299 Atlantic Blvd 0 DEMO22-0003 interior demo for AB Kitchen permitOWNER:ADDRESS:CITY:STATE:ZIP:
SOUTHCOAST CAPITAL
PRTNSHIP LTD 1600 INDEPENDENT SQ JACKSONVILLE FL 32202-5018
COMPANY:ADDRESS:CITY:STATE:ZIP:
CONSTRUCTION
SPECIALIST GROUP INC 22 HILLER LANE PONTE VEDRA FL 32081
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172531 0000 ATLANTIC BEACH
TERRACE
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
299 ATLANTIC BLVD DEMO INTERIOR ONLY UNIT 2 - INTERIOR DEMO $10000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
DEMOLITION 455-0000-322-1000 0 $100.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $104.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 3/1/2022
PERMIT NUMBER
DEMO22-0003
ISSUED: 3/1/2022
EXPIRES: 8/28/2022
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 3/1/2022
PERMIT NUMBER
DEMO22-0003
ISSUED: 3/1/2022
EXPIRES: 8/28/2022
DEMO PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department ALL INFORMATION
1'J
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Email: Building-Dept@coab.us
IS REQUIRED.
e2.33
Job Addressy29'f f rr,f,/7 ,1 ftp. /ra..„7" ..ge,F//---c. Permit Number: C' L Z 0003
Legal Description ! '.3Y -2 S 27 .5 Sib RE#
Valuation of Work(Replacement Cost)$ /o¢cxi — Heated/Cooled SF Non-Heated/Cooled
Class of Work: New Addition Alteration Repair Move 'UI2emo Pool Window/Door
O
Use of existing/proposed structure(s): Commercial Residential 1\L K
If an existing structure,is a fire sprinkler system installed?: Yes No
Will tree(s)be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) Flo
Describe in detail the type of work to be performed: vim J l V C l r
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name L/t S a_ KITS `\ Address ( O 7 S 1. Q SCO- L V'CI)
r/City 4)CS i U.e State Ft_ Zip 32_0Z Phone (' 0(.4 g?, g'- (,2 S /
E-Mail e!a TO t.P 1110-Ll .—C6 CV)
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information c5 n- t`t)U` c (_ t C-1 rw 0
Name of Company )„ Qualifying Agent 1g4A&c
Address 2,,p-ievr City Xi,^e, ( State Fe Zip i - 1
Office Phone ?cif-S2e2;-j7.;' Job Site Contact Number 10137
State Certification/Registration# ciSc e5 A'.:3 7 E-Mail C;irofxZe
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation Insurer SU.r/scp'.Fi l : C_ . OR Exempt o Expiration Date /C.)f['//Z
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 the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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
RECORD! i YOU: NOTICE OF COMMENCEMENT.
Ati*"'.t e o O or Agent)Signature of Contractor)
ned and swor to or affir ed)before me thi 6U d.y of Signed and sworn to(or affirmed)before me this/5 y of
A , 40 A% . a s .141;11".._A by
tiMp MP 111.
Signature of Notary) Signature of Notary)
CHRISTOPHER S.MOORE
Personally Known OR Y^ Notary Public State 0r Florida personally Known OR MY COMMISSION#HH 225478
Commission
siontscher a'
Produced Identificati.. • G Q My HH 130823 Produced Identification -•";'`P EXPiiZES:February 7,2026
Expires 05/17/2025TypeofIdentification: yip 4d Type of Identification: