Permit Geothermal Alterations 6000 Fleet landing Blvd 2012 �S le)
p CITY OF ATLANTIC BEACH
a s) 800 SEMINOLE ROAD
w`` ATLANTIC BEACH, FL 32233
. }fr INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000566 Date 5/14/12
Property Address 6000 FLEET LANDING BLVD
Application type description COMMERCIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 2450
Application desc
geothermal alteration
Owner Contractor
R.P.C. GENERAL CONTRACTORS
248 LEVY RD
ATLANTIC BEACH FL 32233
(904) 241 -4416
- -- Structure Information 000 000 GEOTHERMAL ALTERATIONS
Occupancy Type BUSINESS
Permit COMMERCIAL ALTERATION /OTHER
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . 32.50
Issue Date . . . Valuation . . . . 2450
Expiration Date . 11/10/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
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 32.50 32.50 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 101.50 101.50 .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: 60=z- l 1.4(m - CA, J13t„k gi4D. Permit Number: ,/a Y56 6
Legal Description Parcel # (le 4 38 - 001 O
Floor Area of Sq.Ft. S Ft
Valuation of Work $ a q50 Proposed Work heated /cooled n on- heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial ResAaitial
If an existing structure, is a fire sprinkler system insta e' , ire e one): es No N /A
Florida Product Approval #
For multiple products use product approval form n
Describe in detail the type of work to be performed: /�/ 114u ,,O4,a6" ger 7
/ ' 1 //61.-14 Co �} CAe2 G.a,
Property Owner Information:
Name: M Address: UAi (L.G t4,4D,AJ ,do
City .A,Jrrlc P- Acd Staten- Zip 12-2 Phone 9o/- 2) 4 -(6132
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: 12PC 61tencred C ants- ur S , - in e. Qualifying Agent: ..{e,r .1 , leU clri q ui.,S
Address: ?-{ $ Levy (L d . City 41 n - c JP each State F� Zip 3 'a 3
Office Phone 9DL1 •- .2'-11- 4L I (p Job Site/ Contact Number Fax #
State Certification/Registration # C , 04 1 9 d:. �+ 41 �' " `"'
Architect Name & Phone # N661 a o I a ., 71 '1- a to 3 'y (
Engineer's Name & Phone # A c a d_ > 54 EL, - s LIZ cOt1 < tr 7- / Y 3 aillikWaTiudi ij' j;t .ra I
Fee Simple Title Holder Name and Address i 11114 1s ' ,
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 f (6) months at any time after
work is commenced. I understand that separate permits must be secured for ElectricalWork, 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 plication and know the same to be true and correct. All provisions ! laws - ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to : ive aut ority to violate or cancel the
provisions of any other federal, state, or loc' 1 law regulating construction or the performance of construction.
Signature of Owner '�"
Si --
g �� t 0 Signature of Contractor _ i 4 Mill
�� '
Ja-` -1 U 7r1 ,�,L ;0 P r i nt N ame Pe • 4
Print Name 0 t3 UP:
Sworn to and subscribed before me Sworn to and subscribed before me
this _,,,? Day of /'YJ,4 -y , 20 /-2 this 17 Da of / 20 /
/ �7 /� � / v_�I/
i1 ...NO — �'F .;� ENNIFER SNOW
Notary P t , , ►q•t. ti-.1 Notary Public - State of Florida
. Ef i N T - y 013
44 e: N r BET ESKE
ikg,,,,,,,, ' = M Comm. Expires Aug A 23,
� Notary
Pu - SfaM of Florida
-;F'+ pPO,, Commission # DDt9 1.26.10
� , F - My Comm Expire Apr 5 ° ' ." ,,, ` Bonded Through National Notary Assn
° , ' Bn .ommis$ i on # DD 867829 13
1 rj 1.=1 r`1 �J CITY OF ATLANTIC BEACH
Building Department
800 Seminole Road
•�� Atlantic Beach, Florida 32233
(904) 247 -5800
tin 1
PLAN REVIEW COMMENTS
Permit Application # 5 L:
Property Address: 6 r 1. -' , a
Applicant: ,& ` r -
Project: Cr 6 0 : t , /
This permit application has been:
0 Approved
Reviewed and the following items need attention:
1/(-Lt, 7 e 76. --
Please re- submit your application when these items have been completed.
Reviewed By: Date:
0:,, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
1^,t 800 Seminole Road /"? Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
» E -mail: building- dept @coab.us Date routed: S2
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 00, 0 % /t nt review required Yes No
C Building
Applicant: J r)e nmg & Zoning
Tree Administrator
Project: C) jAb -riy3 / Aile, a f)5 Public Works
Public Utilities
Public Safety
Fire Services
keview fee $ . Dept Signature r
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:
APP ICATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING /
Reviewed by: �� ha "`' r " Date: C-11- I
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09