299 Atlantic Blvd # 207 Beam repair 2015 ' r
s CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
1
?J v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J131��
COMMERICAL ALTERATION/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-CAAR-690
Job Type: COMMERCIAL ALTERATION
Description: beam repair
Estimated Value: $10,000.00
Issue Date: 1/12/2015
Expiration Date: 7/11/2015
PROPERTY ADDRESS:
Address: 299 ATLANTIC BLVD 207
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: VENTURE CONSTRUCTION COMPANY
Address: 5660 PEACHTREE INDUSTRIAL QA LEROY F
HOLLINGSWORTH
Phone: - - —
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $50.00
BUILDING PERMIT FEE $100.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $154.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOTICE OF COMMENCEMENT
/ (PREPARE IN DUPLICATE)
Permit No.Iy �' 67L Tax Folio No.
State of L– County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the following information is stated In this NOTICE OF
COMMENCEMENT. ff
Legal description of property being improved: rme. T_G er'✓1 �2e6r�vrun�tM c vu b:�t✓QVL�
Address of property being improved: 'A
ry+t u,7-h-( e ectct Ef—ECL, 3;k237 7 23 7
General description of improvements: car Iti"'f 5 c ,r� 'I o fn rvv,Y7
Now ro i c-?A rest c - b g(/i_
Owner Pc:r-rle✓Sh btCk
Address P,'Wt S;_ f'Z i'Vyc? vi-1 c 4:� L j 2-7-02 W'1
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor V944yyt,C os vv,_,Wo-i Ca xrn
Address 61 t.r'r4t "/ct re e 7S 6. -, /VC. Z7'0
Phone No. Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Phone No- Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
I
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option).
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY
Signed: DATE . is
Before me this day of in the
Cour of p vy a to((�ppf,l Pp'd@ as personal1 appeared
D W i S r► t herein by
himself/herself and affirms that all statements and declarations herein
Doc 4 201 5W2886,OR SK'17026 Page 1203, are true and accurate
Number Pages: 1
Recorded 01 06i2015 at 02:35 PNM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ,Mx
COUNTY
LX UI,w r 1l/J
RECORDING$10.00 Notary PublioatLarge,Sta Ft_ Cou ogo RENE ADAMS GOODMAN
My commission expires. M ry Public-State of Florida
Personalty Known105 , r
Produced Identification Comm.Expires Aug 2,2Q15
'o
Or���,.•' Commission#EE 118297
BUILDING PERMIT APPLICATION
FILEC CITY OF ATLANTIC BEACH FDEC
800 Seminole Road, Atlantic Beach,FL 32233Office (904)247-5826 Fax (904) 247-5845 18 2014
Job Address: Permit
Legal Description Parcel#
Floor Area o q. t. t
Valuation of Work$ 16 400 Proposed Work heated/cooled non- heated/cooled
Class of Work(circle one): New Addition AlterationWirce
Move Demolition pool/spa window/door
Use of existing/pro osed structures)(circle one): CommResidents
If an existing structure,is a fire sprinkler system insta a : Yes No N/A
Florida Product Approval#
For multiple products use product approval form )Describe
-
Describe in detail the type of work to be performed: Z X j
12 .4A4_A c1 ed Cil" tti'll
Property Owner Information:
Name: Soy sT 04 4 ,At ,aA7,uc 2,�,` Address II�JGd� F,yAf,�J� Ips�SarT� 1000
City So N vel £ / State X_lZip o OPhone
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR,[EMAIL ADDRESS:
Company N me: YC* c)�J5 rejc /' UrV Quali ing Agen :
Address: Tr',e✓�Ct^ WAV City , =t:y5 kola State Zip Z? d
Office Phone Job Site/Contact Number Fax#
State Certification/Registration# O [e
Architect Name&Phone#
Engineer's Name&Phone# N C•
Fee Simple Title Holder Name and Address
Bonding Company Name and Address_ /V .1
Mortgage Lender Name and Address AI)/¢
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 all work will be performed 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 construction or work is suspended or abandoned for aperiod of six 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, urnaces,Boilers,Heaters,
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 INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that I have read and examined this application and know the same to be true and correct. All provisions aws and ordinances governing this
type ofYwork will be complied with whether specs sed herein or not. The granting of a permit does not presume to iv authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contra o
Print Name Print Name 9
Before me y� Befor e
this Day o 20 this Da 20 l
ry is a of Florida
Notary Public Nof<Pu
bli
+l o� My Commission FF 086990
,oF Expires 0211_ p412018�
Y�sti�'IV��
E ILE COPY f
Y
SOUTHCOAST CAPTIAL PARTNERSHIP, LTD
1 Independent Drive, Suite 1600
Jacksonville, FL 32202
Phone 904.634.8808
December 19,2014
City of Atlantic Beach
Attn: Shirley Graham
Building Permit Technician
800 Seminole Road
Atlantic Beach, FL 32233
Re: Ragtime Tavern/Truss Repair
Dear Shirley,
Venture Construction Company has permission from Southcoast Capital Partnership, LTD,the owner of
the property located at 207 Atlantic Boulevard,Atlantic Beach (Ragtime Tavern &Seafood Grill)to
complete necessary truss repairs for the restaurant.
Respectfully,
David R.Shields
Vice President
Southcoast-TC Corporation
General Partner for
Southcoast Capital Partnership, LTD
RENE ADAMS GOODMAN
Notary Public-State of Florida
;N My Comm.Expires Aug 2.2015
�oF Fwd;;" Commission#EE 118297
jq� 14
� � CQ
Building DeparntmraL-�- 11
APPLICATION (�iUM13El�
-o be assigned by the Building Depar;ent.
800 Seminole Road /� )
Atlantic Beach, Florida 822:33-54'45 r` -G��/c. - �/9d
Phone(904)247-5826 - Fax(904)247-.5845 j
City web-site: http7Hwww.coab.us II Date routed:
APPUC TOOK REVWW AN DO TRACKONG FORM
E-rte, ertrwr Adla9re
c,7?/ lh7 XIvol -1,1" O?Q Deparrtmlept review required YesL11 dinr
r` E�iiwii:: ��'I /2 �C)%1 SIS�iLL� 7�7 D /) Planninc ':Zoning
Tree Administrator
Public Wo,`ks
Public t;tiiities
Public gaiety
Fire Ser,i';ce : . . . .
Review fee $ - Dept Signature
ONTRACTOR EMAIL Adl'.)DRE S
CONTRACTOR C0NTA( _'y
APDL ICATIOPM STATUS
- ----- ----
Reviewing Department First Review: pproved ❑Denier!
(Circle onComments:
BUILDING
PLANNING o: ZONING
Reviewed by: ,
Date:
TREE ADMIN. - ----- _
Second RevieFite: FIAPProved as revised. ❑D ed. --
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Revi€vif' nApproved as revised. [IDenier: - --- -
Cornments:
Reviewed
SED 0925201z:'