Permit Buildout 1021 Atlantic Blvd 953 Little Caesars CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
`= =% ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001346 Date 10/02/12
Property Address . . . . . . 1021 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 953
Application type description COMMERCIAL INTERIOR BUILD-OUT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 50000
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Application desc
build out
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Owner Contractor
------------------------ ------------------------
EQUITY ONE ATLANTIC VILLAGE, MAYES CONSTRUCTION LLC
16 NE MIAMI GARDENS DR 13930 MCGREGOR BLVD
ATTN: TREASURY DEPT FT MYERS FL 33919
MIAMI BEACH FL 33179 (239) 633-3722
--- Structure Information 000 000 COMMERCIAL BUILD OUT
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . BUSINESS
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Permit . . . . . . COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 300 . 00 Plan Check Fee 150 . 00
Issue Date . . . . Valuation . . . . 50000
Expiration Date . . 3/31/13
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Special Notes and Comments
need noc
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 4 . 50
STATE DBPR SURCHARGE 4 . 50
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 300 . 00 300 . 00 . 00 . 00
Plan Check Total 150 . 00 150 . 00 . 00 . 00
Other Fee Total 9 . 00 9 . 00 . 00 . 00
Grand Total 459 . 00 459 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
% 2 l /�-R a-27/-7'6 XlVd - 7- 96
BUILDING PERMIT APPLICATION '
CFFY OF ATLANTIC BEACH
SW Seminole Road,Atlantic Ocach,FL 32233 F 1 L E C O_POffice(904)2475826 Fax(904)247-5845
Job Address: 953 Atlantic Blvd,Suite#29 Adantic Beach FL 32233
LndDaaip iioa 38-2S-29E 14.040CASTRO Y FERRER GRANTparedp 177602-0040
.�:.;... o. t.
Vaiaadon of Wait S$game Proposed Ark 6eatedleaokd 1500 Bon-heated/cooled
;-a,0 0
Gass of Work circle one)- New AdditionCl( ) A Repair Move Demolition pool/spa window/door
Use oir sswi>rrselso(s circle omek R-611, dW
lUas issi bre sysaesi of k Yes NNq N/A
Florida Product Approval#
For asa@k producls m pUiR appouiva form
Describe in deta0lhC i of work to be iurnrai: Ai xi "n v Cr' r win
of
PraoertY owner iaforsaa8anz
1600 NE MIAMI GARDENS DR j_
Name F.aeity Oae 1�ac Addre
City NORTH MIAMI BEACH State aziP ,3179 Phone— 305-947-1664
E-Mail or Fax#(Optional)
Cartraetor Iotatraadom•
Company Nam= Mayes Construction Qual fyurg Agent AA-4A4-T. Ma 7 g j
Address:__ 13938 h Blvd City Fort Myers State FL lip 3919 t
Office Phone 23M65-5003 Number 2 Fax#
Stateqotratim# AN
Ando&%t Name&Phone* TAqpja ,{
Engineces Nano&Phone# " C?ffiemA8
Fee Trete tiolda Name and
Boading Comp®y Nasse and Adi6ess
Mortgage Lender Name and Address
• O
to pond�a�w�at��m do tie to�uset tAs ttm�dar�Qrafi Jaws n�rJat�saamYcrloa to tMs
and vv��work is rat cosssehced with!"sis(6 ssondtt,or�'(cohsmxnton ar is ►dad jor a of s�(6)�roraths at any tb�e r
w�i iw���;��»porr�ts prravttr+mart be se.e+v+ndfor IE�1aob�Eoaf Way{l��i�e�1S�,We9tr,Pwatr.F�rsoer.daife;
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COY94MCWZAENT MAY RESULT IN YOUR PAYING TWICE FOR EdPROVEN[E,N'I'S
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCINGCONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I sW l haus rrad and awd blow tlw surae to be tars adcgffea. .tll prrvvWaw law:and gv�s e�t/xir
typs work'wilt be co�ptkd wit c hers�lh or hot. "m gr poft aja prnuit doe not presturre tog aruhoriry to ululate or cancel ttre
p ovisiww of any atherj s / aw ding cohsbuetioh or the per,forum we ojcohstnrctiox
Signatrme of Owner Signature of Contractor ' "4
��rauuultbt ,�
t'riaotName v ����\ .6AJAAP1ame �Onc,r �S •, y
ti .SOON EXP/q••. y�� 7 r
S d subscribed bef :���2a,2orsjrp and subscribed before me
this .20 this -_Day of Z ( �-
LAS 'U (JT 114`•'b •d� �� Atota PI
State OfF ¢
I y
FILE C 0oy ;
EQUITYONE wc.
Plan Authorization Letter
Date: September 13, 2012
Business Owner: Little Caesars
Shopping Center: Atlantic Village Shopping Center fnOMi7d"Address: 01-Cldti nt 1�+..low «a Q,,:a +{�n Arl antic RP�c hRT2� �
Re: Little Caesars-Plan Approval Letter ON/Yot
Dear Tenant: 4#/.r
9.f 3
We have reviewed and approved your drawings labeled: Construction Documents for Little Caesars prepared by: PDS
Architecture, Inc., and dated 9/6/12. You are hereby approved to commence the permitting process of the your above
referenced space.
***Please note that no construction may commence in your above referenced space until the lease is fully
executed by both parties***
The following is a list of documents that you must provide to the Landlord prior to commencement of any
construction work on the premises:
1. Copy of Tenant Contractor's Insurance Certificate evidencing Insurance coverage and
limits as stipulated in the lease and naming Landlord as additional insured.
2. Copy of Tenant's Contractor's construction schedule
3. Copy of Tenant's Contractor's Notice of Commencement.
Upon completion of construction and Arior to Tenant occupancy,the Tenant shall provide the following to Landlord:
1. Revised Construction Plans(As-Built) containing the information which may have been modified during
construction(included but not limited to sprinkler shop drawings).
2. Copy of Certificate of Occupancy as issued by Building Authority.
3. Any other documents required by Lease.
Please forward all documents to Property Manager, Susan Forman, of our Jacksonville Office to: 10601 San Jose
Blvd.#3 Jacksonville, FL 32257, or via e-mail to: Sfonnan(a`quityone.net.
Respe y,
Ken quette
Vice President of Construction
Cc: Susan Forman(Property Manager)
Cc: Ken Miller(Senior V.P. of Property Management)
Equity One Inc.
1550 NE Miami Gardens Drive, Suite 200 1 North Miami Beach, FL 33179 1 Main 305.672.1234 1 Fax 305.672.6606 1 www.equityone.net
CITY OF ATLANTIC BEACH
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
"�SlFil>f'
PLAN REVIEW COMMENTS
Permit Application # /c� - r'..�
Property Address:
Applicant: 1`79 ' ;.r r w1r
Project: 1 11 -'IrGt ion r� o{ rev C l�Gr,�^r;S pt
0y-S.
This permit application has been:
El Approved
❑ Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: Date:
S-sys�'`1rl�. City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road j� /�
Atlantic Beach, Florida 32233-5445 ,/
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: 7 //
2,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
=*- ��2
Property Address: JQ/ �a/7 /�C/ t review required Yew No
Building
Applicant: I/ S ,QII S, .f. T7 0/1� Planning&Zoning
Tree Administrator
Project: k lJ) 0-V Public Works
Public Utilities
T _5 PqoaSafety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receiptof Permit Verified By
Date
Florida Dept.of Environmental Protection QV
Florida Dept.of Transportation / d
St.Johns River Water Management District /
ll
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: M pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: At, Date:—?—/
TREE ADMIN.
Second Review: ❑Approved as revised. F]Deniiu
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27110
s}�lr City of Atlantic Beach APPLICATION NUMBER
J� Building Department To be assigned b the Building D
800 Seminole Road i g Y 9 apartment.)
iwr=,•' Atlantic Beach, Florida 32233-5445 12 �J
Phone(904)247-5826 • Fax(904)247-5845 / I
�or:ygr E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: f1�;/ 1�77l/)1 e 11(UC1 t review re uired Yes No
Buildin
Applicant: w I/ s �1/J�1�C'/, (' e,A/ Planning&Zoning
Tree Administrator
l Public Works
Project: 1/ (�� /fr7f
4_ Public Utilities
. ."li/✓3-r7 Pub
Fire Services
Review fee $ Dept Signature
/ c
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection ff�7��
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-STAT-LIS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Date: ,
7//2
TREE ADMIN. Second Review: ❑Approved as revised. ❑D e .
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
RE SERVICES Third Review: []Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07127110