Permit Bath Remodels 3101 Fleet Landing 2012 r te;
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A` ' CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
� ATLANTIC BEACH, FL 32233
\� INSPECTION PHONE LINE 247 -5814
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Application Number 12- 00000245 Date 3/05/12
Property Address 3101 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 2100
Application desc
Change tub to shower, remodel 2 baths
Owner Contractor
NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS
FLEET LANDING 6771 SHINDLER DR
1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32222
ATLANTIC BEACH FL 32233 (904) 838 -9179
- -- Structure Information 000 000 REMODEL 2 BATHS, TUB TO SHOWER ETC.
Occupancy Type RESIDENTIAL
Permit RESIDENTIAL ALT /OTHER
Additional desc . REMODEL 2 BATHS
Permit Fee . . . 65.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 2100
Expiration Date . 9/01/12
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: 101 o9 / `An d1/tQ Permit Number: /2 ' Z fIr
Legal Description (J Parcel #
Valuation of Work $ Floor Area of Sq.Ft. S Ft
a2 / 00 Proposed Work heated /cooled n heated /cooled
Class of Work (circle one): New Addition cailleation Repair Move Demolition pool/spa window /door
Use of existing /proposed structure(s) (circle one): Commercial ' - '
If an existing structure, is a fire sprinkler system installed? (Circle one): ti No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed:
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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
Address: 6771 Shindler Drive Qualifying Agent: Joshua M. Hogan
City Jackonvlle
Office Phone 904 - 838 -9179 Job Site/ Contact Number 904 - 838 -9179 Fax # 904-83819179 State FL Zip 32222
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
issuance a permit and that all obtain
ok will betperfo the o�meet the standards as all laws ons in this jurisd This commenced
ermit be roes 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 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.
1 hereby certify that I have read and examined this a placation 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 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 1, egulating construction or the performance of construction.
Signature of Owner , ,
g ' 'i60 4)., 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 2 Day of 1►'t , 20 /2- this 2- Day of lvl &
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otar Public N`- ,� ;aY''''' ELIZABETH TESKE t . �EL • • :
+° A • `�-'; Notary Publi - State of Florida
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�, _ ''�•. ° ? Notary Publ -State of Florida
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