5303 FLEET LANDING BLVD INTER SHOWER CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1228
Job Type: RESIDENTIAL ALTERATION
Description: SHOWER TO SHOWER CONVERSION
Estimated Value: $3,250.00
Issue Date: 6/1/2015
Expiration Date: 11128/2015
PROPERTY ADDRESS:
Address: 5303 FLEET LANDING BLVD
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 $33.13
BUILDING PERMIT FEE $66.25
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $103.38
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�, rG City of Atlantic Beach
Building Department NUMBER
\l. 800 Semincle Road L!w
uilding Department)
Atlantic Beach, Florida 32233-544,5 �p,/�Phone(904)247-1826 Fax(g04)247-5845 [ yt' 7�f�E-mail: building-deptigmab usAr —'�VCityweb-site: hffp//wwwco.b.,,s �-t.0
APPLICATION REVIEW AND TRACKING FORM
Property Address:530 F-4. --Ct- D
enY review re aired Yes No
Applicant: A V`/5✓ F In Building
�.t1^�S�.dd-C-T Planing&Zoning
Project: q WYJJ C�/��,r� rp, - Tree Administrator
Wt' Public Works
Public Utilities
Public Safety
Fire Services
Review fee $______ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept.of Environmental Protection of Permit Verified Date
Flonda Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tabs=
Other:
APPLICATION STATUS
Reviewing Department First Review:
(Circle one.) �ppmved. ❑Denied.
Comments:
BUILDING
PLANNING&ZONING
Reviewed by:
TREE ADMIN. Date: S2T r5
Second Review: QApproved as revised. QDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES Third Review: QADate:_
pproved as revised.
Comments:
QDenietl.
Reviewed by:
Date:
hetl 07/27110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904) 247-5845
Job Address: 5303 Fleet Landing Blvd Atlantic Beach, FL 32233 Permit Number:
Legal Description Parcel#Floor Area of q
Ft
Valuation of Work$ 3,250.00 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/proposed structure(s)(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 approval far–
Describe in detail the type of work to be performed: SHOWER TO SHOWER CONVERSION
Property Owner Information:
Name:NCCRF dba Flee[Landing Address: I 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 Leader Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I cert6 that no work or installation has commenced prior to the
issuance ofa permit and that all work will be perlarmed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6 months, or ifconstruction or work u suspended or abandonedfor a period ofsic/6)months at any time after
work is commenced. I understand that separate permits must be secured for Elec&icar Work, Plumbing,Signs, Wells, Pods, Furnaces, BoJers, Hearers,
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 hereby certify that I have read and examined this�fication and know the same to be true and carract. All provisions offaws andordinances goy rn ing this
type o work will be complied with whether spec!red herein or mi. The growing of a permit does not presume to give authority to violate or cancel the
Provisions ofany otherfederol,state,or local awre dating construction or the perjbrmance ofconsouction.
Signature of Owner Signature of Contractor
Print Name Jason Holder Print Name Jason Holder
.............. ........... _.. _._. _.... ........... ............. ..................
Sworn toand subscribe before me Sworn to rid subscribed efore me
this '�D�ayD.,orfU/ ,20/3— this -±nay of 2
Notary Public ,,, .`. Notary __
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