5814 Fleet landing Blvd 2014 shower .. CITY OF ATLANTIC BEACH
J
s J 800 SEMINOLE ROAD
•.J r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J131��
Application Number . . . 14-00000949 Date 6/18/14
Property Address . . . . . . 5814 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
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Application desc
SHOWER CONVERSION
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Owner Contractor
-
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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 . . . . . . RESIDENTIAL
--------------------------- ------------------------------------------------
Permit . . . . . . RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 12/15/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----- ---------- ---------- -
Permit Fee Total 60 . 00 60 . 00 . 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 ,w
CITY OF ATLANTIC BEACH FFILE COP 1800 Seminole Road, Atlantic Beach, FL 32233Office (904) 247-5826 Fax(904) 247-5845 ; .. ,v.•
Job Address: Permit Number: /�— y 9
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Pt
Valuation of Work$ 50 C) Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition 'Alteration Repair Move Demolition pool/spa window/door
Use of existing/proosed structures) (circle one): Commercial esidentia
If an existing structure, is a fire sprinkler system installed? (Circle one): o N/A
Florida Product Approval#
For multiple products use product approva orm
Describe in detail the type of work to be performed: "/rah Xo ��DWrY �orr5Io,?
r ,
Property Owner Information:
Name:NCCRF dba Fleet Landing Address: 1 Fleet Landing Blvd
City Atlantic Beach State FL_Zip 32233 Phone 904-246-9900 xt 431
E-Mail or Fax#(Optional)jholder@fleetlanding.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
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be to to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void 1f work is not commenced within six(6)months, or,
construction or work is suspended or abandoned for a period of srx�6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, urnaces, Boilers,Heaters,
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.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether speci ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor `
Print Name Jason HolderPrint Name Jaso. .....n.Holder..
.... .... .....................................................................................................................
Sworn to and subscribed before me Sworn to and subscribed before me
this_e2'—Day of �/y.yt 20�� this z/-.-'11-Day of ✓v.�C 20%�-
Notary Pub is Not 'Public
SHARI R QUEST
SHARI R QIMSI>ged 1.26.10
' MY COMMISSION#FF068947 i
MY COMMISSION#FF068247
OF EXPIRES November 4.2017 °;
aM1d `'1 EXPIRES November 4,2017
(407)398 0163 FloridallotaryService.com
(407)398-0163 FlorldallotaryService.com
0..I -yCity of Atlantic Beach APPLICATION NUMBER
rs � Building Department (To be assigned he Buil c g Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
" Phone(904)247-5826 • Fax(904)247-5845
�j'F; �•? E-mail: building-dept@coab.us Date routed: Z
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:
-Department artment review required Yes No
p Building
Applicant: Ci C 4 anni oning
Tree Administrator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: [Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
PLANNING &ZONING Reviewed by: Date: 6
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised MUM