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Permit Bath Conversion 5401 Capella Ct 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000730 Date 6/14/12 Property Address . . . . . . 5401 CAPELLA CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8700 ---------------------------------------------------------------------------- Application desc shower/porch 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 00o SHOWER AND PORCH CONVERSION Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------------------------------------ Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 8700 Expiration Date . . 12/11/12 ---------------------------------------------------------------------------- iOther Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 00 PERMIT':IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Doc#20121227/96,ORBK15968 Page'1605, Number Pages: 1 NOTICE OF..ICOMMENCEMENT Recorded 06/1412012 at 11:13 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Permit No. 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. I-Description of property Yegal description): 2.G i a)Street(job)Address: eneral description of improvements: C 4- 4 y J.Owne' r Information a)Name and address: b)Name and address ot tee simple titleholder(it other tIQn owner) c)Interest in property A- 11 4-Contractor Information a)Name and address- b)Telephone No.: Fax No.(Opt.) 6 22t �A- At,, :O, T. 5.Surety Information a)Name and address: b)Amount of Bond: 6.1-ender c)Telephone No.: Fax No.(Opt.) , a)Name and address: 7. 1 d en tit�of�peron�will i n Tthe State-Of F I or i�d,d,, Phone No. a)Name and address: ida designated by owner upon whom notices or other documents may be served: b)Telephone No.: Fax No.(Opt.) 8.1n addition to himself,owner d'e_s_jg_nat_e_s___t_he�follow 713.13(l)(b'), Florida Statutes: ing person to receive a copy of the Lienor's Notice as provided in Section a)Name and address: b)Telephone No.: Fax No.(Opt.) f Cormllencement(the expir, �� 9.Expiration date of Notice Ition date is one year from the 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 1,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 COMMENCEMEN4T STATE OFFLORIDA oty COUNry OJ?44#4&bb*&—t)Lt 10. Signature ofOwner or Owner I s Au orize ffice Director/Parmer/Manager 11 Print Name The foregoing instrument was acknowledged before me this day Of 20A:)_,by as (type of authority,e.g.officer,trustee, attorney In fact)for (name of party on behalf of whom instrument was executed). -77 Personally Known OR Produced Identification Notary Signature Type of Id entification Produced Narne(print) OR Verification pursuant to Section 92.525,Florida Statutes. Under penalties of perjury,I declare that I have read the foregoing and that the facts st ated in it are true to the best of my knowledge and belief F0M15/N0C.rvs 010 ELIZABETH TESKE of Signature ofNatural Person S—,gn—,,,g—(—,n_1,._e1_10_)_A_bo�ve Notary Public-State of Florida My Comm.Expires Apr 5,2013 lRe om (C C mission#00 867829 r_': t Bonded TPrough National,NotarY Assn. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000730 Date 6/14/12 Property Address . . . . . . 5401 CAPELLA CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 8700 ---------------------------------------------------------------------------- Application desc shower/porch 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 322334S99 (904) 838-9179 --- Structure Information 000 000 SHOWER AND PORCH CONVERSION Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . ASHLEY PLUMBING CO INC Permit Fee . . . . 153 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/11/12 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 30 STATE PLBG DBPR SURCHARGE 2 . 30 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 153 . 00 1S3 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 60 4 . 60 . 00 . 00 Grand Total 157 . 60 157 . 60 . 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: Alve414 t/ — ? PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ ,TYPE OF FixTuRE QTY TYPE OF FixTuRE QTY l3athtub 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: 11 Sewer Replacement o Back Flow Preventer c Grease Interceptor(Trap) gallons(Requires 3 sets of plans) Lawn Sprinkler System-Number of Heads o Well SJRWD Well Completion Form. Completei—formto be submitted to the—Building Department forfinal inspection." 1i Other 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 th M Th7e�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 Own' ers Name Phone Number Plumbing Company Office Phone Fax Co. Address:: City State Zip License Holder(Print): dAf_1i6 State Certification/Registration Notarize SHIRLEY L GRAHAM MY COMMISSION#DO 95776- 61� m and ubscribed for this EXPIRES:February 14,201 of 20 Public Undergiters Bonded Thru Notary ature of Notary Public