Permit ResAlt 5706 Vega Cir 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002085 Date 2/06/13
Property Address . . . . . . 5706 VEGA CIR
Tenant nbr, name . . . . . . FLEET LANDING
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2100
----------------------------------------------------------------------------
Application desc
BATHROOM REMODEL
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NAVAL CONTINUING CARE
ONE FLEET LANDING BLVD.
ATLANTIC BEACH FL 32233
(904) 246-9900
--- Structure Information 000 000 SHOWER CONVERSIONS
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . . SHOWER CONVERSIONS
Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50
Issue Date . . . . Valuation . . . . 2100
Expiration Date . . 8/05/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total 32 . 50 32 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 101 . 50 101 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,.f% %, "
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 /.3
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 31
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 5 -7 o �eow Department review required Yes No
V Building
Applicant: C6),4"tt"* 4 Planning &Zoning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
"A �'IC16P igoo ure
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: R/Approved. E]Denied.
(Circle one.) Comments:
(!��N
PLANNING &ZONING Reviewed by: I-In Date: ;2-6-
0q
TREE ADMIN. C/
Second Review: FApproved as revised. F]Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: RApproved as revised. RDenied.
Comments:
Reviewed by: Date:
Revised 07127/10
BUILDING PERMIT APPLICATION 4k,
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE C 0 P Y 'i.,
Office (904) 247-5826 Fax(904) 247-5845
JobAddress: z5-71zi(_o Q66A Ctt?LC16_� Permit Number: 1,3- ,2405-
Legal Description Floor Area of -Fq-Ft— Parcel#___ 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 existing/proposed.structure(s) circleone): Commercial esidep
.�sid jiaD
If an existing structure, is a fire sprin ler system installed? (Circle one): -1
es§-- V�� N/A
Florida Product Approval
For multiple products use product approval form
Describe in detail the type of work to be performed: IL Vnlo�
�tjA I I &A(z 0 1 --1 1-1�-_ ., , I ,
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 Qualif�4ng Agent: Joshua D. Hatfield
Address: One Fleet Landing Blvd. City Jacksonville State FL Zip 32233
Office Phone 904-246-9900 Job Site/Co 24"- 29Q ax
State Certification/Registration# CGC15211 AJ K VK UUJUE-Co
Architect Name&Phone# CITYOF MPLIANCE
S -ATLANMC BRA 11
Engineer's Name&Phone# SEE PEERMyn Fog �WH
ADDITIONA-1
Fee Simple Title Holder Name and AdIdress KtQUIREMFIM AND CONDMONs.
Bonding Company Name and Address -R—MR—E.VffiE� A
Mortgage Lender Name and Address DATE42:��/_�S
t to do the work and installations or installation has commenced prior to the
this jurisdiction. 7hispermit becomes null
aVeriod ofsixp�)months at any time qfter
telb., Pools, urnaces,Boilers,Heaters,
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 ceilify that I have read and exami.ned this ti�plication and know the same to be true and correct. All provisions oflaws and ordinances governing this
pj work will be complied with whether s ec'i herein or not. 7he grgnting of a permit does not presume to give authority to violate or Cancel tile
provisi.OnS of any otherfederal,state,or local regulating construction or the pe�formance of construction.
Signature of Owner __�1, , Signature of Contractor
Print Name Joshua Hatfield Print Name Joshua Hatfield
........ ... ...
S o t d ubscribed before me Sworntojand subscrib_cd before me
, if�i'jted
zz
Z;AV4'D.'ySof f_&k1A&q 20 /1S thisj&Dayof -DAtJIA*� . 2013
SKE
ELINZA8ETH TE YP ILIZABET Xte
NO ary-PubTic— late of Florida
t�OtRillbid0C-State of F16d-da
NotarqPublic -5 5 1
3 13
e s A n52 R is,
0 pr 0
My Comm.Expires Apr 5,2013
i MY Comm.Expires Apr 5,2013
5 8
Commission#OD 867829 Commission#DD 867829
F, Revised 0 1.26.10
tary ssn.
Bonded Through National N F 5
'Onal Notary ssn
otary Assn Bonded Through National Notary Assn..
A