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Permit Bath remodel 2204 Fleet Land 2011 „ , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 4��,s ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002475 Date 8/10/11 Property Address 2204 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2425 Application desc SHOWER CONVERSION 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 . . . . 2425 Expiration Date . 2/06/12 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: aa.oy flee4 La-,4 'Blvd Permit Number: Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ i/a5 Proposed Work heated /cooled non - heated/cooled Class of Work (circle one): New Addition Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial “I'MWRIM If an existing structure, is a fire sprinkler system installed? (Circle one): Val, No N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: 'Lao Ekowec CAnvecs;o thw pa. Property Owner Information: Name: Ill(CR Address: Owl- 1 t.E►t -f CAA o"lc Si4D City A'R„A►JTi.. A-clj- State t-Zip 32233 Phone 2q(0- 9?1)0 E -Mail or Fax # (Optional) Contractor Information: i Company Name: 'lJot . �2�ves ��,, ; .. , q ,l o,n Qualifying Agent: , L k c& A . - 70q c, Address: (6 11 51� ; H lcr ,�c . J City ksonv+i ((t State .0 .0 Zip Dffice Phone Job Site/ Contact Number 338 Fax # 4083 --211$ State Certification/Registration # (G C 1 t WI/ $ Architect Name & Phone # Engineer's Name & Phone # ----- Fee Simple Title Holder Name and Address 3onding Company Name and Address ,..-- Mortgage Lender Name and Address ,..- fpplication 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 ssuance 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 ifwork 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 vork is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo Heaters, ranks 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. hereby c ertify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordinances governing this vpe of work will be complied with whether specified herein or not. The grant 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. >ignature of Owner 1 Signature of Contractor ots--) 'riot Name J Cn #- � �� Print Name mss iwomto and subscribed before me Sworn to and subscribed before m bis /U Day of a 4,1 20 ( this )6 Day of . , 20 // .. d1a.iM Tots ELKk6E"FH ESKE �� Anew rY o as • Pu.f, "c mat .� Notary Public State of Florida y p°46 , • `t ° Notary Public • State of Florida •' My Comm. Expires Apr 5, 2013 ( VT"' v : , JYI Exp Apr 5, 2013 Commission N DO 867829 • � �� 11 a hflt sion #r DO 867829 �� '� londed Through National Notary Assn. i Bonded Through National Notary Assa. wmiglara ril � � S =' CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002475 Property Address 2204 FLEET LANDING BLVD Date 8/23/11 Application type description RESIDENTIAL ALTERATION Property Zoning Application valuation . TO BE UPDATED • 2425 Application desc SHOWER CONVERSION Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 1 FLEET LANDING BLVD 6771 SHINDLER DR ATLANTIC BEACH FL 322334599 JACKSONVILLE (904) 838 -9179 FL 32222 Permit PLUMBING PERMIT Additional desc Sub Contractor . . ASHLEY PLUMBING CO INC Permit Fee 69.00 Issue Date Plan Check Fee .00 Valuation . • 0 Expiration Date • 2/19/12 Other Fees STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE 2.00 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 69.00 Plan Check Total 69.00 .00 .00 Other Fee Total •00 .00 .00 4.00 4.00 .00 Grand Total 73.00 .00 .00 73.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PE RMIT CITY OF A TL LIC ATION 800 9 Seminole Rd IA B E A CH Ph 04 Atl anti c Beach, FL 32233 JOB ADD ( ) 247 -5 Fax (904) 247 -5845 RESS. 2 NEW OR REPLACEMENT IN S � TYPE OF FIXTURE TAL LA TION; project Value Bathtub Clothes QTI - / TYPE OF FIXTURE P ERMIT # 1-1- Dishwashersher ,_ QTY _ Septic Tank & Pit Drinking Fountain Shower Floor Drain Shower p a n ----- Floor Sink Slop Sink Hose Bibs �— Three C Sink ---- Kitchen Sink Toilet Laundry Tray Urinal Lavatory – Vacuu Bre akers Other Fixtures Water Connected Appliances Water Heater RE- PIPE Water Treating System TYPE OF FIXTURE Bathtub QTY TY PE OFF[XTUR Clothes Washer S eptic Tank & Pi QTY Dishwasher Drinking Fountain Floor Drain Floor Sink S h ower Sh ower Pan Slo Si Th ree C omp artment Sink Hose Bibs — Toilet Kitchen Sink Urinal Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System LISCELLANEOUS: Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) Lawn Sprinkler System - Number of Heads ❑ Well * * ` S,[RZWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. ** Other mast becomes void if work does not e true within orrect All provisions of laws and ordinances governing work will be complied with whether specified n d is application The pe r mit does net know the give same to ive auth o ri Uu not. Te pert g hrity to violate the ?rovisions of any other state or local law regulation construction or the performance of construction. it N th -- Phone Number roperty Owners Name i Fax /,, ' Office Phone lumbing Company L' an City �l State Zip S2-2` - i :o. Address: State Certification/Registration # C - 07 g ( .icense Holder (Print): //� w ,..., ..._ �,� .: ■ of 20 (7 ptarlZed Signature of License Holder cube befor t is �� ., t,.iDaW 1 :: subs `I � � oil os�N o f�ota�y fr i; aond TnN PW�1 uY