5214 ANTARES CT INTERIOR SWOWER ALTER CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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RESIDENTIAL ALT/OTHER
MUST CALL BY 4111M FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1229
Job Type: RESIDENTIAL ALTERATION
Description: SHOWER TO SHOWER CONVERSION
Estimated Value: $8,500.00
Issue Date: 6/1/2015
Expiration Date: 11/28/2015
PROPERTY ADDRESS:
Address: 5214 ANTARES CT
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 $46.25
BUILDING PERMIT FEE $92.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $142.75
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
\ Building Department um
MBER
800 Seminole RoadAdaing DepanPhontic Beach,Florida 32Fax(9 45 ��Phone(buil)ing-de 26 - fax(904)247-5845E-mair -site ng-dept@coab.us
City web-site'. httpl/mvnv coati us
APPLOCAT0N REVIEW AND TRACKING FORM
Property Address:'52-IL4 D Ment review re wired Yes No
Applicant: OCCR-r rl
,�N N-�1-p �� Planning&Zoning
Project: �W_ V1' �� Tree Administrator
ti� Public Works
Public U6litles
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept,of Environmental Pt on of Permit Verified B Date
Florida Dept.of Transportation
St.Johns River Water Management District
Any Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review:
(Circle one.) Comments: Approved. Denied.
BUILDING
PLANNING&ZONING
Reviewed by:
TREE ADMIN. --_Date:
Second Review: QApproved as revised.
PUBLIC WORKS Comments: Denied.
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES Third Review: Date:
Approvetl as revised. []Denied,
Comments:
Reviewed by:
Data
iced ensnto
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904) 247-5845
Job Address: 5214 Antares Court Atlantic Beach, FL 32233 Permit Number:
Legal Description Parcel#
Floor Area of q. t. q
Valuation of Work$ 8,500.00 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 form
Describe in detail the tf work to be yerformed: (2)SHOWER TO SHOWER CONVERSIONS& SHEETROCK
REPLACING STUCCype oO ria OLD REAR PORCH
Property Owner Information:
Name:NCCRF dba Fleet Landing Address: I Fleet Landing Blvd
City Atlantic Beach State FL_Zip 32233 Phone 904-246-9900 xl 431
E-Mail or Fax#(Optional)jholder@Beetlanding.com
Contractor Information:
Company Name:NCCRF dba Fleet Landing Qualifying Agent: Jason Holder
Address:l 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 It
State Certification/Registration#CBC 1254586
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Halder 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. /certify that no work or imudlation has commenced prior fo the
issuance of a permit and that all work will beper(armed to meet the standards ofafl laws regulating construction in thisjurisdictimi This permit becomes nu!l
and void tf work is not commenced within sis(6J months, or ifconstruction or work is suspended or abandoned far o period ofsis/6)months at any lime after
uork is commenced. /understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wdls, Pools, Furnaces, Boilers,Heaters,
Tanks and Air Condillonem,do
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.
/M1ereby cerfify that!have rend and examined this a lication andknow(he same to be[rue and correct. All praWsions of laws and ordinances governing this
type o) uork wi(/be complied with whether sped red herein or rwt The granting of a permit dons not presume to give authority to violate or cancel the
prowmns ofany a(herfederaf,state,or Iota!law regulating construction or the performanre ojcanstrucfion.
Signature of Owner Signature of Contractor
Print Name Jason Holder Print Name Jason Holder
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