363 ATLANTIC BLVD COMM25-0030 REVISION 9-10-25BUILDING PERMIT APPLICATION
City of Atlantic Beach Building Division 800 Seminole Road, Atlantic Beach, FL 32233
FOR INTERNAL OFFICE USE ONLY
PERMIT# _______ _
**ALL information required to process Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address 363 Atlantic Boulevard Units 6&7 RE# 169730-0005
Legal Description 5-69 21-2S-29E 1.4 ATLANTIC BEACH LOTS 7,9,11 TO 18, PT LOT 19 RECD O/R 18250-510 BLK 1
Valuation of Work (Replacement Cost) ________ Heated/Cooled SF � 2082SF Non-Heated/Cooled SF _N_A ___ _
•Class of Work: D New □Addition [8]Alteration □Repair □Move IRJDemo D Pool Owindow/Door•Use of existi ng/proposed structure(s): [8] Commercial D Residential • If existing structure, is a fire sprinkler system installed?: Dves [Kl No•Will tree(s) be removed in association with proposed project? D Yes (Must submit separate Tree Removal Permit) !RI No
Describe in detail the type of work to be performed: Interior renovation of existing tenant space located in Shops of Northshore to new � retail home and lifestyle shop. 2,082SF
Florida Product Approval # (For multiple products use Product Approval Information Sheet)---------------
PROPERTY OWNER Name Hearth and Soul Beaches, LLC Phone (850)544-9227----------------------Address 1410 Market Street D-1 City Tallahassee State FL Zip 32312
Email susie@hearthandsoul.com Owner or Agent Susie Busch-Transou
CONTRACTOR Name of Company Kaneco Construction LLC Phone 904-862-2930 --------------------Address 2 Atlantic Court, Suite 8 City Atlantic Beach State FL
Qualifying Agent Daniel C. Kane State Certification/Registration# CBC1261806
Zip 32233
-----------------------------
Email daniel.kane@kanecogc.c ocm;denise@kanecogc.com Job Site Contact Number 904-862-2930
Worker's Compensation Insurer OR Exempt D Expiration Date __________ _
Engineer of Record Architect of Record Julianne Overby FL. AR-0017060 • FL. ID-4621----------------
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 city/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 YOU PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMM ENCEMENT MUST BE RECORDED AND POSTED ON THE
SITE OF THE IMPROVEMENT BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCI NG, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. "In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contractor, and under penalties of perjury, I declare that I have read and examined the foregoing application and that the facts stated in it are true and correct."
U� /?. �t'2..H,4 DanielC.Kane SiGNAT�:.
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�. CTOR �" PRINT OR TYPE NAME OF CONTRACTOR
A/1�-c;,v7,� t,vSC-if ---Ttffe 5 o-J --s'i�ffiko,: OWNER:-::0::--;:R::-t:::�NT=--------PRINT OR TYPE NAME OF OWNER OR AGENT
Building Permit Application 07.03.2025
DATE
@/"J.-1 /2-02-SDAlE /
$144,592