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Permit Bath Remodel 5209 Antares 2011 tti> CITY OF ATLANTIC BEACH Atr '%' 800 SEMINOLE ROAD 07,t, .` ., .. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002622 Date 9/14/11 Property Address 5209 ANTARES CT Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2100 Application desc bath 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 . . . . 2100 Expiration Date . 3/12/12 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: 5Ln' A C0 Permit Number: Legal Description Parcel # �o Floor Area of Sq..Ft. Sq.F�t Valuation of Work $ I Proposed Work heated /cooled non- heated/cooled Class of Work (circle one): New Addition teratio Repair Move Demolition pool/spa window /door Use of existing /proposed structures) (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 orf m Describe in detail the type of work to be performed: 3,,,,,.. / ee to co 1 n wer f &v\ l vA `v eS ; 1,J-di Liz , (c), 6.A I e. ti 1CD , 0,Ac\ rcls4(1 open \ \ -'t.ro ivy '�' AAs I ✓� (No oM, -4),-) S -I 4 Vl•,. Property Owner Information: 11 f/ Name: /JCC F Address: 0N(. 11661 1,441Q 6, &.JP City ATIAxtriC gtACt-1 State k. Zip 3zz61 Phone 2Y( -9 ?ap E -Mail or Fax # (Optional) Contractor Information: D Company Name: / J. Kyle � ;A W .'13 c]o)who Qualifying ent: g �g ,./�� s�. tom} � �t:i" Address: (x'11l Si. in.1 i ..; i . City J1 IC,onv�11r Stat F' Zi z Office Phone Job Site/ Contact Number P ZZ State Certification/Re � stration # � `q l �� Fa x # C 1 �1�918 Architect Name & Phone # Engineer's Name & Phone # _ - ee 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 certfy 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 rnd void f 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 vork is commenced. I understand that separate permits must be secured for Electrical Work, 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. hereb 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 ype of work will be complied with whether speci red herein or not. The granting of a permit does not presume to give authority to violate or cancel the 46 ■rovisions of any other federal, state, or local law regulating construction or the performance of construction. signature of Owner d Signature of Contractor 1)%9K1Agot 'riot Name /J4orp.,1“) Print Name -tukq worn to and subscribed before me Sworn to and subscribed before me his _L Day of /gu- -f- , 20 ; � � / this / ODay of �c,r J t,( �'f' , 20 // Zotary Pu ry. ELIZABETH Notary Pu.l c ,„ " "' - i�� I .N Notary Public - State of Florida , ' .�� n�'�•� , • ELIZABETH TESKE ,' Commission = My Comm: Expires Apr 5, 2013 , =Notary Public - State of Florida '? r Co . Qrlp s k .A1� 5, 2013 l - # 00 867829 '�'> ._ Commission ommission N OD 867829 1 '' '7 rt '�o Bonded Through National Notary Assn. •., '��,, Bonded Through National Notary AM. 0 0 it % CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 N �, INSPECTION PHONE LINE 247 -5814 w e Application Number 11- 00002622 Date 9/19/11 Property Address 5209 ANTARES CT Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2100 Application desc bath 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 . CHANGE TOB TO SHOWER & SHOWER Sub Contractor . ASHLEY PLUMBING CO INC Permit Fee . . . 69.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/17/12 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 JOB ADDRESS: ` � .2 0 q (- C.!- PERMIT # l` ZC e--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 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 dk30 /c--)63 ,3 z / S ,oC.,e Ae 1-. 3 4 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 ? /cam - L - w Phone Number Plumbing Company A - 5 - 1, (ey y'Z / ( fc Office Phone 4 if Fax .51 ' -os' Co. Address: V.P.i, (7 , ►� City :14K Stater Zip � L2 a � License Holder (Print): 4 % ' / -•'! ____ /.� �- . atio n/Reg is trat io n # Notar . f .. , . napi r / K M I -fs ' --_ 4S 7 11 ,. i #1 MY COM I O N # _•� ` 1 ...11. EXPIWES: May 21, 2015 ' ',, 6-,,, Bonded Tnru Notary Public Unaenxritets ; orn and subscribed before e th d ay of Aram. 20 / ,-- � Signature of Notary Public 01.11110