Permit Int Partitions 469 Atlantic #2 2012 s CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000613 Date 5/24/12
Property Address . . . . . . 469 ATLANTIC BLVD
Tenant nbr, name . . . . . . #2 DAVINCI ' S PIZZA
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INTERIOR PARTITIONS
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Owner Contractor
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DIAMOND REAL ESTATE PROPERTIES DREW ROBERTS CONSTRUCTION CO
6517 LOU DRIVE SOUTH 11080 TUNG GROVE RD
JACKSONVILLE FL 32216 TALLAHASSEE FL 32317
--- Structure Information 000 000 MOVING COUNTERTOPS
Occupancy Type . . . . . . BUSINESS
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Permit . . . . . . COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50
Issue Date . . . . Valuation . . . . 1000
Expiration Date . . 11/20/12
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total 27 . 50 27 . 50 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 86 . 50 86 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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City of Atlantic Beach APPLICATION NUMBER
t Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: / 0
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address• " DM nt review required Yes No
Building
Applicant: Fanning 8 Zoning
Tree Administrator
Project: �� Z�Gz��- Public Works
Public Utilities
Public Safety
z Z"�— Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: [Approved. ❑Denied.
(Circle one.) Comments:
=BUILDING
PLANNING &ZONING .���.-�Z
Reviewed by: Date:
TREE ADMIN. Second Review: QApproved as revised. ❑D nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 469 Atlantic Blvd.#2 Permit Number:
Legal Description 10-16 21-2S-29E 3ALTAIR SEC 3 Parcel# 170690-0000
Floor Area of S .Ft. S .Ft
Valuation of Work$ 1000.00 _Proposed Work heated/cooled non-heated/cooled
�4
Class of Work(circle one): New Addition Alteration) . epair Move Demolition pool/spa window/door
Use of existingtproposed structure(s)(circle one): ommerci Residential
If an existing structure,is a fire sprinkler system ins ? one): Yes No N/A
Florida Product Approval# ^
For multiple products use product approva orm
Describe in detail the type of work to be performed: Add 8'partition and 5'partition
Property Owner Information:
t
Name: Diamond Real Estate Properties IV Address: 10312 Atlantic Blvd.
City Jacksonville State FL Zip 32225 Phone 904-641-5111
E-Mail or Fax#(Optional)
Contractor Information:
Company Name:Drew Roberts Construction Company Inc. Qualifying Agent: Drew Roberts
Address: P.O.Box 12142 City Tallahassee State FL Zip 32317
Office Phone 850-878-7008 Job Site/Contact Number 850-933-2877 Fax#
State Certification/Registration# CBC 059963
Architect Name&Phone#
Engineer's Name&Phone# _
Fee Simple Title Holder Name and Address
Bonding Company Name and Address_
Mortgage Lender Name and 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 n!/work will be ped formed 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•onstruction or work is suspended or abandoned for npenol of six(6)months at any time after
work is commenced. I understand that separar penuits nur he secured for Electrical Work,Plumbing,Sign's, 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 rend and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type o work will be complied with whether specified herein or not. The granting of a permit does not presume to give thority to violtye or cancel the
provisions of any other federal,state,or local law regulating construction or the performance of con ructio
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Signature of Owner 141Signature of Contr for
Print Name �i d4 Print( 4.... ..I!1...1t....4._tS........__._........................... rant Name ......._......._._..._.. ...._...._................_...:.
$.............................._...
Swom t and subscribed before me Sworn to and subscribed before me
this ay of 20 'L this 1 ay of 20/Z'
r(otary Public- o ubl'
Revised 01.26.10
.Pa"PU9 Edkka Flanagan-Nelson
Notary Public
« State of Florida ii .' "•.,, TAYLOR JOYNER
My Commission Expires 08/16/2015 ,, MY COMMISSION#EE 153131
of iO Commission No.EE 122635 EXPIRES:February 19,2018
Bonded Thru Notary Pubk UMxvtriters
..wa
REVIEWED FOR CODE COMPLIANCE ...k ...9�,� ,.a.�..
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS. FILE COPY
Rf?VIEWEDBY: DATE:
Existing Proposed
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