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5704 VEGA SHOWER TO SHOWER REMODEL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 1wATLANTIC BEACH, FL 32233 RESIDENTIAL ALT/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-RAAR-660 Job Type: RESIDENTIAL ALTERATION Description: SHOWER TO SHOWER Estimated Value: $6,500.00 Issue Date: 3/31/2015 Expiration Date: 9/27/2015 PROPERTY ADDRESS: Address: 5704 VEGA CIR RE Number: LOC ID-0000 PROPERTY OWNER: Name: NAVAL CONTINUING CARE Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD GENERAL CONTRACTOR INFORMATION: Name: NCCRF Address: JASON PAUL HOLDER JASON PAUL HOLDER Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $41.25 BUILDING PERMIT FEE $82.50 STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Total Payments: $127.75 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Build'n Department.) Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 �r E-mail: building-dept@coab.us City web-site: http://www.coab.us Date routed: �d APPLICATION REVIEW AND TRACKING FORM Property Address: 67 Q e � A De artment review required q red Yes No Building Applicant: ding &Zoning Project: ��r _ Tree Administrator Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Florida Dept. of Environmental Protection of Permit Verified By Date 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: proved. (Circle one.) []Denied. �D BUILDIN PLANNING &ZONING Reviewed by: Date.- TREE ADMIN, Second Review: ❑Approved as revised. [:]De ied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 570Y yeg z C"Kle Permit Number: G d Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition terati Repair Move Demolition pool/spa window/door Use of existing/pro osed structure(s) (circle one):. Commercial eside If an existing structure, is a fire sprinkler system installed? (Circle one): es N/A Florida Product Approval# For multiple products use product approva orm Describe in detail the type of work to be performed: $ower f o *wer 1<07 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:1 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. I certify that no work or installation has commenced prior to the issuance of a permit and that all work wall be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void of work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, I 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. I hereb certify 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 type 017 rk will be complied with whether specified herein or not. The granting of a permit does not presume to gave 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 Ho der Print Name Jason Holder Sworn to and subscribed before me Sworn to and subscribed before me this_IRI_Day of :)a-\ , 20 S this )SIV Day of 20 Notary Public Notary Public :,.•��,pY Py's••(,4.5 SHARI R QUEMise 101.26.10 SHARI R QUEST =o,,..... L .4�,prP�'•.,� •; MY COMMISSION#FF068247 'p MY COMMISSION#FF068247 �rM1d!: EXPIRES November 4.2017 EXPIRES November 4.2017 (407)398.0163 FlorldallotaryService.com (407)398-0153 Floridawtary8ervice.com