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5106 Polaris Ct 2013 Shower Conversions CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002454 Date 4/17/13 Property Address . . . . . . 5106 POLARIS CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2100 ---------------------------------------------------------------------------- Application desc REMODEL ENCLOSED PORCH/shower conversions ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NAVAL CONTINUING CARE NCCRF 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 PORCH REPAIRS Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2100 Expiration Date . . 10/14/13 ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FFILE �800 Seminole Road, Atlantic Beach, FL 32233 OPY Office (904) 247-5826 Fax (904) 247-5845 Job Address: 510(9 PZAAR_%S Com- Permit Number: Legal Description Parcel# Floor Area o q.Ft. Sq.Ft Valuation of Work Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Additio Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Commercial esidenti i If an existing structure,is a fire sprinkler system nstalled?(Circle one): N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Q�tdgd 6,L(askp WAV- Pbac-e4 — "V k SztArc.y ,moo /�STA(1 _/�N�ljT S#b(A60- &V1 J4=1 :.Ol5 - • VIA// AA00 X09 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/Contact Number 904-246-9900 - State Certification/Registration# CGC1521135 REVERMID FOR CODE COM Architect Name&Phone# CM OF ATiANTIC BM Engineer's Name&Phone# SEE FORAD01110NAl. Fee Simple Title Holder Name and Address Bonding Company Name and Address JU Mortgage Lender Name and Address RI?VIEWBD ': _ �— y ApP"ca h ereby made to obtain a permit to do the work and installations as indicated. I certify that no work or insta anon s comme issuance of a permit and that all work will be performed to meet the standards of all lcnrs regulating construction in this jurisdiction. This pernzit becomes null and void zf work is not commenced within six(6)months, or if construction or work is sre pended or abandoned for a penod of srx6)months at any time after work is commenced. I understand that separate permits mzcct be secured for Electricaall Work, P/undiu�g, Signs, Wells,Pools, urnaces,Boilers,Heaters, Tanks and Air Cononers,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 I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances govenzing this type of work will be complied with whether speci zed herein or not. The granting of a permit does not presume to give authority to violate or cancel the pravisions of arty other federal,state,or 1 al law regulating construction or the performance of construction. -L �tkm Signature of Owner GCJ — g' Signature of Contractor Print Name Joshua HatfieldPrint Name Joshua Hatfield Sworn to and subscrib d b fore me Sworn to and subscrA'bedefore me this It Day of Rr 20 / this M ay of H 2013 ELIZABETH TESKE ELIZA Notary P lic ;:°. Notary Public tate o on My Comm.Expires Apr 5.2013 C m. xpires Apr 5,2013 Commission DD 867829 ';,,� ��;' Commission+1+DD 867829 Revised 01.26.10 -1, dr,• °'•°`.` Bonded Through National Notary Assn. •�•°;,,`,�•• Bonded Through National Notary Assn. ••�.��•• NOTICE OF COMMENCEMENT State of olio No. County of FILE To Whom It May Concern: - The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: Address of property being improved: 1 Q(-0 N&A-S Ck General description of improvements: R<,�0 ca- (51140-s" Vkzk S(W Owner: /J cc Q\ r Address: ()ntk l'l66y- LAC�bt t,\G- Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: /,,Cc 'fid a Address: t, �o.�C ��J A-,t r�►�-�� (�G �� Telephone No.: 2q 6 —�w�o Fax No: 111rely(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is specified): TMS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: `i1a))Z-61 3 Before me this day-zd in the Co ty o Duval,State Of Florida,has personally appeared -=-->,L!i I A-� (r i r-- t .D Doc#2013089205,OR BK 16323 Page 1806, Notary Public at Large,Sta Flo C un al. Number Pages:1 My commission expires: Recorded 0-4/10/2013 at 12:08 PM, Personally Known: or Ronnie Fussell CLERK CIRCUIT COURT DUVALproduced Identification: _ COUNTY RECORDING$10.00 EXPIRES April 5.2017 7)398-0153 RoridallotaryService.com City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road ,r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845I Date routed: L4I All E-mail: building-dept@coab.us rT City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM C'�I CLn S �` Department review required Yes No Property Address: �� I OU Building Applicant: 1 y�1= Planning &Zoning Tree Administrator Project: �"I —q 01 (30 Y Public Works Public Utilities Public Safety Fire Services Iv 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: Approved. ❑Denied. (Circle one.) Comments: BUILDIN j PLANNING &ZONING Reviewed by: Date: '�l TREE ADMIN. ❑App Second Review: roved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 ' d + CITY OF ATLANTIC BEACH i 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002454 Date 4/18/13 Property Address . . . . . . 5106 POLARIS CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2100 ---------------------------------------------------- Application desc REMODEL ENCLOSED PORCH/shower conversions -------------------------------------------------- Owner Contractor - ------------------------ ----------------------- NAVAL CONTINUING CARE NCCRF 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 PORCH REPAIRS Occupancy Type . . . . . . BUSINESS -------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc SHOWER PAN Sub Contractor ASHLEY PLUMBING CO INC . 00 Permit Fee 62 . 00 Plan Check Fee . Issue Date . . . Valuation 0 Expiration Date . - 10/15/13 ------------------------------------------ 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 PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due _ ---------- ---------- ---------- - Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 �J S l acs PERMIT JOB ADDRESS: 5160 POLARIS COURT NEW OR REPLACEMENT INSTALLATION: Project Value $ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub ] Septic Tank& Pit Shower Clothes Washer Shower Pan �--- Dishwasher Slop Sink Drinking Fountain Three Compartment Sink Floor Drain Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Other Fixtures Water Treating System RE-PIPE: TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank& Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink ToiletUrinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory Water Treating System Other Fixtures MISCELLANEOUS: gallons(Requires 3 sets of plans) ❑ Sewer Replacement ❑ Back Flow Preventer El Grease Interceptor (Trap) ❑ Well ❑ Lawn Sprinkler System-Number of Heads ** ** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other Thereby certify t�at I have r six Permit becomes void if work does not commence within orrecta AllsFx m ovt cions of lawor s and ordinanrk is aesdor govebrning the work will be complied with whether specified this application and know the same to be true and c P regulation construction or the performance of construction. or not. The permit does not give authority to violate the provisions of any other state or local law Property Owners Name FLEET LANDING Phone Number 904-246-9900 Plumbing Company ASHLEY PLUMBING COMPANY INC. Office Phone 904-393-7959 _Fax904-399-0552 Co. Address: 11828 NEW KINGS ROAD #209 City JACKSONVILE_State FL_Zip 32219 License Holder(Print): CHRISTOPHER S AS LEY State Certification/Registration# CFC057804_ Notarized Signature of License Holder Bw in and subscribed before m hi 17 day of APRIL 2013 =•; MY COMMISSION 0 EE 103 EXPIRES October 17,2o15i ature of Notary Public '0 ��`, Floridallolaryservioe.com (407)398-0753 1 - CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD !� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002454 Date 4/22/13 Property Address . . . . . . 5106 POLARIS CT Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2100 ---------------------------------------------------------------------------- Application desc REMODEL ENCLOSED PORCH/shower conversions ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NAVAL CONTINUING CARE NCCRF 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 PORCH REPAIRS Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . BARKOSKIE ELECTRICAL SERVICE, Permit Fee . . . . 58 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/19/13 ---------------------------------------------------------------------------- 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 ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58 . 00 58 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 62 . 00 62 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. H ' CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATION Date: W17-2 ?J Property Address: ,5 Owner. � � -`- b �4 Telephone#• Contractor: /-�Q-IL/l�S�U� ��-GT � Telephone#: G Contractor Address: �! Fax#: Z44-06>) ? In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other consvuctm is ❑ New being done on this building � ❑ New 0Residence ❑ Temp. or site,list the building ur'Old ❑ Commercial ❑ Signs ❑ Increase Pa „ ❑ Re-wire ❑ Addition Sq. Ft_ ❑ Repair Conductor Size: AMPS: COPPER ALUMIMJM RACE Switch or Breaker AMPS PH W VOLT WAY RACE Existing Service � Size AMPS PH W VOLT 240 WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED ! OPEN n in AMPS Switches !/ Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. H Air H.P.RATING P.RATING CEILING KW-HEAT Conditioning COMP. MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH I NO. OVER 1 H.P. PHS LJNDER600V VER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Sign Miscellaneous X00 Semi�uSY Aoab •A11�n1ic Bt�c'n,'rtiosid�. 31133-Sdd.S Phone: (904)247-5800• Fax: (904)247-5845 • http://www.cLadantic-bcach.fLus