Permit Int Alt 363 Atlantic #7 2012 ► R�t
;
CITY OF ATLANTIC BEA CH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
9 SA INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000715
Property Address . . • Date 6/14/12
• 363 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 7
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1400
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Application desc
interior wall
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Owner Contractor
------------------------ ------------------------
SHOPPES OF NORSHORE LLC STYLES CONSTRUCTION, INC.
P.O. BOX 330108 1537 PENMAN ROAD SUITE A
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-4477
--- Structure Information 000 000 INTERIOR WALL
Occupancy Type . . . . . . BUSINESS
-------------------------------------------
Permit COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee 30 . 00
Issue Date Valuation . . . . 1400
Expiration Date . . 12/11/12
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Special Notes and Comments
PER M JONES (M GRIFFIN) NO FIRE REVIEW
REQUIRED 06/12/12 SLG
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO. THE BUILDING
DEPARTMENT IMMEDIATELY.
-------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
-----------------------------------------------------
Fee summary Charged Paid Credited Due
------ ---------- ---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total 30 . 00 30 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office(904)247-5826 Fax (904)247-5845
Job Address: Permit Number: 7�S—
Legal Description
� oor Area o Parcel#
Valuation of Work$ /�'��, Proposed Work het ated/ cooled_r voo t
non-heated/cooled
Class of Work(circle one): New Additio,:"`Alteration epair Move Demolition pool/spa window/door
Use of existing/pro used structures circle one): �-Commercial Residential
If an existing structure,is a fire sprinkler system instal a irc a one): yes No N/A
Florida Product Approval# ,U,9
For multiple products use
product approva ®rm
Describe in detail the type of work to be performed:_./ /J
Property Owner Information•
Name: C� s / '•• !��s a .s.d,.�.A.r,....�.r.....,
City 7` vile_ Address: a �r 7 iP
Stater'"Zip 32Z Phone
E-Mail or Fax 4(Optional)
Contractor Information:
Company Name: �s C.w�l�rv�t!>'• '. Qualifying Agent:
Address:
Office Phone 2 r'V City a, State
State Certification/Registration# �Jb z� 6o�ntact Number s s's=Bid y Fax#
Architect Name&Phone# .�
Engineer's Name&Phone 4
Fee Simple Title Holder Name and Address r�
Bonding Company Name and Address
Mortgage Lender Name and Address
.9pplication is hereby made to obtain a permit to do the work and BY' DA'�'� '1 2-
issuance ofa permit and that all work will be performed to meet the s an at no wal) or u7s.a s ommenced prior to the
and void if work is not commenced within six(6)months, or if construction or work is suspe n or abandoned for a eriod of six 6}n:onthsratta yeti ne anter
work is commenced. I understand that separate permits must be secured for Electrical t6'ork,PlutrtbBng,Sdgns, Wel/s, Pools, urnaces, Boilers, /dealers,
Tanks and Air Conditioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTENT) TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that I have read and examined this a ation and know the same to be true and correct. All provisions of laws and ordinances governing this
O pe of work will be complied wit whether eci herein or not. The granting of a permit does not presume to give authority-d violate or cancel the
provisions of any otherfederal,f or lo c l aw ulating construction or the performance of construction.
Signature of Owner Signature of Contractor p T
Print Name .... p`Z.
. ..... .........!...... .... t......U....e.::L.......................... Print Namerv�l/ � SrYr��r
_... ................................................................................
Sworn to d subscribe fore me
this ay of Swor to and subscri before me
20 �--- this Day of 20 ;?�
7
Notary Publi ;s:: ARY C.SORRELL
Commission#EE 000110 N �:
ZExpires June 13 2014 t ;' MARY C.SORE2014
nded Thru Troy Fain Insurance gpp$6&701! =*: Commission#Expires June 1e ised O 1.26.10
Bonded TMu Troy Fain i
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City of Atlantic Beach
Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445 Z
Phone(904)247-5826 • Fax(904)247-5845 _ s
E-mail: building-dept@coab.us
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: LJ3a 'G 7
ent review re uired Ye No
Applicant: �S Buildin
Planning &Zoning
Project: L G Tree Administrator
Public Works
Public'Utilities
Public Safety
Fire Services
Rol
Other Agency Review or Permit Required Review or Receipt
Florida Dept.
of Permit Verified B Date
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:
pproved. ❑Denied.
(Circle one.) Comments:
(2UILDIN
PLANNING&ZONING
TREE ADMIN. d b
Reviewey: Date: (,-/-Z-/2
Second Review: OApproved as revised.
PUBLIC WORKS Comments: ❑Denied.
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review:
QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110