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Permit Bath Remodel 4217 Fleet Land 2011 CITY OF ATLANTIC BEACH •, 800 SEMINOLE ROAD s1 ATLANTIC BEACH, FL 32233 ` #�" INSPECTION PHONE LINE 247 -5814 s `a j ► Application Number 11- 00002476 Date 8/10/11 Property Address 4217 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2375 Application desc SHOWER CONVERSION Owner Contractor NORTH RIVER BUILDING SOLUTIONS 6771 SHINDLER DR JACKSONVILLE FL 32222 (904) 838 -9179 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 65.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 2375 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: �j I c)I7 Opel Lit Akng 814, Permit Number: Legal Description Parcel # Floor Area of Sq.k t. Sq.Et Valuation of Work $ c 3 7; 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 Re -n . If an existing structure, fire a re sprinkler system installed? (Circle one): o N /A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: two ,show- t o weal Awit5 J „�, 11.K•r,hr„3 / /pan u lac rOf , -OP - - Property Owner Information: Name: Alec g( Address: Twit 6' Oa. f LA^kik gat> City A - ri JT,C FFAtE1 State F- Zip 32.233 Phone 2442 - crIao E -Mail or Fax # (Optional) Contractor Information: Company Name: 7404 Rivet $ tAt , SoiutlDnS Qualifying Agent: oSkul} 4-63rur 4ddress: 6 - 7 - 1 by City - arts k_savtvi I I t'_ State R. Zip 3ZZ.Z2 Dffice Phone Job Site/ Contact Number 838 -9 fl Fax # E,83 8 State Certification/Registration # CG-C 1 S 18 9 18 4rchitect Name & Phone # engineer's Name & Phone # .— Fee Simple Title Holder Name and Address — 3onding Company Name and Address ,,-- Vlortgage Lender Name and Address Ipplication 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 znd void if work is not commenced within six (6) months, or if construction or work is sus ended or abandoned fora erzod of six 6) months at any time after vork is commenced. I understand that separate permits must be secured for Electrica Plumbing, Signs, Wells, Pools, F urnaces, 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 IlVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMIVIENCEMENT. hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this ppe of work will be complied with whether specif ed 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 Signature of Contractor 'riot Name pSt-1 tn it em iFAD Print Name t ',worn to and subscribed before me Sworn to and subscribed before me his IC) Day of Ail , 20 l f this %O Day of hp . , 20 /1 lotary Public 1 A� ELIZABETH TESKE Notary Pub h "�e'• E °� ' ,'`�: Notary Public •State of Florida '� , (A. Notary Public •State of Florida � z • x My Comm. Expires Apr S, 2013 '',.4.-,;;;`,01. My qtefis IVIP x6.14.9 •= Commission N DO 887829 Commission Al DO 887829 '' N Bonded Through National Notary Assn. Bonded Through National Notary Assn. ✓r 6 ` CITY OF ATLANTIC BEACH 1 j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 4` Application Number 11- 00002476 Date 8/23/11 Property Address 4217 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2375 Application desc SHOWER CONVERSION 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 . . . 69.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 2/19/12 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 i/ Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: ( -0 i 1 6gel ( :i 3 • PERMIT # 2 NEW OR REPLACEMENT INSTALLATION: Project Value $ 1 icy TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub V 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 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 �� c�„Q, Phone Number Plumbing Company i 4 -/- Office Phone Fax ____ Co. Address: // � / City ) f" State Zip 37.---1--,'M License Holder (Print): �'Zrf5 ' !� ( State Certification/Registration # G <- OS' ' Notarized ` _ ; 1KSd'' ' DEBORAH AMANDA WHITE �, /7 ,; MY COMMISSION # EE 0 ar0 h 2O and subscribed befor ' s C� 3 ay • - y , : 1, ias EXPIRES: May 21, 2 �''�.Flt,t:rp Bonded Thru Notary Public Underwriters ' dri gir - - -NIM• qp - : _ - e of Notary Publi