Permit Folder 1015 Atlantic Blvd CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000060 Date 1/22/10
Property Address . . . . . . 1015 ATLANTIC BLVD
Application type description COMMERCIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 32500
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Application desc
FOUNDATION REPAIR TO UPS STORE
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Owner Contractor
------------------------ ------------------------
UPS HIGHTOWER GEOTECHNICAL SERVICE
1015 ATLANTIC BLVD. ROBERT D. GAMMIE
ATLANTIC BEACH FL 32233 P. 0. BOX 330466
ATLANTIC BEACH FL 32233
(904) 246-9934
--- Structure Information 000 000 FOUNDATION REPAIRS
Construction Type . . . . . TYPE I-A
Occupancy Type . . . . . . BUSINESS
Flood Zone . . . . . . . . ZONE A
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Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . . 00 Plan Check Fee . 00
Issue Date . . . . 1/22/10 Valuation . . . . 32500
Expiration Date . . 7/21/10
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA FIRE PREVENTION CODE
2005 NATIONAL ELECTRICAL CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total . 00 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total . 00 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
CITY OF ATLANTIC BEACH
106-
aOO SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-58.16&FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.VALUATION OF WORK 3.SO.FT.UNDER ROOF
ojyt,3.,kR 2-V LA-44 up% - 2,-2 -3F
LO-Of AT4A,,)71 e-A W A A,14,1714�= ,
4.LEGAL-DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE:
0 NEW BUILDING 0 DEMOLITION 0 RESIDENTIAL
LOT_BLOCK_SUB DIVISION D ADDITION 0 CONVERTING USE .0"COMMERCIAL
7.DESCRIPTION OF WORK: 13 APERATION 0 ACCESSORY BLDG S.FIRE SPRINKLER:
-6 Q<EPAIR 0 POOL/SPA 0 YES 0 N/A
13 MOVE 13 OTHER NO
PROPERTY OWNER: EON-TRACTOR: AREAFFEET RaNGINEER:
9.NAME: 15 COMPANY NAME: 23.COMPANY NAME:
to-ux I T4 0 a.)15 P,4j�r,-
(ftVA-&A?0,Wf,0 40 1 16.NAIMt 24.LICENSEE NAME:
P,db,-,c t*D-C-4 fn M; -rA"eA&.
10.ADDRES& 17.STATE OF FLORIDA LICENSE NO.� 25.STATE OF FLORIDA LICENSE NO.:
14,o0A.J6
18.ADDRESS 26.ADDRESS:
pt-7 c� 1>115 M i Dr. 134
4+441f."11V14J) TAia-Ke,,CW 61,
ll.OFFICEPHONE: 112.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 18.FAX NO.: -24
�65'/_I 2 -Q')� :L+i-,b
. . 1 z-yq 13o57i4-+3&37 lqw I
13.CELL PHONE: 21.CELL PkQNE A-A 19,CELL PHONE:
95-4-4/0 - 6-700 ---qi�- 0(fl-1-9515
14.EMAIL ADDF�gSS: 22.EIAAIL ADDRE,;S: - 30.EMAIL ADDRESS:
FEE SIMPLE TrTLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER T14AN GVMER) uj�
31.NAME 33,NAME J1 35.NAME.
32.ADDRESS: 34.ADDRESS: 36.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 (6) 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, Air Conditioners,etc.
OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work I be done in compliance pith all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any rt th f un a are finaled and
Mo
prior to obtaining a certificate of occupancy or completion issued by the building official,as requi b#aV.
f, tpwy
WARNING 0
ZMM) ER:
To
YOUR FAILURE TO RECORD A NOTICE OF C r M RE LT OUR
C E
AN T
iH 0 1
M
I/J r
PAYING TWICE FOR IMPROVEMENTS T URP P . A NOTIC F
COMMENCEMENT MUST BE RECORD A C 0 E THEJOB EE BE RE THE
FIRST INSPECTION. IF YOU INTEND OB CING, CONSULT WITH YOUR
C YOU OTIC 0
LENDER OR AN ATTORNEY BEFO RE G YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
Attorney of Agency Letter Required) (OwIffierOnly)
Date:
Signe& I Pigned: Date:
Before me this_JqZdaly or 2OW in the county Of Before me this davof-"T4�-IkV4tfq .,20M in the county of
Duval,State of Floriga,has personally appeared Duval,State of Florida,has personally appeared
Q
Qcbe(-� 1>.C-Arvim le
herin by himself f herself and affirms that all statements and declarations are herin by himself f herself and affirms that all statements and declarations are
true and accurate. ROBEM'= true and accurate.
Notary Public at Notary Public at Large,State of bUVeAt
g County of
E�PersoriaHWy Exo1m ADdl A 2012 12f pwwnaxy Knom rL-r
13 Pmdmed Idlen [115MCh-H L
Notary Signature: Note )A
REVIEWEDFORCODE COMPLIANCE U
My OFAANTIC BEACH EF
BL OrRMAL T S
0 0
RIEQ �IRME NTS AND CONDITIONS. 0
MV]]P,-WM 70"
BY. DAM EA N- TION�
DOC#201001,3695,OR 13K 16131 Page 9,1 o,
Number Pages: i
Recorded 01/20/2010 at 03:32 PM,
1IM FULLER CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$I o.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No./77(a 0.2-DO qO
State of County of_ 7*-'�u vck I
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being Improved: q. 0 1/0
Grg,4 ?-f 'Rfc--� - 011? '91,30-X,7'77
Address of property being Improved: A41aviLa Via,c - up /0j 81ild
--A4JarI4,*c 6eaCti F( 3,U 33 'j
General description of Improvements:—'Rei3cx.r- -11, 44 LL PS re 4,,-,1 §4?nce- -
—t0M-1Q1c,A*0'x i-CI1210c
Owner G&Ju Orit CF1jqr;,f,&
r j
Address A000 A)r W W: G4
:a 01;okp"; AfaCA ft 33179
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Aloql%4owel- &e.1eA%,%;cAj Serv;ceS :r4C
Address- \J3 IS M er-Iq 'b-r:,,-L A41a.,4:c- )3f4C1j R- :5
Phone No. pq&�'-73qv FaxNo. (?Pq)�W-3�277
Surety(if any)
Address Amount of bond
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
SectIon 713.06(2)(b),Florida Statutes.(Fill In at Owner's option).
Namefele- M-911C;4elk
Address /550 XIF I-91m; C—rate'll br -0,100 4,46 Miami AmC4 f'( 33/7f
Phone No.(30 5) (p 7.2- 1.2 JI/ Fax No. C 7% 529- IV60
Expiration date of Notice of Commencement(the expiration date jfse�year m the date of recording unless a
different date Is speciffed): 'Ib
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: D
_JTIE�113
I
Before me this a of jkyl 1,71711TI 1.th!e
' t#;�
County of D al fFrq
ft=pnjl� d
In by
"Imsely herself and affirms that all stateftnts and declarations heroin
are tru accurate
ol , City of Atlantic Beach APPLICATION NUMBER
Building Department
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445 A4__ do
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: zer
City web-site: hftp://www.coab.us L- — ::�_l
APPLICATION REVIEW AND TRACKING FORM
Property Address: 16415- M/ al?17-e, Zlild . D2partment review required--Yes -No
-11dildin-g--)
Applicant: 7�Wh�' # -IRM11-n-ing &Zoning
Tree Administrator
Project: -/7 r
6,9--),2 odl- Public Works
-t�
I ies
ty
P 'i
ublic;Utilities
Public Saf�ety
Fire Services
Review fee$ Deptsighature',
Other Agency Review or Permit Required Review or Receipt Date
Florida Dept.of Environmental Protection of Permit Verified By
Florida Dept of Transportation
St.Johns River Water Management 13—istrict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverag s and �bacco
Other:
APPLICATION STATUS
Reviewing Department First Review: VApproved. FIDenied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
Reviewed by:__/�17 Date:_Z-d/-/0
TREE ADMIN.
Second Review: []Approved as revised. DDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. F�Denied.
Comments:
Reviewed by: Date:
Revised 05/14109