5516 Rigel Ct 2014 Shwer Conversn 2014 -11,SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000782 Date 5/15/14
Property Address . . . . . . S516 RIGEL CT
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000
- - ---- - --------- - - - ---- -- --- --- - ---- ---- - ------ - -- -- --- -- - - -----------------
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 32233 (904) 219-4002
- -- Structure Information 000 000 SHOWER CONVERSION
Occupancy Type . . . . . . BUSINESS
-------------- - - - -- -- -- - - - -- --- - ---- ---- - --- --- -- - -- -- ---- - --- --- --- ---- ----
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee 45 . 00
Issue Date . . . . Valuation . . . . 8000
Expiration Date . . 11/11/14
- ------------ -- - -- -- -- - - - -- --- ---- ----- - ------- -- ----- --- - ---- ---------- --- -
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
--- - -- - ----- --- - -- -- -- -- ----- - - -- - ---- - - --- --- --- -- --- --- ------ --- ------ - ---
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
------- - - ----- --- -- -- -- -- --- - -- - - ---- ---- ------- -- --- -- - -------- ------------
Fee summary Charged Paid Credited Due
-- - - -- ---- ------- -- --- --- - - - - --- - ---- -- ------ -- ---- ------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total 45 . 00 45 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 139 . 00 139 . 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
FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-584
;,*/ lq- CA)--
Job Address: 5516 Rigel Crt. Atlantic Beach, FL 32233 Permit Number:
Legal Description Parcel #
Floor Area of Sq.Ft. lFt
Valuation of Work$8,000.00 Proposed Work heated/cooled non- eated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/pro osed structureQ) (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 app-r-owaffo-mi
Describe in detail the type of work to be performed: (2) SHOV�ER CONVERSIONS 4A
Property Owner Information: _2c E
Address: I Fleet Landiniz Blv Ea
Name:NCCRF dba Fleet Landing
City Atlantic Beach State FL—Zip 32233 Phone 904-246-9900 xt 431
E-Mail or Fax#(Optional)jholder@fleetlanding.com
Contractor Information:
;Z Ew*
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
4pplication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance ofa permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void If work is not commenced within six(6)months, or ifconstruction or work is suspended or abandonedfor aWeriod ofsix�6,)months at any time after
work is commenced. I understand that separate permits must be securedfor Electricar Work, Plumbing,Signs, ells, Pools, urnaces, Boileis,Healers,
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.
I here,�b cerofy that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this
W herein or not. The granting of a permit does not presume to give authority to violate or cancel the
work will be coMplied with whether specift
provisions of any otherfederal,state,or local la I ling construction or the performance of construction.
,p,-re�u a
�<(000�7'
Signature of Owner'.-�_�,4 Signature of Contractor
/I rl�
Print Name Jason Holder Print Name Jason HolSeff:7
......................................................................................................................................... .........................................................................................................................................
Sworn to and subscribed before me Sworn to and subscribed before me
this 16!!��_Day of 2 0 Ile- this Z2Day of 20
q_la�
Notary Public Notar)FPublic
SHARI R QUEST QUL4S*scd 01.26.10
SHARI R
My COMMISSION#F;:n6,qP47
MY COMMISSION#FP068247
EXPIRES Novemhpr 4 2017
EXPIRES November 4. 2017
L(407)398-0153 FloridallotaryServicc,com
(407)398-0153 FloridallotaryService.com
'Vjr" City of Atlantic Beach APPLICATION NUMBER
Building Department
(To be assigned b the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 W2,
Phone (904)247-5826 - Fax(904)247-5845
Date routed: &�2
E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 7- Qepartmept review required Yes ,-No
&_�`
Applicant: rlmning &Zoning
Tree Administrator
Public Works
Project: 6 Oe n Lf 04" S Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
FOOther 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: [OrA"pproved. DIDenied.
(Circle one.) Comments: A/oel—
Q��D
PLANNING &ZONING Reviewed by: Yn�' Date:
TREE ADMIN. Second Review: F
]Approved as revised. RDenied.
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
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000782 Date 5/16/14
Property Address . . . . . . 5S16 RIGEL CT
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000
-------------- -- - -- - -- -- --- --- ---- - ----- - - ----- - -- --- --- - -------- ------ --- --
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 32233 (904) 219-4002
- - - Structure Information 000 000 SHOWER CONVERSION
Occupancy Type . . . . . . BUSINESS
---- ---- -- - - -- - --- -- -- -- --- --- - ---- ----- - ---- --- -- ----- - --------- ------ -----
Permit . . . . . . PLUMBING PERMIT
Additional desc INSTALL 2 SHOWER PANS
Sub Contractor ASHLEY PLUMBING CO INC . 00
Permit Fee . . . . 69 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/12/14
- - - - ---------- -- --- -- -- --- --- - --- - ------ ---- --- --- -- - -- - ------- -------- - ----
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
---- - - - ------ --- ------- -- --- - --- - ----- - ---- ---- -- ------ ----------- ----- - ----
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
JOBADDRESS: !�3 PERMIT#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FixTURE QTY TYPE oF FYxTv)?E QT)'
Bathtub Septic Tank&F;t
Clothes Washer Shower
Dishwasher Shower Paq-
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 o Back Flow Preventer 0 Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Lawn Sprinkler System-Number of Heads ci Well
**SJR WD 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 governi this work will be complied with whether specified
or not. The permit does not give authopi�o iolate the provist ns f ther state or local law regula construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company Office Phone Fax
Co. Address: city —StateR Zip IZ-U-7
License Holder(Print): L.0_—�_Awc-ci-.er -.ition/Registration#
Notarized Signature of License Holder
Before me this day of 20
JENNIFER WALKER
& MY COMMISSION#FI:0 11480
EXPIRES:Aptil 24,2017
Signature of Notary Pub c
Elonded Thru NoWry Public Underwribirs
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000782 Date 6/12/14
Property Address . . . . . . 5516 RIGEL CT
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8000
----------------------------------------------------------------------------
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 32233 (904) 219-4002
--- Structure Information 000 000 SHOWER CONVERSION
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . BARKOSKIE ELECTRICAL SERVICE,
Permit Fee . . . . 56 . 20 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 12/09/14
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56 . 20 56 . 20 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 60 . 20 60 . 20 . 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 Beach, Fl, 32233
Ph(9041247-5?116 k,04)247-5845
ERMIT#
JOB ADDRESS._J ��_
Rmyrs AMPS VOLTS PHASE
JEA INFORMATION REQUI[RED ON ALL PE
cp
VALUE OF WORK$ 00
NEW SERVICE 0 Overhead F-1 Underground Underground up Pole
Residential Oftin)Service #Of Meters
0-100 amps ! 110 1-1 50amps 151-200amps
Commercial(Main)Service i 151-200amps amps
0-100 amps i ilol-150amps CT Service
Conductor Type, Size
Multim-Family(Main)Service #of Unit Meters
1 110 1-1 50amps 151-200amps _--amps
0-100 amps I
Temporary Pole i !-amps
SERVICE UPGRADE . i-amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) CT Service amps
.100 amps I I 150amps 200amps : ______amPs
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
outieWSwitches: ..7 10 1-200amps
,, 0-30amps -3 1-1 00amps
Appliances: -0-30amps -31-100amps _101-200amps
A/C Circuits: -0-60amps _61-100amps
Heat Circuits: # circuits @___�w
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS _Qty %Transformers_KVA Motors hp
Swimming Pool I I Sign i ISmoke Detectors
FIRE ALARM SYSTEM (Requires 3 sets Of Plans) VALUE OF WORK 5-
Qty_volts/amps
REPAUL%N&WELLANEOUS r Can :Safety Inspection Panel Change OH to UG
Replace BumbDamaged Mete I
Other:__1z1_1__LDCA_.rk_E 5L.1) I T-04 �Ra4,
mnvw� — r or six months I hereby ccrd6 that I thwave
permit becomes void if work does not commence within a six month period o work is suspended or abandoned f
read this application and know the Sam to be true and corruct. All provision of laws and ordinances governing this work will be compfiW with whether
specified or not. nw permit does not give WthOntY to vmWe the provisions of any other swe or local law regulation construction or the perfonnance of
construction. LA� ns c, Phone Number
property Owners Name
office Phone
Electrical Company
State F/_ zip 3za
Co.Address:
License Holder(PriSt): State CertificatiorMegishution# I_S0Qd,r2W?
11der
ESSIE kl%FUTT f -1y of
Nowy F -StM of Flofta fore me this
MY C"Im.Enim Fa 10.2017
't i r
commmon#EE amn S gnature of Notary Public f,,Q� ffigA&&
6w4W TWO*Mm" AN&