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2114 Fleet Landing Blvd bath conversion 2012 CI Y OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 lilt Application Number . . . . . 12-00000964 Date 7/26/12 Property Address . . . . . . 2114 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO 13E 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/BATH CONVERSION Occupancy Type . . . . . . RESIDENTIAL --------------------------------------- ------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1900 Expiration Date . . 1/22/13 --------------------------------------- ------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 --------------------------------------- ------------------------------------- Fee summary Charged ?aid 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 kTLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlanti( Beach, FL 32233) Office (904) 247-5826 Fzx (904) 247-5845 Job Address: q jig j:__jPej_ 1 Permit Number: Legal Description Parcel # Floor Area of Sq.Ft. Sq P't Valuation of Work Proposed Work heated1cooled no'n-heated/cooled Class of Work(circle one): New Addition Xf_e`r`atioi Rep ir Move Demolition pool/spa window/door Use of existing/pro posed structure(s) (circle one): Commercial (les' I ire sprinkler system installed? (Circle )ne): e No N/A If an existing structure,is a f Florida Product Approval 4 For multiple proaucts use product approval form Describe in detail the type of work to be performed: (_o&,4e_j ft,:)i I AIA I I L.�"A I, '�'le Property Owner Information: Name: NCCRF Address: One Fleet Landing Blvd. City Atlantic Beach State FL Zip 32233 .—Phone 904-246-9900 xt.150 E-Mal I or Fax 4 (Optional) Contractor Information: Company Name: North River Builders Qualifying Aizent: Joshua M. Hogan Address: 6771 Shindler Drive Citv Jacksonville State FL Zip 32222 Office Phone 904-838-9179 Job Site/Contact Number 904-83 8-9179 Fax# 904-838-9179 State Certification/Registration# CGC1518918 Architect Narne & Phone # Engineer's Name & Phone 4 Fee Simple Title Holder Narne and Address Bonding Company Name and Address Mortgage Lender Name and Address �pplication is hereby made to obtain a permit to do the work and installations as indic ated I certif.y that no work or installation has commencedprior to the issuance of a permit and that all work will be pe�jbrmed to meet the standards of all la s 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 abandonedfor a period of six(6)months at any time after work is commenced. I understand that separate permits must be securedfor Electricar Work, Plumbing, Sikns, Wells, Pools, Furnaces, Boilers, Heaters, Tanks andAir Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P YING 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. I herebv certif�that I have read and examined tb s a lication and know the same to bi true and correct. A 11 provisions of laws and ordinances governing,th Is type of work will be complied with hether siecified herein or not. The granting q^a permit does not presume to give authority to violate or cancel the provisions of any otherfederal, stat , or local Xw regulating construction or the Pufo,,rnance of construction. Signature of Owna Si),,,nature of Contractor"__�� Print Narne Joshua Hatfield PrintName Joshua NPHogan ............................................................. .................................. ....... ........I .............................. ....................... ............ Sworn to and subscribed before me Sworn to and subscribed before me th is Day of -i-. I,- 1 20 i-C th s _ZAt Day of -T?,,�, 20 t2- ,,!��IZJETH TESKE Notary PuAc Notary Public-State or F1011da m� comm.Expires W 5,2013 Notary Public-State of Florida o'i 5'201 Pub C j ire Commission#01)867529 My Comm.Expires AdK(tNAAqjAj 1.26.10 nal .'a"Assn Commission#DD 867829 Bonded Through National Notary Assn ry Bonded Through National Notary Assn.. CITJ( OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5814 INSPECTION PHONE LINE 247 Application Number . . . . . 12-()0000964 Date 7/27/12 Property Address . . . . . . 2114 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO 13E UPDATED Application valuation . . . . 1900 ----------------------- --------------------------------------- -------------- Application desc shower conversion ------- ------------------------------------ Owner Contractor-------------- ---------- ------------------------ NORTH RIVER BUILDING SOLUTIONS NAVAL CONTINUING CARE 6771 SHINDLER DR RETIREMENT FOUNDATION, INC FL 32222 1 FLEET LANDING BLVD JACKSONVILLE ATLANTIC BEACH FL 322334599 (904) 838-9179 --- Structure Information 000 000 SHQWER/BATH 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 . . 1/23/13 ----------------------- - ------------------------------------ ------------- 2 . 00 Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 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 )XPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Bi=h, FL 32233 r Ph (904) 247-5826 Fax (904) 247-5845 g-0000 tn JOB ADDRESS: ) 1H -F(eei- bldg. . PERMIT# NEW OR REPLACEMENT INSTALLATION: Projec r Value$ TYPE oF FixTURE QTY Tj PE oF FixTuRE QTY Bathtub Se)tic Tank&Pit Clothes Washer Sh:)wer Dishwasher Sh)werPan Drinking Fountain Slop Sink Floor Drain Th-ee Compartment Sink Floor Sink To Jet Hose Bibs Ur nal Kitchen Sink V�cuum Breakers Laundry Tray W,iter Connected Appliances Lavatory W,iter Heater Other Fixtures W,iter Treating System RE-PIPE: TYPE oF FixTuRE QTY Ti PE oF FixTuRE QTY Bathtub Se)tic Tank&Pit Clothes Washer Sh:)wer Dishwasher Sh:)wer Pan Drinking Fountain Shp Sink Floor Drain Th-ee Compartment Sink Floor Sink To let Hose Bibs Ur nal Kitchen Sink Va-,uum Breakers Laundry Tray W,ter Connected Appliances Lavatory W,ter Heater Other Fixtures W,ter Treating System MISCELLANEOUS: • Sewer Replacement o Back Flow Preventer 0 Grease Inter�eptor(Trap) gallons(Requires 3 sets of plans) • Lawn Sprinkler System-Number of Heads 0 Well **SJR WD Well Completion Form. Completed form to be submittid to the Building Department for final inspection. El 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 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 ocal law regulation construction or the performance of construction. Property Owners Name 11,4+ Phone Number Fax Plumbing Company A&��,Pf Office Phone Co. Address: city State a—zip License Holder(Print): e e fflication/Registration# ��F Notarized er My COMMISSION 00 957760 February 14,S*o and subscribed befoknie is ay o 20 EXP hru Notary Public Underwriters Bonded sign ure of Notary Public