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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 ---------------------------------------------------------------------------- Application desc build out ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Permit . . . . . . COMMERCIAL ALTERATION/OTHER Additional desc . . Permit Fee . . . . 300 . 00 Plan Check Fee 150 . 00 Issue Date . . . . Valuation . . . . 50000 Expiration Date . . 3/31/13 ---------------------------------------------------------------------------- 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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 4 . 50 STATE DBPR SURCHARGE 4 . 50 ---------------------------------------------------------------------------- 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