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Permit Bldg Alt 2105 Fleet Landing 2011 t -j Uy :r p � CITY OF ATLANTIC BEACH � . r, r} 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001762 Date 3/09/11 Property Address 2105 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2100 Application desc REMODEL 2 SHOWERS Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDERS AND PROPE RETIREMENT FOUNDATION, INC PROPERTY MANAGERS 1 FLEET LANDING BLVD 6771 SHINDLER DR ATLANTIC BEACH FL 322334599 JACKSONVILLE FL 32222 (904) 838 -9179 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 65.00 Plan Check Fee . . 32.50 Issue Date . . . Valuation . . . . 2100 Expiration Date . 9/05/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC 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 65.00 65.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 101.50 101.50 .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 BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: al o5 1 fP,L / A'fv� Permit Number: J _ (76 a Legal Description Parcel # Valuation of Work $ '/ 60 Class of Work (circle one): New Addition Alteration Re air 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): Yes No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: t e ir,c(1al) tenor. -/24.' , z- l,„ao,. ,' {, o r s- ti 7 (4 Property Owner Information: Name: (' F Address: O✓te P? [-a L /vet City ,�,� ' State R- Zip 3244 Phone 114 - 4 42.4 - -7339" E -Mail or Fax # (Optional) Contractor Information: Company Name: �Gi d k. ` • S ._ Qualifying Agent: N } � A Kp - 1 n. Address: , , ', a - I. _ - ` - • •' City State Zip Office Phone ifoz,- $ ;i3 -1 Pi Job S e ` - _.- ._._____ IN ' ` ?'f Fax # 9 7 t3 State Certification/Registration # t C- 3 1 A . - Architect Name & Phone # -- r I 1 1 14 ' , , �; :,�c.� r Engineer's Name & Phone # -- 1 CITY 6 .� ( ; .�, -- ..� • Fee Simple Title Holder Name and Address ITS FOR Bonding Company Name and Address -- t AND CO b r • • . EMI 1111111111,111 % ¢ Mortgage Lender Name and Address — 111232TEMINIIIIIMO DA ^ �. .. , Kz: .. i . T Application is hereby made to obtain a permit to do the work and insta ations7.is" ' rea .• . -.,;; ,, or a lotion has co iltif e,: . issuance of a permit and that all work will be performed to meet the standards of all laws regulating cons %1 sdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six 6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo 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. I hereby certify that I have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this d 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 other federal, state, or local law regulating construction or the performance of construction. Signature of Owner `! L Si i • g sif Signature of Contractor'�� Print Name (n,4 t....‘› Print Name kA Sworn to and subscribed before me Sworn to and subscribed before me this I / Day of /�,) 0 z°_ , 20) D this Da of e ' 20/ / , No.r • '. �_" _ • EUZABETH TESKE i Notaiy P 1►lic „•••• ' ELIZABETH TESK S'% Notary Public • State of Florida ,• � P •., �� 01. 26.10 • 1 My Comm. Ex pires Apr 5, 2013 ( g' :° i •��t Notary Public State ol`Ftbli� t Commission OD 867829 i• ., My Comm. Expires Apr 5, 2013 1 •I• Bonded Throw National Notary Juan. =:� Commission 0 D01167829 •• ,,, • Bonded Throup National Notary Assn. $ CITY OF ATLANTIC BEACH ±7) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 11- 00001762 Date 3/09/11 Property Address 2105 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2100 Application desc REMODEL 2 SHOWERS Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDERS AND PROPE RETIREMENT FOUNDATION, INC PROPERTY MANAGERS 1 FLEET LANDING BLVD 6771 SHINDLER DR ATLANTIC BEACH FL 322334599 JACKSONVILLE FL 32222 (904) 838 -9179 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 69.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/05/11 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONALELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE PLBG DCA SURCHARGE 2.00 STATE PLBG DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 69.00 69.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 73.00 73.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION . CITY OF ATLANTIC BEACH \ \ 800 Seminole Rd Atlantic Beach, FL 32233 l 4 ) . Ph (904) 247 -5826 Fax (904) 247 -5845 0 .JOB ADDRESS: UAW 2.1 V, PERMIT # /1 — / 7(0 Z NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures 2. 54ow -f15 Water Treating System RE -PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System - Number of Heads ❑ Well * * ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** ❑ 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 , , Phone Number Plumbing Company \ 3" \ P '3 i �� Office Phone Sq Fai t "D SSZ Co. Address: r i -2-A N'S Y J • City INX . State Ft. Zip 32 - 7 License Holder (Print): C1\ 1 0 1, . State Certification/Registration # Notarized Signature of License Holder ek ' + ' KELSEY R STROBLE . worn and subscribed before me t / is ,, . day of IL . 20 0 E* '' MY COMMISSION # EE035103 % � `: i,,. EXPIRES October 17, 2014 . ignature of Notary Public , Mlio, W/ aoB�aisa -...-- T—e uiwe.orn --