Permit ResAlt 5518 Rigel Ct 2013 41
CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
sJs3�13''
Application Number . . . . . 13-00001999 Date 1/16/13
Property Address . . . . . . 5518 RIGEL CT
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
shower conversion
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Owner Contractor
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NAVAL CONTINUING CARE NAVAL CONTINUING CARE
RETIREMENT FOUNDATION, INC ONE FLEET LANDING BLVD.
1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 322334599 (904) 246-9900
-- Structure Information 000 000 SHOWER CONVERSION
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 2000
Expiration Date . . 7/15/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-s� • : City of Atlantic Beach FDate
'LIGATION NUMBER
Building Department
SW Seminole Road ed by the 9 DWrhls t)
ANantic Beach. Florida 32233-5445 �99
Phone(904)247-50 • Fax(904)247-5845
E-mail: bu8dng-deptCcoab-us : �S
City web-site: httPWwww cow .us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
U L De rtrnent review No
5ulldin
Applicant: C C Planning&Zoning
Tree Administrator
Project: Ccs ((,-Ct6F?0W /407 72:-Ae/D e- Public Works
;�r, Public Utilities
c..� Public Safety
Fire Services
Review fee $ Dept Signature
F---
Other Agency Review or Permit Required Review or Receipt Date
Of Permit Verified
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St Johns River Water Managernent District
Army Corps of Froneers
Division of Hotels and Restaurards
Division of Alcoholic Beverages and Toba000
Ofher.
APPLICATION STATUS
Reviewing Department First Review: Approved
7 ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING 8,ZONING
Reviewed by: l Date:/
TREE ADMIN. Second Review:
QApproved as revised. ❑Denied.
t PUBLIC WORKS Comments:
IPUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date.
FIRE SERVICES Third Review: DApproved as revised. [Denied.
_d
Comments:
Reviewed by: Date:
Revised OT127110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904)247-5845
Job Address: 1 10 Permit Number: l3 l
Legal Description 2d.06 Parcel#
Floor Aea of Sq.Ft. Sq.Ft
Valuation of Work$�` Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of ezisting/prorosed structure(s)fcircle one):. Commercial Residentia
If an existing structure,is a fire sprinkler system installed?(Circle one). es No N/A
Florida Pro4uct Approval# L 16 I'm-
For multiple products use product approval— form ^/t;a) 5//-p W ,e emeC_Z6-7�_n
Describe in detail the type of work to be performed: Ah;� `g_g-
jt l_J%W. 4 —,o J 70 LJA1/ (Mo CFcAo(6 e /d A44 s ru�uaAl ASAOCRS
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:NCCRF Qualifying Agent: Joshua D.Hatfield
Address: One Fleet Landing Blvd. City Jacksonville State FL Zip 32233
Office Phone 904-246-9900 Job Site/C -246-9455
State Certification/Registration# CGC 1521
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address NLEPERMM FOR ADDITIONAL rILL
Bonding Company Name and Address REQUIREMEN is AND CONDMONQ.
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do a wo a rns Nation has commenced prior to the
issuance of a p�rnrit and that all work will be pe ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void rjwortic is not commenced within six(6f months,or if construction or work is susppended or abandoned for a-penod of six(6}months at any time after
work is commenced. 1 understand that separate permits must be secured for EledricaCWorlr,Plumbing,Signs, Welts,Poots, urnaces,Boilers,Heaters,
Tanks and Air Conditioners,etG
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.
1 here certify that 1 have read and examined this a plication and know the same to be true and correct. Al!provisions of laws and ordinances governing this
type owork will be complied with whether speed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
pravrsrons of arty other federal,state,or local law regulating construction or the performance of conshuction.
Signature of Owner Signature of Contractor
Print Name Joshua Hatfield Print Name Joshua Hatfield
... ------------ .................................-- ..............................................................-............-
Sworn o and subscribo bef6ri me Swornt and subscnb d before me
this /`� Day of = _ 20 l Zi this 15 Day of A) _ ,20 1
�.�.,
E E
Notary Puttl :°_°, .`�: Notary Public•n5,
;o`PN. .rR 4blic State of Florida
•. : •c My Comm.Exp ; My Comm.Expires Apr 5,2013Commission =� �� commission#DD 867829 Revised 01.26.10
Bonded Through N %Fo°,'„°�`� Bonded Through National Notary Assn.