Permit Bath Remodel 3202 Fleet Ldg 2011 x � CITY OF ATLANTIC BEACH
T
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4 01 7 0 14
Application Number 11- 00002424 Date 8/01/11
Property Address 3202 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 1500
Application desc
shower remodel
Owner Contractor
NORTH RIVER BUILDING SOLUTIONS
6771 SHINDLER DR
JACKSONVILLE FL 32222
(904) 838 -9179
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 1500
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 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 64.00 64.00 .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: 3 a0 ._ ._ .. .. , Ns Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 15 co Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteratio Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial `M
If an existing structure, is a fire sprinkler system installed? (Circle one): -i o N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: i k ,),„-k t?x . s•A. W ,c) k / S Lou lec ' )S -/-ew.
p.■ seiketc,,t, (:1/4-'^ i valves / co.i h e - r n ,o M 17a`17,
Property Owner Information: 1
Name: N c_c_F„. Address: Qhe 4jP� La CV /5 )Uc
City h1- 0o,.4 -w eacit State tZip 321-33 Phone
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: ki.)10c k Nos VA, . ., , t. . Qualifying Agent: TT
Address: VII( $in.;■i.teg- lit City 'Da ch State I Zip 3ZZZ2._
Office Phone Job Site/ Contact Number 83 $ - ci (1 j Fax # x,93- 2 7zL8
State Certification /Registration # (`. &C. IS I8 i B
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. 1 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.
1 hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of 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 other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner t■ - ' t d Qf Si of Contractor
Print Name .� 5f4(nh [ L ` '164 Print Name V . ...o
Sworn to and subscribed before me Sworn to and subscribed before me �0
this Day of , 20 _ this i Day of s ui
2 rte! war � m 4 _. Itz /ari71"t 'rr
v y rV- :;� • i
Notary . Notary Public • State of Florida Notaa• �� Notary Public • State of Florida
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:� :► Commission IP DD 8671124 ( :', -,.. •. Commission D Sli 6l .26.
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,„,,.. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j , t ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4.1 -011.19
Application Number 11- 00002424 Date 8/03/11
Property Address 3202 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 1500
Application desc
shower remodel
Owner Contractor
NORTH RIVER BUILDING SOLUTIONS
6771 SHINDLER DR
JACKSONVILLE FL 32222
(904) 838 -9179
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . ASHLEY PLUMBING CO INC
Permit Fee . . . 62.00 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 62.00 62.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 66.00 66.00 .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 /J
JOB ADDRESS: F (eek Lae-5,..0-4L � Z d Z f - PERMIT # / 1 _ c a 1
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 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 s bmitted to the Building Department for final inspection. **
❑ Other PARA-
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. r7e.eI Property Owners Name CefA- Phone Number
Plumbing Company e Urz, Office Phone ax 9 a 3 9 5-
Co. Address: f 1 rSk �� — City V + State � Zip �Z 7
License Holder (Print): 1/41\ 5 `L _ State - rtification/Registration # et Z. 0;
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Notarized Si na - .' - - - -- = 41111/10,11L- L../ g DEBORAH AMANDA O
, • t *s 5^y CAMM� E E 057 an ' '. ubscribed before this i day • r�tiif — . 20 / I
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