1844 MAYPORT RD COMM19-0010 • j;, City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road L0 ' -00!J1
! Atlantic Beach, Florida 32233-5445 l L/
Phone(904)247-5826 • Fax(904)247-5845
0;t»:- E-mail: building-dept@coab.us Date routed: S
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ( B4 4 I Y \ A crpoeT RD Department review required Yes • No
i ding
Applicant: IAA, Yc U t Lc &DCl Nr Planning.&Zoning
Tree Administrator
4 )pL
Project: ( �� I 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 (./7
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. DBetlied. ❑Not applicable
(Circle one.) Comments: .
BUILDING
PLANNING &ZONING Reviewed by: it)s— Date: 51%. f 9
TREE ADMIN.
Second Review: ['Approved as revised. ❑Denied. fNot 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
ie r lam'
" ** � , CITY OF ATLANTIC BEACH
,
800 SEMINOLE ROAD
9 V ATLANTIC BEACH,FL 32233
(904)247-5800
BUILDING DEPARTMENT REVIEW COMMENTS
Date: 5/14/19
Permit#: COMM19-0010 Applicant: Sean Johnson
Site Address: 1844 Mayport Rd. Address: 484 Whiting Ln.
Review: 1 Phone: 463-7895
RE#: 172236 0010 Email: Seancjohnson999@gmail.com
THIS BUILDING DEPARTMENT REVIEW IS ONE OF 2 DEPARTMENT REVIEWS.
PLEASE FIND ALL DEPARTMENT REVIEWS AND ADDRESS ALL COMMENTS.
Correction Comments:
Application is disapproved for the following issues:
1. Please provide a complete floor plan of the building, including all spaces,walls, doors, restrooms, etc.
The Fire Marshal's Office may require the plan to be signed/sealed/dated.
[A]107.2Construction documents.
Construction documents shall be in accordance with Sections 107.2.1 through 107.2.6.
[A]107.2.1lnformation on construction documents.
Construction documents shall be dimensioned and drawn upon suitable material. Electronic media documents
are permitted to be submitted where approved by the building official. Construction documents shall be of
sufficient clarity to indicate the location, nature and extent of the work proposed and show in detail that it will
conform to the provisions of this code and relevant laws, ordinances,rules and regulations, as determined by the
building official.
2. Please provide a U.L, or similarly approved design,for the fire-resistance rated walls.
3. The re-submittal documents may generate additional comments.
Dan Arlington, CBO
247-5813
danarlington@coab.us
1
,-tom''''.% Building Permit Application Updated 10/9/18
U ill` .i';,,
City of Atlantic Beach Building Department **ALL INFORMATION
t800 Seminole Road,Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
'--,....-f Ji sfr Phone: (904)247-5826 Fax:(904) 247-5845 Email: Building-Dept@coab.us IS REQUIRED.
Job Address: 1844• .Mayport Road Permit Number: COM rn Iq 0010
Legal Description 19-16 17-2S-29E.30 RE# 172236-0010
/
Valuation of Work(Replacement Cost)$ / SW .n
. ' Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New ❑Addition ❑Alteration ORepair ❑Move ❑Demo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): ❑✓ Commercial ['Residential
• If an existing structure,is a fire sprinkler system installed?: ❑Yes ✓❑No
• Will tree(s)be removed in association with proposed proiect?❑Yes(must submit separate Tree Removal Permit) ®No
Describe in detail the type of work to be performed: ft 4�� t= Wi 2\I W Tw 30L- (• e' L T [
a--, �U4
�i�c- � � ��� � H�-�s �� Tye � �% p �.�n` cK:1A
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Ossi Klotz, LLC Address 645 Mayport Road,Suite 5
City Atlantic Beach State FL Zip 322. 33 Phone (904) 247-5334
E-Mail Ikloltz@amvestar.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a
Contractor Information
Name of Company Master Building Contractors, LLC Qualifying Agent Sean Johnson
Address484 Whiting Lane City Atlantic Beach State FL zip 32233
Office Phone (904) 463-7895 Job Site Contact Number (904) 463-7895
State Certification/Registration# CCC1327820 E-Mail seancjohnson999@gmail.com
Architect Name&Phone# N/A
Engineer's Name&Phone# N/A
Workers Compensation Insurer Illinois National Insurance,CO OR Exempt❑ Expiration Date 07/01/2019
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 regulating
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 ATT RNEY BEFORE
RECORDING
V /FT).C. E OF COMMENCEMENT. "__1 -1
(Signa e wn r or Agent)-----"-70
(Signatur f Contractor)
TA
Signed and sworn to(or affirmed)before me this Zed day of Signed and sworn to(or affir -before me this /a y of
1244 , Jai// ,by aCic D. k ,it Z 7i)V , 20/4i ,by /6441 ..TOS M/
` -- tt&Atd4 A.:2.4- et__ 3/3.eicht-,
(Signature of Notary) (Signature of Notary)
;;igr..oe-- ' LISA ABINDER ` I ;<: .. LISAABINDER
' _° � Notary Public-State of Florida ° c'
Personally Known OR 1 ?�r ) Personally Known OR ^�' Notary Public State of Florida
.t`•••a Y ,
Commission K GG 271994 3 ja1 Commission#GG 271994
I I Produced Identification I -'.?o de' My Comm.Expires Jan 12,2023 ( I I Produced Identification , '',.":0F4'. My Comm.Expires Jan 12,2023 )
Type of Identification: I Bonded through National Notary Assn.) Type of Identification: Bonded through National Notary Assn.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Fionda County of Duval
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.
Legal description of property being improved 19-16 17-2S-29E.30
Address of property being improved: 1844 Mayport Road,Atlantic Beach, FL 32233
General description of improvements: Building Repair
OwnerOssi Klotz, LLC
Address PO Box 330833 Atlantic Beach, FL 32233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Master Building Contractors,LLC
Address 484 Whiting Lane,Atlantic Beach,FL 32233
Phone No. (904)463-7895 Fax No. (904)463-7895
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
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 0
1�Ee'e/2-°1Signed: DA
Before me this A d y of ,.!K ' r In the
County of Duval.S to o Florida,has•-rson )iyv appeared
.74/-" /[7 e 2, herein by
himself/herself and affirms that all statements and declarations herein
are true and accurate • — — •
::oil Ore•. LISA BINDER
:. Notary Public-State of Florida
'tee`: Commission a GG 271994
( 'fbv rt ' My Comm.Expires Jan 12,2023
Notary Public at Large.Sta of / L . Co geo through National Notary Assn. '60)4%41-
4 Personally Kno',nom or
-ro•uce•Tdintiflcation
City of Atlantic Beach APPLICATION NUMBER
(r.o..AFT-,---,
co Building Department (To be ' ned by the Building Department.)
1 800 Seminole Road 0 ' _OC)(/l
'- '441,—
j
� � Atlantic Beach, Florida 32233-5445 `/
Phone(904)247-5826 Fax(904)247-5845
\` _Ent e:• V E-mail: building-dept@coab.us Date routed: -• Et
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I B 44 1Yl I PC) -t- RD Department review required Yes • No
&.) i dingApplicant: NV�S`� ` I L,t11&Dr Co tier Plann -&Zoning
Tree Administrator
Project: r( (z.� h)A-c_ Public Works
Public Utilities
Public Safety
RECEIVED Fire Services
Review fee $ Dept Signature
MAY 281hP19gency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Building Department
ransportation
City of AttanNt;teadvi filer Management District \
• /
Army Corps of Engineers .
Division of Hotels and Restaurants ( 7s...
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ['Approved. /1enied. I 'Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: `.,A_ •---Date: S/l�/y
�/L
TREE ADMIN. /
Second Review: ❑Approved as revised. ❑Dened. • ❑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
Building Permit Application updated 10/9/18
IL,..... . ,
City of Atlantic Beach Building Department **ALL INFORMATION
800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY
Phone: (904) 247-5826 Fax: (904) 247-5845 Email: Building-Dept@coab.us (ISS REQUIRED.
Job Address: 1844 Mayport Road Permit Number: Lv O (IA Lc\ -cc) i `_,
Legal Description 19-16 17-2S-29E.30 RE# 172236-0010
Valuation of Work(Replacement Cost)$ / 5 OG'• — Heated/Cooled SF Non-Heated/Cooled
• Class of Work: ❑New DAddition ❑Alteration I�JRepair ❑Move DDemo ❑Pool ❑Window/Door
• Use of existing/proposed structure(s): nCommercial ❑Residential
• If an existing structure, is a fire sprinkler system installed?: ❑Yes ❑✓ No
• Will tree(s) be removed in association with proposed proiect?❑Yes(must submit separate Tree Removal Permit) ONo
Describe in detail the type of work to be performed: ���� �'v H 1� LZ ( `, �� �
r/ 2-,- CU'1( '�A9�`�C)4_ S HEL-1---- y•I4 y / ; irsisat,'' ok,k));
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name Ossi Klotz, LLC Address 645 Mayport Road, Suite 5
City Atlantic Beach State FL Zip 32233 Phone (904) 247-5334
E-Mail Ikloltz@amvestar.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) n/a
Contractor Information
Name of Company Master Building Contractors, LLC Qualifying Agent Sean Johnson
Address484 Whiting Lane City Atlantic Beach State FL. zip 32233
Office Phone (904) 463-7895 Job Site Contact Number (904) 463-7895
State Certification/Registration# CCC1327820 E-Mailseancjohnson999@gmail.com
Architect Name& Phone# N/A
Engineer's Name& Phone# N/A
Workers Compensation Insurer Illinois National Insurance, CO OR Exempt❑ Expiration Date 07/01/2019
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 regulating
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 ATT RNEY BEFORE
RECORDING NOT E OF COMMENCEMENT.
t J
(Signaf e wner or Agent) (Signatur cf Contractor)
TA
Signed and sworn to(or affirmed)before me this fi day of Signed and sworn to(or affirrn1e41-before me this /-Idly of
_g___7___, ,,20/19 ,by L=FF Q. e`; u'7Z 71/).1-, , O// .by . C'40 Jen,t,tre4/
(Signature of Notary) (Signature of Notary)
illidlibialftio
:.i►ar rlie.. _ _ —LISA A BINDER I I :oil Y i'i;r;`'•. LISA A BINDER
°�` Notar Public-State of Florida . .\ Notary Public-State of Florida
Personally Known OR I ;; :' y ( 4Personally Known OR I .�• g; Commission GG 271994 Commission F GG 271994 , j.
[ I Produced Identification I '11;rre - My Comm.Expires Jan 12,2023 [ ]Produced Identification I `--'hoar.. ` My Comm.Expires Jan 12,2023 I
Type of Identification: 0 Bonded through National Notary Assn.) Type of Identification: 1 - Bonded through National Notary Assn.
Dipierri, Miguel
To: JJohnston@coab.us
Subject: COMM 19-0010
FAILED
Returned for Corrections:
The plans submitted for review have been returned for corrections. Please correct and or provide the additional requested
information to obtain plans approval. When resubmitting corrected sheets, provide a type written itemized narrative letter
responding to our comments and directing the plans reviewer to the sheets the changes have taken place. FAILURE TO
SUPPLY RESPONSE LETTER "WILL" RESULT IN A RETURNED FOR CORRECTIONS PERMIT STATUS. 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. Unbound plans will not be reviewed. If this is an electronic submission
please make sure that written narrative is submitted under correspondence along with a "complete set" (not just the
revised sheets) of electronic documents. When submitting electronic plans, each discipline shall upload a single PDF file
containing multiple sheets rather than separate PDFs for each sheet. Please re-upload in this fashion.
Interior finish:
Provide on the plans the finish, testing and classification details for interior wall, floor, ceiling finishes per NFPA 101
Fire Code specific code summary
The building code and fire code differ on occupancy types, uses, and occupant loads and can make the proper application
of the code difficult. For example the building code classifies restaurants under 50 as business where the fire code
classifies them as mercantile, thus the need separate code summaries. Please provide in addition to normal building code
summary a fire code specific summary based off the Florida Fire Prevention Code (current edition) to include all the
following information listed below. Failure to provide accurate fire code summary may delay plans review approvals as we
return plans for corrections and clarifications.
Provide required Fire Code specific code summary: Please Reference 6th Edition Florida Fire Prevention Code Based
on NFPA, 1 Fire Code 2015 Edition & NFPA 101 Life Safety Code 2015 Edition.
•Occupancy type sub-classification (per NFPA 101 6.1)
• Building construction type (per NFPA 101 8.2.1)
•Gross square footage
• Number of stories
• Building height
• Interior wall and ceiling finish requirements (per NFPA 101 10.2
•Allowable dead end limits
• Allowable Common path of travel limits
• Allowable travel distance limits
• 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 6th Edition
Florida Fire Prevention Code (FFPC).
•Also all existing building must provide classification of. rehabilitation work categories per NFPA 101 43.1 Provide
classification of rehabilitation work categories per NFPA 101 43.1
This information is important because the level of rehabilitation work determines how the code will be applied. The 6
rehabilitation work categories are as follows:
(1) Repair
(2) Renovation
(3) Modification
(4) Reconstruction
1
(5) Change of use or occupancy classification
(6) Addition
Life Safety Floor Plan:
The City of Jacksonville's Fire Marshal's Office requires the submittal of a Life Safety Floor Plan for building permits for all
new construction and existing building alterations in order to ascertain if occupancy is currently code compliant and to
assist fire inspector in performing Life Safety Inspections. Please provide a Life Safety Plan to include all the following
information on one page. If Life Safety Plan was submitted and you are receiving this comment, it means that all of the
required info listed below was not included in your original submittal. It is understood that all listed items may not apply in
your situation.
Required Occupant Load Calculation:
• Provide design occupant load using table 7.3.1.2 of NFPA 101 2015 edition. Area calculations should be shown with
graphic seating configurations or fixtures in order to substantiate occupant load chosen.
Exit Locations:
• Designate main entrance and all secondary exits. All required exits shall terminate at a"public way". Access to the public
way shall be accessible and must be via a stable, firm, and slip resistant conveyance such as a concrete sidewalk with a
min. 5'x5' landing and 44" walkway. Multi story buildings should designate area of rescue with required communication
means. Separation of exits using the one half (non-sprinkled) or one third (sprinkled) the diagonal distance rule should be
shown on plans.
Required Egress Capacity:
• Egress inches for means of egress components (doors, stairs, etc.)
Required measurements: (Worst case only need be shown.)
• Dead end corridors measurements.
•Common path of travel measurements.
•Total travel distance to exits.
Required separation:
•Show all fire barriers, smoke barriers, and smoke partitions. All rated walls per new directive from building official wall
detail needs to include UL listing and needs to confirm by architect or engineer as being accurate.
Required Lock Latch details:
•Lock/Latch details: Panic Hardware, Thumb turn lock, Key Lock with indicator and required signage.
Required Electrical Stop/Disconnect Details:
•Any required Emergency stops or Shunt trips.
•Main Electrical disconnects access/location.
Required markings of means of egress:
• Exit signs to include tactile exits signage.
Required fire extinguisher Locations:
• Locations per NFPA 10.
Required Emergency lighting:
•Show emergency illumination.
Key Plan:
Provide key plan of building showing adjacent occupancy type with required separation of occupancies per 6th Edition
FFPC, NFPA 101 Table 6.1.14.1.4.
(.1.;SUtlrj.,
�,�
-est'UE V
2
MIGUEL Di PIERRI
Fire Safety Inspector/ CDN Reviewer
JFRD PREVENTION OFFICE
515 N.Julia St.,Jacksonville, Florida 32202
Office: 904-255-8561 cell: 904-763-1290—Email: DIPIERRI @ COJ.NET
3
Printing :: CR509347 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:CR509347 Date: 5/16/2019
User:Prevention,Fire Email:FirePrev@coj.net
FIRE MARSHALL FEE FOR SERVICES PROVIDED
Name:Master Bldg Contractors
• Address: 1844 MAYPORT RD
Description:PLAN REVIEW FEE ATLANTIC BEACH PLAN COMM 19-0010
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 FRFPI59FI 134222 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:CR509347 Date:5/16/2019
FIRE MARSHALL FEE FOR SERVICES PROVIDED
Name:Master Bldg Contractors •
Address:1844 MAYPORT RD
Description:PLAN REVIEW FEE ATLANTIC BEACH PLAN COMM 19-0010
Total Due:$150.00
•
•
http://financeweb.coi.netlTCCRlDrintin2.asDx?cr=CR509347 5/16/2019