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Permit Res Alt 2111 Fleet Landing 2012 ` ,` I CITY OF ATLANTIC BEACH , 0 800 SEMINOLE ROAD X. ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 x113 9 Application Number 12- 00000165 Date 2/09/12 Property Address 2111 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2300 Application desc 2 shower conversions 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 . . . . 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 -5826 Fax (904) 247 -5845 Job Address: ltl -p UNA Permit Number: Legal Description Parcel # Floor Area of Sq.r't. Sq.Ft Valuation of Work $ 234x) Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition ;iterate Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): frf1�.}��!�!�,1,. If an existing structure, is a fire sprinkler system instal • .. • cle one): 40:60 No N /A Florida ProducfApproval # For multiple products use product approval form Describe in detail the type of work to be performed: (2,,..) <L 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/ Contact Number 904 - 838 -9179 Fax # 904 -838 -9179 State Certification/Registration # CGC1518918 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. I 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 a period of six (6) months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Rork, 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 1 have read and examined this asplication 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 spec' red 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 law ^- egulating construction or the performance of construction. Signature of Owner . _ b "`� � " I + Signature of Contractor AMIT Print Name Joshua Hatfield Print Name Joshua M. . • an Sworn to and subscribed before me Sworn to and subscribed before me this f Day o _ 20 this g Day of , 20 /Z otary 'O bli . •4Pw. pe al; Notary P '� i —•�. crs Notary Public - State of Florida ry F 'HY ELIZABETH TESKE • • : • 6 My Comm. Expires Apr 5. 2013 6 f. Notary Public State of Florida 1 Commission # 00 867829 1 • My Comm. Ex�r&i'AOP 1 A 10 , ' ''Itga Bonded Through National Notary Assn. Commission 00 867829 - -- 4 '' 'lign'Aio s Bonded Through National Notary Assn. k o CITY OF ATLANTIC BEACH 1 0 800 SEMINOLE ROAD :' ='" ATLANTIC BEACH, FL 32233 \ F �� INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000165 Date 2/09/12 Property Address 2111 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2300 Application desc 2 shower conversions 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 . 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: c ?/ / Meet 4414/ PERMIT # 1,2-- Oooc)p lbs' 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 fmal inspection. ** ❑ Other aic 10 ,S400-‘ •-{ 712 s .9 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 , 4((e7 /�ltJ� Office Phone 3 9 1 -7q� 7 Fax ,3 �9 - o 53 Co. Address: • /1 YLg t�I� r Cit Y -- State r( Zip 3 2 2 1 5 License Holder (Print): � .^e;� /4, In c, State Certification/Registration # CFC zSS7go Notarized Signature of License Holder t 77 `` : 51- IRtEv��• subscribed befo e m d y o r ,i 20/2 !� a_ ki V COMMISSION # DD 957760 LXPIRES: Feb "10V Bonded Thru Notary rgUl f Notary Public •