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Permit Skylights 109 Fleet Landing 2012 g � CITY OF ATLANTIC BEACH 7 s) 800 SEMINOLE ROAD J .,e =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000055 Date 1/19/12 Property Address 109 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 0 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 NEW 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 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: / 1 t / Ifeel JG,,. ; ■/t Permit Number: Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ A OE) Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition eration Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial ' esidentia If an existing structure, is a fire sprinkler system installed? (Circle one). - o N /A Florida Product Approval # FL 1 3 3O3 Lv For multiple products use product approval form Describe in detail the type of work to be performed: ikca Z s l 4-5 Property Owner Information: Name: NCCRF Address: One Fleet Landing Blvd.. ;''.., = s�•a�.u.,' City Atlantic Beach State FL Zip 32233 Phone 904 - 246 -9900 xtil0 E -Mail or Fax # (Optional) I q , , , Contractor Information: _ Company Name: North River Builders Qualifying Agent: Jos uaM Hogan Address: 6771 Shindler Drive City Jacksonville State FL Zip 32222 Office Phone 904 - 838 -9179 Job Site/ Contact Number 91iiiiiciiiiii - - - - -- --!-!2.--!__!_•__ State Certification /Registration # CGC 1518918 IFRDWaLJ.A • A . : ` 1 Architect Name & Phone # F� Engineer's Name & Phone # mii'�aUil :��l: \►`YYTEn ti Fee Simple Title Holder Name and Address __ _ - Bonding Company Name and Address 1 e •�� `,' •' a ONS. Mortgage Lender Name and Address 1 REVIE I • • 4 1 -- ICi- �N.lrs� Application is hereby made to obtain a permit to do the work and installations as indicated cer 1 7 -•- -....... ced prior to the issuance 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 if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months at any time after work is commenced. I understand that separate permits must be secured for ElectricalWork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, 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 I have read and examined thi 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 spp,/ .application led 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 1, regulating onstruction or the performance of construction. Signature of Owner i Oise _� i Signature of Contractor . Print Name Joshua Hatfield Print Name Joshua M. 'ogan Sworn to and subscribed before me Sworn to and subscribed before me this Day of , 20 this Day of , 20 _ , : TH TESKE — — — — — — — otary ublic [In 1.44, Notary Public State o Florida ' ota % Public " - e` Public TESKE �' 20 13 , : ` • Notary Public State of Florida t .� • E My Comm. Expires Apr 7 ., . Apr 5, 2013 "'' Commission N 00 881829 i „i ,• "vi v c r TIM A=' = ; omissionN DD 887829 Bonded Through National Notary Assn. � F ps n',P' Bonded Through National Notary Assn. r 1}.Ai1,. _ City of Atlantic Beach APPLICATION NUMBER �,; (To be assigned by the Building Department.) .> Building Department r ,;.. \`, 800 Seminole Road / — 5� \ / =� Atlantic Phone Beac247 -5826 h, Florida 32233 Fax -5904) 445 / \ ' / s (904) ( 247 -5845 f E -mail: building- dept @coab.us Date routed: / `/z. City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: //e`7 Department review required Yes No -ERuildi >' Applicant: ktet -?l/ 122 li ------12.__ Planning & Zoning Tree Administrator Project: ,C,& /s Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Required Review or Receipt Date )0 GL- Other Agency Review or Permit q of Permit Verified By Florida Dept. of Environmental Protection O 7 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: BUILDIN PLANNING & ZONING Reviewed by: Date: / - /7 TREE ADMIN. Second Review: Approved as revised. ❑Denie . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. ❑Denied. Comments: Reviewed by: Date: 1 l Revised 05/14/09