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102 Fleet Landing Blvd 2013 bath remodel �J If CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r1J�l�r- Application Number . . . . . 13-00003743 Date 12/05/13 Property Address . . . . . . 102 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6500 ---- ---- - - - - - -- -- - -- -- - -- --- --- - - ----- - - ---- --- - -- - -- - - - - - ---- --- -------- --- Application desc SHOWER CONVERSION /MASTER BATH REMODEL --- - ---------- --- --- -- -- --- ---- - ------ -- -- - --- - - - - -- --- - - ------------------- 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 - -- - - - - ----- --- --- ---- Occupancy Type . . . . . . RESIDENTIAL - - - ---- - ---- - -- - -- --- - - -- - -- - --- - ------ - --- - --- - -- - -- - -- - - ------ ------------ Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 85 . 00 Plan Check Fee 42 . 50 Issue Date . . . . Valuation . . . . 6500 Expiration Date . . 6/03/14 - ------ - - - - ---- - -- -- -- - - - -- - - -- - - ----- ----- --- - -- --- - -- - ------- -- ----------- 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 DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ----- - - - - - --- --- -- --- -- -- --- - -- - - ---- - - - --- - --- - - - --- --- - - - --- --- ----- --- --- Fee summary Charged Paid Credited Due --------- --- -- --- -- --- - - --- ----- ---- - --- --- - -- - ---------- Permit Fee Total 85 . 00 85 . 00 . 00 . 00 Plan Check Total 42 . 50 42 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 131 . 50 131 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER J S Building Department (To be assigned by the Building Department.) IS Seminole Road Atlantic Beach, Florida 32233-5445 J Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �Q �. 14r1ir �r�%7!9 94pprtment review required Yes No Buildin Applicant: fV d C �e)c Planning &Zoning Tree Administrator Project: ,(��,>� L�a/7 V�. �1 0� Public Works Public Utilities �'j� �j („—.• Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: 194proved. ❑Denied. (Circle one.) Comments: n/ (2EDING PLANNING &ZONING Reviewed by: Date: on 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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC ]BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 102 Fleet Landing Blvd Atlantic Beach, FL 32233 Permit Number: 3" 3 7�3 Legal Description Parcel # Floor Area of Sq.Ft. Sq t Valuation of Work$ 6,500.00 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 N/A Florida Product Approval # For multiple products use product approval form Describe in detail the type of work to be performed: SHOWER CONVERSION and MASTER BATHROOM REMODEL 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 D Contractor Information: NOV 2 5 202 Company Name:NCCRF dba Fleet Landing Qualifying Agent: Jason Holder Address:l Fleet Landing Blvd City Atlantic Beach State FL Zip 32233 By O v Office Phone 904-246-9900 xt 431 J t e on ac - - State Certification/Registration# CB51 MVIEWED F IJANCE, I -- Architect Name&Phone# CM OF ATI"TTIC Engineer's Name& Phone# Fee Simple Title Holder Name and Address RE Bonding Company Name and Address Mortgage Lender Name and Address REVIEWED BY: DATE ,•�<,.. :��•. Application is hereby made to obtain a permit to do the work and installations as dicated. I certify that no work or installation 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(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, 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 examined thisapplication 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 specs to 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 r lating construction or the performance of construction. Signature of Owner Signature of Contracto - Print Name Jason Holder Print Name !- ............................... ......................................................................................................................................... Sworn to and subscribed before me Sworn to and subscribed before me this Zs`bay of vcrsacx 20,/3 this Day of R&-A- 20/6' Notary Public .`'pY Py "!F4'^ SH R QUEST SHARI R QUEST ' ised 01.26.10 ',= •; MY COMMISSION#FF068 i, MY COMMISSION#FF068247 EXPIRES November 4.2017 ' ? EXPIRES November 4.2017 �.�!^:••`• (407)399-0153 FloridallotaryServkx.com (407)39e 0169 Fbrfdallotery&erviul.com CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003743 Date 12/30/13 Property Address . . . . . . 102 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6500 ---------------------------------------------------------------------------- Application desc SHOWER CONVERSION /MASTER BATH REMODEL ---------------------------------------------------------------------------- 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 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Sub Contractor . . ASHLEY PLUMBING CO INC Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/28/14 ---------------------------------------------------------------------------- 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 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION 43 CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 //-,� Ph(904)247-5826 Fax (904) 247-5845 1-2 JOB ADDRESS: l: 6�t PERMIT# 1-7� NEW OR REPLACEMENT INSTALLATION: Project Value$ 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 Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater 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 Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Y Other Fixtures Water Treating System MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well ** SJRWD Well Completion Form. Completed form to be subm�ittte/d�to the Building Department for final inspection.** I ❑ Other /'►'lD / 17� � u 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 11 ww Phone Number Plumbing Company 141,(1�, �✓r�'�`� � �� Office Phone'117,3795-1 Fax Co. Address: '�4J City State��Zip�2Z (� License Holder(Print): ate Certification/Registration# Notar' er ; �'Py, SHIRLEY L.GRAHAM ��COMMISSION#DD 957760 20F .� 2014 efore me this o E`(PIRES:February 14, ?SPF;te�C Bonded Thru Notary Public Underwr tors gnature of Not ubl' _ 1v� 1 f CITY OF ATLANTIC BEAM , 800 SEMINOLE ROAD !� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Jjilt Application Number . . . . . 13-00003743 Date 12/27/13 Property Address . . . . . . 102 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6500 ---------------------------------------------------------------------------- Application desc SHOWER CONVERSION /MASTER BATH REMODEL ---------------------------------------------------------------------------- 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 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . BARKOSKIE ELECTRICAL SERVICE, Permit Fee . . . . 64 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/25/14 ---------------------------------------------------------------------------- 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 ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64 . 00 64 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 68 . 00 68 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Reach, FL 32233 / Ph(904) 247-59".6 k,04)247-5845 y _3 7!3 JOB ADDRESS:_, L©21 XT�T /�, "/ / r�J�j J3 L✓�� _PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 7-40 VOLTS PHASE VALUE OF WORK 3 Z )00 NEW SERVICE ❑ Overbead ❑ Underground ❑T Underground up Pole Residential(Main)Service 0-100 amps 1 1101-150amps 151-200amps amps #of Meters Commercial(Main)Service 0-100 amps I ;101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Maim)Service 0-100 amps f 1101-150amps 151-200amps amps #of Unit Meters Temporary Pole i ! amps SERVICE UPGRADE amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps €111 50amps 200amps amps CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: (p OTHER ELECTRICAL PROJECTS Swimming Pool H Sign I iSmoke Detectors_Qty 'Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty voks/amps VALUE OF WORK 5 REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG Other: i3AJ-1+ L"S 'Cts 0 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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 �,7 ,-jE--,r-LLANj z� l t j e, Phone Number 2410-:-egg200 Electrical Company' G S et_Q_ l Ve--f"C Office Phone C�X � • q r te/ Fax v? Py Co. Address: �Gt ,P ?STT l' ��- City —.1L' +�- - State zip 2Z S t.icenae Holder Mint): State Certification/Registration# i 3o oy lder EE81E WRRITT noun►lrohflc-state of norMa fore me this�_ ay of 20—L--),— �� • Ml►Cot O.Et0 R610,2017 ` cormmiSswn IF EE Frn" Signature of Notary Public a. kr4ed nwovOh Na>I ftaprp Ann. CITY OF ATLANTIC BEA j 800 SEMINOLE R D ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003743 Date 1/21/14 Property Address . . . . . . 102 FLEET LANDING BLVD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6500 ---------------------------------------------------------------------------- Application desc SHOWER CONVERSION /MASTER BATH REMODEL ---------------------------------------------------------------------------- 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 ---------------------- Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/20/14 ---------------------------------------------------------------------------- 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 MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 69 . 00 69 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 1011 ADDRESS: (6AQ�^rIJI PERMIT# 3—3743. PROJECT VALUE $ ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED MPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty_ Automobile Lifts Gas Piping Outlets I Boilers BTU's Elevators/Escalators LLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells )THER: ermit 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 its 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 A The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name Phone Number Mechanical Company d�e�. Office Phone ..32�' ax2- 1� M ;o. Address: /l City Zip C—L State ,icense Holder(Print): State Certification/Registration iotarized Signature of License Holder Before me this day of 20 Signature of Notary Public