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Permit Res Alt. 1215 Fleet Landing Blvd 2012 › CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 `4 = INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000166 Date 2/09/12 Property Address 1215 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2300 Application desc 2 shower conversions 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 . . . . 2300 Expiration Date . 8/07/12 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 -582'6 Fax (904) 247 -5845 Job Address: 06 e(p - (AA .1. RA ci Permit Number: Legal Description Floor Area of Sq.Ft. Parcel # S Ft Valuation of Work $ e 2 Proposed Work heated /cooled non- heated /cooled Class of Work (circle one): New Addition lteratior Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Resi • - itia i If an existing structure, is a fire 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: (Z 4 SLAW Co10 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 Spindler Drive City Jacksonville State FL Zip 32222 Office Phone 904 - 838 -9179 Job Site/ Contact Number 904 - 838 -9179 Fax # 904 - 838 -9179 State Certification /Registration # CGC 1518918 Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. / certify that no work or installation has commenced 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. 1 understand that separate permits must be secured for Electrical ;Fork, 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. / 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 p type of work will be complied with whether speci d herein or not. The granting of a permit does not presume to give authority to violate or cancel the rovisions of any other federal, state, or local law ,: : ulating construction or the performance of construction. Signature of Owner , - , . • . �� Signature of Contractor Print Name Joshua Hatfield Print Name Joshua M. gan Sworn to and subscribed �efore me Sworn to and subscribed before me this e Day of co 5.. , 20 h_ this e Day of re , 20 !z. ` ,r ,,' Ei i 2ABFrH TESKE .. / .........a.._ - otar ublic , � a .9 , % • Notary Public State of Flori - c�a P �.� � LI MTH TESKE g • • •, . • e My Comm. Expires Apr 5, 2013 4'1 (1 Notary Public - State of Florida '• , -.... k` Commission # 00 867829 ' • '• ' t�vMj lr� '' ° ' Bonded Through National Notary Assn. 0 -- �'' Commission 0 DO Apr 5, 86782913 � f o R `■�' Bonded Through National Notary Assn, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD � " X,1,,. ^` " ATLANTIC BEACH, FL 32233 .. h INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000166 Date 2/09/12 Property Address 1215 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2300 Application desc 2 shower conversions 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 . 8/07/12 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/ S'' F- 64 ,04 , 7/g2 PERMIT # 12 - .Ar NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub Qom' 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: TYPE OF FIXTURE QTY TYPE OF FIXTURE Bathtub QTY Clothes Washer Septic Tank & Pit Dishwasher Shower 7.--- Drinking Fountain Shower Pan Floor Drain Slop Sink Floor Sink Three Compartment Sink Toilet Hose Bibs Kitchen Sink Urinal Laundry Tray Vacuum Breakers Lavatory Water Connected Appliances Other Fixtures Water Heater 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 final ins ection. ** ❑ Other CA Z Ske�,.> - -$� 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 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 Phone Number Plumbing Company s( 7 a��s,a Office Phone 379s- ? 9 "°3--re- F ax % ' Co. Address: //1( New Ay- h City State g Zip 31____.211_, License Holder (Print): �� s46 �� St Certification/Registration # C'FC aS7o y 'Notarized Signature i -. 7- 01 .. m ' COMMISSION it DD 957760 '. ` cxPIRaw® fi b ribed before e ' a 7 of .g4 Bonded Thru Notary Public Underwriters / ay f 20 J!� al - . - • ' ary Public ) ....r�1.� � 1 I`