725 ATLANTIC BLVD #4 - INTERIOR BUILDOUT PERMIT J 1 ri .'aJ....�
CITY OF ATLANTIC BEACH
"' ' 800 SEMINOLE ROAD
yr ATLANTIC BEACH, FL 32233
o;�i9%• INSPECTION PHONE LINE 247-5814
COMMERCIAL - ALTERATION COMMERCIAL
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: COMM18-0019
Description: INTERIOR BUILDOUT
Estimated Value: 56850
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 4
RE Number: 171363 0000
PROPERTY OWNER:
Name: ATLANTIC-PENMAN LLC
Address: 500 S 3RD ST
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: K.C. Services of North Florida, Inc.
Address: 12851 Southern Hill CIR
JACKSONVILLE, FL 32225
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.
iIf, City of Atlantic Beach , APPLICATION NUMBER
\.� Building Department Ulei ' (1,1 (To be assigned by the Building Department.)
`2' 800 Seminole Road LoM / Q -_ /�(/,0 9
'' Atlantic Beach, Florida 32233-5445 ! CJ l
~ Phone (904)247-5826 • Fax(904)247-5845
M. p
01119,.,..j
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: / ?3 F\+Lcr41Q c (yd._ Department review required Yes No
(� Building,
Applicant: K,O, Strlil ae S n `I M FI nning &Zoning
I Tree Administrator
Project: I N`T'E 2,lQP &)1. (Ci c 5f Public Works
Public Utilities
ety
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
1 Reviewing Department First Review: Approved. Dgnied. ['Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date:
TREE ADMIN. Second Review: V.Approved as revised. Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
o
PUBLIC SAFETY Reviewed by: r, r"\ , ti74-4 Date: Z1 C 1 kFIRE SERVICES Third Review: ['Approved as revised. (Denied. Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
d
S y1j j.,- City of Atlantic Beach APPLICATION NUMBER
J�
i '. Building Department (To be igned by the Building Department.)me
,... 800 Seminole Road t �O `�J
J A. Atlantic Beach, Florida 32233-5445 M 1
\ / Phone(904)247-5826 • Fax(904)247-5845 2" t
\---6
�Fi;3i>% E-mail: building-dept@coab.us Date routed: / _
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: _ /Z5 tc A- '[C E (kid_ Department review required Yes No
Building,
Applicant: Ktc.,
Servi �P S el 4\
MF I ' Ianning &Zoning
I I Tree Administrator
Project: 1 N`;FQio2 IUr. t of 0(if Public Works
Public Utilities
ety
Firer •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. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: l�i Date: -I( t 1 [i 6
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 0511912017
. ,.-------0.4t„ Building Permit Application Updated 12/8/17
`r City of Atlantic Beach
Pt- 800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
?42.3.3 - CO 19
Job Address: /� Rip), > L Permit Number:e,,,,,,N,y, i&
Legal Description 2/-1 FS--,25 -,2 9F .3 g.5"/Ura7//7./21 GI.J/�vZA RE# 17/31.3 O 2 O
Valuation of Work(Replacement Cost)$ .J�j 5(-34. 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): Commercia 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
Describe in detail the type of work to be performed:
( ND-CC-12402 S O L (.. ov T -- c)c=Pc c�
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name://.2.,314/ ,e✓ -e�.vi972W JJ/` Address: ,590 S 3'�'e57
City �yO,f)1 //e. 6edG4 State `— Zip X225 Phone
E-Mail
Owner or Agent(If Agent,Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company:/4C` 3-e/-!//'ee'SofV,_�`/.r/G° Qualifying Agent: /�D,l�iil/P`' • ,6,..0 e�
Address /„7�f/�Dll7%et�, .-Z,r, , City State L Zip -2
Office Phone 6 y; 7
? ? —. ,,es ,? Job Site/C�ontact Number '/ - i -o
State Certification/Registration# C6( 457.04.14e) E-Mail d"O,r/4U/e3,2,25 2 G'/Y7 9J/. eO/Yt
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation ,E}(e//?iat- l-t /( , 7-D
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 M '.
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN ,END,;�_
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE {
>g
: = I
RECORD YOUR NOTICE OF COMMENCEMENT. ; IV-.4=t
i
PA �_. . i _ ---.46,-41/ >l•- t .
/ (Signature of Owner or Agent) ignature of Contr. or) °
(including contractor)
q m
Si:ned and sworn to(or affirmed before m this Z 1,day of Si ned and sworn to(or affir d before m-t ' Ya ,�fi;y,
`d(A,u. , 201 y Fart /1. 11 J n '�, Za Cg,by u.r\�'9 i V 'f z a
gir
�' 1 I `� :
-46r44L
(SigNotary) (Signature of Nota )
[111<rsonally Known OR `'"V'i'• JESSICA 3 I q CLARK )Personally Known OR
[ )Produced Identification MY COMMISSION#GG080248 )Produced Identification
O _7 Y ,f Y /i .S
-'- ' : ' e of Identification: d- `f'
Type of Identification: :'?fi�.t. . Emma May 07,2021 yp
NOTICE OF COMMENCEMJENT
State of A7/7 f yLi�? County of gi." a/ Tax Folio No. 12/5Z..3.- 0
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 NOTTCE'OF COMMENCEMENT.
Legal Description of property being improved: ?/-4213--,76)—2 E 3, 93—; 1"e2)67/,',71 ,5 ',mi./it?}4
. a S
Address of property being improved: 72!, , // 1./07A,.114/L, �J/1 J . `.l •
/ 11 �'I AB �,z:?33
General description of improvements: /Vie Y J O)- fj if/ id p K t d F/i Ce-
t�dGe
Owner: 7 L d/!J//e " l"e/C' //(2' Address es S Y /r/J/ /"li.7. ?
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):•
Name: _
1 Contractor. Ae Y14‘.e_54,1,� j7 �G°
Address: /�gS� r0ll �/� /OA &44,-, _57/225--
Telephone No.: �fQ/f�/>
_ -� `o e?y Fax No:
Surety(ifany)
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:
I -
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: / /,
Date:
Before me thi� /.34‘t. day of %/jam` 20/ in th County of Duval,State '
)oc#2018139062,OR BK 18419 Page 1935, OfFlorida, .: personally s�psared • Fj� - K Dky'
lumber Pages:1 Personally own: {�
lecorded 06/13/2018 10:34 AM. Produced Identifi...on: ;;►!%'' JESSICA A CLARK
:ONNIE FUSSELL CLERK CIRCUIT COURT DUVAL Notary Public: . .fir ,i / r
OUNTYM ' = LAY COMMISSION#GG0802td
ECORDING $10.00 Ycommissione res: Sri • ' - _ ay 07,2021
a .
oiL CITY OF ATLANTIC BEACH
800 Seminole Road
Atlantic Beach,Florida 32233
k'') ' '''
REVISION REQUEST/CORRECTIONS TO PLAN REVIEW COMMENTS
Date 774- (S Revision to Issued Permit Corrections to Comments Permit tCankm ( p C C(C
't Z 5
Project Address ..> p--hc.„4-, C ki CI - i `/1
Contractor/Contact Name
Phone Email
Description of Proposed Revision/Corrections:
c----,--€._ 0 nw, x, e,--L---c
11 OPAIA \ ---Dot
ivuQd
1/431
Additional Increase in Building Value$ cg
By signing below,I affim \7 ..j)
(printed name)
Signature of Contractor/Agent(Contractor must sign if increase in valuation) n yv, !tt,A\N i 1`Cy, /lc,
(Office Use Only) C A J��-f la r LP Cif/
•SUM i -
Approved Denied Not Applicable to Department
Revision/Plan Review Comments
Department Review Required: l6L
uilding '
Planning & Zoning Reviewed By
Tree Administrator
Public Works
Public Utilities 7 k
Public Safety l Date
e ervices ')— CC/A, r �o �L
NI-
0/3 e— 0- ttl.-pi t
"^ `'N �+
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Offii 1
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4.SCUE 0�
Office of the Fire Marshal Plans Review
Permit Number: Comm 18-0019
Architectural Plans: Interior Buildput 725 Atlantic Blvd Unit 4 Atlantic Beach,Florida
I. 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. 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.
3. Fire Code Specific Code Summary
The building code and fire code differ on occupancy types and uses and can make the proper
application of the code difficult. 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.
•Occupancy type sub-classification(per NFPA 101 6.1)
• Building construction type(per NFPA 101 8.2.1)
•Gross square footage 1 L.Lo it. .. 1 r,•._
•Number of stories
• Building height
•Interior wall and ceiling finish requirements JUL 4 0 2018
•Allowable dead end limits
•Allowable Common path of travel limits Building Department
• Allowable travel distance limits City of Atlantic Beach, FL
•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
10143.1
RECEIVED
JUL 2 it 2018
F3ui!crnq Department
Y o' ! t, Ur� c 9ach, FL
m *
Office of the Fire Marshal Plans Review
4. Life Safety Flan:
Please provide a Life Safety Plan to include all the following information.
•Dead end corridors measurements.
•Common path of travel measurements.
•Total travel distance to exits.
• Lock/Latch details: Panic Hardware,Thumb turn lock, Key Lock with indicator and required
signage.
•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.
• Main Electrical disconnects access/location.
• Exit signs to include tactile exits signage.
*(The plans reflect only two marked exits located at each door). NFPA 101, 38.2.10 Marking of
Means of Egress. Means of egress shall have signs in accordance with Section 7.10.
Kind Regards,
Captain Charles R Johnson
NFPA Certified Fire Plans Examiner
Fire Prevention Bureau—Certificates of Use
City of Jacksonville I Fire and Rescue Department
214 N Hogan Street Jacksonville, FL 32202
Office: 904.255.8560