Permit Skylights 107 Fleet Landing 2012 3 !fix
CITY OF ATLANTIC BEACH
- 14 . 0 800 SEMINOLE ROAD
J ` p1� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Jj39
Application Number 12- 00000056 Date 1/19/12
Property Address 107 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 1900
Application desc
INSTALL 2 SKYLIGHTS
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 . . . 60.00 Plan Check Fee . . 30.00
Issue Date . . . Valuation . . . . 1900
Expiration Date . 7/17/12
Special Notes and Comments
INSTALLING 2 SKYLIGHTS
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC CODE
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 30.00 30.00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .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
I t a
800 Seminole Road, Atlantic Beach, FL 32233 f)
Office (904) 247 -5826 Fax (904) 247 -5845
,
Job Address: 1 d /eel / as b i b / L, - Permit Number:
Legal Description / Parcel #
j Floor Area of Sq.Ft. Sq.Ft
of Work $ /') ) L7 Proposed Work heated /cooled non - heated /cooled
r
Class of Work (circle one): New Addition A teration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprin%df 97stem installed? (Circle on • N /A
Florida Product Approval # ( J O3 "
For multiple products use pr oduct approval orm
Describe in detail the type of work to be performed: PICT (i) S66,.j 4j
Property Owner Information:
Name: NCCRF Address: One Fleet Landing Blvd. � ,,,
,,,„, „ 14 ' P i i - - »
'
City Atlantic Beach State FL Zip 32233 Phone 904 -246 'v!• _,_.„.�'.�.� . 1-,
E -Mail or Fax # (Optional) r r ) ,
•
Contractor Information: • { F 1 L o 1 p 1
Company Name: North River Builders Qualifyi ' ' —.. -. ∎ -'' '� `ogan.,,.�;�
Address: 6771 Shindler Drive City Jacksonville State FL Zip 32222
Office Phone 904 - 838 -9179 Job Site/ Contact N 4 -: : -• 179 Fax # 904 - 838 -9179
State Certification /Registration # CGC1518918 1.:.!:._•11 .
Architect Name & Phone # 1 1 - • .ODE COMPLIANCE. 1
Engineer's Name & Phone # 1 WY 1 • -,..• i B +t'1hH
Fee Simple Title Holder Name and Address 1 SEE PE; u I r • .. I u
Bonding Company Name and Address REQUIRE 1',g : .u_ a , I . ' - I
Mortgage Lender Name and Address I
a ., ate . • Ls>v 1
Application is hereby made to obtain a permit to do the work a � 1 # .. DATE: • o •- • ' - i commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regu tt _ . — , --- -- • -,- -• - :: J This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is susp ended or abandoned for a perio. o' ' '” . months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical IVork, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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.
I hereby certify that / have read and examined this a placation 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 spe. ied 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 la regulating construction or the performance of construction.
� ,
Signature of Owner — _ ilipi
Signature of Contractor
Print Name Joshua Hatfield Print Name Joshua M. . an
Sworn to and subscribed before me Sworn to and subscribed before me
this Day of , 20 this Day of 20
-' t �e r . ELIZABETH TESKE T.. i �, .
f� ota / ' ubltc
otary 'ublrc • i A Not ary Public - State of Ion a i . _ __ ' o ; Notary Public - State of florida
•• ? My Comm. Expires Apr 5, 2013 .�
;-, -" Commission # DD 867829 --• ,.t v e par Apr S, 2013
' ' '4 .° i , Bonded Through National Notary Assn. ' 411∎41 `'`
■ ts> d 00 867829
Bonded Throw National Notary Assn.
S:�wi,� City of Atlantic Beach APPLICATION NUMBER
� i ) , 't r: t Building Department (To be assigned by the Building Department.)
It ._ 800 Seminole Road / Z/ go
7_5V ' ' Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 /-/5 -I
• 011 19%- E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: // De - • ent review required Yes No
:uildin.
Applicant: y & • anning & Zoning
Tree Administrator
4 ' �.- Public Works
Project: /
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
I N
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: Q pproved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING & ZONING Reviewed by: fr ' j, Date: / /2--
TREE ADMIN. Second Review: Approved as revised. ❑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 •