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1118 Fleet Landing Blvd 2013 shower conversionCITY OF ATLANTIC BEAC 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003600 Date 11/07/13 Property Address . . . . . . 1118 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ------------------------------------ Application desc shower conversion ------------------------------------ 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) 219-4002 --- Structure Information 000 000 SHOWER CONVERSION Occupancy Type . . . . . . BUSINESS ------ Permit . . RESIDENTIAL ALT/OTHER Additional desc . Plan Check Fee 60.00 30.00 Permit Fee . . . . Valuation 1500 Issue Date Expiration Date . . 5/06/14 --------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -- ------------------------------- STATE DCA SURCHARGE 2.00 Other Fees . . . . . . . . . STATE DBPR SURCHARGE 2.00 ------------------ ______ --- Charged Paid Credited Due Fee summary ------ -- - _ _ ------------------------- Permit Fee Total 60.00 60.00 00 .00 .00 Plan Check Total 30.00 30.00 4.00 .00 .00 Other Fee Total 4.00 94.00 94.00 00 .00 Grand Total 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 FOCT 31 2013 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1118 Fleet Landing Blvd Atlantic Beach, FL 32233 Permit Number: IBy �3^ 36oD Legal Description Parcel # Floor Area of Sq.Ft. t Valuation of Work $ 1,500.00 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) (circle one): Commercial Residential If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: SHOWER CONVERSION Property Owner Information: Name:NCCRF dba Fleet Landing Address: 1 Fleet Landing Blvd City Atlantic Beach State FL _Zip 32233 Phone 904-246-9900 xt 431 E -Mail or Fax # (Optional) jholder@fleetlanding.com Contractor Information: Company Name:NCCRF dba Fleet Landing Qualifying Agent: Jason Holder Address:I Fleet Landing Blvd City Atlantic Beach State FL Zip 32233 Office Phone 904-246-9900 xt 431 Job Site/ Contact Number 904-219-4002 Fax # State Certification/Registration # CBC 1254586 Architect Name & Phone # Engineer's Name & Phone # Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address N /A -s Lj6j e � M x i z a Uz0 �. U VAo q O c�a w� Wa 14 C A V er Application is hereby made to obtain a permit to do the work and installations as indicais s,ted. I certify that no work or installation has commenced prior to the issuance of a permit and thco_at all work will be performed to mZ t the standards of all laws orabandoned construction in t�hpis jurisdiction. This permit becomes null work isc om'ok is menced. of !understand that separate permits m t be secured for Electric,! Work l Plumbing, Signs, or ,Wells, Pools,xFurnaces, Boilermonths at s, Heatime ers, 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 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provtstons of any other federal, tate, or local 1 w regulatingnstruction or the performance of construction. Signature of Owner Signature of Contractor //Print Name Jason..Hoer........................................ ..... ................................................... l .............. Print Name j..�(................. .L......... �.. Sworn to and subscribe before me Sworn to and subscribed before me this 36 Day of 6!;_ 2013 this $U Day of ©C.6 toe— C • 20 n i ter, If .5;_/� 4d_1 11,15;1� � 0,41t ELIZABETH TESKE ' a'" °�°• ELIZABETH TESKE __ ' MY COMMISSION #FF001858 MY COMMISSION #FF00185 EXPIRES April 5. 2017 `••+�.of�dr,;• EXPIRES April 5. 2017 M.0153 Florldallotarysemce.com (407) 398.0153 FloridallotaryService.com + City of Atlantic Beach Building Department 800 Seminole Road r Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 - Fax (904) 247-5845 f` v E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) Date routed: .3� 3 APPLICATION REVIEW AND TRACKING FORM Property Address: Applicant: IVC Project: �AD&Xe4 l,lJ/11%���lDIV Department review required Yes o Building anning Zoning Tree Administrator 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: APPI I(_ATIf)N STATUS Reviewing Department First Review: 2 pproved. ❑Denied. (Circle one.) Comments: (:ELDING PLANNING & ZONING Reviewed by: Date: Second Review: ❑Approved as revised. FIDe ed. TREE ADMIN. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. FIRE SERVICES Comments: Reviewed by: Date: Revised 07/27/10 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003600 Date 11/07/13 Property Address . . . . . . 1118 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1500 ----------------------------------------------- Application desc shower conversion ---------------------------------------------- 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) 219-4002 --- Structure Information 000 000 SHOWER CONVERSION Occupancy Type . . . . . . BUSINESS ------------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc 2 SHOWER PANS Sub Contractor ASHLEY PLUMBING CO INC Permit Fee . . . 69.00 Plan Check Fee .00 . Valuation . . . . 0 Issue Date . . . . Expiration Date . . 5/06/14 ------------------------------------------ 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 69.00 69.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 73.00 73.00 .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 TOB ADDRESS: ///t NEW OR REPLACEMENT INSTALLATION: RE -PIPE: TYPE of FIXTURE QTY Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures TYPE of FIXTURE QTY Bathtub Clothes Washer Dishwasher Drinking Fountain Floor Drain Floor Sink Hose Bibs Kitchen Sink Laundry Tray Lavatory Other Fixtures MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer Project Value $ TYPE of FIXTURE Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System TYPE of FIXTURE Septic Tank & Pit Shower Shower Pan Slop Sink Three Compartment Sink Toilet Urinal Vacuum Breakers Water Connected Appliances Water Heater Water Treating System PERMIT # I3 J6 OC) QTY QTY ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans) ❑ Lawn Sprinkler System -Number of Heads ❑ Well ** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** ❑ Other =,? SL-'(� Ypv_-'� 5 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate/the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Q' (/9 Phone Number Plumbing Company fl! ,lei, I kO^W� 2-�-.�;h,.Jc. Co. Address: ��R U -j e9. License Holder (Print): Notarized Signature of License Holder Office Phone A93?'7� % Fax City J 4 ?6 State r Zi13� In JENNIFER WALKER re me this r7iK day o Nov- 20 1 MY COMMISSION N FF 011480 ' EXPIRES: April 24, 2017 Si ature of Notary Publi ho? ' Bolded TWu Notary Pubk not em*rl # Cos7��