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Permit Remodel Bath 3216 Fleet Land 2011 1 � a ti 1 CITY OF ATLANTIC BEACH 0 800 SEMINOLE ROAD J ^ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002423 Date 8/03/11 Property Address 3216 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2300 Application desc shower remodel Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 1 FLEET LANDING BLVD 6771 SHINDLER DR ATLANTIC BEACH FL 322334599 JACKSONVILLE FL 32222 (904) 838 -9179 Permit PLUMBING PERMIT Additional desc . Sub Contractor . ASHLEY PLUMBING CO INC Permit Fee . . . 69.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . . 1/30/12 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 / Ph (904) 247 -5826 Fax (904) 247 - 5845 l` JOB ADDRESS: f ? e7 (A4IS / /(/4 Z Z,/ 67 PERMIT # // 07023 NEW OR REPLACEMENT INSTALLATION: Project Value $ �� TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank & Pit Clothes Washer Shower V1 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 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 fo to be ubmitted to the Building Depart ent for final inspection. ** ❑ Other 044/,) -// -loo 3 /f a�r.n �` S /�- S ki 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 v olate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name F / Phone Number S Plumbing Company 44 �v�^ , � � ' Office Phone 1 3 - 7 ) 5 l Fax 3f7-05 312 .7 2. Co. Address: / W /i ' ` `:- City Stater- Zip License Holder .. - L T .. As(1 • le„,,ii rh: & m r . • ... • 0s ° `/ 1 't ,, DEBORAH AMAN I A WHITE / Not arized Sign �, i . • ic�+imli1 57349 t -∎, F S May 21, 2■ - -r " _ / � p fi� ` Bonded Th Notary P bltc Undervadters . rte, -. subscribed before m: ► "s 2 � day 20 ( r Signature of Notary Public , /te a. c/o// 2 k 3 V 0 L-1-11'J r.! , i # ,`Y CITY OF ATLANTIC BEACH . .'.1 r 4 r. • 4 �� s3 800 SEMINOLE ROAD J " ATLANTIC BEACH, FL 32233 9 {{9aay' INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002423 Date 8/01/11 Property Address 3216 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2300 Application desc shower remodel Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 1 FLEET LANDING BLVD 6771 SHINDLER DR ATLANTIC BEACH FL 322334599 JACKSONVILLE FL 32222 (904) 838 -9179 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 65.00 Plan Check Fee .00 Issue Date Valuation . . 2300 Expiration Date . . 1/28/12 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 .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 69.00 69.00 .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 BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 32-1( L J 4tq �vc�. Permit Number: Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ a3co Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition 'Alteration' Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Re ' s entia If an existing structure, is a fire sprinkler system installed? (Circle one):1 No N /A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: , ■,,,\` na * s.\i n o p! I / \ 0AU PS n. A. (A Pet (.ek J2 w 11 +n.4,1JJ J ` Property Owner Information: l Name: NCCRr Address: Otpp Flee- LAN li'" Blve. Cit A�`4tn �eo k State fZip 322.33 Phone J E -Mail or Fax # (Optional) Contractor Information: 1 '+ Company Name: '),gQ �V� $A,:,�1 t �l SoltA`Le s Qualifying Agent: . ,t}- t12 Address: (i Cit State cr _ Zi p �ZZZ Office Phone Job Site/ Contact Number $3 .e Fax # ‘.T5 – 2_?L1 State Certification /Registration # CG C 15 1 8 ( $ Architect Name & Phone # — 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 of a permit and that all work will be performed to meet the standards of all 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 work 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 for Electrical Work, Plumbing, Signs, Wells, 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that 1 have read and examined this placation and know the same to be true and correct. All provisions of laws and ordinnces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not a presume to give authority to violate or cancel the provisions of any oilier federal, state, or loc.l law regulating construction or the performance of construction. r Signature of Contractor Signature of Owner J� � � g Print Name OAIF Print Name ,\#■■ Sworn to and subscribed before me Sworn to and subscribed before me this Day of , 20 this \ Day of , 20 t j • Notary Pu c I «" .. ,;; ELIZABETH TESKE l Notary Pudic I ,,I ` �1 ,p ELIZABETH TESKE I . Notary Public - State of Florida I a� � = NotI�l� t is At t � fda i m• I My Comm Expires Apr 5, 2013 i I ' My ddMNI. r 5, 013 • ,+ Commission • DO 867829 Commission rr OD 867829 • 4 ; , � Bonded TbrouBp Naltonal Notary Assn. 0 I ' 4 % gi n ' Bonded Noe . National Notary iota 0