5208 Antares Ct shwer conver and elec 2014 )U j
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000281 Date 3/05/14
Property Address . . . . . . 5208 ANTARES CT
Tenant nbr, name . . . . . . UNIT 5208
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 3500
----------------------------------------------------------------------------
Application desc
2 shower conversions
-----------------------------------------------------
Owner Contractor
------------------------
------------------------
NAVAL CONTINUING CARE NCCRF ANDING BLVD
RETIREMENT FOUNDATION, INC ONE FLEET L FL 32233
1 FLEET LANDING BLVD ATLANTIC BEACH
ATLANTIC BEACH FL 322334599 (904) 219-4002
--- Structure Information 000 000 SHOWER CONVERSIONS
Occupancy Type . . . . . . BUSINESS ------
----------------------------------------------------------------------
Permit RESIDENTIAL ALT/OTHER
Additional desc - - 3S . 00
Permit Fee . . . . 70 . 00 Plan Check Fee
Issue Date . . . . 3/03/14 Valuation . . . . 3500
Expiration Date . - 8/30/14 -----------------------
-----------------------------------------------------
Special Notes and Comments
need noc
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 70 . 00 70 . 00 . 00 . 00
Plan Check Total 35 . 00 35 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 00 . 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
ad by
Building Department (To be assign ;te Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: htip:/hvww.coab.us
APPLICATION REY
JEW AN TRACKING FQRM
'5 zd 8 7)1-r" C71
Property Address: ?;2z08f_1 -nt review reguired
Building
Applicant: 412 6'e OPIWN—ing&Zoning
Tree Administrator
Public Works
Project: Public Utilities
Public Safety
Fire Services
Dept Si-n-atur-6-
9
Review or Receipt Date
Other Agency Review or Permit Required of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.J hns River Water Management District
Army Corps of Engineers
_BFi—sionof Hotels and Restaurants
Divisi)n of Alcoholic Bever-ages and Tobacco
Other:
APPLICATION STATUS
FR.viewing Department First Review: [24proved. ElDenied.
(Circle one.) Comments:
=BUILDIN
PLANNING&ZONING Reviewed by:. Date:
TREE ADMIN. Second Review: E]Approved as revised. ElKenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: nApproved as revised. F]Denied.
Comments:
Reviewed by: Date:—
Revised 06/14109
BUILDING ! ERMIT APPLICATION
CITY W;' ATLANTIC BEACH
800 Sernin ;,�(, I tic Beach.FL 32233
Ar�
7-f 82ilanFax(904)247-5845
Job Address: 5208 Reet-L—andt—MMlyd Atlantic Beach�FL 32233 Permit Number:
Legal Description Floor Area or Sq. 1. Parcel# t
Valuation of Work S 3,5N.00 Proposed Work heat cooled on- eated/cooled..
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa wi. )w/door
use otexisting/proposed structure(j) ircleone): Commercial Residential
Ifamexisting-_ eture,is afire sp=er system installed?(Circle one): Yes No N/A
Florida Product Approval#
For multiple products use PF&I—ic—tapp—ro-11irrorin
Describe in detail the type of work to be performed:(2)S ER CONVERSIONS i
1 010 (i I
Property Owner Information: CL. 8E
Cz 'dE9
Namc:NCC dba F Landing Addressj_Fleet Landing DI C.3 unc 9
City Atlantic pW zip 32233_Phone 904-246-9900 xt 431 U
State FL_ Q
r@fleetianding.com C4
E-Mail or Fax#(optional)jholde 0
company Name:NCCRF dba Fleet Landing (;Iualifying Agent:Jason Hol
Address:I Fleet���ty Atlantic Beach -State FL Zip 32233 # 0 0.
Contact Number 904-2194002 Fax
Office Phone 904-246-9900 xt 431 _JOD blief
State Certification/Registration#CBC 125455�.
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Addres
Bonding Company Name and Addres
Mortgage Lender Name and Address
�Pph.catio , 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
ndards in this'urisdiction. This permit becomes null
71s, ofall laws regu0stig construction J
issuance ,a permit and that all work will be peifi7rined to meet the sw ;,&*d or abandonedfor a period of,six=at any time after
and void#work is not commenced within six(6)months,or ifconstruction or wr %r Wei Pwip� Bomem Heaters,
11gk 00
work is commenced I uiWerstand that separate permits must be securedfor El Work Phtmbhw,S4jnz, WIS,
Tanks ived Air COXAWOMM ew-
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF ENTS
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEM
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y61jR NOTICE OF
COMMENCEMENT.
I hereln,certif.v that I have read and examined this fication and know the same to be true and correct. All provisions ot'laws and ordinances governing this
be com f),"ed
plied with whether srect led herein or not. The granting qj'a permit does not presume to give authority to violate or cancel the
.WW of work ivill in ling construction or the pei)ormance ofconstruction-
prewisionsof any otherfederal state,or locatka7w r�tlainx
Signature of Contractor
Signature of Owner
Print Name Jas Holder. ..............
Print Name Jason Holder
I..............
Sworn to and subscribed before me Sworn to and subscribed before me 20/
gU
this/4-yt-Day of 20 Z this _!�Lllay of
Notan Pub ic lqoFai�uw
SHARI R OU vi 01.26.10
SHARI R QUEST 47
My COMMISSION#FFOW247 My COMMISSION
S N&A"OW .2017
4,2017
EXPIRES NoveMber OF , EXPIRE
(407)=63 FbddNW (407)30"153
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00000281 Date 3/05/14
Property Address . . . . . . 5208 ANTARES CT
UNIT 5208
Tenant nbr, name . . . . . . AL ALTERATION
Application type description RESIDENTI
Property Zoning . . . . . . . To BE UPDATED
Application valuation 3500------------------------------
------------------------------------------- --
Application desc
2 shower conversions -----------------------
---------------------------
Contractor
Owner ------------------------
------------- ---------- NCCRF
NAVAL CONTINUING CARE ONE FLEET LANDING BLVD
RETIREMENT FOUNDATION, INC ATLANTIC BEACH FL 32233
1 FLEET LANDING BLVD (904) 219-4002
ATLANTIC BEACH FL 3223345-
--- structure Information 000 000 SHOWER CONVERSIONS
Occupancy Type . . . . . . BUSINESS --------------- ----------------
------------------ ------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc BARKOSKIE ELECTRICAL SERVICE, . 00
Sub Contractor 57 .40 Plan Check Fee 0
Permit Fee valuation
Issue Date 9/01/14 ---------
Expiration Date ------- ---------------- -------
----------------------------------
Special Notes and Comments
need noc
2olo FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE To THE BUILDING
DEPARTMENT IMMEDIATELY. ---------------- ------------------------
--------------------------------- STATE ELEC DCA SURCHARGE 2 . 00
other Fees . . . . . . . . . STATE ELEC DBPR SURCHARGE 2 . 00-----
---------- --------------------------------- -----------
--------------- Charged Paid Credited ----Due---
Fee summary ---------- ---------- ---------- . 00
-------------otal 57 .40 57 .40 . 00
Permit Fee T . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00
Grand Total 61 .40 61 .40 . 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 Peach, Fl, 32233
Ph(904) 247-5 916 04)247-5845 PERWT#
JoB ADDRESS:--�5
—PHASE
RMITS AMPS —2"VeD VOLTS –
J INFORMATION RE
EA QUWED ON ALL PE
VALUE OF WORK S---�
NEW SERVICE n Overbead 0 Underground D Underground up Pole
Residential(Main)Senrice ______amps #Of Meten
0-100 amps 10 1-I 50amps
Commercial(Main)ScrVift _______amps cr Service_amps
0-100 amps i 101-150amps A 51-200amps
Conductor Type— --- Size -------
Multi-FaimilY MWtn—)S�er� 151-200amps ________,amps # of Unit Meters
0-100 amps 10 1-I 50amps
Temporary Pole —amps
SERVICE UPGRADE —amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC-) CT Service amps
100 amps ;� *,,150amps 200amps amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
3 1-I 00amps —10 1-200amps
outlets/Switches: 0-30amps —3 1-1 00amps --101-200amps
Appliances: —0-30amps --
0-60amps 61-1 00amPs
A/C Circuits: # circuits (9-----jW
Heat Circuits: —
Number of Lighting Outlets, Including Fixtures:
oTHER ELECTRICAL PROJ'ECTS _Qty Transformers--KV A Motors hp
Swimming Pool I Sign Smoke Detectors
FIRE ALARM SYSTEM (Requires 3 sets of Plans) VALUE OF WORK
Qty _volts/amps
REPAIRS/MISCELLANEOUS safety Inspection Panel Change OH to UG
Replace BurntfDamaged Meter Can
Other: ;;Wth—s. I hercby certify that I t-,e
nth period or work is 7�m�dcd or abandoned for six *11 be complied with whether
C and ordinances 90vcmiug this work- wl
t becomes 7
0,dif work does not commenc within a six mo
application Mid know the Sam to be Wx and coff"t- All provisions of laws suite or I"law regutsion construction or the perfonTian-Of
read this does not give authOt'ty to violate the provisions of anv other
Vwfted or not Tte permit
construction. q00
property owners Name Ll> Phone Number
--tT7
__�--Ofrjce Phone
Electrical Company Ciq lax-&�7 State EL-Zip lea
Co. Address: State CertificationfRegistmhOn # –OAO-Q�
Holder(Prist):
Q 4�9 er
ESK MERPJTT of 20–A2-�—
X"V p*W-Suu of FWW fore this
wycommeo F410,211117 .
UmWAVOW#ff V"" Signature of Notary Public
Bowan*"Wo www"V ASW
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000322 Date 3/10/14
Property Address . . . . . . 5208 ANTARES CT
Tenant nbr, name . . . . . #5208
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 --------------
-------------------------------------------------------------
Application desc
2 fixtures
-----------------------------------------------------
Owner Contractor
------------------------
ASHLEY PLUMBING CO INC
NAVAL CONTINUING CARE 11828 NEW KINGS RD STE 209
RETIREMENT FOUNDATION, INC FL 32219
1 FLEET LANDING BLVD JACKSONVILLE
ATLANTIC BEACH FL 322334599 (904) 393-7959
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - -
Sub Contractor . - BARKOSKIE ELECTRICAL SERVICE,
Permit Fee . . . . . 00 Plan Check Fee .00
Issue Date . . . 3/10/14 Valuation . . . . 0
Expiration Date . . 9/06/14 --------------------------------
--------------------------------------------
Special Notes and Comments
SEE 5208 ANTARES CT IN LASERFICHE 14
281 ALL FEES PAID THERE ---------------
- -------------------------------------------------- --------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 4 . 00 4 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
01111 1
Application Number . . . . . 14-00000322 Date 3/10/14
Property Address . . . . . . S208 ANTARES CT
Tenant nbr, name . . . . . . #S208
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
2 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NAVAL CONTINUING CARE ASHLEY PLUMBING CO INC
RETIREMENT FOUNDATION, INC 11828 NEW KINGS RD STE 209
1 FLEET LANDING BLVD JACKSONVILLE FL 32219
ATLANTIC BEACH FL 322334S99 (904) 393-7959
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . NCCRF
Permit Fee . . . . 69 . 00 Plan Check Fee . 00
Issue Date . . . . 3/07/14 Valuation . . . . 0
Expiration Date . . 9/06/14
----------------------------------------------------------------------------
Special Notes and Comments
SEE S208 ANTARES CT IN LASERFICHE 14
281 ALL FEES PAID THERE
----------------------------------------------------------------------------
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.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000322 Date 3/10/14
Property Address . . . . . . 5208 ANTARES CT
Tenant nbr, name . . . . . . #5208
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
2 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NAVAL CONTINUING CARE ASHLEY PLUMBING CO INC
RETIREMENT FOUNDATION, INC 11828 NEW KINGS RD STE 209
1 FLEET LANDING BLVD JACKSONVILLE FL 32219
ATLANTIC BEACH FL 322334599 (904) 393-7959
----------------------------------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 3/10/14 Valuation . . . . 0
Expiration Date . . 9/06/14
----------------------------------------------------------------------------
Special Notes and Comments
SEE 5208 ANTARES CT IN LASERFICHE 14
281 ALL FEES PAID THERE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 4 . 00 4 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000322 Date 3/07/14
Property Address . . . . . . 1 FLEET LANDING BLVD
Tenant nbr, name . . . . . . #5208
Application type description PLUMBING ONLY
Property Zoning . . . . . . . PLANNED UNIT DEVELOPMENT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
2 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
NAVAL CONTINUING CARE ASHLEY PLUMBING CO INC
FLEET LANDING 11828 NEW KINGS RD STE 209
1 FLEET LANDING BOULEVARD JACKSONVILLE FL 32219
ATLANTIC BEACH FL 32233 (904) 393-7959
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 69 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/03/14
----------------------------------------------------------------------------
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
JOB ADDRESS: 0 PERMIT #./L/0-70
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
Other Fixtures Water Treating System
MISCELLANEOUS:
Ei Sewer Replacement 1:1 Back Flow Preventer El Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads Ei Well
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection."
Ei Other
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 rllpp-+ LArik ^4 Phone Number
Plumbing Company Office Phone --Fax
Co. Address: /L6-,) 41�fa ;!v city State A-711, Zips Z?- 9
License Holder(Print): -,---iJVaapj*ification/Registration#
Notarized Signature of License Holder
.11.........
Before me this day of 20
A
A A I
Signature of Notary Public (9( 1 �VAL,-
:901isq I
U- ""r