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150 2nd St 2014 windows,siding and kitchen remodel CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001084 Date 7/10/14 Property Address . . . . . . 150 2ND ST Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 11300 ---------------------------------------- Application desc kitchen remodel --------------------------------------- Owner Contractor - ------------------------ ----------------------- WOOLVERTON, DERICK R OWNER 3761 109 AVE NW PONTE VEDRA BEACH FL 32004 --- Structure Information 000 000 REMODEL KITCHEN / BATH Occupancy Type . . . . . . RESIDENTIAL -- ------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . 55 . 00 Permit Fee 110 . 00 Plan Check Fee . Issue Date . . . . 7/09/14 Valuation 11300 Expiration Date . . 1/05/15 ------------------------------------ Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- --------- ---------- Permit Fee Total 110 . 00 110 . 00 . 00 . 00 Plan Check Total 55 . 00 55 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 169 . 00 169 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • »��� - �'--� BUILDING PERMIT APPLICATION � L� � � oa � CITY OF ATLANTIC BEACH JUL 0 7 2014 17L COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1502 nd street Atlantic Beach Florida 32233 Legal Description Lot 6 Block 13 Plat No. 1 Sub"A" Atlantic Beach. Florida Parcel# 170211-0000 Floor Area of Sq.Ft. Sq.Ft Valuation of Work S( 1i3mProposed Work heated/cooled 1,490 non-heated/cooled 1,490 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial esidentl If an existing structure,is a fire sprinkler system installed? (Circle one). es No N/A Florida Product Approval # 5r(Ef- For multiple products use product approval form �a�r-�u�� h S Describe in detail the type of work to be performed: Remodeling Kitchen and Bathroom A �� +-- Property Owner Information: r Name: Derick Woolverton Address: 150 2nd City Atlantic State Fl Zip 32233 Phone 904 509 6993 E-Mail or Fax# (Optional) Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# Architect Name& Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Derick Woolverton 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 indicate and that all work will be performed to meet the standards of c laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6 months, or if construction or wo is suspended or abandoned for a period of six (6� months at any time after work is commenced. 1 understand that separate permits must be secured j Electrical Work,Plumbing,Signs, Wells,Pools,f urnaces,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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFOR ENTE RECORDING YOUR NOTICE OF COMMENI hereby certify that 1 have read and examined thheris his a plication and know the same to be true and correct. All provisions of laws and ordinances governing tl provisiwork will be ons of any other fed ral,stateworelocal laeci/ied herein or not. The w regulating construction or performance of construction.notermit does presumeto give authority to violate or cancel t Signature of Owner Signature of Contractor Print Name ACtACk (.✓e,�d��v .................................. Print Name ........................................................................................................................... ..... ................................._......._................_................... Sworn tt"and subscribed b\g pr�j me Sworn to and subscribed before me 20 thisZ_t'Day of -►v 20 this Day of Nota P lic Notary Public Revised 01.26.10 e4+'•'y JENNIFERµpIM�EP. : n, MY COMMISSION N FF 011480 +; '= 0124,2017 ar` Bonded Tnru�Notars ry Public UndafWrh kf.h i - 1 � 1T$ � Esq l - rn CM03' milli ssu City of Atlantic Beach APPLICATION NUMBER BuildingDepartment g; tf p (To be assigned y t =Buiing Dep rtment.) =• 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 *�C E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ��14� �3 ent review required Yes o Building Applicant: �� Planning &Zoning Tree Administrator Project: G �4T(. Ar 72 Public Works Public Utilities Public Safety Fire Ser-ices Review fee $ Dept Signature Other Agency Review or Permit Required Review or Rece, Date of Permit Verifiec_ i3y 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 Reviewing Department First Review: []Approved. ❑Denied (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: 74-1V TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑D iE 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 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r !tit Application Number . . . . . 14-00001085 Date 7/10/14 Property Address . . . . . . 150 2ND ST Application type description SIDING PERMIT Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 2000 Owner Contractor - ------------------------ ----------------------- WOOLVERTON, DERICK R OWNER 3761 109 AVE NW PONTE VEDRA BEACH FL 32004 --------------------------------------------------------- Permit . . . . . . SIDING PERMIT Additional desc . Permit Fee 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . 7/09/14 Valuation . . . . 2000 Expiration Date . . 1/05/15 ----------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------- Other Fees . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 -------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ------ Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACHJUL 0 7 2014 4, F ! L ECOPY 800 Seminole Road, Atlantic Beach, FL 3223 Office (904) 247-5826 Fax (904) 247-584 By — Job Address: 150 2"d street Atlantic Beach Florida 32233 p>orm. Legal Description Lot 6 Block 13 Plat No. 1 Sub"A" Atlantic Beach. Florida Parcel#-1.7-211-0000 Floor Area of Sq.Ft. IFt Valuation of Work$aLL` Proposed Work heated/cooled 1.490 non-heated/cooled 1.490 Class of Work(circle one): New Addition 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):des—No N/A Florida Product Approval# ` For multiple products use product approva orm Describe in detail the type of work to be performed: � Pl1c-E ��ai+ t"'"�'`" Property Owner Information: Name: Derick Woolverton Address: 150 2°d City Atlantic State Fl Zip 32233 Phone 904 509 6993 E-Mail or Fax#(Optional) Contractor Inf)rmation: Qualifying Agent: Company Name: Cid, State Zip Address: Fax# Office Phone Job Site/Contact Number State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Derick Woolverton Bonding Company Name and Address Mortgage Lender Name and Address months, or z construction or Application is hCo�b tctiontin�his ju a�dictiontoThis permit becomers null!atnd vo d�if work is nottcommenced within siz(6)ormed to me the standards laws regulating {{ ) islectncal Work,Plums ng,SignspWells,oPools,(Furnaces,Bo'lers,ZHeatetrs, Tanks and AireConditioners,eetc.nd that separate permits must be secure E WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TOBTAIN FINANCING, CONSOUI E EN I TO YOUR PROPERTY. IF YOU INTEND TO YOUR LENDER OR AN ATTORNEY BEFOCORDING YOUR NOTICE OF COMMENCEMENT. ances I here b certify that 1 have lied with whetheed this eciaedlhertein or n n and o Theeg granting of a pesame to be true armit does nd cnot prt. All esumeloto givens of mauthows �ry to=nviolate gor cane type ojYwork will be p provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owne 00, Signature of Contractor PrintName ...................................................... Print Name ........ ....................................................... P#,cut.............c c'v .e✓........................ . d subscribed ore me Sworn to and subscribed before me 20 SwQn 20 this Day of this ay of Notary Public N ar u 'oy4.; JENNIFER WALKER Revised 01.26.10 MY COMMISSION Y FF 011480 EXPIRES: • . Bonded Thru Notary Public April4l qoUnderwriters .',+, ff,,• i,siy;yJ� City of Atlantic Beach APPLICATION NUMBER rjs r Building Department (To be assigned by a Building Department.) 800 Seminole Road P"MW Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Jt >% E-mail: building-dept@coab.us Date routed: f City web-site: hftp://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /�,o 2, 4 Jr Department review required Yes No Applicant: 7) Planning &Zoning Tree Administrator Project: �/ //I 9 Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified s3 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 Reviewing Department First Review: ❑Approved. []Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: __. Date: TREE ADMIN. Second Review: []Approved as revised. []Denies;. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r Application Number . . . . . 14-00001086 Date 7/10/14 Property Address . . . . . . 150 2ND ST Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 1700 ------------------------------------------------------------- Application desc window/door --------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- WOOLVERTON, DERICK R OWNER 3761 109 AVE NW PONTE VEDRA BEACH FL 32004 ------------------------------------------------------ Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . Permit Fee 60 . 00 Plan Check Fee 30 . 00 Issue Date . . . . 7/09/14 Valuation . . . . 1700 Expiration Date . . 1/05/15 ---------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ------------------------------ Other Fees . _ STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----------------- ---------- ---------- ------ Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total 30 . 00 30 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATIONL Q [� CITY OF ATLANTIC BEACH JUL 0 7 014 FILE Copy ! 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 150 2°d street Atlantic Beach Florida 32233 Legal Description Lot 6 Block 13 Plat No. 1 Sub"A" Atlantic Beach. Florida Parcel# 170211-0000 Floor Area of Sq.Ft. Sq.Ft Valuation of Work O). Proposed Work heated/cooled 1,490 non-heated/cooled 1,490 Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercialesidenti If an existing structure,is a fire sprinkler system installed? (Circle one): es No N /A� Florida Product Approval For multiple products use product approval orm Describe in detail the type of work to be performed: 1 Property Owner Information: Name: Derick Woolverton Address: 150 2nd City Atlantic State Fl Zip 32233 Phone 904 509 6993 E-Mail or Fax# (Optional) Contractor Information: Company Name: Qualifying Agent: Address: City State Zip Office Phone Job Site/Contact Number Fax# State Certification/Registration# -- Architect Name&Phone# -- Engineer's Name&Phone# — Fee Simple Title Holder Name and Address Derick Woolverton Bonding Company Name and Address j Mortgage Lender Name and Address ! Application is hereby made to obtain a permit to do the work and installations as indicate and that all work will be performed to meet the standards of, laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or wo is suspended or abandoned for a period of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured J Electrical Work,Plumbing,Signs, Wells,Pools,1�urnaces,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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 herebfJ certify that 1 have read and examined tt h' a plication and know the same to be true and correct. All provisions of laws and ordinances governing tl tyr e 07.ns o will be coeperad s th whetheror law filesreght ei construction ograe pegfof ance of ermit does uo presume to give authority to violate or cancel t p ofany >` Signature of Owner Signature of Contractor Print Name Print Name ---- 1C. Glc. ... . ........................................................................................ ............... Sw ed be • d subscribf e me Sworn to and subscribed before me 20 this17 ay f 20�� this Day of of Public W*A-- 10 ca��: Notary Publi�- Revised 01.26.10 ,IENNIFERWp�(ER MY COMMISSION#FF 01 1480 6124,20 EXPIRES: oWic Ueder++ritere + ifc Bonded Thru Notary � o a It `° -s (� O O O 00 v 01 vi W N - C O� vi W N QQ e�—r CD g R d by d x z oa o CD y �. a o CD o CD � rna CD o 1 " c c o u ac CD o ?; O p?.o y CD CD Oo ° O o 6 0 iao . a D ?� CD eCL ° CD a. w CD b cn o *0 c C) s o CD ^� G d cD CD 0 i d o o CD W CrJ cD o N y 3 `°CP n CD CD CD cCD t%LA »s CD CD oCD ° n a t TT, o 0.0 uqfDC) r" cD c cau o c En W � .I J s \o 00 J 91 N W N b N 7d 7d v? GG Z Y O C' C) a o a .°� °° ° o ° ° o '� '�J ��' co CD 0 � CD C6 UQ CD CD ¢. CCD CD `° u ° o •° °- aQ �. � ao 3 d o o co CD' CD o aq o ° CD 0y e ------------ TT T � o a � r 8 ° x yy 2 g n E C 3 C7 C� n on & N Zip N � � �• � � �• �' �'.. � ¢CD CL ri) ' Z CEJ O O Z z o o _ E 0 CD CD P `. 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CD CCD = CD 0 CD cu City of Atlantic Beach I APPLICATION NUMBER J� Building Department (To be assigned y the Building Department.) r 800 Seminole Road / /D Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 µs, , E-mail: building-dept@coab.us Date routed: VIM, City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �n d Sr ment review required Yes No Building Applicant: 9 1J) ning &Zoning Tree Administrator Project: / /��� �J Q�� Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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 Reviewing Department First Review: roved. ❑Denied. (Circle one.) Comments: BUILDI PLANNING &ZONING Reviewed by: Date.- TREE ate:TREE ADMIN. Second Review: ❑Approved as revised. El De ed. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denies Comments: Reviewed by: Date: Revised 05/14/09