4114 Fleet Landing Blvd 2014 shower conversion CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
lit
Application Number . . . . . 14-00000141 Date 2/06/14
Property Address . . . . . . 4114 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 . . . . . . RESIDENTIAL ------
----------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc INSTALL 2 FIXTURES INC
Sub Contractor ASHLEY PLUMBING CO
69 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . . 2/05/14
Expiration Date . . 8/04/14 --------------------------------
--------------------------------------------
Special Notes and Comments LORIDA FIRE PREVENTION CODE
2010 FLORIDA BUILDING CODE, F
2008 NATIONAL ELECTRIC CODE ---------------
- -------- --------------------------------------------------
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.
FEB-06-2014 03:36 From: To: 19042475845 Pa9e:3,4
PLUM 3ING PERMIT APPLICATION
CITY oF ATLANTic BEACH
800 Seminole.Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
To.B ADDRESS: L —
L4x\6,'12�, _PERMrr# LJ-0) 9 1
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FIXTURE QTY TYPF.oF FLxTuRE 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 FLKTuRE Qry TYPE OF FIXTURE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Showerpan
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
WISCELLANEOUS:
:i Sewer Replacement 0 Back Flow Prev%-nter o Grease Interceptor(Trap) gallons(Requires 3 sets of plilins)
3 Lawn Sprinkler System-Number of Heads — 0 well —
F*,SIRWD Well Completion Form. Completeif form to be submitted to Che Building Department for final inspection."
i Other
or abandoned for six months,I hereby certify that I have mad
ermit becomes void if work does not commence within a six month period or work is suspended
�iq application and know the same to be true and corrcct. All provisions of laws and ordinances governing this work will be complied with whether specified
�r not "e 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 . FLEET L I)ING Phone Number 904-246-9900
)Iumbing Company ASHLEY PLUMBING COMPANY INC. —Office Phone'904-393-7959 Fax904-399-0552
n City JACKSONVILI�_State FL_Zip 32219
lo. Address: 11828 NEW KTNGS ROAD#209
Y State Certification/Registration# CFC057804
icense Holder(Print): CMSTOPHER S ASIZZI ...
votarized Signature of License Holder
Sworn and subscribed before me this_day of
Signaturi�of Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000141 Date 2/05/14
Property Address . . . . . . 4114 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 . . . . . . RESIDENTIAL ------
----------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc - - Plan Check Fee 30 - 00
Permit Fee . . . . 60 . 00 Valuation . . . . isoo
Issue Date . . . .
Expiration Date . - 8/04/14 -------------------------------
--------------------------------------------
Special Notes and Comments ORIDA FIRE PREVENTION CODE
2010 FLORIDA BUILDING CODE, FL
2008 NATIONAL ELECTRIC CODE -----------------------
----- --- ------
---------- -------------------------STATE DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ------- - 00
Permit Fee Total 60 . 00 60 . 00 . 00
Plan Check Total 30 . 00 30 . 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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY
Office (904)247-5826 Fax (904) 247-5845
Job Address: 4114 Fleet Landing Blvd Atlantic Beach, FL 32233 PermitNumber:
Legal Description— Floor Area ot�Sq.Ft. Parcel# S' -Ft led
Valuation of Work$ 1,500.00 Proposed Work heated/cooled non-%eated/coo
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa -;—A IA—
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 jr—oduct approval form
Describe in detail the type of work to be performed: SHOWER CONVERSION
Property Owner Information:
Narne:NCCRF dba Fleet Landing ____.Address: I Fleet Landing Blvd
Phone 904-246-9900 xt 431
City Atlantic Beach State FL—Zip 32233 L)
-z-
E-Mail or Fax#(optional)jholder@fleetlanding.com
Contractor Information:
Company Name:NCCRF dba Fleet Landing Qualifying Agent: Jason Hol
Address:I Fleet Landing Blvd Citv 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 1�54586
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application!is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the
issuance ofa permit and that all work will be pe fall laws regulating construction in thisjurisdiction. This permit becomes null
_dbrmed to meet the standards q ndonedfor a e fsixp5)months at any time after
and void if work is not commenced within six(6)months, or ifconstruction or work is suspended or aba Wpjriod o
phi dh 61s urnaces,Boilers,Heaters,
work is commenced I understand that separate permits must be securedfor Elecoicar Work, mbing,Signs, e ,PO , uj
Tanks and Air Con4fidoners,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 here certify that I have i,,ead and examined this lication and know the same to be true and correct. All provisions of laws and ordinancesgoverning this
f a permit does not presume to give authority to v.io or cancel the
y
p 9�
e work will be complied with whether s eci ie herein or not. The granting o
provisions ofany otherfederal,state, or local aw lating construction or the peFformance ofconstruction.
Signature of 0 Signature of Contract
PrintName Jason er ................................................................
Print Name Jason older ............................. ........................................................................
.....................................................................................................
sworn to and subscribed before me sworn to and subscribed before me
this_3/�O"Day of 20/41L- this k��_Day of ]/_Wn=r�_ 20
glz_
Notary Fu�bll ��
c
to viol e or cancel he
gres
P
r tion o,
rfed'era"state, or local law taung consiruc
leto
er
0 ........
son Ider
Notary Public SHARI R QUEST evised 01.26.10
S
HARI R QUEST
My COmMISSION*FF068247 *r-FO68247
MMIsSION
my co
EXPIRES November 4.2017
mber 4.2017
.. ............. EXPIRES Nove
(4o7) 8-0163 FIor1dsN0IarYS8n**--M
7)3WOi 53 Fjorid&NotarOer4lce-com
City of Atlantic Beach APPLICATION NUMBER
Jr'
(To be assigned by the Building Department
Building Department
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
E-mail: building-dept@coab.us
City web-site: http://vmw.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: i ivilwo, Department review re4uired Yes No
Building
Applicant: Je /C PI ning &Zoning
Tree Administrator
Project: �6 Public Works
Wifk &WM.6/;W 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: RA"p p r o v e d. ODenied.
(Circle one.) Comments:
PLANNING &ZONING Reviewed by: Date:,�
TREE ADMIN. r "i'm FIDenii d
Second Review: FlApproved as revised. nDenii
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: FlApproved as revised. [:]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000141 Date 2/11/14
Property Address . . . . . . 4114 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 . . . . . . RESIDENTIAL
---------- ---------------------------------------------------------- ------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc AIR PRO MECHANICAL OF N FL LLC
Sub Contractor 95 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 8/10/14 -------
- -------------------------------------------------------------------
Special Notes and Comments LORIDA FIRE PREVENTION CODE
2010 FLORIDA BUILDING CODE, F
2008 NATIONAL ELECTRIC CODE ------------------------
- ------------------------------------------CH DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE ME
STATE MECH DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---- ------------ ---------- ---------- ---------- ------- - 00
Permit Fee Total 95 . 00 95 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 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
bB ADDRESS: PERMIT#
PROJECTVALUE $ ASIOC3. — ARI#_ �SAqsqj -REQUIRED
—Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating
Heat: Unit Quantity BTU's Per Unit REQUIRED
Duct Systems: Total CFM
UEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 2,75-
Heat: Unit Quantity BTU's Per Unit C) Seer Rating 1 -3
Duct Systems: Total CFM REQUIRED
4RE PREVENTION Quantity (Requires 3 sets of plans)
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
I`IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts BTU's
Gas Piping Outlets Boilers
Elevators/Escalators
�LL 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
iis 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
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Iroperty Owners Name r_,74�_�7_ —Phone Number 2 V6-f,-4 0
141X_ jt1_ Office Phone_2.041f V Fax___�:�.
4echanical Company Z
'o. Address: I-t)0,6 C city to A*C State_f 6 zip.
,icense Holder(Print): —S&iy St Ce * ication/Registration# CWc1,?VfW
lotarized Signature of License Holder................... zr_l
Before me this_day of 20
Signature of Notary Public