5212 Antares Ct 2012 shower conversion � t
CITY OF ATLANTIC BEACH
i
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�J13 �f'
Application Number . . . . . 12- 10000766 Date 6/19/12
Property Address . . . . . . 521 ANTARES CT
Application type description RES DENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2375
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Application desc
shower conversion
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Owner iContractor
------------------------ ------------------------
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 CONVERSION
Occupancy Type . . . . . . RESID NTIAL
------------------------------- ------------------------------------
I
Permit . . . . . . RESIDENTIAL AIJ/OTHER
Additional desc
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date Valuation . . . . 2375
Expiration Date 12/16/12
--------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STA E DCA SURCHARGE 2 . 00
STA E DBPR SURCHARGE 2 . 00
---------------------------------------- ------------------------------------
Fee summary Charged E aid 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
II
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFATLANTIC 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 F ax (904) 247-5845
Job Address: 572 I Permit Number:
Legal Description Parcel #
oor ea o q. t. t
Valuation of Work $ 15 Proposed Work heate /cooled non-heated/ cooled
Class of Work(circle one): New Addition terata Re �ir 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): Yes (� N/A
Florida Product Approval #
For multiple products use product approva orm
Describe in detail the
type of work to be performed:_rmed: Z) Ser-
S W o
S Mou �a
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:
I
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 904-838-91 9 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
.4pplication is hereby made to obtain a permit to do the work and installations as indic ted. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be pei formed to meet the standards of all lai4 s regulating construction in this jurisdiction. This permit becomes null
and void tf work is not commenced within six(6)months, or if construction or work is mspended or abandoned for a period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured o•Electric 71 Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks mid Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILUTO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR TIENT.ING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO AIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORECORDING YOUR NOTICE OF
COMMENCE
1 hereby certify that 1 have read and examined this aplication and know the same to be rue and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether s eci ted herein or not. The granting of permit does not presume to give authority to violate or cancel the
Provisions of any other federal,state, r local aw regulating construction or the pea fora ante of construction.
Signature of Owner
Signature ture of Contract0
Print Name Joshua Hatfield pri
.......................................................................................................................... t Name Joshua M. ogatl............................
............................................ _..................._
Sworn��pt,o and subscribed before me Sw rn and subscribed before me
this f-- ay of J i� 20 Z this! Day of 20
Notary Pu c Not 'ld ,, ELIZABETH TESKE
........
ELIZABETH TESKE -�
Notary Public-Stat 1 Florid 1.26.10
��-
Notary Public-State of F1r-;,'a _' ? D A �,
._ My Comm. Expireffil
MY Comm.Expires Apr 5,2Ui3 ':�+ Commission#DD 867829
.��i. F Commission#Do!L?$2! ' ,°R; °;
•�•,,,,,t• Thrnggnh - Bonded Through National Notary Aaan.