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1209 Fleet Landing Blvd 2012 bath conversion CIT OF ATLANTIC BEACH n' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000965 Date 7/26/12 Property Address . . . . . . 1209 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1900 --------------------------------------- ------------------------------------ Application desc bath 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 BAT /SHOWER CONVERSIONS Occupancy Type . . . . . . RESID NTIAL --------------------------------------- ------------------------------------ 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 Paid 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 ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES.I BUILDING PERMIT APPLICATION CITY OF ATLANTO BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Falx (904) 247-5845 Job Address: aAAJ Permit Number: Legal Description Parcel # Floor Area of Sq.Ft. Sq. t Valuation of Work$ 190d Proposed Work heated cooled non-heated/cooled Class of Work(circle one): New Addition AjL-x� Rep it 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? (Circleone): No N/A Florida Product Approval # For multiple products use product approval orm Describe in detail the type of work to be performed: z <rs — v 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# CGC1518918 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 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 isus ended or abandoned for a period of six(6)months at any time after work is commenced. I understand that separate permits must be secured for ElectricalpWork, Plumbing, Signs, Wells, Pools, Furnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILUE 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 BEFOR RECORDING YOUR NOTICE OF COMMENCE ENT. I hereby certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speci ed herein or not. The granting o a permit does not presume to give authority to violate or cancel the Provisions of any other federal, state, local law gulating construction or the performance of construction. Signature of Owne — Signature of Contracto...............r ......... ..... I.._/� Print Name Joshua Hatfield Pr nt Name Joshua M. o an .. t ........................ Sworn to and subscribed before me Sworn to and subscribed before me this tit Day of aa-,, 20 tz- thi t4 Day of. 1-kms 20 l2Z- Z_w4w-oc-q— mpg Notary Palle '-; Sw,� •, Notary Public-State of Florida to %, N :1; My Comm.Expires Apr 5,2013 ¢? Notary Public•State of Florida ' a. Commission#00 667829 =' •'E My Comm.Expires Q� l 26.10 ,";`��. Bended Through National Notary Assn. ;� ,' Commission#E DD 86 e Bonded Through National Notary Assn. ♦ f,$ 11r� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . 12-00000965 Date 7/27/12 Property Address . . . . . . 120 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO ME UPDATED Application valuation . . . . 1900 ----------------------------------------------------------------------------- Application desc bath 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 BAT /SHOWER CONVERSIONS Occupancy Type . . . . . . RESID NTIAL --------------------------------------- ------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . ASHLEY PLUMBI G CO INC Permit Fee 62 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/23/13 ----- ----------------------------------------- ------------------- Other Fees ST TE PLBG-DCA SURCHARGE 2 . 00 ----- STA E PLBG DBPR SURCHARGE 2 . 00 ---------- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE W[TH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT )XPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Brach, FL 32233 Ph(904) 247n-5,826 Fax (9( 4) 247-5845 Z bu o c)0 R(os JOB ADDRESS: ��C� rJJ�`'" PERMIT# NEW OR REPLACEMENT INSTALLATION: Projec Value $ TYPE OF FIXTURE QTY T PE OF FIXTURE QTY Bathtub Sctic Tank&Pit Clothes Washer St ower Dishwasher St ower Pan Drinking Fountain SI)p Sink Floor Drain Tree Compartment Sink Floor Sink Tc ilet Hose Bibs U inal Kitchen Sink V cuum Breakers Laundry Tray W iter Connected Appliances Lavatory W er Heater Other Fixtures W er Treating System RE-PIPE: TYPE OF FIXTURE QTY TiPE OF FIXTURE QTY Bathtub St ptic Tank&Pit Clothes Washer Sf ower Dishwasher St ower Pan Drinking Fountain SI)p Sink Floor Drain T1 xee Compartment Sink Floor Sink T ilet Hose Bibs Ui inal Kitchen Sink V cuum Breakers Laundry Tray W iter Connected Appliances Lavatory W iter Heater Other Fixtures W ter Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Inte ceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **SJRWD Well Completion Form. Completed form to be submitiod.to the Building Department for final inspection.** ❑ Other Permit becomes void if work does not commence within a six month period or work is uspended 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 o dinances 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 Owners Name Phone Number Plumbing Company47�, ` �� Office Phone �'l:)j"Fax Co. Address: An / City C State (,�7 Zip License Holder(Print): d'�r `� State Certification/Registration# Notarize , irk c .. MY COMMISSION q DD 957760 ' •`a_ EXPIRES:February 14,zo1S rn and subscribed before e t s ay f 20LZ pr Bonded Thru Notary Public Underwriters ature of Notary Public