Permit 10 10th Street Unit 44 2005Y
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CITE OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 05-00031671 ~~~'~ - Date 11/22/05
Property Address . 10 10TH ST
Tenant nbr, name REMDL KITC/BATH/VANITY
Application description RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning TO BE UPDATED
Application valuation 26000
Owner
------------------------
HEIB
ATLANTIC BEACH FL 32233
Contractor
------------------------
D.K.B. ENTERPRISES, INC.
278 1ST STREET
ATLANTIC BEACH FL 32233
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Permit BUILDING PERMIT
Additional desc .
Permit Fee 210.00 Plan Check Fee .00
Issue Date Valuation 26000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 210.00 210.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 210.00 210.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
SIJILDING CODES.
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BUILDII~(G OFFICIAL
CITY OF ATLANTIC BEACH c«
BUILDING /ZONING DEPARTMENT F
800 Seminole Road L. Higgins
Atlantic Beach, Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # _ (~'~j_~ ~Q~ 4
Property Address: _~ ~ ~ (~ ice( ~~~ , ~ ,~, ~,( -~t~"
Applicant:
Project:
This permit application has been:
u Approved
~ Reviewed and the following items need attention:
~c,-F~
J
Please re-submit your application when these items have been completed.
Reviewei sy: Date: ~~ '~'~
Date Contractor Notified:
eta, s,
Y~
~7
"~`1~' "`~ V CITY OF ATLANTIC BEACH
'3 ~~ BUILDING PERMIT APPLICATION
(FOR INTERIOR REMODEL)
Job Address: /B !0 ?6~ S T~s'~CT t-l.v~T"
Date: /,r~/..S O._.S~
~~
Owner of Property: ~~. ~~,t! ~t E!S f! /J1'/Lf/~ti1 G ti,~ G- ~i~<~f lS
Address: /~ /!~ Tf{ s TAT CG.U ~- ~/~ Telephone: c.3 $8Y~C~3
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: ~~/~,f3 ~NTi~i[~/L1~J'6S ~~clc- State License Number: ~,(~~-L/> l/3~
Contractor's Address: ~• ~ • ,ESd .t ~3/ yJ"~" ~ y'r~iUozc ,6 cif a X13 3
Telephone: ~ ~/~, ->~`~~~ Fax: ~ ~ ~ _ ~ ~ y d
Describe proposed use and work to be done: ~C.E-f. C~fitW~iE OuT iC~TC ~-~rd f~- i1~,cGe T.~r
/~Il/y'i~i~ .F3irTTf7`.~ , /~E•~/cam' .yE'kJ U•fyG7~J
Present use of land or building(s): ~C,E'Si,J E',uTt~L
Valuation of proposed construction: `dp7lo ~ ~O
New electrical or increase in service? y/~ Add plumbing fixtures? ~/~ S
Add fireplace?
Add heating/air conditioning?
Is approval of Homeowner's Association or other private entity required? /y~ If yes, please submit with this
application.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor,
and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole
Road, Atlantic Beach, FL 32233 Telephone: (904) 247-5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I hereby certify that all
with this application is correct.
Date: ~~ ~ 2~~
Signatwe afProperty Owner:
I hereby certify that I have read and examined this applin and know the same to be true and correct. All provisions of the laws and
ordinances governing this type of 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 federal, state or local rules, regulations, ordinances, or laws in any manner, including the
800 Seminole Road • Atlantic Beach, Florida 32233-5445
Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us
Page 1 Revised 1/15/03
governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the
above information being d c ect and that the plans and supporting data have been or shall be provided as required.
Signature of Contractor: (~~-°C.L'~ ~C. ~,~~--~--'~-----. Date: ~ f ~ QS~
Address an~d'contact information of person to receive all correspondence regarding this application (please print).
Name: t\ ,J~~ ~~Z ~~ ~~'
-.~. _ .-.
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Mailing Address: ~ • ~ r''~~ X, ,~ . `~ ~ ~f ~ ~ ~ f ~ ~ ~- C ~'~ 3 ~-~-~
e
Telephone: 1~~,3 %" y ~ S~ Fax: .Z .z/ - ~ ~ f ~ E-Mail: ,R'if~xS~~~ t'~~ ~,~llSclc,•7~~F`~ ~! ~
AS TO OWNER:
Sworn to and subscribed before me this ~ ~~ day of t v~JeY1~L~p~„(- , 20 OS
State of Florida, County of Duval `
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i Notary's Signature:
~'. ~! Bonnie Ann Davis
'ra~ •, Commission ~ DD436065
-"' [~ Personally known
~'~~,~~ ~ gmaeaa ~+r Mam manna, ~,~ eoo-~esao,s ^ Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this ~~~ day of (fUP,~'~-,(~ -!'.+~ , 20 ~~
State of Florida, County of Duval
nwwr++ ,
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~'~"r'~" F3E~,%Y I., AP3DREINS
'+: ~,~ tl",!~';' t;~ ?~+Ifv1@SSit7N # DD 320701
i1°~ .... ra~~p f.~PiiIES: Nlay 18, 2008
~~ OIAOa Y;
Notary's
Produced identification
Type of identification produced
800 Seminole Road • Atlantic Beach, Florida 32233-5445
Telephone: (904) 247-5800 • Fax: (904} 247-5845 • http://www.ci.atlantic-beach.fl.us
Page 2 Revised 1/15/03
WATER IMPACT. FEE WORKSNEi=T
ifi, ~ ~~ ~i (~t1.C"7 ~ Lf Ll
HULJI[CJJ, v t ~ - - -
FIXTURE TYPE
DRAINAGE
FIXTURE UNIT
VALUE AS LDAD
lXTURES
NITS
Au#omatic clothes washers, commercial 3
Automatic clothes washers, residential 2
Bathroom group consisting of water closet, lavatory,
Bidet, and bathtub or shower
6
Bathtub (with or without overhead shower or whirlpool
attachments
2
Bidet 2
Combination sink and tray 2
Dental lavatory ~
Dishwashin machine, domestic 2 ~ 2.
Drinking fountaiMcemaker '~Z
Floor drains 2
Hose bib ~
Kitchen sink, domestic 2
Kitchen sink, domestic with food waste grinder and/or
dishwasher
2
Laundry tray (1 or 2 compartments) 2
Lavato ~ 1
Shower com artment, domestic 2
Sink ( 2 f 2
Urinal 4
., ,:.
Urinal, 1 allon per flush or tens ~
2
Wash sink circular or multiple) each set of faucets 2
Water closet, flushometer tank, public or private 4
Water closet, rivate installation - 4
Water closet, ublic installation 6
TOTAL NUMBER OF UNITSr
MULTIPl1ED X 20 =' $ O
Tt3TAL S o
a
O
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O
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14'4
LIVING ARE
155 sq ft
APpkUVi:U
t;~Y OF ATLANTIC BEACH
UILDING OFFICE
NOV 21 2005
6y:
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14'4
LIVING AREA
155 sq ft
CITY OF ATLANTIC BEACH
BUILDING OFFICE
NOU 21 2005
~y:
NOTICE OF COMMENCEMENT
State of /~G~J~IJ//r` Tax Folio No.
County of Dtt </ R-L
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: 1 ~ ~ d~" ~"- ~ ~ ~~ ~ `~
Address of property being improved: O O d T/c~r0_ ,crr.~"
General description of improvements: ~,Ci~t~,DLL iC'.r' e~tri[~ d anT/f1
r--
Owner: ,b l4 z''~ S r~~T C.BNs 4
Address: ,o~~Z.s9-~C .~Scly` ~[: .3 L~3 3
Owner's interest in site of the improvement:
Fee Simple Titleholder (if other than owner):
Name:
Address:
Contractor:
C d ,Eyf/TE/ZD~t <SiYJ' tt! C
_
Address
~ D. ~ d x 33t ~L~'" .Q~trtuT"Cc,~ ~ pG 3 ZI.3.3
j~/t
~
Phone No: ~,~ ~!t - ~-a~.t' ,
Fax No: ~ ~/ ,2 79~
Surety (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 Statues. (Fill in at Owner's option). ~~
Name: ~. 1411 ~P.n 1-}-i~e~ V'+<. __
2
e ....,
Phone No: 'q-0~ -- 3 8~ - s'"S"9 ~ Fax No: 9 D'a - 3 °16 - ~6 ~ 3
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 ~` OW E Date: ~~ ~~ ~O~
Signed. ~~~ " l.(.~-
Before me this ~_ day of ~Adg in the County
of uval, Mate of Floridi~as p~ r~A y appeared E". r¢( (,G,r. l~(: eb.(~C
Doc # 2005429649, OR BK 12902 Page 2225,
Number Pages: 1 Notary Public at Large, State of Florida, County of Duval.
Filed & Recorded 11/22/2005 at 12:41 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY PersonallytKnown:pires. or
'RECORDING $10.00
Produced Identification:
Q;~~ onnie nn av s
:~ Commission # DD438065
=,~. rtr Exp~es June 1, 2009
~ QF ~l~ 80ntlad t Fain Uqurence. InC 80D~Q3701i
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