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Permit Remodel Baths 2104 Fleet Landing 2012 N n `; , z J CITY OF ATLANTIC BEACH , 0 800 SEMINOLE ROAD 15 7 Z ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 J~ r\ Application Number 12- 00000189 Date 2/16/12 Property Address 2104 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 1975 Application desc remodel 2 baths 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 Occupancy Type RESIDENTIAL Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 60.00 Plan Check Fee . . 30.00 Issue Date . . . Valuation . . . . 1975 Expiration Date . 8/14/12 Special Notes and Comments *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 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: 21o*4 - P1 -ee-- LA RIvcd. (i,L 7_� Permit Number: /Q2 — /8 Legal Description Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 1475 Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition Cr1 - Repair Move Demolition pool/spa window /door Use of existing /proposed structure(s) (circle one): Commercial ' esidenti. 1. If an existing structure, is a fire sprinkler system installed? (Circle one): 111E0 No N /A Florida Product Approval # For multiple products use product approval orm Describe in detail the type of work to be performed: , p,,,,,,� \ (2) j , .�y - co, c € 4,1e , W Ll 1(. [ a. f /A n l u 0. I it s / Diu /h1; Y`�l R I af I&LL L") , -i ✓■tvJ Property Owner Information: O 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 N -:- ? - -' ' -! - _ .. _ 4 1 4- r8 -4 179 State Certification/Registration # CGC1518918 i ! - ►-y = - � N .�nr ,1.T. -- __. Architect Name & Phone # 1 _ . - 1 • •�� S OR I� , '. t Engineer's Name & Phone # 1 • • , ' AD BEACH IMiviii Fee Simple Title Holder Name and Address 1 _ Bonding Company Name and Address 1 . .. ' , i ' i' D INDTITONS. I Mortgage Lender Name and Address 1 ; - /I a �� / _ 1 MI1' • Application is hereby made to obtain a permit to do the work and installations as in. aca e.. —• -- --- . - ) .s comrttj:,ce.r. ti, t • issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This .a i mooan es 1 and void if work is not commenced within six (6) months, or if construction or work is sus ended or abandoned for a period of six (6) mont . at - - •ze t e r work is c 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnace =: oile " • Ty., , Tanks and Air Conditioners, etc. WARNING TO FAILURE TO COMMENCEMENT MA SULT YOUR YOUR PAYING TTWI IMPRO f TS ' r 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 plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether specified 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 ,JUJ y -.— - SJ Signature of Contractor ■A• _____.4m • ■ Print Name Joshua Hatfield Print Name Joshua M 1:.'. gan Sworn to and subscribed before me Sworn to and subscribed before me this Day of 20 this Day of , 20 y EUZA6ETH TESKE J� •., ELIZABETH TESKE Notary / "ub is _ • . • : s- Notary ruonc • State of Fluri No Public r; '`� • •,� i Notary Public - State of Florida f •h : • _ My Comm. Expires Apr 5, 2013 , • • ,•, . , ,,, �a • i Commission DD 867829 : , ,ir, ,. My Comm. Expires Apr 5, 2013 ` " °F Bonded Through National Notary Assn. %;F OF ■cad;:' Bonded Through National Notary Assn. ( ro. �pr City of Atlantic Beach � r S � Building Department APPLICATION NUMBER (To be assigned by the Building Department.) r , ,,,,-„ 800 Seminole Road 15 �� Atlantic Beach, Florida 32233 -5445 /4? 6 9 Phone (904) 247 -5826 • Fax (904) 247 -5845 r D;3t9%� E -mail: building- dept @coab.us Date routed: ' ///� f City web -site: http: / /www.coab.us 1 APPLICATION REVIEW AND TRACKING FORM t Property Address: c2/e / 7� 7 �/ � ent review required Yes No ,�� C � Building Applicant: A/Ot7 V t,C �u i /c/— n / "a & Zoning L�' �/G / Tree Administrator Project: . /Peek OU"C / c , V7 . S Public Works Public Utilities Public Safety Fire Services Review feed V`'.r,. . ' " Dept Signature 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: [ pproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by fyl 1,-- Date: 1.5'12 TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: QApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 III' CITY OF ATLANTIC BEACH J ,;; 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 .�� JS� INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000189 Property Address 2104 FLEET LANDING BLVD Date 2/27/12 Application type description RESIDENTIAL ALTERATION Property Zoning Application valuation . TO BE UPDATED • 1975 Application desc remodel 2 baths 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 - -- Structure Information 000 000 REMODEL ( 2 0 BATHS B -9179 Occupancy Type RESIDENTIAL Permit PLUMBING PERMIT Additional desc . PLBG TUBS TO SHOWER Sub Contractor . ASHLEY PLUMBING CO INC Permit Fee . . . 83.00 Plan Check Fee Issue Date .00 Valuation 0 Expiration Date . • 8/25/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE PLBG DCA SURCHARGE STATE PLBG DBPR SURCHARGE 2.00 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 83.00 83.00 Plan Check Total . .00 .00 .00 .00 .00 Other Fee Total 4.00 4.00 Grand Total . .00 87.00 87.00 .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 CYT Ph (904) 247 -5826 Fax (904) 247 -5845 JOB f' V ' e i ii , ,. J, ,hQ PERIVIIT # NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE Bathtub Qom' TYPE OF FIXTURE TY Clothes Washer Q 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 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 Water Heater ° ` � ' J A Water Treating System __ Other Fixtures MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) 3 Lawn Sprinkler System - Number of Heads gallons (Requires 3 sets of plans) 0 Well ** k* SJRWD Well Completion Form. Completed form to be submitted. to the 1B tutu din g De 7 Other parlment for final inspection. ** ertnit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify its 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 • not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of ons hcvtractiono n. read roperty Owners Name 1: � L -�� ,,�/ lambing Company � �, l. �� Phone Number ^'._ Office Phone 23'79.� Fax Fax 11 ° D. Address: �L�2� �� c �'�R�R�, / � City r�' State Zip Z 2 i 5 _ - . to Certification/Registration # �r�cS21 • cense eps eq 1,.. ' c MY COMMISSION # EE 05 !' . '� B e Thai NoUPA iII '-� ' Sworn and subscribed befo . �� s . aye - j , / 2 �� Signature of Notary Public �� / 1