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1021 Atlantic COMM18-0008 Demo Jumpin Jax CITY OF ATLANTIC BEACH ' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 "!Cu;i»% INSPECTION PHONE LINE 247-5814 COMMERCIAL - ALTERATION COMMERCIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: COMM18-0008 Description: INTERIOR DEMO Estimated Value: 15000 Issue Date: Expiration Date: PROPERTY ADDRESS: Address: 1021 ATLANTIC BLVD 953-975 RE Number: 177602 0040 PROPERTY OWNER: Name: EQUITY ONE ATLANTIC VILLAGE INC Address: 1600 NE MIAMI GARDENS DR NORTH MIAMI BEACH, FL 33179 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Mesic Construction Services, Inc. Address: 9046 Kentisch Cy Jacksonville, FL 32257 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. Building Permit Application Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phon,•(9 )247-'j5826 Fax:(904)247-5845 Job Address: �� )C. �/ Permit Number: C-Inm a `0 00 C) Legal Description- RE# Valuation of Work(Replacement Cost)< I�J, 000 . Heated/Cooled SF l %0 r0 Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal De ribe in detail the type of work to be performed: e :�)l oQ 7e.-7 y C-) C,mo cfo C. c Florida Product Approval# for multiple products use p oduct approval form Property Owner Information /' U p,,n /� Name: - 1 t C/n 1-1-e- Address: I 3 Sart T'es-. 8/0 City a C I 0- State Zip 3 AA6S- ! Phone Cj D y A 3,1 6-2-KS" E-Mail h Q 14 Aq/� F. G Owner or Agent(If Agent,"iPowervof Attorney or Agency Letter Required) 0 Contractor Information Name of Company: M 8X/C ' alifying Age t: 6'✓`A (� Address �i 15 City "� Qtate (,. _- Zip�3:ZZ Office Phone Job Site/Contact Number tc State Certifica ' n/Regi ration# JJE-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration Date 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 the laws regulationg construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS,FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS, etc. NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 YOU N TICE F COMMENCEMENT. 4 �• I fV (Signature of Owner or gent) 6 (Signature of Contractor) (including contractor) / Signed and sworn to(or affirmed)before me this�day of Wcli d and sworn to(or affirmed) before me this 224lay of avt , _Q1 , by 0o0dnJ shy; RusseII,Tc 20! , by ' w I-Pvv �t0; G CC)L,�`Q( e— (Signature of Notary) .:;:►y''•. REFIK RALIC Personal) Known OR .rq ` VIPersonally :', CHARLENE MARIE BENNETT [ ]Personally Known OR `. COMMISSION#FF 970610 4A t [ ]Produced Identification _ ommissi0n#FF 949741 ;of EXPIRES:March 13,2020 C [ ]Produced Identification o b4c ars Type of Identification: March 21 2020 Type of Identification: .P �`" Bonded Thru Troy Fain Insurance 800,385-7019 One Independent Drive Suite 114 Regency Jacksonville, FL 32202 904 598 7000 Centers, RegencyCenters.com April 24, 2018 City of Atlantic Beach Building and Zoning RE: LETTER OF AUTHORIZATION FOR JUMPIN' JAX HOUSE OF FOOD AT ATLANTIC VILLAGE To Whom It May Concern: Jumpin' Jax House of Food, who has leased 3,150 square feet of space at Atlantic Village located at 1021 Atlantic Boulevard, Atlantic Beach, Florida 32233 (1-3 on attached Regency Site Plan), has our permission to act as owner for the purposes of pulling building permits and others issues relating to build out of their premises. By: '- , a, I,, An Gallaher, Property Manager Regency Centers, As Agent for Owner STATE OF FLORIDA COUNTY OF V�(C Nota Public, State and County Above My commission Expires: °1,,RY PUgWEND[HILL * * MY COMMISSION t FF 178391 EXPIRES:November 20,2018 "raTf�F`0P\OP Bonded Thru Budge!NotBry Services NOTICE OF COMMENCEMENT State of Tax Folio No. 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 iss to in this NOTICE OF C M CEMENT. Legal Description of property being improved: "^Z --2 2c� :F Q KA k� T V b Address of property being improved: 0 j kr i'c Iv� /_ 1 General description of improvements: r to n p I --on .10 � /��-S' t��c3?,,j�FL 32 2— �' _ © C R - At F-e �C�1'1 L.C.- rA Ju'N#*XdFr7ss: /0/�� aA LTdS a dim J tcLSew#e�a FL 8s Owner:T,6co Owner's interest in site of the improvement: N& , 'n 4 e Fee Simple Titleholder(if other than owner): Name: Contractor: (//cl Address:14 °1 OL Telephone No.: 2- Fax No: Surety(if any) Address: Amount of Bond$ Telephone 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: Telephone 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 Statues. (Fill in at Owner's option) Name: Address: Telephone 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 OWNER 2 Signed: Date: Before me this — day ofUh 9c3 $ in the County of Duval,State Doc#2018086063,OR BK 18348 Page 905, Of Florida,has personally appeared >r1a lti1 PW 5 5 e-I Number Pages:1 Notary Public at Large,State of Florida,County of Duval. Recorded 04112/2018 01:40 PM, My commission expires: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Personally Known: `/ or COUNTY Produced RECORDING $10.00 ,y C EI� Commission#FF 949741 Expires March 21,2020 „;i``� Bonded ThrvTroy Fein Inaumce 8D"85-7019