1890 Beach Ave interior remodel 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST eAtt BY 4PM FOR NE)ff BANLiNSPEffleN- 2491 5614
JOB INFORMATION:
Job ID: 14-RAAR-146
Job Type: RESIDENTIAL ALTERATION
Description: interior remodel
Estimated Value: $35,000-00
Issue Date: 10/16/2014
Expiration Date: 4/14/2015
PROPERTY ADDRESS:
Address: 1890 BEACH AVE
RE Number: 169542-0602
PROPERTY OWNER:
Name: SUMNER, WILLIAM D & DEBORAH F,
Address: 1890 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: HORN BUILDERS INC
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $112.50
BUILDING PERMIT FEE $225.00
STATE DCA SURCHARGE $3.38
STATE DBPR SURCHARGE $3.38
Total Payments: $344.26
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233
FILE COPY ;�
(904)247-5800
PLAN REVIEW COMMENTS
Permit Application # / `�/— gffifig —IV6
Property Address: 1 ,� 9C 13-eoc-A 2q a_,_
Applicant: L-Lorr�-- 13LI" )dPr3
Project: ---J7,q 4�e y-rz3 CZ R-0 v-x 0 0/0-/
This permit application has been:
Approved
Reviewed and the following items need attention:
ye Ltz 10 g (Alq
of n hu
P-e 10 To C 0 4- A-0- L M L�".. J
Please re-submit your application when these items have been completed.
Reviewed By: Date: /0- 7-1Z
6 0
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH Adoo 3111 ,
800 Seminole Road, Atlantic Beach, FL 32233
7nT 7'
Office (904) 247-5826 Fax (904) 247-5845
Job Address: lq9e> P-,"C-H A Y eNLkC Permit Number:
,,-r .3/ -(SIZC As A2&e't U6 201
e-k i B&A d,1
Legal Description ?"T v2z, IV I(IA,IV S� /Ve- Parcel#
Floor Area ot Sq.Ft. ',q
-k n�n=e fi��Ied
Valuation of Work$ SS _Proposed Work heated/cooled
Class of Work(circle one): New Additio Alteration epair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial �Residential
If an existing structure,is a fire sprinkler system installed? (Circle one):: N/A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
,-J 92-- ra,4-r�-T -z 6"4,V ,;,re e a cb 0-00", S
Property Owner Information:
Name: b�b 6X-^0 S 44 r�?^J C-iz- Address: 1996 i4VE
City 0r1,Ar-1r&- A6-Atif StateFL Zip -:m2 33 Phone 72�7 - �9 76-5—
E-Mail or Fax#(Optional
Contractor Information:
Company Name: H 0 izAd Qualifying Agent: C-vAAV-"-s "O'N
Address: ))-z 1 5- 5 T.J-Meo-5. ilAz-PY-L)y city 07C State r4- Zip 9'2 Z.y 6
OfficePhone 636-J/ Z92z(,�� Job Site/Conta-cf Num6er Fax#L(;oVT2�y-z--z-&0J
State Certification/Registration# d=c-all -5
Architect Name& Phone#
Engineer's Name&Phone# I)IA
Fee Simple Title Holder Name and Addiess r--1/A
Bonding Company Name and Address #,J/A
Mortgage Lender Name and Address r-J14
A a on he e ade an a e o do he work and in a'a ions s 'ndi cgd 'certify that no work or installation has commenced prior to the
a ng construction in this jurisdiction. This permit becomes null
in t s' t ds a'I laws eule dt or abandoned for a period of six(6)months at any time after
i s,
r it r t lork " n is
f
ic i s r 'ym t to 0' pi be e ormed to in t the tan ar
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,d d k en ed hn cu' f r0E e a k Plumbing, Signs, ells, Pools, Furnaces, Boile Heaters,
' 1 " r 0
is c"', i in c -i x Obe e ed
k nced. I understand that separate Permit, mu t
Tanks and Air 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I here f laws and ordinances governing this
,lb certify that I have read and examined this application and know the same to be true and correct. Allprovisionso
work will be complied 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 other�fieaderal,state, r local law regulating construction or the puformance of construction.
tr
Signature of Ownt-1 _,t—��e of Contractor
Print Name C-HP&L-�
Print Nam .........................................................................................................................................
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Sworn to and subscribed before me Sworn to and subscribed before me
this Day of 5PC�o 6C-R— 20,�!( this > Day of S 944- 20 1Y
PATRICK FXH P
MY COMMSSI #FF VA75 6rimlFMA75 _
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City of Atlantic Beach APPLICATION NUMBER
(To be assigned by the Building Department.)
Building Department
8 Seminole Road ie-
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
City web-site: http://www.coab.us FFDate routed: 11J,
APPLICATION REVIEW AND TRACKING FORM
Property Address: Department review required Yes No
ICU i�Id i n FI)
Applicant: /'/d/f PT5—hning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTAI #
APPLICATION STATUS
Reviewing Department First Revie �4proved. ODenied.
(Circ 8.) Comments: 0 C_
BUILDING
PLANNING &ZONING Reviewed by: Date:/0
(B=UILDIDNG
DenJTREE ADMIN. rSecond Review-: FolApproved as revised. E]Deni
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: —Date:
FIRE SERVICES ed. FIDenied.
Third Revie, nApproved as revis
Comments:
Reviewed by: —Date:
REVISED 09252014
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
ELECTRICAL PERMIT INSPECTION PHONE LINE 247
-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247
JOB INFORMATION:
Job ID: 14-ELEC-323
Job Type: ELECTRIC ONLY
Description: 28 switches
Estimated Value:
Issue Date: 10/28/2014
Expiration Date: 4/26/2015
PROPERTY ADDRESS:
Address: 1890 BEACH AVE
RE Number: 169542-0602
PROPERTY OWNER:
Name: SUMNER, WILLIAM D & DEBORAH F,
Address: 1890 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address:
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $16.80
Trade Permit Base Fee $55.00
Total Payments: $75.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: �6-q D /40enuip- PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS ONO VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 0 Overhead E:1 Underground Underground up Pole
--Residential(Main) Service
7-0-100 amps --10 1-1 50amps 151-200amps -_amps #of Meters
D Commercial(Main)I Service 151-200amps --I CT Service amps
E10-100 amps 10 1-1 50amps El amps
Conductor Type Size
-'Multi-Family(Main)I Service 151-200amps 11 amps #of Unit Meters
F-0-100 amps F7101-150amps
DTemporary Pole E_amps
SERVICE UPGRADE 11 amps E CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
�1100amps D150amps ��200amps El amps ECT Service amps
ADDITIONS,�'E�MODEL REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: -all—0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: —0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including flix-t—ures. -rl
OTHER ELECTRICAL PROJECTS
El Swimming Pool 11 Sign DSmoke Detectors_Qty L-1 Transformers KVA E]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Ei Replace Bumt/Damaged Meter Can 0 Safety Inspection 0 Panel Change 11 OH to UG
FE 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 ave
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. Tbe 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 ;5U-#V-' ry-c -Phone NumberqDq-?Uq- N"(3
Electrical Company I Office Phonequ
Co.Address: fD(Os-— l:3 Cit I StateRL- Zip
License Holder (Print): ertification/Registration#E-19160) a I
Notarized Signature of License Holder
20,
.00 Notary Public Stab of%ricle Sworn and subscribed fore m this 7
?jj�j� Anna M Daty t
lie)
My Commission EE 850790
E.pire.01/25/2017 Signature of Notary P lie