Permit Comm Alt 299 Atlantic 2009 !11'11
s w `x CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 09- 00002040 Date 1/05/10
Property Address 299 ATLANTIC BLVD 2
Application type description COMMERCIAL ADDITION /ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 12000
Application desc
INTERIOR REMODEL YOGURT SHOP
• ner Contractor
HAPPY CUP YOGURT THE STROUT COMPANIES INC
3811 UNIVERSITY BLVD WEST
ATLANTIC BEACH FL 32233 STE 13
JACKSONVILLE FL 32217
-- - - -- Structure Information 000 000
• action Type TYPE 5 -B
Occupancy Type BUSINESS
Flood Zone ZONE X
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 110.00 Plan Check Fee . . 55.00
Issue Date . . . Valuation . . . . 12000
Expiration Date . 7/04/10
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS.
2004 FLORIDA FIRE PREVENTION CODE
2005 NATIONAL ELECTRICAL CODE
Other Fees CITY RADON SURCHARGE .00
ST CONSTRUCTION SURCHARGE .00
AB CONSTRUCTION SURCHARGE .00
DEV REVIEW- COMMERCIAL /IND 300.00
ENG REV COMMERCIAL BLDG 150.00
STATE RADON SURCHARGE .00
UTIL REV COMMERCIAL BLDG 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 110.00 110.00 .00 .00
Plan Check Total 55.00 55.00 .00 .00
Other Fee Total 525.00 525.00 .00 .00
Grand Total 690.00 690.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BP200I01 CITY OF ATLANTIC BEACH 3/10/10
Application Inquiry 16:25:57
Application number • 09 00002040
Application status, date . . : CERT. OF COMPLETION 2/12/10
Property • 299 ATLANTIC BLVD 2
RE number . . . . . . . . . . : - - -
NCR OLD ACCOUNT NUMBERS. . . : AB20267
Zoning • TBU TO BE UPDATED
Application type • CAAR COMMERCIAL ADDITION /ALTERATION
Application date • 12/22/09
Tenant number, name
Master plan number, rev'wd by: SLG
Estimated valuation 12000
Total square footage 0
Public building • NO
Work description, qty . . .
Pin number • 466040
Application desc • INTERIOR REMODEL YOGURT SHOP
Press Enter to continue.
F3 =Exit F5 =Land inq F7 Appl names F$= Tracking inq F9 =Bond inquiry F1O =Fees
F11= Receipts F12= Cancel F13 =Val calcs F14=Misc info F24 More keys
- s- xvt.,7 City of Atlantic Beach APPLICATION NUMBER
.s Building Department
t ,� (To be assigned b0 a Building epartment.)
1
,,���r 800 Seminole Road e ,��
6 : Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
:,r t 9);.• E -mail: building- dept @coab.us Date routed: / 2 4
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (99 ? /47 a ,-,, a..iArb k- i - a - - nt review required Yes -No
Buildin•
Applicant: iii p = - nnin & Zoning
c�, r / d6I-
Tree Administrator
Project: 7 (,i" ' .1 6 Public Works
Public Utilities
Public Safety
Fire Services
r F 9, ' d ti d 1 '2= , k 4 , � tiI N 3 hI 19 d,
fee Id ,� I ,_, ,' �" r,�� ) ( p 'W ! ! o 1, , �y�y r iii ,
Other Agency Review or Permit Required Review or Receipt Date
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: oved. ❑Denied.
(Circle one.) Comments:
C SUILDING
PLANNING & ZONING Reviewed by: PI ' Date: f /7//O
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
411 fS
1 Lfri TV OF ATLANTIC BEACH 09-
m , , 800 MINOLE ROAD, ATLANTIC BEACH, FL 32233
+ , i s3 ' FFICE: (904)247 -582 • FAX NO.:(904)2 -5845
r/ - BUILDINGDEPT@COAB.US DUVAL COUNTY
n39 - y ■ 4 ILDING PERMIT APPLICATION 3: sa> r.uNDER U
2 VALUATION OF WORK: - ■ r r
1. JOB ADDRESS: '
��� '. ' V A N l�'" j I c. I LL.. )0o° s: use of 1 n
5. CLA S OF WORK: ❑ • OF .7- L
L
4. LE "LOESCRI' eN' , �e�• , hr -o• ❑ W BUILDING ❑ DEMOLITION
❑CONVERTING USES COMMERCIAL
] A e ► 0 ' DDITION -
7. BLOCK OE SUB ■
DIVISION v ALTERATION ❑ ACCESSORY BLDG. 0 YES N/A
❑ REPAIR 0 POOL / SPA 0 VE
T. DESCRIPTION OF WORK: ❑ OTHER
0 pp , Ate (, je ❑MOVE
M s W p1-; : ^+ ry �0 CONTRACTOR: + ^` .: ;
• PERTY O N - : 23. COMPANY NAME: , , r -
, Fa a . PA Y) �].4P' .* l * 1.1 ` .:�I
9. NA ,E: Y __(( �� �_. - I 4 LICENSEE NAME:
p v` v, \ p� 25. STATE OF FLORIDA LICENSE N f O �.:
10. ADDRESS: +d•+� a ► -- 17. STA' O;F(C S 4 a.: . _ ` •. , �o �7 t.+Z y�
}\►.. ` 1.1 1 1 .rte \ .26�DRESS: M•,
18. DRESSi � (� 1 1 2� f '
���
L. ,5 z.ZO2' ( I Al r / 2 "`
2 , •E PHONEA: — 28. FAX NO: •
1 1'. • • ` PHONE: ' �r� r I f� E:
1 .1) S CE PHONE: 1 . FAX NO.: 3 -ZIP
(� �,� O �- 29. CE P H ONE:
21. CELL PHONE � - 0.3
13. CELL PHONE: ] (.l ] ` �J 1
kl 30. EMAIL ADDRESS:
5 . Eta A . J� /'A�, �� G ' a; : l c �• .
e.-ib EMAIL ADDRESS: ii u£Q,COM Yl 3, I o%)k A ti .IA Vo
kQ1 E-Q_L
MORTC • GE LENDER:
;. PEE SIMPLE TITLE HOLDER: BON a ING COMPANY:
QFOTNERTNAN OWNER) 1�
'WI 36. ADDRESS:
.. 34. ADDRESS:
Application is hereby
commenced made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenncee d T p he issuance of a permit and if work s t commenced within six (6) months, or ffconstruction uor works suspended h or
i abandoned for This or
a period of six null and void If
abandoned or d f six (6) months at any time after work is commen ce Tanks, n Ai Conditioners
that seprat a etc e permits must be secured for
OWNERectriR S al Work, Plumbing, Signs, Walls, Pools, n Boilers, a part thero until all inspections are fa applicable
and
' AFFIDAVIT - I certify that all the foregoing ing information is accurate
and that building o any p will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupY lcupy or use the
prior to obtaining a certificate of occupancy or completion issued by the building official, as required bb* aw.
*irk WARNING TO OWNER:
YOUR
FAILURE TO RECORD A NOTICE OF COMMENCEMENT A NOTICE RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. YOUR
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SIT E BE ORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, NOTICE OF COMMENCEMENT.
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO
-'CTOR
`OWNER Ol' AGENT' C Q• alifi- Dory)
(8 Agent, Power pit Attome or Agency Letter Required) ���� � ate:
z - e - 0
� J��r ��. Date: ___ --- Signe•.
Signed: � � � , 2009 in the county of
2009 in the county of Befor me this ■,, ' • a y of eared
Before me this day D I State .f F onda, h �.p o app _
appeared r M1
Duv- State of Florida, has personally app � 4..
4 , r i • . - _c - h imself I herself and affirms that all statements and declarations are
herin by himself / herself and affirms that all statements and declarations are true and urate. _
true and accurate. Not Public at Large, State of V /. l County of �+J 16 °`
County of
Notary Public at Large, State of personally Known
tit Personally Known ❑ Produced Identlficetioe r
❑ Produced Identificatioyr- Notary Signatur pm,/
�I�
Notary Signature:
NOT •'Y PUBLIC-STATE OF FLORIDA
' ' - ¢ . Q'N0a1
r—,-,W; Pi . . C ' . .. ,
"
0 � 1 ,9 ' OMMISSION # DD 584615 • r r 1 l 0 0 ( r1D652
�; D F � R CODE COMPS �� t )2, 2303
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BLOGO1 Permit Apfs i , •RE IS 1!7 mu o a ❑ is U iderwtllers ATLANTIC TIC BEAM' Ili" h'I!d it" U� + ' •.4 1
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS. ± j
REVIEWED BY: / 0 DATE: �
_____
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