4107 Fleet Landing Blvd Kitchen 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-000009S1 Date 6/18/14
Property Address . . . . . . 4107 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
------------ --- -- -- -- -- -- ----- - --- ---- - - -------- -- ----- ------------------- --
Application desc
KITCHEN 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 32233 (904) 219-4002
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
--- ------ - ---- --- -- -- - -- - -- --- -------- ------- ----- -- -- -- - ------ --- ---- - - ----
Permit . . . * * * RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 12/15/14
- ------- ---- --- -- -- -- -- - - ------ --- ----- --- --- --- -- -- --- --- - --- ---- ---- ---- - -
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
------------- -- - -- -- - - -- -- --- --- -------- - -- - ----- -- -- --- --------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----- -- - - -- --- - -- -- -- -- -- ----- --- ----- ---- -------- ------- --------------- - ---
Fee summary Charged Paid Credited Due
------- --- --- -- -- -- -- ---- -- ---- --- --- ----- ----- ------ ----
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total SO . 00 50 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 154 . 00 154 . 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 I
1, 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax(904) 247-5845
C1 57
-tl 1/10 Permit Number:
Job Address: Uez Y10 7 / F4 e
Legal Descriptionf Floor Area.of Sq.Ft. Parcel # Sq.Ft
Valuation of Work $ Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New AdditionQA�Itejrati)o Repair Demolition pool/spa window/door
t?
Use of existing/proposed structure(s) circle one): Commercial e;i
R i
If an existing structure, is a fire spriler system installed? (Circle one): No N/A
Florida Product Approval#
For multiple products use product app-r-o-waYform
Describe in detail the type of work to be performed: IC IeI7
Property Owner Information:
Name:NCCRF dba Fleet Landing Address: I Fleet Landina Blvd
City Atlantic Beach State FL -Zip 32233 Phone 904-246-9900 xt 431
E-Mail or Fax#(Optional)jholder@flectlanding.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
eb ade bana e d the work and insta'lati 0 s i ndic rtify that no work or installation has commenced prior to the
3su nq ti �n i mit t 0=d to in t the an�ar'� a,law ng construction in thisjurisdiction. This permit becomes null
7 ns ruction k is s or abandonedfor a period ofsix months at any time after
in nihs,or co st r ctr
,c -S,
r ri in I t e t " �orri e Plumbing,Signs, Wd1s, PoWs, urnaces, Boilei Heaters,
ca *0 *s' r it in t, to 0 r p be e
p d a' k i
Ap
a e a e an a'
is not c in 0 6 p6 0
d 0'd p k en ed thin s
or c
rs , t t s P
d I ride ta d a e ara e pe us b sec ed
in ric
k co e e
Tank,and tr Cn itioners,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 cergfy that I have read and examined 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 herein! or not. The granting of a permit does not presume to give authority to violate or cancJ1 the
provisi.ons of any otherfederal,state,or local lawlegulating construction or the peiformance of construction.
Signature of Owne�5� Signature of Contractor
Print Name Jason Holder Print Name Jas.o.n..49.1.der..........................................................................................................
...............................................................................................................................
Sworn to nd subscribed before me
.,4nd subscribpd before me Sworn t9
this la' Day of 20 11L this ele Day of 20/0—
IS E-)4 1A
Nota Public Notary ru
ry
OUEST
SHARI R QUEST SHARI R
1 4]
M y C 0 M M I S S 10 44Wfff M91194 401 1 26.10
MY COMMISqION*FF068247
)l 7
EXPIRES Nove-ber 4.2017
EXPIRES Novprnber 4.2W 7
rySerAce-COM - (407)398-0153 Roridallotaryservice.com
(407)3198-0153 Florffidawla I
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b.y th Buildi Depart ent.)
800 eminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
Date routed:
Olt E-mail- building-dept@coab.us
-Olt
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address '�-D 3rtment review required Yes No
Building
Applicant: /V/ Plan 151i:FirKning
Tree Administrator
Project: f'19<17( Public Woms
Public Utilities
Public Safety
AgAl
7� Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or eceipi 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: [9'A"Pproved. []Denied.
(Circle one.) Comments: tvoc
PLANNING &ZONING Reviewed by: Date:
rpvi,
TREE ADMIN. � _,ed E]
Second Review: FlApproved as revised. ni,d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by:_ Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 14-00000951 Date 7/09/14
Property Address . . . . . . 4107 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
----------------------------------------------------------------------------
Application desc
KITCHEN 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 32233 (904) 219-4002
--- Structure Information 000 000 KITCHEN REMODEL
occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc - -
Sub Contractor . . ASHLEY PLUMBING CO INC . 00
Permit Fee . . . . 62 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 1/05/15 -----------------------
-----------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
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 62 . 00 62 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 66 . 00 66 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JUL-09-2014 21:47 Frorn: To: 19042475845 Page:5,6
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 'I � 0'-? 1(
PERWr# lq- 09S �_
NEW OR REPLACEMENT INSTALLATION: Project Values
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
R.E-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 T hree 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 Preventer o Grease Interceptor(Trap) gal Ion-,(Requires 3 sets of plans)
0 Lawn Sprinkler System-Number of Heads [I Well
SJRWD Well Completion Form, Completed form to be submitted to tic—Building Department for final inspection.**
Other
th period or work is suspended or abandoncd for six months.I hereby certify Ihat I have read
lermit becomes void if work does not commence within a six mon governing this work will be complied WiLh whether specified
his application and know the same to be true and correct, All provisions of laws and ordinances cgulation construction or the performance orconstruction.
)r not. The permit does not give authority to violate the provisions of any other state or local law r
Iroperty Owners Name FLEET—LANDING Phone Number 904-246-9900
"lumbing Company ASHLEY PLUMBTNG CoMpANy lyl._Office Phone 904-393-7959 FaX20-4-399-0552
o. Address: 11828 NEW K-LNGS ROAD #209 City JACKSONVILE— State FL_Zip 32219
License Holder(Print): CHRISTOPHER S ASHLEf72,7:;:;�,ate Certification/Registration 9 CFC057804
Votarized Signature of License Holder
mee t�is
ROM Sworn and subscribed before 22 ay of( '��Vv
KELSEY RST
EY
0
my COMMISSION siggature ofNotary Public
ly
Octobe
EXPIRES October 17,20`114
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000951 Date 7/17/14
Property Address . . . . . . 4107 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
----------------------------------------------------------------------------
Application desc
KITCHEN 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 32233 (904) 219-4002
--- Structure Information 000 000 KITCHEN REMODEL
occupancy Type . . . . . . RESIDENTIAL ------
----------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - -
Sub Contractor . . BARKOSKIE ELECTRICAL SERVICE,
Permit Fee . . . . 60 . 60 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/13/15 -----------------------
----------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE ---------------
2 . 00
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE
STATE ELEC DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60 . 60 60 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 60 64 . 60 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELEC'MCAL PERMrF APPL'CAT'ON
Cffy OF ATLANTic BEACH
800 Seminole Rd,Atlantic Reach, Fl, 32233
Ph(90P 247 5916 k,04)247-5845
JoB ADDRESS*.— Now,
JEA INFORMATION REQUI"D ON ALL PERMITS -�QC—) AKPS VOLTS PHASE
VALUE OF WORK$�
NEW SERVICE 1:1 Overbead Ej Uwjergrogud ED Umjerground up Pole
ReAdentud Maim)Ser"Ce #Of Meters
I 51-200amps --------amps
0-100 wnps 11101-150amps
Commercial(Main)Service 15 1-200amps ______amps CT Service__amps
0-100 amps i ,101-150amps
Conductor Type_�— Size
Muft�-Faw*(Main)Servke #of Unit Meters
0-100 amps 11101-150amps 1 51-200amps ______amps
Temporary Pole I !—amps
SERVICE UPGRADE 1_-amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) CT Service amps
100 amps �t I I 50amps 200amps ------—4mPs
AIDDITIONS,REMODELS,REPAIRS,IBUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: Ce 0-30amps 3 1-I 00amps —10 1-200amps
Appliances: -7��0-30amps —31-100amPs —101-200amps
A/C Circuits: —0-wamps —61-100amps
Heat Circuits: # circuits @____kw
Number of Lighting Outle s, Including Fixtures: —
OTHER ELECTR11CAL PROJECTS _Qty �Transfbrmers KVA Motors hp
Swimming Pool I i Sign �: i Smoke Detectors
FIRE ALARM SYSTEM (Requires 3 sets of Pis=) VALUE OF WORK
Qty_volts/amps
REPAIRSIMISCELLANEOUS Safety Inspection Panel Change 0" to UG
Replace BunWDamaged Meter Can _Z>"
Other Vj A'5>PrC—
(W—six niop"ths- I hathy�—wdfy dw I hwe
pennit��void if work does not 7w�within a six nionth Miod or wwk is wVaidod or ab�l F
� to be um uW comxz All provisions of isws and onfina"m 90vemiRg this work will be canWhW with wbctha
food this iiWicgtion md know the w . or the perfonnance of
Wmitied or not Tu pamit does not give mawnty to violabc the pwvakm of my othcr state or tocal law regutation Construction
cmstruction. Phone Number
.e
property Owners Nai Office Mhwonee
Electrical Company City kXideAlfil State F7/- zip
Co.Address:
State Certifica6mVR, # 1-1000-tJ12
Hkir
=,d-r
Jr
-�ay of fy)aA-J-P- 20-1--IL—
us"M 1�RRITT
man -Sam of flat" fore me this
MYC41111111-Fol F40.017
CommissW*EE 0 Signature of Notary Public
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