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