Permit Remodel Baths and Sunroom 5416 Capella Ct. 2012 i r =, CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
" '" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000191 Date 2/16/12
Property Address 5416 CAPELLA CT
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 6400
Application desc
remodel 2 baths and sunroom
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
- -- Structure Information 000 000 REMODEL 2 BATHS AND SUNROOM
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc .
Permit Fee . . . 85.00 Plan Check Fee . . 42.50
Issue Date . . . Valuation . . . . 6400
Expiration Date . 8/14/12
Special Notes and Comments
need noc
*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 85.00 85.00 .00 .00
Plan Check Total 42.50 42.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 131.50 131.50 .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: 5) /(o (' i ppII (' au„t -+ Permit Number: / 5/ 9/
Legal Description Parcel #
Valuation of Work $ (. Proposed Work h ted /cooled Sq.Ft
n - heated /cooled
Class of Work (circle one): New Addition (lteratio Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial • esidential
If an existing structure, is a fire sprinkler system installed? (Circle one): • - te N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: fprnet)et (7) LL ,t.P,,,,, Suh r.0o 6 )
Sq &ccd .,,,r S•l.ecIt.) 0.na re /om, &Rd of.om ih-t .s-4 4.1 clan ,M
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 , ____!_2__!___! ! ■ ..: e 1 : - • 179 =.
State Certification/Registration # CGC 1518918 t , , , I� ,
Architect Name & Phone # ' ��� i� �►1i1�1�'� /1 / ��M •� � ; ,
Engineer's Name & Phone # 1 F B. 1=11112=11
Fee Simple Title Holder Name and Address n • a•2rt FOR ADDITIONAL jI 4
Bonding Company Name and Address '' ' i
'' a l
Mortgage Lender Name and Address .:� , try , , •� I ;
Application is hereby made to obtain a permit to do the wor an. ins a a tons . . ----------- has co no ,. ,, d e
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Thi,3, :, mi . .m% , 11
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) mo : a . i : •r
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnac . t oiler e, ` s,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 6 F.t
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.
1 hereby certify that 1 have read and examined t 's a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofwork will be complied with whether s. ci ted 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, .r local •
4 regulating construction or the performance of construction.
l/�
Signature of Owner ai d'
-� 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
/ ..17_0__ , , -'"., ELIZABETH TESKE I A d —/
1 o a / •ub is : r° c .t Notary Public - tate of Iona 0 No d', Public ; z' '
?I ,•• • My Comm. Expires Apr 5, 2013 l �� Notary Public - State of Florida
q �,,..�� ,o Commission # DD 867829 to �i ,,r" My m a r
� '' ° � � Bonded Through National Notary Assn. � �;F ��� ��.. Com a o n D 1367829
- - - _ 7" -.- -- N .. , _ _ " "" Bor► Throu National Notary Assn.
City of Atlantic Beach
� APPLICATION NUMBER
Building Department
800 Seminole Road (To be assigned by the Building Department.)
ze Atlantic Beach, Florida 32233 -5445 /2 — (i /
Phone (904) 247 -5826 • Fax (904) 247 -5845
-P,_,,- -P,_,,- E -mail: building- dept @coab.us Date routed: /� /
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: p, 40 ( //a., j D rtment review required Ye No
Buildi�
Applicant: SEA 2j . I � anning & Zoning
f Tree Administrator
Project: L tikon� I O2 h - IbCI-TG- Public Works
£ ft5 ,4�,, / Public Utilities
o p n� r) �j / t! t cJ r moo) Public Safety
f t h fee Fire Services
Review fee $ Dept Sig atur$wL ;,:>wr*
Review or Receipt " L� '"
Other Agency Review or Permit Required Date Na
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: 11 pproved. ❑Denied.
(Circle one.) Comments:
C UILDI■
PLANNING & ZONING
Reviewed by: t Date: — /
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 07/27/10
Doc # 2012034023, OR BK 15853 Page 518,
NOTICE OF COMMENCEMENT Number Pages 1
Recorded 02,16/2012 at 11:41 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Permit No. id- 1 J COUNTY
( RECORDING $10.00
Tax Folio No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description):
a) Street (job) Address: ` 21/6- 71., 7�
2.General description of improvements: ' 6 ��/ LJ+�" >i"
I!5ti -L r�5n u2r a ■ `A t Y ern -,
L Su"rue,
3.Ow er Information
a) Name and address: MCC g
b) Name and address of fee simple titleholder (if other than owner) O,rJ' (u r- . 44i A
c) Interest in property — Ja
4.ContractorInformation i,II
a) Name and address: N u(kl. _�, r r � LA-. v LID__ LID__ 77/ SA J/e r ' -.3-a-
/
) Telephone No.: (y c>`7 ;' ? Y /'i � Fax No. (Opt.)
5.Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.:
6.Lender Fax No. (Opt.)
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon wh
notices or other documents may be served:
a) Name and address:
b) Telephone No.:
Fax No.
S.In addition to himself, owner designates the following person to receive a copy of the (Opt.)
Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
b) Telephone No.:
Fax No. 9.Expiration date of Notice of Commencement (the expiration date is one year from h e date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEM T.
STATE OF FLORIDA p
COUNTYOFl <A Li L/74-6-- M , /---,_ i&f:-.141111 '
Signature of Owner or Owner. Au nrd Officer /Director /Partner /Manager
Print Name
The foregoing instrument was acknowledged before me this / "
�t!� day of !tii,:r'Cy' > 20 / by
ci
<A- E - trcLtb as NIGe< cc- x-t4tcD',w1C> ,
Sx.S (type of authority, e.g. officer, trustee,
attorney in fact) for r",..4- 64.19,4„
(name of party on behalf of whom instrument was executed).
Personally Known , .-'" OR Produced Identification Notary Signature )1j 7
Notar Si nature �f' /� f 7 ,,
Type of Identification Produced Name (print) ' -Y;C- L' S 4L
�-'
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I decl , re that I have read the foregoing and that
the facts stated in ' a• wledge and belief.
ELIZABETH TESKE
FORMS ''' Notary Public ae f Florida ,
My Comm. Ex pi re s Apr 5. 2013 !� �.. .
' : Si gnature of Natural Person Si n % Commission D D 8F g g • # 10.) Above
F d Through N atio St n tal N o ocSn