3000 FLEET LANDING BLVD #3102 - SHOWER TO SHOWER & W/D tom '-, CITY OF ATLANTIC BEACH
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': ' :- . 800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
"�.;3 . INSPECTION PHONE LINE 247-5814
COMMERCIAL - ALTERATION COMMERCIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: COMM17-0004
Description: BUILDING 3000, UNIT 3102
Estimated Value: 4000
Issue Date: 6/7/2017
Expiration Date: 12/4/2017
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BLVD
RE Number: 169397 0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE RETIREMENT FOUNDATION INC
Address: 1 FLEET LANDING BLVD
ATLANTIC BEACH, FL 32233-4599
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: NCCRF
Address: JASON PAUL HOLDER ONE FLEET LANDING BLVD
ATLANTIC BEACH, FL 32233
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
BUILDING PERMIT APPLICATION
L.0
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904) 247-5826 Fax(904) 247-5845 (_ o NA rY\ I -7 - 0004
Job Address: 3/O0 /lee nS Oka Permit Number:
Legal Description Parcel #
j oor • ea o q. -t. . q. t
Valuation of Work $ ' da0 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Altera ' Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Reside •
If an existing structure,is fire sprinkler system installed? (Circle one): es No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: 4h,.'e- X , jwer ," i b .'.1
Property Owner Information:
Name: NCCRF Address: One Fleet Landing Blvd.
City Atlantic Beach State FL Zip 32233 Phone 904-246-9900 xt.150
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:NCCRF Qualifying Agent:Jason Holder
Address: One Fleet Landing Blvd. City Jacksonville State FL Zip 32233
Office Phone 904-246-9900 Job Site/Contact Number 904-424-7339 Fax#904-246-9455
State Certification/Registration# CGC 1254586 - ---
Architect Name&Phone# S r �`�
Engineer's Name& Phone# Lj
g 111 �a111
Fee Simple Title Holder Name and Address ,
Bonding Company Name and Address MAY 9 7 2017
Mortgage Lender Name and Address
Application is hereby made thobtain 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(6)months-at any time after
work is commenced. I understand that separate permits must be secured for Electrical ;York, 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.application 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.
.r
Signature of Owner -�� �J�j Signature of ContractorL21 ''
Print Name Jer n 'etc'''.
Print Name Jason Holder
Swoon to and subscribed before me Sworn to and subscribed before me . _
this 17 Day of this )'] Day of YV l i �-�•. _ AS P
SHARI R QUEST ► _ ! ,�,' .
9.1. 'a ? '" e. 8247 '1• r-a D. .1.2-11r.'
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Notary 'ublic ",...1:!..‘� ..••;:'i o,ti::
',d!;. EXPIRES November 4.2017 ry
,. 07 39B FloridallotaryService.con
(407)399-0153 FloridallotaryServlce.com