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Permit RAAR 5317 Fleet Landing Blvd 2012 s, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001831 Date 12/21/12 Property Address . . . . . . 5317 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3200 ---------------------------------------------------------------------------- Application desc shower replacement/sunroom alteration ---------------------------------------------------------------------------- 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 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3200 Expiration Date . . 6/19/13 ---------------------------------------------------------------------------- Special Notes and Comments need noc ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 74 . 00 74 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PFWAM APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: ��3 / rI —L�� � �/ �✓� :t,�c� / L✓ PERMIT# NEW SERVICE ❑Overhead ❑ Underground ❑Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial(Main)Service 00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi Family(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC-) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. outlets/Switches: _0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KYA ❑Motors h1 FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORKS REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG Other' 'GJ C' y -1•; Z tus f iZ-fi ,Q i7E /A''/�l Permit becomes void if=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. / —� �L, Phone Number 7,q � 9`�dy Property Owners Named '' Electrical Company 342/2- . %CrE 7&c5 6�-1 C' Office Phone 7_14 4'`+7.5/ Fax Co.Address: % -3 5�� city Jl State Zip 3ZZSti License Holder(Print): State CeruRcation/Registration /3 Oil 7 Notarized Signature of License Holder zo/a .r N" notary Public Stake of Florida Sworn subscri before me this day of i4� �'r Tiffany August tAffw P,Ay Commission DD861149 Signature of Notary Public 7' r-xnirgg06126/2012 d'Or Doc#2012293110,OR EK'l 6191 Page 20913, NOTICE OF COMMENCEMENT Nef ages Reccrdarded 12;211/2012 at 10.52 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNT''! Permit No. iilk 17 1 RECC'RDIPIG$i0 W "fax Folio No, THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes,the followin.- information is provided in this NOTICE OF COMMENCEMENT. I.Description of property (legal desc•ription). a)Sheet(job)Address: 2.General description of improvements._I w f, t,d .`,: s E v 1 .� •.,. 3.Owner Information a)Name and address: b)Name and address of fee simple titleholder(if other than owner) _ t c)Interest in property 4.Contractor Information a)Name and address _t _ i'a{;rad. K r.' fy t✓:`� �` ji ;' b)Telephone No.: —7t; _.:? <3,_ > --Fax No.(Opt.)" i.Surery Information � a)Name and address: b)Amount of Bond:— —_-- — -- -— c)Telephone No.: _— Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: — b)Telephone No.: _ Fax No. (Opt.) 8.In addition to himself,owner desiunates tite following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a)Name and address: _ b)Telephone No.: _ —Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE"OF FLORIDA � qtyy COUNTY OF PINELL.AS 10. _,,� ,,1�'�^•�.. '� �,..id�.,`.✓ J,) Sienature of Ownei or Owner's Authorized Officer/Director/Panner/Manager Print Name The foregoing instrument was acknowledLed before me this day of' / r' __— 20 ,by as— _ (type of authority,e.g. officer,trustee, attorney in fact)for (name of party on behalf of whom instrument was executed). Personally Known Produced identification-- --- Notary Signature Type of Identification Produced _ Name(print) OR Verification pursuant to Section 92.325, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts state fiesll"b d belief. t - N Notary Puotuc - State of Florida .1( {[ FORAgS NOClcsd3Ult. ��`��" � ,- �l •if ,�} ± My Gomm Expires Apr 5,2013 Signatwc ul Natural Person Signing(in Ile n 10.)Above Commission #DD 867829 " ` Bonded Through National Notary Assn.