5519 RIGEL CT INTERIOR SHOWER ALTER CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
�r it I
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-RAAR-1234
Job Type: RESIDENTIAL ALTERATION
Description: SHOWER TO SHOWER
Estimated Value: $8,500.00
Issue Date: 6/1/2015
Expiration Date: 11/28/2015
PROPERTY ADDRESS:
Address: 5519 RIGEL 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 NUMBER800 Seminde Reatl Liws
uiltling DepanmeM)Atlantic Beach, Florida 32233-544,5 � � '�Phone(904)247.5825 Fax(904)247-5845E-mail: building-dept@wabus _Cityweb-site'. http//w ,,rabus 0
APPUCAT0N REVIEW AND TRACKING FORM
PrOperty Address:55l �Q.� �'I +- _.
t� � ment review re aired Yes No
AppOCant: NC,ca2.� Building
L1� ' ` Zoning
Project: •q I�.Vy��J_� G�^ , Q. _ 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 Environmentel Protection of Permit verified B Date
Florida Dept. of Transportation
St.Johns River Water Management District
Army Caps of Engineers
Division of Hotels and Restaurants
Division of Almhoh,Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: �p��
(Circle one.) Comments: YnitlPProved. ❑Denied.
BUILDING
PLANNING 8 ZONING
Reviewed 6y:_�k
TREE ADMIN. — Date: S 2'► r
Second Review: Qgpproved as revised.
PUBLIC WORKS Comments: Denied.
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRESERVICES Third Review: Date:
APProved as revised. QDenied.
Comments:
Reviewed by:
Date:
isetl 0]1T]n0
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904)247-5845
Job Address: 5519 Rigel Court Atlantic Beach, FL 32233 Permit Number:
Legal Description Parcel#
Floor Area ot Sq.Ft. Sq t
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(%) circle one): Commercial Residential
If an existing structure, is a fire sprier system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: (2)SHOWER TO SHOWER CONVERSIONS & SHEETROCK
REPLACING STUCCO W 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 xt 431
E-Mail or Fax#(Optional)jholder@fleetlanding.wm
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#
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 indicatedd l certify that no work or installation has commenced prior to the
issuance ofa permit and that all Nark nil/be performed to meet the standards ofall laws regulating construction in this jurbdiction. This permit becomes null
and void If work b not commenced within six(6)manths,or ifcontfruction or work is suspended or abandonedfar a ppeend ofsix/6)months at any time after
work is commenced. l understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wcls Pods, Furnaces, 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 hereby certify that I have read and examined tin's a plication andknow the same to be nue and correct All provisions oflaws and ordinances governing this
type ail work will be complied with whether specifPed herein or mt. The graining of permit does not presume m give authority to violate or cancel the
provmmns ofany,otherfederal,state, or local law regulating meavacdan or the performance ofconstrucdon.
Signature of Owner Signature of Contractor
Print Name Jason Holder Print Name Jason Hol er
this
SpA_ pndsubscribed before me thisSworn/ ay subscribed-before me
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