5412 Capella Ct 2012 door cased opening CIT OF ATLANTIC BEACH
�s1 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
'x INSPECTION PHONE LINE 247-5814
12-00001166 Date 9/05/12
Application Number . 541 CAPELLA CT
Property Address . .
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . 1350
----------------
---------------
Application desc
door opening interior doors
---------------------------
Contractor
Owner _
NORTH RIVER BUILDING SOLUTIONS
NAVAL CONTINUING CARE
6771
RETIREMENT FOUNDATION, INC JACKSONVILLE DR
LLE FL 32222
LER
1 FLEET LANDING BLVD
ATLANTIC BEACH FL 322334599 (904) 838-9179
--- Structure Information 000 000 OPENING FROM LIVING ROOM INTERIOR DOORS
Occupancy Type . . . . . . RESIDENTIAL
-------------------
-----Permit----
RESIDENTIAL LT/OTHER
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 60 . 00 1350
Issue Date Valuation .
Expiration Date 3/04/13
------------------
----------------------
2 . 00
Other Fees . . . . . . . . . ST TE DCA SURCHARGE 2 , 00
ST TE DBPR SURCHARGE
-----------
Fee summary Charged Paid Credited
----Due_-_
_ _ ------ ------- . 00
----------
- . 00
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total • 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00
Grand Total
64 . 00 64 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY CF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fa.' (904) 247-5845
Job Address: )L4 12- Permit Number:
Legal DescriptionParcel#
oor ea o q. t. Sq.Ft
Valuation of Work$ /. 50 Proposed Work heated cooled 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 Residential
If an existing structure,is a fire sprinkler system installed? (Circle owe): es N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: ' c
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 Homan
Address: 6771 Shindler Drive City Jacksonville State FL Zip 32222
Office Phone 904-838-9179 Job Site/Contact Number 904-838-�1.7917ax#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 1,1141S regulating construction in this jurisdiction. This permit becomes mull
and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for awl
period of six(6)months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces,Boilers, Healers,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILL RE TO RECORD A NOTICE OF
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 BEO ERRETCORDING YOUR NOTICE OF
COMME1 her eb certify that 1 have read and examined his application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work wall be complied with w/tether eci aed herein a' not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,stati, or loca aw regulating construction or the perorrnance of construction.
Signature of Owne ignature of Contrac
Print Name Joshua Hatfield Print Name Joshua Hogan .........................................
Sworn to and subscribed bgfor me Sworn t and subscribed efore me 201E
Day of 5n-�er 2012 his Day of t' ..
this 4 /t- e.
V
No ary P lic N ary,,, �1}c ELIZABETH TESKE
ELIZABETH TESKE :�r �`.`�. Notary Public-State ot�orida 01.26.10
Notary Pubr, ate of Florida q ? My Comm. Expires Apr �btt
_ i �r d o��
.•= My Comm 7 1,3 .,9t Commission#r DO 867829
Commission Ar 01 bo7829 �'''•°�l " Bonoee Through National Notary Assn.