3000 FLEET LANDING #3307 - RES.ALTER. /KITCH/ SHOWER (----
I CITY OF ATLANTIC BEACH
i ' : \Sl 800 SEMINOLE ROAD
Iiii i_.) _______/2
ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
RESIDENTIAL ALT/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
1) JOB INFORMATION:
Job ID: 15-RAAR-2488
Job Type: RESIDENTIAL ALTERATION
Description: KITCHEN/SHOWER UNIT 3307
Estimated Value: $7,000.00
Issue Date: 10/29/2015
Expiration Date: 4/26/2016
PROPERTY ADDRESS:
Address: 3000 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:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
BUILDING PERMIT FEE $85.00
PLAN CHECK FEES $42.50
Total Payments: $131.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
rt_'i,cJ . City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
' j 800 Seminole Road /4 -,€I,9 - Z39,Atlantic Beach, Florida 32233-5445 9
Phone(904)247-5826 • Fax(904) 247-5845
;-,J;t): E-mail: building-dept@coab.us Date routed: /0/2-0/4(..2C 4(..
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
4-33o7
Property Address: 00a fieir//7-)-� Department review required Yes o
�� Buildin V
Applicant: /(/&&4F Planning &Zoning
Tree Administrator
Project: y 77 M, AC Public Works
Public Utilities _
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
1 of Permit Verified By
Florida Dept. of Environmental Protection
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: Approved. (Denied.
(Circle one.) Comments: fli
( BUILDING
PLANNING & ZONING Reviewed by: Date:/&' .. 5-
TREE ADMIN. Second Review: ❑Approved as revised. ❑Den d.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I (Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax (904) 247-5845
Job Address: jv_t 1914�� • t Fled ),.3 Diva, Permit Number: /S r flak- 2Y zro
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 7,000 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/proposed installed?(circle one): Commercial
is If an existing structure,s a fire sprinkler system nstalled? (Circle one): es No N/A
Florida Product Approval#
For multiple products use product approve orm
Describe in detail the type of work to be performed: _�. - i ez/. `('__ ewer a
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:! 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 will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six f6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, 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 this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give 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 Holder Print Name Jason Holder
Sworn to and subscribed�iefore me Swor to and subscri ed before me
this ) Day of Q C4 , 2011 this Day of , 20)S
P-0Y1AAgt - 4111
Notary Public Not. •
rs.'pr r. ,r,�,jiv►�".., i
era► SHARI R QUEST . ,a%!;. SHARI R QUcSlTiscd 01.26.10
• MY COMMISSION#FF068247 MY COMMISSION#FF068247
:,4a,�.o!:• EXPIRES November 4.2017 !ta,�d EXPIRES November 4.2017
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