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5302 Fleet landing Blvd bath remodel 2012 j CIT'IV OF ATLANTIC BEACH 800 SEMINOLE ROAD .. ............. ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-( 0001064 Date 8/15/12 Property Address . . . . . . 530.', FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------- ------------------------------------ Application desc 2 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 BATE CONVERSIONS Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------- ------------------------------------ Permit . . . . . . RESIDENTIAL AIT/OTHER Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2400 Expiration Date . . 2/11/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid 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 ATLANTIC 113EACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax 11,904) 247-5845 Job Address: 63014 gj&j I AA1,84 AWA, Permit Number: Legal Description i pa�cel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work Proposed Work heated/cooled J non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one): Commercial Resi lential If an existing structure, is a fire spriUler system installed?(Circle one): �Iies No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: 5kaordr- _iky41_a4jiA_t — It" 4AI VA,��ifu w0jita aj� Act), ,I Proverty Owner Information: Name: NCCRF Address: One Fleet Landingl�Blvd. City Atlantic Beach State FL Zip 32233 Phone: 904- 46-9900 xt. 150 E-Mail or Fax#(Optional) I Contractor Information: I Company Name:North River Builder Qualifying Agent:,oshua M. Hogan Address: 6771 Shindler Drive —City Jacksonville ,tate FL Zip 32222 Office Phone: 904-838-9179 Job Site/Contact Number: 904-838-10179 Fax 9 904-838-9179 Stai6Certification/Rea.istration# 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 App b ad I ob in a erm" to d as indicated. I certify that no work or installation has ta p* d h t f mlt a" a 9 meet the standards 6_all laws regulating construction in and Id tj Ilin six (�) months, or if construction or work is suspended "ca"'0 is here y �e p r � _ su co 'menced rio to h'Is ance 0 a per th r sd This erm it beco s nu 0 p iod f six 6j m onths at an I understand that separate permits must be securedfor I I. g,Sig s I s I lbua ni doincet I d��r a Perb n 11� Ve I,Pools, Ur ks and Air Conditioners,etc. s 0 Or lectrical Wo k'Pum WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE 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. I hereby certify that I have read and examined this application and know the ame to be true and correct. All provisions of laws and ordinances governing thi's type of work will be complied with whether snecified h6 rein or not. The granting of a permit does notpresume 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 J Sign iture of Contractor Print Name .,,.Joshua Ha.t,fi.e,1.d............................... ............. ............. Print Name Joshua Ho ............................. Sworn to and subscribed before me this Day of Swoi n to and subscribed before me this Day of 20 No ary Pub Nota-y PubV 0,01"."I", ELIZABETH TESKE 6.10 LIZAbETH TESKE Notary Public-State of Florida % a B e of Florida S Ap 5 2 1 3 ub a 8 I'c ID E olar� Public State of Florida My Comm.Expires Apr 5,2013 E My Comm xpires Apr 5.2013 Commission#DD 867829 Bonded Through National Notary Assn. Cornrnission#DID 867829 'oughNalorlal Notary Sri Through National Notary Assn. CIT)( OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 .......... INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-CO001064 Date 8/17/12 Property Address . . . . . . 5302 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2400 ---------------------------------------- ------------------------------------ Application desc 2 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 BATH CONVERSIONS Occupancy Type . . . . . . RESIDENTIAL ----------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . CONVERT 2 TUBS5 TO SHOWERS Permit Fee . . . . 69 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/13/13 -- -------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 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 TLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic each, FL 32233 Ph(904) 247-5826 Fax (964) 247-5845 JOB ADDRESS: ;2, F60 -Z40 PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value$ TYPE OF FiXTURE QTY T,PE OF FixTuRE QTY Bathtub S(ptic Tank& Pit Clothes Washer Sl ower Dishwasher Sl ower Pan Drinking Fountain S op Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink VEtcuum Breakers Laundry Tray ater Connected Appliances Lavatory ater Heater Other Fixtures Eter Treating System RE-PIPE: TYPE OF FixTuRE QTY TV: PE OF FixTURE QTY Bathtub Soptic Tank& Pit Clothes Washer S$ower Dishwasher S1 iower Pan Drinking Fountain S op Sink Floor Drain T iree Compartment Sink Floor Sink T)ilet Hose Bibs U rinal Kitchen Sink V cuum Breakers Laundry Tray ater Connected Appliances Lavatory ater Heater Other Fixtures ater Treating System MISCELLANEOUS: 11 Sewer Replacement 11 Back Flow Preventer 11 Grease Interceptor (Trap) gallons(Requires 3 sets of plans) El Lawn Sprinkler System-Number of Heads 11 Well SJRWD Well Completion Form. Completed form to be submitLed to the Builring Department for final inspection." E 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. Property Owners Name Phone Number Plumbing Company_Aa4 'Qz"X�Kc -Office Phone Fax vs-r Z_ Co. Address: ZZYU AIVI, City A< State&zip J j St e Certification/Registration# zzFlyotv License Holder(Print Notarized Signature of License Holder re e 41is da Of alz�� 40— pbscribed bef4ore, 7"' y o —204 DEBORMAMA�4rij, .�.jp.. MY COMMIS' EXPIRES, 14're CfNotary Publi 80nded Thru k(;I�ry