5504 RIGEL CT - ALTERATION CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
l 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-1299
Job Type: RESIDENTIAL ALTERATION
Description: knee wal existing porch
Estimated Value: $4,000.00
Issue Date: 6/12/2015
Expiration Date: 12/9/2015
PROPERTY ADDRESS:
Address: 5504 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:
BUILDING PERMIT FEE $70.00
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $35.00
STATE DBPR SURCHARGE $2.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CM OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
4&J", Building Department (To be assigned by the Building Department.)
800 Seminole Road
\� Atlantic Beach,Florida 32233-5445 d /G
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@ooab.us Daterouted:
-- Cityweb-site: http//w coab.us
APPLICATION
!REVIEW
/1AND TRACKING FORM
Sa/'d Pl
Property Address: a EG (�T Duei 'nt review required Yes o
artmen
Applicant: Planning&Zoning
Tree Administrator
Project: (/1J A'I� I�hFile ) Cyr -�7'n9 Public works
Public Utilities
�a r Ch Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Any Caps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: E]Approved. ❑Denied.
(Circle one.) Comments: yt O G
BUILDING / V /
PLANNING&ZONING Reviewed by: Date:
TREEADMIN. 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:
Rsvmi,d 07127110
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: 5504 Rigel Court Atlantic Beach, FL 32233 Permit Number: _ /S'�AAQ'12Q9
Legal Description e� Parcel# /
��t.
Floor �q
Valuation of Work$4,000.00 Proposed Work heated/cooled non-he�ated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structures) ((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 procluct approval lorm
Describe in detail the type of work to be performed: STUCCO KNEE WALLS.AT EXISTING PORCH
Property Owner Information:
Name:NCCRF dba Flee[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@Bectlanding.wm
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 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 installation has commenced prior fo the
issuance ofa permit and that all work wit1 beper(armed to meet the standards ofal/laws regulating construction in this jurisdiction. 7his permit becomes nu!l
and void of work is not commenced within six(6 months, or if construction or cork is yanded or abandoned for a period ofsix(6)months at any time after
work is commenced. l understand that separate permits most be secured for Electrical work, Plumbing,Signs, Wdls, Pads, Furnaces,Boilers,Hearers,
Tanks and Ab Conditioners,dc.
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.
l hereby cert fy That l have read and examined this a /icafion andknow the same to be true and correct. All prowsions oflaws and ordinances governing this
type o)work wnl!be complied with whdher s�ciJ herein or nwG TNe granting ofa permit does nor presume m give authority to violate or cancel the
),_.I_ojany other federal,state.or loco! aw regulating construction or the performance ofconrhuction.
Signature of Owner Signature of Contractor
Print Name Jason Holder Print Name Jason Holder
Swomd subscribed before me Sworn[ and subscribed before me _
this X Day
of _44 - ,20/J" this 1 Day of len 20/5—
Notary Public�^ N
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