5309 Fleet Landing Blvd shower/porch conversion ` wf CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-00000767 Date 6/20/12
Property Address . . . . . . 5309 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7900
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Application desc
shower and sunroom conversion
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Owner Contractor
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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 SHO ER SUNROOM CONVERSIION
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7900
Expiration Date . . 12/17/12
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Special Notes and Comments
need noc
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Other Fees . . . . . . . . . STAIE DCA SURCHARGE 2 . 00
STA7E DBPR SURCHARGE 2 . 00
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Fee summary Charged Eaid Credited Due
----------------- ---------- --- ------ ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 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.
k
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic c Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: 5 e 4 Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work S_ 00 Proposed Work heated cooled non-heated/cooled
Class of Work(circle one): New Additionlteratio ) Rep iir Move Demolition pool/spa window/door
Use of existing/proposed structure(s) (circle one): Commercial esiden '
If an existing structure,is a fire sprinkler system installed? (Circle one): es (JS�D N/A
Florida Product Approval #
For multiple products use product approval form
Describe in\detail the type of work to be performed: 2 J w
60 6If ed &__VVN -,441_crsa ? 4 �. crtove_ 3�0r
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 indi ated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work wall 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 uspended or abandoned for aperiod of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electri al Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILU E TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR P YING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO O TAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFO E RECORDING YOUR NOTICE OF
COMMENCE ENT.
I hereby certify that 1 have read and examined this a plication and know the same to b true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whethe speci sed herein or not. The granting o a permit does not presume to gave authority to violate or cancel the
provisions of any other federal,sta , or to l law regulating construction or the per for nuance of construction.
f
Signature of Owne Signature of Contractor
Print Name Joshua Hatfield Pr nt Name Joshua M. gin
Sworgjo and subscribed before me SV7orn to and subscribed before me
this 11 Day of 20 1& this Day of 2012—
Notary
0iZNotary Pubf1c ELIZABETH TESKE t Yb'1� ELIZABETH TESKE
o�a►ar a�n`y�,
Notary Public-State of Florida :��' Notary Public•State of Florida1.26.10
3. = c ,,.. ; i• My Comm.Expires AS
•= My Comm.Expires
Commission N DD 867829 Commission#DD 867829
ry4f„St�,'•�` Bonded Thmugl►Nlf�M low Assn. �'� �w'.�d;,� Bonded Through National Notary Man.
Doc#2012',1 26903, OR SK 15973 Page 2385,
Number Rages:
NOTICE OF COMMENCEMENT Recorded 06,20'2012 at 11:1.1 AM.
JIM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING'$10.00
Permit No.
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.
1.Description of property(legal description): 11
a)Street(job)Address:
2.General description of improvements:
.e .
3.Owner Information
a)Name and address: ,J 0e- i
b)Name and address of fee simple titleholder(if other than owner,
c)Interest in property
4.Contractor Information
a)Name and address: r
b)Telephone No.: Fax No. (Opt.)
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
61ender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNE R AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS JNDER CHAPTER 713,PART I,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,CONS LT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO MENCEMENT.
STATE OF FLORIDA
COUNTY OF PINELLAS 10.
Signature of wner or Owner's Authorized Officer/Director/Partner'Manager
Print Name
The foregoing instrument was acknowledged before me this day of 20_'__.:-:_,by
as (type of authority,e.g.officer,trustee,
attorney in fact)for (name f party on behalf of whom instrument was executed).
Personally Known L-'OR Produced Identification Notary Sig iature m Q
Type of Identification Produced Name(pri t) (t zl 1 L e-(I,—
OR
Verification pursuan to Section 92.525,Florida Statutes.Under penalties ol perjury,I declare that I have read the foregoing and that
the facts stated in it e rql;, a M0i� ief.
A�•., A i ,
r'
?°* Notary Public-Stafe of Florida ` _
FORMS!NOC.rvsdaoto My Comm.Expires Apr 5,2Qt3
%N ra
Signature of atural Person Signing ut line#10. Above
Commo,csion�DD 887829 g" t 1
'° Bonded Tnro,oh National Notary Assn,