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4202 Fleet Landing Blvd 2013 modify closet t Jvy CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �r Application Number . . . . . 13-00002822 Date 6/10/13 Property Address . . . . . . 4202 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc modify closet for w/d ---------------------------------------------------------------------------- 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 MODIFY CLOSET FOR W/D Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/07/13 --------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION 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 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 JUN0 s 13 Office (904) 247-5826 Fax(904) 247-5845 Job Address: 4 2zPermit Numbe. Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ �, fl Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition <2lteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): CommercialRe ' If an existing structure,is a fire sprinkler system installed?(Circle one): No N/A Florida Product Approval# For multiple products use product approval form ,,AA Describe in detail the type of work to be performed: /Vlc�7) Fq C/0 S 0- S 1l� <0 A ce6 wt 60A-1-1;— A wAC,H-jLrt Do 1 6,ewt�f 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/Co t um e - State Certification/Registration# CGC 15211 D FOR CODE C-()Mmay. Architect Name&Phone# CM OF AT-LAaNTIC]BEACH Engineer's Name&Phone# SEE PERM"S MIK AL Fee Simple Title Holder Name and Address NO Bonding Company Name and Address Mortgage Lender Name and Address BY: application is hereby made to obtain a permit to do the work and installations as i icate . ce tion has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(ti)months, or ijconstruction or work is susppended or abandoned for a pperiod of six(t5)months at any time after work is commenced. I understand that separate permits must be secured for ElectricaCWorh;Pbunbing,Signs, Wells,Pools, 1 urnaces,Boilers,Heaters, 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. 1 hereby certify that I have read and examin d this plication and know the same to be true and correct. All provisions of laws and ordi ces governing this type o1 work will be complied with wheth spec:ied herein or not. The granting of a permit does not presume to give au t ority to 'olate or cancel the provisions of any other federal,state,or 1 l law regulating construction or the performance of construction. b'� Signature of Owner —�•'_�''� Signature of Contractor -J-4/ g Print Name Joshua Hatfield Print Name Joshua Hatfield ......................................................................_......................................................._ ........_.............................. .........._..............................................................---.--.._... Sworn to and subscribed before me Sworn to and subscribed before me this Day of 20 this Day of . 20 Otaryub c ELIZABETH TESK ELIZABETH TESKE MY COMMISSION#FF001858 MY COMMISSION#FF001 :sed 01.26.10 EXPIRES April 5.2017 `; ' oe? to,-1 EXPIRES April 5.2017 alfa- 39a•O153 FloddallotaryService-com wQ71398.0153 FloridallotaryService.Com City of Atlantic Beach APPLICATION NUMBER �S . Building Department (To be assigned by the Building Department.) l� '` 800 Seminole Road /3 7- Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: !� City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: YZO Z �� Llrn�n ��✓ =Building ment review required Ye No Applicant: /VCC iQ r — ' ' &Zoning / Tree Administrator Project: —7-h oq 1 r w Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 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: Q'Approved. ❑Denied. (Circle one.) Comments: BUILDIN PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved 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 05/14/09