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Permit Window 5518 Rigel Ct 2013 CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002000 Date 1/16/13 Property Address . . . . . . 5518 RIGEL CT Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 500 ---------------------------------------------------------------------------- Application desc new window ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 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 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 500 Expiration Date . . 7/15/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL 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 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATyON NUMBER Building Department SW Serninde Road (T°be wed by the adft ") Atlantic Beach.Florida 32233.5445 - R=e(904)247-M • Fax(904)247-5845 all E-mail: buitdng-deptQcoab.us Date rwbecl City web-site: ttfp:/Aovww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: t review uh+ed Yes No Applicant: /U l! MP77 Zonin �\ Q � r nistrator Project: ,[� ks ties lys Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit verified Florida Dept.of ErMrormental Protection Florida Dept.of Transportation St Johns ftiver Water Management Dishict Army Corps of Engineers Division of Motels and Restaurar�s Division of Alcoholic Beverages and Toba000 Other APPLICATION STATUS Reviewing Department First Review: Approved. QDenied. (Cirde one.) Comments: UILDIN PLANNING&ZONING Reviewed by: 1-71 Date:—/—/5-^,( TREE ADMIN. Second Review: ElApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Dom: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Rerusz4 07!27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904)247-5845 Job Address: 551$ i�� CT Permit Number: /3 o ©©a Legal Description 5_10 o . d d Parcel# Floor of Sq. t. sq.111 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 existing/pro osed stru (`eircle-one):. Commercial Reside tia If an existing structure,is a re sprinkler sys a lied?(Circle one): es o N/A Florida Product Approval L I ti'LI't-t err rt For multiple products use oduct approve orm Al" a Describe in detail the type ofwork�o 'pe Oro Ac-�&*utg - + � 1 /AJSfAl/ Wt o(o, 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/ - Fax#904-246-9455 State Certification/Registration# CGC 15 Architect Name&Phone# Engineer's Name&Phone# T Fee Simple Title Holder Name and Addre FOR ADDITIONAL Bonding Company Name and Address D CONDITIONS. Mortgage Lender Name and Address -yt ....•.., ..,,.. Application is hereby made to obtain a permit to do stallation has commenced prior to the issuance of a permii and that all work will be performed to meet the standards of all laws regulating construction m jurisdiction. This permit becomes null and void rf work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a�period of six(6)months at any time a ter work is cvmmettced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools,Furnaces,Boilers,H , Tanks and Air 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 1 have read and eramined this application and know the same to be true and correct. All provisions of laws and ordinances goverm.n this type of work will be complied with whether spected herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of arty otherfederal,state,or local law regulating construction or the pee6imance of construction. Signature of Owner Signature of Contractor r , Print Name Joshua Hatfield Print Name Joshua Hatfield _ ... ........................_..............................................................._............................_..._....... ........................................................-......................................................................_....... Sworn and subscrib befor me Sworn and subscribed before me this 11 Day of A 20 13 this 1Day of t+l 20 13 E E Notary Pub ' =_°» Notary Public•State of Florida O.""Y RoMlic-State of Florida s• .• My Comm.Expires Apr 5,2013 r`. «; any Comm.Expires Apr S,2013 Commission#DD 861829 SNS b,0`� '•F OF FSO,., i 9p Q.`. Commission#DD 867829 Revised 01.26.10 ",. Bonded Through National Notary Assn. '`�;,�,�°` Bonded 1'hrcugh National Notary Assn.