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120 Fleet Landing Blvd shower convrsn2013 CITY OF ATLANTIC BEACH st r J 800 SEMINOLE ROAD J r� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002963 Date 7/02/13 Property Address . . . . . . 120 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2100 ----------------------------------------------- Application desc 2 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 Occupancy Type . . . . . . BUSINESS ------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date . . . . Valuation . . . . 2100 Expiration Date . . 12/29/13 ----------------------------------------- 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 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 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax(904) 247-5845 Job Address: /20 06r 6Ajj0Ar_ Permit Number: Legal Description Parcel# Floor a of S .Ft. t Valuation of Work$ 2i /DO Proposed Work heated/cooled_ non-heated/cooled Class of Work(circle one): New Addition Alterati Repair Move Demolition pool/spa window/door Use of existing/propposed structure(s) (circle one):, Commercial If an existing struc}ure,is a fire sprinkler system,installed? (Circle one): Yes 45� N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: t s5i&cd PMl ,_/J$- 1�. ProWrty 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/ nL F4 Fax#904-246-9455 State Certification/Registration# CGC 15 1 _ Architect Name&Phone# �:. • _ `' Engineer's Name&Phone# Fee Simple Title Holder Name and dr S FOR ADD Bonding Company Name and Address D COND Mortgage Lender Name and Address REV27 Application is hereby made to obtain a permit to do the work and into a r i tallation has comme»AFMr!Dr•ta•Fhe• issuance of a permit and that all work will be performed to meet the standards of all laws regulating cons jurisdictThis permit mit becomes null and void if work isnot commenced within six(6)months, or if construction or work is susppended or abandoned for a ppenod of six(6)months at arty time after work is commenced. I understand that separate permits must be securedfor ElecbicaCWork,Plumbing,Signs, Wells, Pmts,rurnoces, Boilers,Heaters, Tanks and Air Conditioners,dr- WARNING tcWARNING 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 BE OR ERECORDING YOUR NOTICE OF CO I hereby certify that I have read and examined thisfa plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether spec ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state,or local law regulating construction or the performance of construction. Signature of Owner Gl��"- Signature of Contractor Print Name Joshua Hatfield Print Name Joshua Hatfi.eld.................. .................................... ... ............................. ........_..........._._........................................................... Sworn to and subscribed before me Sworn to and subs o before me this It] Day of W1,- % 2015 .. this .7-7 Day of20 13 Notary u ELIZABETH TESKE ELIZABETH TESKE ` r jl °': • '` MY COMMISSION#FF001858 •' MY COMMISSION#FF001851f� V1Sed 01.26.10 t EXPIRES April 5 EXPIRES April 5.2017 *'e dP� .2017 co.com 1407)398.0153 noridallotaryService.com tA07)398.0153 FloridallotaryServi CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 NOOF Application Number . . . . . 13-00002963 Date 8/02/13 Property Address . . . . . . 120 FLEET LANDING BLVD Applica ion type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Applica ion valuation . . . . 2100 ------------ --------------------- Applica ion desc 2 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 occupancy Type _ BUSINESS ----------- -------------------- Permit . . . . . . ELECTRICAL PERMIT Additi nal desc 11 OUTLETS Sub Contractor BARKOSKIE ELECTRICAL SERVICE, . 00 Permit Fee . . . . 61 . 60 Plan Check Fee Issue Date Valuation . . . . Expiration Date . . 1/29/14 ----------- ------------------ Specia 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 ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 __ ----- Fee summary------------g-- ------------- Charged Paid Credited ______ ------- Permit Fee Total 61---------- - . 60 . 00 . 61 60 . 00 00 00 . 00 Plan Check Total • 00 . 00 4 . 00 4 . 00 . 00 Othe Fee Total 00 . 00 Gran Total 65 . 60 65 . 60 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. F,ECTRTCAL PERNIIT APPLICATION CITY OF ATLANTIC BEADS 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 L ��4 /3L✓b PERMrf Jos ADDRESS: NEW SERVICE ClOverhead ❑ Underground ❑underground up Pole ❑Residential )Service s #of Meters 00-100 amps ❑101-150amps ❑151-200amps ❑ �P ❑Commercial(M ' )Service OCTamps Service amps 00-100 amps ❑101-150amps ❑151-20(}amps ❑_______ Conductor Type Size ❑MnI&Family . )Service ❑151-200amps ❑ amps #of Unit Meters 00-100 amps 0101-150amps ❑Temporary Poi ❑ amps SERVICE UPGRADE, ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ONS,ACCE2�OORRs STRII SSS,ETC.) Service amps ❑100 amps Damps ADDITIONS,REMO ELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,0ps C Outlets/Switches: / ( 0-30amps 31-100amps 0-30amps 31-100amps 61-100ams 101-200amps Appliances: A/C Circuits: 0-60amps -1 P Heat Circuits: # circuits Number of Lighting Outlets, Including Fixtures: OTHER ELIC PROJECTS gVA ❑Motors k ❑Svvirmming Poo ❑ Sign ❑Smoke Detectors Qty ❑Transformers . FIRE ALARM SyST&M (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/1 mps VALUE OF WORK$ REPAUMMISCE11 ANEOUSM Can ❑Safet ❑Replace y Inspection ❑Panel Change OOH to UG ❑Other: not c within a six mondh period or work is or abandoned for six months. I hereby caft a I have peamd tim mes void if work of laws and ggs work w�be flied with whether read d&ap &a ion and the same t0 be tragi and coned All P O°a n or the perform8nm Of speciried or not. The permit not give auffia*to violae the provisions of any other state or local law regulation construction. Phone Number Z .4 L D O property Owners Name �'��"''- .�/ � �lL�E �%JL�G 1 L Office Phone:? `��3 l FaxZ1'g8017 mectrkat Company V 3ZZS City � � � State � Zip Co.Address: � / c State C gbon/Registrat. # License Holder(Print) l Notarized Signature of Lceme Solder 20A t Sworn subscribed before me this day of- I= 00 au Notary Public Statef Florida ' Tiffany August Signature of Notary Public P` My commission DD 61149 oFa� Fxoires06126/2012