299 Atlantic Blvd 0 COMM19-0023 Approved Submittal, Not issued OFFICE COPY
fc4m,,, Building Permit Application Updated 12/8/17
City of Atlantic Beach
pt�;,r_vr/ 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 /,
Job Address: 299 Atlantic Blvd Atlantic Beach, FL 32233 Permit Number:C.0A/ VA, i al-- 00 Z3
15-34 21-2S-29E 35 TERR VD LOTS 1 TO 4T
Legal Description 5-69 ATLANTIC BEACH S 115FT LTICLOT EACH 7,LOT BLOT S OF LOT 8 BLK SLOSED ALLEY, RE# 172531-0000
Valuation of Work(Replacement Cost)$ 3,0(00.00 Heated/Cooled SF 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
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: Cor-A e r o-C cast Cocu 4 n r'd {i4I 0,(‘‘,4,1 e_ 42.ii 1 v ci f
Awning Repair ! 1 1 Oma~ e._ y ,
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name: Southcoast Capital Partnership LTD Address: 241 Atlantic Blvd Suite 201
City Neptune Beach State FL Zip 32266 Phone
E-Mail
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company: Stonebridge Construction Services LLC Qualifying Agent: Brian Vick
Address 6956 Philips Parkway Dr N City Jacksonville State FL Zip 32256
Office Phone 904-262-6636 Job Site/Contact Number Chris Reagan/904-463-8217
State Certification/Registration#CBC1252682/CCC1328917 E-Mail jennifer@stonebridgebuilt.com
Architect Name&Phone# n• C - (o' - - ,. ('
Engineer's Name&Phone# tat e. '' •4 - ',ZCo- -C'3 - -(:t c
Workers Compensation Bridgefield Casualty Ins Co 05/16/20 c\ns 1-‘ 9.04.- 6,54-39 5 3
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, CO ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
REO [lui 1 '�T O' COMMENCEMENT.
- At Vii
A 4._ al 11111111111111. JUNI,
(Signature of Owner or Agent) (Signature of Contractor)
(including contractor)
Signed and sworn to(or affirmed)before me this 17th day of Signed and sworn to(or affirmed)before me this 17th day of
September, 2019 ,bW, k rel LortAt-II September , 2019/ by Brian Vick�ck
U. /-18 —'
.1,..._(,.12.itkvi-{T.t-.-:
(Signature of Notary) ( (Signature'of Notary)
4:;;:': 'f ei- + a Ma WAEs [XJ Personally Known OR otaY°W Notary Public State of Florida
�+ )' ro"d !' t [ ]Produced Identification ? Jennifer Lynn Schlachter
.ice}.•; < M Commission GG 109844
?'Fo. c;Sm�g,(a I' :Q r 8,1 23er's icense Type of Identification: '�• p F My
052112021
.� bit- ere
ASLANATIONAL
PARK
SERVICE
FLORIDA
tip .• •••0114
U„ r
The City of Atlantic Beach, the National Park Service (Rivers,
Trails & Conservation Assistance Program) and the American
Society of Landscape Architects (Florida Chapter) cordially invite
you to attend the...
Parks & Trails Design Charrette
We are seeking the public's help to determine the desired recreational
uses, types, features and amenities of our local area future trails and
parks. Additionally we would like to share with you innovative designs
and approaches to outdoor recreation, and ways to beautify our City
while also protecting our environment.
Tuesday, October 29, 2019
6:00 — 8:00 p.m.
Public Input Session
Wednesday, October 30, 2019
6:00 — 8:00 p.m.
ASLA Unveils Concepts, Designs & Renderings
City of Atlantic Beach Commission Chambers,
800 Seminole Road, Atlantic Beach, Florida.
Food and Refreshments will be provided on both days.
Contact Amanda Askew, City of Atlantic Beach at(904) 247-5841
or aaskew@coab.us
Printing :: CR531151 •
Page 1 of 1
Duval County, City Of Jacksonville
Jim Overton ,Tax Collector
231 E.Forsyth Street
Jacksonville,FL 32202
General Collection Receipt
Account No:CR531151 Date:10/14/2019
User:Prevention,Fire Email:FirePrev@coj.net
FIRE&RESCUE COLLECTIONS
Name:Stonebridge Const.
Address:29902 Atlantic By An BCH
• Description:Fee Plan Review Comm 19-0023 Awning Repair
TranCode I IndexCode I SubObject I GLAcct I SubsidNo I UserCode I Project I ProjectDtl I Grant I GrantDtl i DocNo I Amount
701 I FRRS011 I 34264 I ( I I I I I I I 150.00
Total Due:$150.00
Jim Overton ,Tax Collector
General Collections Receipt
City of Jacksonville, Duval County
Account No:CR531151FIRE&RESCUE COLLECTIONS Date: 10/14/2019
Name:Stonebridge Const.
Address:29902 Atlantic By ATL BCH
Description:Fee Plan Review Comm 19-0023 Awning Repair
Total Due:$150.00
https://tccr.coj.net/printing.aspx?cr=CR531151 10/14/2019
s Ts�44/ , City of Atlantic Beach APPLICATION NUMBER
0 �" Building Department (To be ssigned by the Building Department.)
'� 800 Seminole Road ohm l C1 - OO R 3
.=-., -11 ri `l
�. r Atlantic Beach, Florida 32233-5445
v Phone(904)247-5826 - Fax(904)247-5845 1 it
o; q.' E-mail: building dept@coab.us Date routed: d/ ll c)
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z9' 4-t-(dc.A-h.Q, E`\)c Department review required Yes o
uildin.
Applicant: -S40 A C',U!'4d •>� n51 •fanning &Zonin•
;� L....)..0
Tree Administrator
Project: 17. 1)`) n i e-p0..t Public Works
Public Utilities
P u b licSafety
(Fire Services
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 ..N(..'
Army Corps of Engineers ''
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: roved. I (Denied. ❑Not applicable
(Circle one.) Comments:
BUILPIN
PLANNING &ZONING Reviewed by: /721(9'..--
Date: 10-/
TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. ['Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date: __
FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ❑Not applicable
Comments:
Reviewed by: Date: .
Revised 05/19/2017
(Ij
City of Atlantic Beach APPLICATION NUMBER
00.0041t, Building Department (To bessigned by the Building Department.)
800 SeminoleRoad
Atlantic
1 ' m t[� - On Z
AtlanticticBeach, Florida 32233-5445 � l I
9 E-mail:(PhonbOu9 �d ng-dept@coab.us04)247-5845 Date routed: 1 d/ I t
City web-site: http://www.coab.us 111
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z9 E( Department review required Yes No
ff u-ilding
Applicant: �'+C�,1 P,briC4 n c; Manning &Zonin
Tree Administrator
Project: 1. n 1./\_ Public Works
Public Utilities
Public Safety
Fire Services
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: Approved. ❑Denied. INot applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:�,1 r p Date: 1 c' 16 1 1
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. (Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
,rtLA1.14 City of Atlantic Beach APPLICATION NUMBER
-,- # �� Building Department (To be signed by the Building Department.)
IL- -0 800 SeminolecRoad ��m 1(; - On 3 3
. -r� ,"I
Atlantic Beach, Florida 32233-5445
l Phone(904)247-5826 • Fax(904)247-5845 /
;,��/ E-mail: building-dept@coab.us Date routed: 1 d l l l
City web-site: http://www.coab.us 111
APPLICATION REVIEW AND TRACKING FORM
Property Address: 2-9 Ci '41 Q, L-.1 _ ---.9--2,
Department review required Yes No
Applicant: ---- '+O�'��,,bf ict •� n c� �C Planning & Zonings
1- K-)
Tree Administrator
Project: l�lJ� ,► , �t e_p( f'' Public Works
1 Public Utilities
Public Safety
Fire Services--"7--
Review
ervices_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: [pproved. Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING Q
PLANNING &ZONING '` . 1
Reviewed by: �` �" s Date: /0-r y- 1 q
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Deni d. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied. ['Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Printing :: CR531151 Page 1 of 1
Duval County, City Of Jacksonville
Jim Overton , Tax Collector
231 E.Forsyth Street
Jacksonville,FL 32202
General Collection Receipt
Account No:CR531151 Date: 10/14/2019
User:Prevention,Fire Email:FirePrev@coj.net
FIRE&RESCUE COLLECTIONS
Name:Stonebridge Const.
Address:29902 Atlantic By ATL BCH
Description:Fee Plan Review Comm 19-0023 Awning Repair
TranCode I IndexCode I SubObject I GLAcct I SubsidNo I UserCode I Project I ProjectDtl ( Grant I GrantDtl I DocNo I Amount
701 I FRRS011 I 34264 I I I ( I I I I I 150.00
Total Due:$150.00
Jim Overton , Tax Collector
General Collections Receipt
City of Jacksonville, Duval County
Account No:CR531151 FIRE&RESCUE COLLECTIONS Date: 10/14/2019
Name:Stonebridge Const.
Address:29902 Atlantic By ATL BCH
Description:Fee Plan Review Comm 19-0023 Awning Repair
Total Due:$150.00
httns://tccr.coi.net/nrintine.asnx?cr=CR531151 10/14/2019