1915 Sea Oats Dr 2014 rlocate tub shower CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
N
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-RAAR-685
Job Type: RESIDENTIAL ALTERATION
Description: RELOCATE TUB AND TOILET IN EXISTING BATHROOM
Estimated Value: $5,000.00
Issue Date: 12/30/2014
Expiration Date: 6/28/2015
PROPERTY ADDRESS:
Address: 1915 SEA OATS DR
RE Number: 172020-0914
PROPERTY OWNER:
Name: WALLACE, PATRICIA A
Address: 1702 N 3RD AVE
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $37.50
BUILDING PERMIT FEE $75.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $116.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
L
BuILDING PERMIT APPLICATION
FILEftopy CITY OF ATLANTIC BEACH DEC 8 2014
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 1915 Sea Oats Dr Permit Number:
1-,9140 4 S�r
Legal Description 36-62 9-2S-29E, SELVA MARINA UNIT I I Parcel#
Floor Area of S�q. t. Sq.Ft
Valuation of Work$ 5,000 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Repair Move Demolition pool/spa window/door
Use of e�i�tingifproposed structure(s) circle one): Commercial (Re�sidential)
If an existing structure,is a fire spriler system installed? (Circle one). N /A
Florida Product Approval # I I -x 0 b , Y
For multiple products use product approval form
Describe in detail the type of work to be performed: Relocate tub and toilet in existing bathroom
Property Owner Information:
Name: Patricia A. Wallace —Address: 1915 Sea Oats Dr
City Atlantic Beach State: FL Zip: 32233 —Phone 904-662-7895
E-Mail or Fax#(Optional
Contractor Information: 4?tf 4e-oF 7 j c P-7
Company Name: Grgy&GM Qualifying Agent: GaEy Gray
Address: 6491 Powers Ave Citv: Jacksonville State- FL Zip 32217
Office Phone 904-224-5971 Job Site/Contact Number 44-474-5787 Fax#
State Certification/Registration# CBC1255138
Architect Name& Phone 4
Engineer's Name& Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has commenced prior to the
issuance o,,(a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void ff work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a 'od o
Wperi f six(6)months at any time after
fo
work is commenced I understand that separate permits must be secured r Electrical-Work, Plumbing,Signs, �11s, Pools, Furnaces, Boilers, Heaters,
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 hereb,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
�j
work will be complied with whether specified herein or not. The granting of a permit does not presume to give rity to violate or cancel the
provist.ons of any otherfederal,state, or local law regulating consiruction or the per/brinance of construction.
Signature of Owner@�d'&A-�Nhbu___ Signature of Contractor
Print Name VX-r;iaF- Y�)-_ Print Name
.................................................................................I...................................................... ............< ...........................................
Sworn to and subscribed beforp me Sworn to and subscribed before me
this 0 Day of 20 t it/ this 12�,- Day of
2014
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.6ank,16 City of Atlantic Beach
APPLICATION NUMBER
Building Departma,,-�`_'t
'b be assigned by the Building Department.)
800 Seminole Road 1*4 P~ ( i
Atlantic Beach, Florida 322:33-5445
Phone(904)247-5826 - Fax(904)247-5845
City web-site: http://wvirw.t-,)ab.us Date routed:
APPUCATIONI REVIEW AND TRACKING FORM
Propertry Address: 1415 Sf-A OATS M twient review required Ye
No
ui din
9- -------
Applicant: Zoning
ree Adrninistrator
Project: TO I Lei_f Public Wo.rks
Public Utilities
136—bric S-a-fety
Fire Ser,(,�;_&S� _
Review fee Dept Signature
,'r-.-ONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: FL-K—Proved. IlDenier!
(Circle one.) Comments:
1004�
PLANNING &ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: F]Approved as revised. 11DIDeni d
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Revievir. []Approved as revised. DlDeni�)r,
Conarrients:
Reviewed by:— Date:
VISED 0925201i-',
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. TaxFolioNo, 172020-0914
State of Florida County of Duval
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: 3 6-6 2 9-2S-2 9E
Selva Marina Unit 11
Address of property being improved: 19 15 Sea Oats Dr
Atlantic Beach, FL 32233
General description of improvements: Relocate tub and toilet
owner Patricia Wallace
Address 1915 Sea Oats Dr, Atlantic Beach, FL 32233
Owner's interest in site of the improvement Fee Simple
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Gray & Gray Construction
or
Address 6491 Powers Ave,Jacksonville,FL 32217
Phone No. 904-224-5971 Fax No.
Su ety(if any)
Address Amount of bond$
Phone 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
Phone 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 Statutes. (Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a