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Permit Bath Remodel 119 Fleet Landing 2012 J� F+ J ' r � y . ill CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD U'74.4';%44''' u ° "" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000018 Date 1/09/12 Property Address 119 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2200 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 32.50 Issue Date Valuation . . . . 2200 Expiration Date . . 7/07/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. 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 32.50 32.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 101.50 101.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. a., BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 119 j ) "Ii et glvci. Permit Number: /G7 — 0 0/R" Legal Description Parcel # Valuation of Work $ Z? Floor Area of Sq.Ft. S Ft ' Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition Alter - i Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (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 form Describe in detail the type of work to be performed: 0 -5 Sti o,, , a4 c:a , off l / e&) f5 1( �4 - i ` \) i pJ Property Owner Information: Name: NCCRF Address: One Fleet Landing Blvd. City Atlantic Beach State FL Zip 32233 Phone 904 - 246 -9900 xt.150 E -Mail or Fax # (Optional) Contractor Information: Company Name: North River Builders Qualifying Agent: Joshua M. Hogan Address: 6771 Shindler Drive City Jacksonville State FL Zip 32222 Office Phone 904-838-9179 Job Site / Contac ( ... - • I : ; -• - -:- ; -- - x � . , ;, , State Certification/Registration # CGC1518918 I ' ,OT)F, COMPLIANCE Architect Name & Phone # 1 VIII 1 .. bi : . _ Engineer's Name & Phone # S. , ; :' • • • e : I Fee Simple Title Holder Name and Address I REQUIRE ON , LID ' , Y B l tali 1 onding Company Name and Address a u IJ'' I�a:��it�:y�lUa� I�xt. Mortgage Lender Name and Address D. e • — -- ` ____� i Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wor or ins a a u. - has cone ` c issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This , , , *0 e t ,t I 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) mon ».4t . .;.. a r., work is commenced. I understand that separate permits must be secured or Electrical W . ork, Plumbing, Signs, Wells, Pools, Iurnacea , oiler 'e - "' Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 11 » # 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 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 s.eci ued 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 aw regulating construction or the perfornsance of construction. Signature of Owner ....<--)Z51--.- ,- / ( �J Signature of Contractor Print Name Joshua Hatfield Print Name Joshua M. Hogan Sworn to and subscribed before me Sworn to and subscribed before me this 2f3 Day of OCTer3642 , 20 1/ this 5 Day of - , 20 l`Z Notary l ,iub is ,, `e:= Notary Public - State of Florida 1 ' otar i ' ublic o,, "' n,,e,„ ELIZABETH 7ESKE '' My Comm. Expires Apr 5, 2013 • `\• z Notary Public - State of Florida y 'i e .'M p p I � 4 . J • - ,+ Commission N 00 867829 I ..:,„ . :, t • • MY Ralph Expires Apr 5, 2013 ' '�" :It Bonded Through National Notary Assn. -.- , Cothinlsaion N OD 867829 1 %"�� „',• ' Bonded Through National Notary Asa. „:s!-Ali:,- City of Atlantic Beach >\ Building Department APPLICATION NUMBER 800 Se minole Road (To be assigned by the Building Department.) �'' ' Z Atlantic Beach, Florida 32233 - 5445 /Z p / Phone (904) 247 - 5826 Fax (904) 247 -5845 c, E -mail: building- dept @coab.us Date routed: / /Z 4 City web - site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ✓ / -/ 1/e Z �I Mjp Adeepartment review required Yes No /¼tM `� u�il in Applicant: 7 I ve-r -R 1 /o7� eta` ring & Zoning Tree Administrator Project: 2 - ,-. GOE1- (9/l V r. icy& Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: p d ~ BUILDING' PLANNING & ZONING Reviewed by: Date: / - S'"/,. TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: (Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 ,; p t„! . try ;-... ) r) : CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD t) # 4 , - ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 - " , r1111) Application Number 12- 00000018 Property Address Date 1/10/12 Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2200 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 . REPIPE Sub Contractor . ASHLEY PLUMBING CO INC Permit Fee . . . 174.00 Plan Check Fee . .00 Issue Date Valuation . 0 Expiration Date . . 7/08/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE PLBG DCA SURCHARGE 2.61 STATE PLBG DBPR SURCHARGE 2.61 Fee summary Charged Paid Credited Due Permit Fee Total 174.00 174.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5.22 5.22 .00 .00 Grand Total 179.22 179.22 .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: '7 Fet_ f � ��S'''^ Z cid) PERMIT # Z.. - Ce NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub OTT Clothes Washer Septic Tank & Pit Dishwasher Shower Drinking Fountain Shower Pan Floor Drain Slop Sink Floor Sink Three Compartment Sink Hose Bibs Toilet Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater Water Treating System RE -PIPE: '7 TYPE OF FIXTURE QTY Bathtub TYPE OF FIXTURE aTY Clothes Washer 1 Septic Tank & Pit -- -- Dishwasher 1 Shower 1 Drinking Fountain Shower Pan Slop Sink Floor Drain Floor Sink Three Compartment Sink Hose Bibs —T— Toilet Kitchen Sink —°- — Urinal Laundry Tray 1. Vacuum Breakers _...g____ Lavatory Water Connected Appliances Other Fixtures Water Heater 1 Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons ❑ Lawn Sprinkler System - Number of Heads g (Requires 3 sets of plans) ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for fin ins ection. ** ❑ Other p 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 hat I have 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 oY read °roperty Owners Name - P nuance of construction. /� �`�; �� ` �` Phone Number 'lambing Company f -� J �,• f r� ,., �,,,._ 4 , ..;. (' ®--1 Office Phone Y, � 7 r1 Fax e /q - 3 ; _ ;o. Address: k'Q L< ��� � City /\-- State ( Zip 71 Z t 1 ' License Holder (Print): )L 4 � e - `/ � �� - ertification/Registration # C( 05 7'c'Y dotarized Signature of License Holder ;" , MORAN AMANDA worn and subscribed befo t 's U MY COMMISSION 057349 0 ' day of 4/ 20 • _; EXPIRES: May 21, 2015 ignature of Notary Publi / / • • • Bonded Thru Notary Put* Underwriters / c r� ..•li�lrl �� CITY OF ATLANTIC BEACH ;F sZ 800 SEMINOLE ROAD J " �` ' r ATLANTIC BEACH, FL 32233 n. INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000018 Date 1/20/12 Property Address 119 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2200 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 ELECTRICAL PERMIT Additional desc . Sub Contractor . BARKOSKIE ELECTRICAL SERVICE, Permit Fee . . . 58.60 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date . . 7/18/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 58.60 58.60 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 62.60 62.60 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICAIION CITY OF ATLANTIC BEACS 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: 11') f le 1o►v ,t \ PERMrr # /2-a NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole ❑Residential (Main) Service 00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters ❑Commercial (Main) Service 00-100 amps 0101- 150amps 0151-200amps ❑ amps OCT Service amp Conductor Type Size ❑Mul i- Family (Main) Service 00400 amps ❑ 101- i50amps ❑ 151 200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps - NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps ADDITTONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: ' 0- 30amps 31- 100amps 101- 200amps Appliances: 0- 30amps 31- 100amps 101- 200amps A/C Circuits: 0- 60amps 61- 100amps Heat Circuits: # circuits ® kw Number of Lighting Outlets, Inclnting Fixtures: 1 OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VALUE OF WORK $ REP US ❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG ❑vmer: A- DFG A /G_ S , „i r� Penuit becomes void if work does not commence within a sic month period or work is suspended or abandoned for six months. I hereby certify #bat I Iran readthis won and know the same to be hue and correct. All provers alms and ordinances govenningthis work will be complied with whether specified or not The permit does not give authority to violate the provisions ofany otter state or local law regulation construction or the performance of won. Properly Owners Name G-z- ea --A ez Phone Number z4 (= Electrical Company 5 4 DS Je I E Office Phone Z/7 1 4 3 / Fax Co. Address: 9 3 �72.,t v e City ) f3 State )z- /- Zip 2Z 57S License Holder (Print): State Certification/Registration # 3 cx9 z 3 E Notarized Signature ©f License Holder gy, 1 " Notary Public State of Florida Sworn - (ssubscr bed before me this day of ( 24 Tiffany August ti � � � ✓ y� � MY Commission OD901149 Signature of Notary Public - v �" 'cam � ��+ '�t ri olres missic2012