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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 :�ft::"Tzf