358 Royal Palms Dr interior remodel 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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RESIDENTIAL ALT/OTHER
MUSPI CAtt BY 41-M FUR 1-14-E-A-1 DA- 1 1114arr-ffi.10N. 247-5814
JOB INFORMATION:
Job ID: 14-RAAR-229
Job Type: RESIDENTIAL ALTERATION
Description: INTERIOR REMODEL
Estimated Value: $4,000.00
Issue Date: 10/21/2014
Expiration Date: 4/19/2015
PROPERTY ADDRESS:
Address: 358 ROYAL PALMS DR
RE Number: 171712-0000
PROPERTY OWNER:
Name: CHAPMAN, MARK B
Address: 358 ROYAL PALMS DR
GENERAL CONTRACTOR INFORMATION:
Name: XL PORPERTIES & CUSTOM
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $70.00
BUILDING PERMIT FEE $140.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $214.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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NOTICE OF COMMENCEMENT Perrn,,,� -q-1q-91Me- 22f
State of TaxFohoNo.
County of At Vzd [FILE COPY
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 CO CE
1 - 14
Legal Description of property being improved:_-3 0—
t4,0&(i
Address of prope4 being improved:
-3A.2- 74
General description of improvements:—&P-1-et,
AX�
Owner: 4?-1A--e1j1i Address: 3 AP 0.
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
C tractor: XL
Address:
——j--1—.
Telephone No.: ?("Y—Y72 7 Fax No:
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) ear from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWN
t)—jq-jc/�
--------14AA Signed: Date:
Before e is of in theiponixf D a],Sta
UEVA Of Flor pers nail appeared /01V
CARINA VILLAN h &-114 J,
1, Commission#FF 034512 Notary Public at Large,State of Florida,County of Duval.
4- Expires July 8,2017
Bndd Thr�Toy Fai�ln��a NO-385-70 9 My commission expires:
-— - Personally Known: or
�oc#2014235224,OR SK 16946 page I-) 9, Produced Identification:
lumber Pages: i
ecorded 1016/2014 at 10:22 AM,
onnie Fussell CLERK CIRCUIT COURT DUVAL
OUNTY
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC 13EACH
FILE COPY 800 Seminole Road,Atlantic Beach, Fl, 32233 wwo
Office (904)247-5826 Fax (904) 247-5845
Permit Number: 2-2-
Job Address: 5n_ Al,a eh e-~ 3
Legal Description (ffW /ir 0�)q_f A- arcel# �z —0000
F16or ea of a�_ q. t
Valuation of Work$ 46vo, Prnnnsed Work b6ated/cooled 1511� ed/cooled--5-/
Class of Work(circle one): New Addition Alteration (9�i Move Demolition pool/spa window/door
Use of ex�ting/pro osed structureQ)(circle one): Commercial esidential
If an existing strucriure,is a fire sprinkler system installed?(Circle one): N/A
Florida P�oduct Approval#
For multiple products use product approval form
Describe in detail the type of work to be perfomled: Rq o eA J, &�v-�AWI
AAd
Property Owner Information:
Name: &4dt kct Address: L333 5e
city Or M&AR,5 Stater-
.k Zip IZ411 Phone MY V—JF777
E-Mail or Fax#(Optional).............
A94,4000l
Contractor Information:
Zip YA.2_47
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
A a e e a bana e d he work and n a a �ns a 'n�ic or installation has commencedprior to the
' Py do ,rmit to 0 0 t tom tt i st " ti Sa thisjurisdiction. This permit becomes null
i ppi c 'io ''s r M h to 0 t p b d
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Tanks and Air Con knone's,dc.
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 hereby certify that I have read and examined this lication and know the same to be true and correct. All provisions oflaws and ordinances g rningthis
j la cancelthe
type o work will be cotnplied with whether s eci ie herein or not. The granting of a permit does not presume to give aut i t
provisions ofany otherfederal,sta or local lating construction or the peFfo�mance ofconstruction.
Signature of Owner Signature of Contracto
Print Name Print Name A�
.... .........................9...... ................................................................................... .................................
.... .............. ..................................................................................
co 'ied w*h w 'her s ec
ap
,f,e- herein or n,
r elera',sl'al :local laiing const,
_r
ner
. . ...........................
Sworn to and su 17 ore me Swo t d b crible� me
b riV bef
C
aire
this Day of 2 this 71�`Nalysof S C 20
UAMNAV LLANU:EVA—
NotaryPubfl6 v COMMiSSio 0 'Iota 'P&bWcV
n#FF 0345
Expires My 8,2017
Revised 0 1.26.10
Bonded Thm Troy Fain Ineu
',� ' �f City of Atlantic Beach APPLICATION NUMBER
ell--1 'To be assigned by the Building Department.)
19 Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445 & 2-2-
Phone(904)247-5826 - Fax(904)247-5845
9�--' City web-site: hftp://www.cl:)ab.us Date routed:
APPLICATION REVIEW AND TRACHNG FORM
Property Address: -Dep&rtment review required Yes No
�;-W1 . C Building-7-), 7'
Applicant: 77an—ning &Zoning
Tree Administrator
Project: Public Works
Public Lit;1lities
Public�Er-,i'aty
res
Review fee Dept Signature _
CONTRACTOR EMAIL ADDRESS XL? "AdJua IoL . &o
CONTRACTOR CONTACT # S7 -7 -7
APPLICATION STATUS
Reviewing Department First Review: [e/Approved. E]Denir
(Circle one.) Comments:
QB:UI L:D I N nG
PLANNING &ZONING Reviewed by: ate 10
TREE ADMIN. Second Review: FlApproved as revised OD
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:_ Date:
FIRE SERVICES
Third Review: FlApproved as revised. ElDenied.
Comments:
Reviewed by:_- Date:
REVISED 09252014
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
MECHANICAL HVAC PERMITkTLANTIC BEACH, FL 32233
Q CALL BY 4PM FOR NEXT DAY INb"CMjd(2X7P5*0WE LINE 247-5814
JOB INF
'Inh Tn-
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3 TONS
Estimated Value:
issue Date: 10/29/2014
Expiration Date: 4/27/2015
PROPERTY ADDRESS:
Address: 358 ROYAL PALMS DR
RE Number: 171712-0000
PROPERTY OWNER:
Name: CHAPMAN, MARK B
Address: 358 ROYAL PALMS DR
GENERAL CONTRACTOR INFORMATION:
Name: AVALON HEATING AND AIR
Address:
Phone: - -
PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply will result in a failed inspection and reinspect fees. No
exceptions.
FEES:
Furnaces and Heating $24.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
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: PERMrr#
PROJECT VALUE $ ARI UIRED
Air Handling Equipment Only X 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 -3 12
Heat: Unit Quantity BTU's Per Unit -3A 1, 00 0 Seer Rating_
Duct Systems: Total CFM REQUIRED
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) "rei7
N
(Requires 3 sets of plans) ......... LQ
Commercial Hoods Quantity
(Requires 3 sets of plans) Vf�j
Fire Suppression Systems Quantity
FIRE PLACES MISCELLANEOUS:
'r
Automobile Lifts t1Q.11171
Prefabricated Fireplace Qty
Boilers BTU's
Gas Piping Outlets OA*.........
Elevators/Escalators JrL 0
ALL OTHER GAS PIPING 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
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 64a Phone Number ?000'l-31-tX7
-Idl X Fax &L
Office Phone J L/
Mechanical Company
Co. Address: City_j�J4 �.StateA- Zip 6
'I,,Y,9/1./ State Certification/Registration# 61Y6/,' d?61Y
License Holder(Print): --Alk .- -
Notarized Signature of License Holder -- v,5-14 day of be jtj�,Cr-- 20
Before me this
Signature of Notary Public,