Holder(Print): MlG (Z I Notarized Signature of License Holder }� Before me this da of � C, 20-- — Y " JENNIFER WALKER MY COMMISSION#FF 011480 Signature of Notary Publl •: `, EXPIRES:April 24 2017 ^.r a• Bonded Thru Notary Public Underwriters