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403 ATLANTIC BLVD - PERMIT COMM17-0007 + �r City of Atlantic Beach APPLICATION NUMBER r3 J z=� Building Department (To beassigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 ,© � 7—O QCD-7 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: f City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �( �� �( Department review required Yes No 951Iding Applicant: A CIM3 3 Q `TR. anning &Zoni g Tree A minis ra or Project: ©(?__ Public Works Public Utilities C�(V\ AA l &e(P Public Safet Fire S 4 ices- Review fee-$ -.Dept Signature -� Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. 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: DApproved. ®Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: f C�� Date: '0J-3 TREE ADMIN. Second Review: DApproved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: t FI'RE;SERufCES Third Review: DApproved as revised. [—]Denied. ❑Not applicable Comments: i Reviewed by: Date: Revised 05/19/2017 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH- 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 403 Atlantic Boulevard Permit Number:.C—P(V\ON�7 — 0 Legal Description 10-1621-2S-29E SALTAIR SEC 3 LOTS 855 TO 858 Parcel# oor rea of 'q.ht. Valuation of Work$ 31,921 Proposed Work heated/cooled non-heated/cooled 140 Class of Work(circle one): New Addition Alteration Repair (iviove emolitioi . pool/spa window/door Use of existinglproposed structm-e(s) circle one): Conunerci Residentia If an existing structure,is a fire sprinkler system insta c irele one): Yes No N/A Florida Product Approval# For multiple products use product approya orm Describe in detail the type of work to be performed: Interior Demolition. One toilet will be active. Dumpster will be located in parking lot adjacent to building. (Parking Lot is not a shared parking lot.) Property Owner Information: Name: Naval Continuing Care Retirement Fdn,Inc. Address: 1 Fleet Landing Boulevard City Atlantic Beach State FL ip 32233 Phone 904-246-9900 E-Mail or Fax#(Optional) f �� i,, on �1 h Contractor Information: Company Name: ACON Construction Co.,Inc. Qualifying Agent: David Sypniewski Address:3653 Regent Boulevard,Suite 401 City Jacksonville State FL Zi 32224 Office Phone 904-565-9060 Job Site/Contact Number 904-813-4065 Fax# 9047565-9080 p State Certification/Registration# CGCO22916 Architect Name&Phone# Ebert Norman Brady Architects (904)241-9997 Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address N/A Mortgage Lender Name and Address Application i.v hereby,wade to obtain a permit to c!o the work and ivslallalionv av incllcnled /cert:%y Ilial no work nr irzrlrrllalion has commenced prior to the i.rsnmrce o%o permit and/hal all work wi!l he per%nned In mee/the a/unr/urc%r%u///uws regrdo/inA cor7.rOvc/inn in/hisjwi.rdiclion. %hirpermi/heconrec nu// and void J'fvork i.r not connnenced within.via((f uranthr,or i%construe/ion or work is.vus ender/or crhentcloned/i�r a enol of six(G)nronllx+ell tiny lime after work i.v coaanwrced /wrderclnnd that.vepora/c permiLv vru.v!he.recto ed./br Electrical 11/nrl P/rurrhing,Sigrn; Ftrntnrcv,Bui/erv,Heaters, Tnn/s ani!Air G�nrliliouerv;e[c. 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. 1 hereh,cer///j,that l have read aril examined lbic opplicalion and know die.tame!n he lrne and eon ecl. All provisions oJ'lnw.e and ordinances governing this type n/Iwnrk will he complied with rvlrelher.cp ecl/recl herein or not. 77ve granting of permi(c/nes•not presvnre/o gime authority to violate or cunce!the proviiionv nJ'any olher,%der•al,.vlate,or local law regulaling cnr /rite/ion nr•the pei{rirnrance of constritcfion. Signature of Owner � _ Signature of Contractor Print Name G.�c� fri��� Print Name David Sypniewski �. ................... ..... ..............................................................................-................................................. Sworn to and subscribes efore mm e Sworn to and subscribed before e this Da of Y` � 20 this h Day of Jul � 20 17 Notary Public Noa Public bt'RY?eek;. CATHERINER,WKA@N01.2 0 MY COMMISSION#GG 078487 MY COMPAISSIUN 8 FF 9fQ,288 I =;9 EXPIRES:April 27,2021 • '= EXPIRES:February 1(i 2020 •FOF k� Bonded ThN Notary Public Underwriters :�- .iters N1 O' NOTICE OF COMMENCEMENT State of Florida County of Duval Tax Folio No. To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.d 'n accordance with Section 71 3 of Legal Description of property being improved: 10-16 21-2S-29E SALTAIR SEC 3 LOTS 855 TO 858 Address of property being improved: 403 Atlantic Boulevard General description of improvements: interior De1710iitiOn Owner: Naval Continuing Care Retirement Fdn, Inc. Address: 1 Fleet Landing Boulevard,Atlantic Beach, FL 32233 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: ACON Construction Co., Inc. Address: 3653 Regent Boulevard, Suite 401, Jacksonville FL 32224 Telephone No.: 904-565-9060 Fax No: 904-565-9080 Surety(if any) N/A Address: $ Telephone No: Fax No: Amount of Bond 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 Signed: Before a thisday of Date: -� i Of F,1 rrn the Cou t of Duv I tate a,has personally appeared � Doc#2017156819,OR BK 18042 Page 1117, 1 Y Public at Large,State of Florida,County of Duval. q r Number Pages:1 y commission expires: Recorded 07/06/2017 at 10:00 AM, ersonally Known: Ronnie Fussell CLERK CIRCUIT COURT DUVAL �roduced Identification: or COUNTY WILLIAM HALE RECORDING$10.00 .411 .. MY COMMISSION d FF 960988 roK EXPIRES:February 16,2020 Bonded Thru Notary Publie Underwriters 4 C J(J i 4 3 8 f 08/31/2017 COMM 17-0007 ACON Construction 1. Return for Corrections: The plans submitted have been returned for corrections. Please correct or provide the proceeding requested information to obtain plans approval. When resubmitting corrected sheets, please provide a written narrative letter responding to our comments and directing the plans reviewer to the sheets the changes have taken place. Failure to provide response letter"WILL" result in an immediate return for corrections plans review submission. Revised sheets should be clouded clearly showing areas were changes or corrections have occurred and re-inserted with the original set of drawings with old sheets removed. 2. Code Summary: Provide at a minimum a code summary to include all the following information: • Name and address of premises. • Occupancy type • Building construction type • Gross square footage • Number of stories • Building height • Interior wall and ceiling finish requirements Any fire protection systems (sprinkler,fire alarm, etc.) • Statement from architect or engineers that their design to the best of their knowledge complies with the 2014 Florida Fire Prevention Code 5th Edition. 3. Key Plan: Provide key plan of building showing adjacent occupancy type with required separation of occupancies per 5th Edition FFPC, NFPA 101 Table 6.1.14.1.4. 4. Adjacent Tenants: Provide adjacent tenant space(s) (Occupancy Type) and required separation (Hours) per Table 6.1.14.4.1(a)1. Identify the Adjacent Tenants and the Separation required. 08/31/2017 COMM 17-0007 ACON Construction S. Life Safety Plan: The City of Jacksonville's Fire Marshal's Office requires the submittal of a life safety plan for building permits even if building is an existing occupancy in order to ascertain if building is currently code compliant. Provide Life Safety Plan to include all the following information if APPLICABLE. If life safety plan was submitted and you are receiving this comment, it means that all the required info listed below was not included in your original submittal. • Dead end corridors measurements. • Common path of travel measurements. • Total travel distance to exits. • Markings of means of egress to include tactile exit signage. • Emergency lighting(if required)to include exterior lighting to a "public way". • Fire extinguisher placement • All rated walls/adjacent tenant occupancy type, required occupancy separation • Lock/Latch details: (Panic Hardware) (Thumb turn lock) (Key Lock with indicator and required Signage) (Card Reader Access) etc,. • Calculated occupant load using table 7.3.1.2 of NFPA 1012012 edition. • Required egress inches for means of egress components (doors, stairs, etc.) • Required number of exits. Please be advised that all required exits shall terminate at a "public way". Access to the public way shall be via a stable,firm, and slip resistant conveyance such as a concrete sidewalk with a min. 5'x5' landing and 44" walkway. • Required separation of exits using%2 or 1/3 diagonal distance rule. • Any required Emergency stops or Shunt trips. • Main Electrical disconnects access/location. • Location of lightweight truss signage per FAC 69A-60.0081 (if applicable). • Reference the currently adopted Fire Code that your design is based on. Florida is currently using the "2014 Florida Fire Prevention Code Fifth Edition." 6. Equipment Layout: Provide fixture plan detailing arrangement of counters, and racks for use in displays of merchandise. *Additional Comments may be generated on resubmission. 08/31/2017 COMM 17-0007 ACON Construction find Regapds, Captain Charles R Johnson NFPA Certified Fire Plans Examiner Fire Marshal's Office—Certificates of Use City of Jacksonville I Jacksonville Fire and Rescue Department 214 N Hogan Street Jacksonville, FL 32202 Office: 904.255.8560 Mobile: 904-763-2323