The URL can be used to link to this page

Permit Bath Remodel 1201 Fleet Landing 2012 cy , � aik- , S A CITY OF ATLANTIC BEACH r 5 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 "`' INSPECTION PHONE LINE 247 -5814 Application Number 12- 00000308 Date 3/26/12 Property Address 1201 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 1900 Application desc shower conversion Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 6771 SHINDLER DR 1 FLEET LANDING BLVD JACKSONVILLE FL 32222 ATLANTIC BEACH FL 322334599 (904) 838 -9179 - -- Structure Information 000 000 SHOWER CONVERSION Occupancy Type RESIDENTIAL 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 . 9/22/12 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: ZO kLatievi,Q, 1,t✓ PERMIT # � " e 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 final inspection. ** n : ❑ Other C A sjit_ 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 i Phone Number Plumbing Company Office Phone ..3 Fax Co. Address: (i 41 ‘. , r-' City 'VA Stater Zip 122 n License Holder (Print): / State Certification/Registration # C Fc_ U; 7to-{ i Notarized Si!. o Sri i�( - *•' 1, ' : +'_ my CommissioN't DD 957760 ia„ :7'1.: EXPIRES: Febreary { 1 rn I d subscribed befor e this 2 da o t 2UI�- p ,, Bonded 7hru Notary public Underwriters 1 s . e of Notary Public 0 ,,.. , CITY OF ATLANTIC BEACH �. , 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 `' INSPECTION PHONE LINE 247 -5814 4011S> Application Number . . . . . 12- 00000308 Date 3/19/12 Property Address 1201 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . • 1900 Application desc shower conversion Owner Contractor NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS RETIREMENT FOUNDATION, INC 6771 SHINDLER DR 1 FLEET LANDING BLVD JACKSONVILLE FL 32222 ATLANTIC BEACH FL 322334599 (904) 838 -9179 - -- Structure Information 000 000 SHOWER CONVERSION Occupancy Type RESIDENTIAL Permit RESIDENTIAL ALT /OTHER Additional desc . .00 Permit Fee . . . 60.00 Plan Check Fee . Issue Date . . . Valuation . . . . 1900 Expiration Date . 9/15/12 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 .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 64.00 64.00 .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: 1lQI .tQA Lck -NA, ■\r b wa Permit Number: Legal Description U Parcel # M � Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ ) 00 Proposed Work heated /cooled non - heated /cooled Class of Work (circle one): New Addition dlegft 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): 46P •o N /A Florida Product Approval # For multiple products use product approval form n Describe in detail the type of work to be performed: S. (p 4c „.r ixr., S`� 0, „..,2„ 6 o 1 01 u e t ......0 �,lo ; 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 # 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. 1 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 t__hiis jurisdiction. This permit becomes null months at and work void if mmenced. understand that separate permits must suspended t be secured for Electrical Work, or lu Si a Wells, Pools, x Fu r naces, Boilers, time Hea 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 B OR MENTE CORDING YOUR NOTICE OF I hereby certify that 1 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 whethe specified herein or not. The grant of a perm does not presume to give author to v or cancel the provisions of any other federal, state, or loc 1 law regulating construction or the performance of construction. • Signature of Contracto' Lg► Signature of Owner — . - g am. Print Name Joshua Hatfield Print Name Joshua M. Hogan Sworn4 and subscribed b e f or e me Sworn to and subscribed Wore me 2012. this 1`1 Day of _ Illlgit ad' 20 this 11 - Day of M otary P e lac ; 0 ' I &.;%, c - Notary hg •' ., .4 ",,, Notary Public - State of Florida � _ , Notary Public State of Florida � • 5 My Comm. Expires Apr S, 2013 -N ' • , 1% My Comm. Elll iAti 10 � �' %� ... Bonded Through National # D 66 7 8 As sn. •,,, Commission 00 867829 Notary �' '''''''' ` , ' ' `` Bonded Through National Notary Assn. 0