5412 Capella Ct 2012 bath remodel CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-CO001066 Date 8/1S/12
Property Address . . . . . . 541� CAPELLA CT
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2100
---------------------------------------- ------------------------------------
Application desc
shower conversions
---------------------------------------- ------------------------------------
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 SHOVER CONVERSIONS
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2100
Expiration Date . . 2/11/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STAqE DCA SURCHARGE 2 . 00
STAIE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Faid 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
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A-LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTICBEACH
800 Seminole Road, Atlantic Eeach, FL 32233
Office (904) 247-5826 Fax "904) 247-5845
Job Address: ...... Permit Number:
Legal Description Pa reel At
Floor Area ot Sq.Ft. Sq.Ft
Valuation of Work$ 2- 1 ,00 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition (!�FD Repair Mme Demolition pool/spa window/door
Use of existing/proposed.structure(s)(circle one): Commercial
en
es _�n
If an existing structure, is a fire sprinkler system installed?(Circle one): es 0 N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 5kawlr` ft#,j _.JoLn 04-44ulk,
Property Owner Information:
Name: NCCRF Address: One Fleet Landinia 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 Builder Qualifying Agent: ,oshua M. Hogan
—_�e
Address: 6771 Shind r Drive City Jacksonville 3tate FL Zip 32222
Office Phone: 904-838-9179 Job Site/Contact Number: 904-838-1)179 — Fax 9 904-838-9179
State Certification/Registration#_CGC151891
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
commencedprior to the issuance of a permit and that all work will be performed tp meet the standards 6f all laws regulating construction in
this jurisdiction. This permit becomes null and void�f work is not commenced wit,7in six (6) months, or if construction or work is suspended
or abandonedfor a period of six (6) months at anytime after work is commenced I und�rstand that separate permits must be securedfor
Electrical Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers, Heaters, Ta s andAir Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE C F COMMENCEMENT MAY RESULT IN YOUR
PAYING 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.
J hereby certify that I have read and examined this application and know the s 7me to be true and correct. A 11 provisions of laws and
ordinances governing this type of work will be complied with whether specified he�ein or not. The granting of a permit does not-Presume to
give authority to violate or cancel the provisions of any other federa7, state, or local law regulating construction or the perjormance of
construction.
Signature of Owner Signeture of Contractor
a Ho
Print Name Joshua H a*tfie I*d ..... . Print Narne Joshu
Sworn to and subscribed before me .... ....
this—Day of 20 Sworn to and subscribed before me
this Of
ay
20
NOMry Pubu
got-afy Public
LIZABETH TESKE
E
S 0
F1 da y PL,,,o ELIZABETH Itaidsed 01 6.10
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Notary Public-State of Florida
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My Comm.Expires Apr 5,2013 *��b Notary Public-State of Florida
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My Comm.Expires Apr 5,2013
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4.r Commission#DD 867829
Commission#DD 867829
Bonded Through National Notary ksn
Bonded Through National Notary Assn
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-CO001066 Date 8/17/12
Property Address . . . . . . 541� CAPELLA CT
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO EIE UPDATED
Application valuation . . . . 2100
--------------------------------------- ------------------------------------
Application desc
shower conversions
---------------------------------------- ------------------------------------
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 CONVERSIONS
Occupancy Type . . . . . . RESIDENTIAL
---------------------------------------- ------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc CONVERT 2 TUBE TO SHOWERS
Sub Contractor ASHLEY PLUMBII�G CO INC
Permit Fee . . . . 69 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/13/13
---------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STAIE PLBG DCA SURCHARGE 2 . 00
STA= 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.
A ERmiT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (�)4) 247-5845
1: LZ /0(41�
PERMIT#
JOB ADDRESS: avoe_11,4 C_�
PROJECT VALUE $ ARJ
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTE INSTALLATION
Air Conditioning: Unit Quantity Tons Per Wt
Heat: Unit Quantity BTU's Per Lnit Seer Rating
Duct Systems: Total CFM
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Un[t
Heat: Unit Quantity BTU's Per Linit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity
(Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity
(Requires 3 sets of plans)
FIRE PLACES MISICELLANEOUS:
Prefabricated Fireplace Qty_ Autoi nobile Lifts
Gas Piping Outlets Boile'-s BTU's
ElevE tors/Escalators
ALL OTHER GAS PIPING Heat '_7xchanger
Quantity of Outlets Puml s
Vented Wall Furnaces Refrigerator Condenser BTU's
Water Heaters Solar Collection Systems
Tank�� (gallons)
Well.,
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 local law regulation construction or the performance of construction.
Phone Number S-1
Pr perty Owners Name
M��ompany_ le—, /910 Office Phone 3qj_�'95`�ax
Co. Address: Ak4-j city — State/ Lzip 22z / 7
License Holder(Print): zz�� J State Certification/Registration (fy,�77c_CK-7?o-,/
Notarized Signature of License Holder
Sworn and subscribed before me,this day of 2 Yd��
OEBORAN AMANDA WHrrE Signature of Notary P
iYCOMMIc ublic
1SM#EE05n49
EXPIRES:may 21,2015
'�,l Thru N PW*Underwrflers