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Permit Res Alter 106 Fleet Landing Blvd 2012 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD U ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 A Application Number . . . . . 12-00001492 Date 10/16/12 Property Address . . . . . . 106 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1975 ---------------------------------------------------------------------------- Application desc interior wall addition ---------------------------------------------------------------------------- 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 INTERIOR WALL Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------------------------------------ Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . INTERIOR WALL ADDITION Permit Fee . . . . 60 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1975 Expiration Date . . 4/14/13 ---------------------------------------------------------------------------- Special Notes and Comments SEPERATE MECHANICAL PERMIT REQUIRED TO INSTALL DUCT OUTLETS 2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. INDIVIDUAL FLOOR PLANS ,k� e -t n Uozumel 2 Bedroom/2 Bath Home with Den TERRACE 231911 X 91911 - 11- FILE COP GUEST MASTER BEDROOM BEDROOM C1 11'4" x 12'4" 12'4" x 16' LIVING 14' x 17'4" DINING 10' x 15'4" 0 BATH 2 WALK-11� CLOSET BATH1 0 FOYER LL4---JIL- KITCHEN DEN 11'4" x 12'4" (-av Aj 7Z sill, —BREAKFAST- ENTRY Approximate GARAGE Square Footage: 1,500 aja 12' x 22' Plan id.,111,j,ect to int.nor rari.att.otw LEGEND e- DUPLEX OUTLET > TELEPHONE JACK El TV OUTLET DINING ROOM LIGHT Free ib land Free to foar One Fleet Landing Boulevard Atlantic Beach, Florida 32233 City of Atlantic Beach APPLICATION NUMBER Building Department (To be as . ed by the Building Departrnent) 800 Seminole Road 7 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-deptQcoab.us Date routed: City web-site� http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Z/, Department review regul d No Property Address: )7�14uilding Applicant: 7??&r7,;V �al oning Tree Administrator Project: 0 a Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date I of Perm it Verified By Florida Dept.of Environmental Protection Florida Dept.of Transportation SL Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of AJcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: OgA"pproved. nDenied. (Circle one.) Comments: PL� BUIILDIN ANN NG&ZONING Reviewed by: fill Date: TREE ADMIN. Second Review: oApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERMCES Third Review: nApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised 07127110 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 106 aed Landii'm Rlyd. Permit Number: Iq V - Legal Description Floor Area of Sq.Ft. Parcel# Sq.Ft Valuation of Work$ Proposed Work heated/cooled '72— non-heated/cooled Class of Work(circle one): New (A_dditi_o7n�� Alteration Repair Move Demolition pool/spa Use of existing/pro osed structure(�)(circle one): Commercial az� If an existing struefure,is a fire sprinkler system installed?(Circle one): Yes CD N/A Florida Product Approval# FILE Or For multiple products use product approMaT75'rm Describe in detail th —perf brMed: A aeo ijexl'or laek-n' ic A�4 rw, tk L4,i)Is' art) Ak' 10 arh4' 9 0 i�m�rttwner n m aTi W.— el 4 Name: NCCRF Address: One Fleet Landing Blvd. City Atlantic Reach State FL Zip 32233 Phone: 904-246-9900 xt. 150 E-Mail or Fax#(Optional) Contractor Information: Company Name:North River Builder Qualifying Agent: Joshua M. Hogan Address: 6771:Shindler Drive City Jacksonville State FL Zip 32222 Office Phone: 104-838-9179 Job Site/Contact Number: 904-838-9179 Fax#904-838-9179 StattCertification/Registration# CGC151891 Architect Name&Phone# 1111ME WD FOR CODE COMPLLAN Engineer's Name&Phone# Fee Simple Title Holder Name and Address C1 IT OF NFLANTIC BEXCH Bonding Company Name and Address SEE PERMITS FOR ADDITIONAL Mortgage Lender Name and Address REQUIREMEWS AND CONDMONS. //,;,?I /D -z— Application is hereby made to obtain a permit to do the ated. installation has 7t 11, commenced prior to the issuance of a permit and tha a nPr nrmp Pt t "tfjndg�;T64"—H� 41 gconstructionin this jurisdiction. This permit becomes null and void iVwork is not comm OIns r MuT12113, or y cunstruction or vurK ISSUSpended or abandonedf9r a period of six (6) months at any time after work i's commenced Jun stand that separate permits must be securedfor Electrical Work,Plumbing,Signs, Wells,Pools, furnaces,Boilers, Heaters, Tanks andAir Conditioners, etc. WARNING TO OWNER: YOUR FAILURE 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 BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that / have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governi�g this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. Signature of Owner to Signature of Contrac 7� : Print Name Joshua Hatfield ......................... .......................................................... Print Name Joshu ogan 1............. I................................................. Sworn to and subscribed before me Sworn to and subscrib6,d befor me this ay of 20 this J6 20 Jqay of avL d- Notary PubTib ELIZABETH,TESKE a Notary Pu0ic P d orlda 1 u tic ]23 "y Y0.1 -State of Florida I Notary Public r I k TES&'I s e Cal 1.26.10 S es 5 2 0 3 ELIZABETH P'r Ap of FI M C mm. x My Comm,Expires Apt 5,2013 I 4V D 86 829 b -State of Florida 7 0 - -"-1- 0 m sson D Notary Pu tic Commission lit DD 867829 0 r 5 hNt 'at otary ssn My Comm.Expires Apr 5,2013 T� g 3'o N A rou Notary Assn 8 ;3�1' Commission#DD 867829 Bonded ThrOUgh N3"031 t"y ss ...... Bonded Through Natiolal 74tary Assn 01