725 ATLANTIC BLVD #9 -COMM BUILD OUT PERMIT N - '' CITY OF ATLANTIC BEACH
A $j 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
oop)
COMMERICAL ALTERATION/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-CINT-1987
Job Type: COMMERCIAL INTERIOR BUILD-OUT
Description: build out CANTINA LUIS
Estimated Value: $9,500.00
• Issue Date: 8/26/2015
Expiration Date: 2/22/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 09
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: STYLES CONSTRUCTION, INC.
Address: 1537 PENMAN RD SUITE A QA DARRELL GLEN SMITH
Phone: --
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $48.75
BUILDING PERMIT FEE $97.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $150.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEAC11 ORDINANCES AND THE FLORIDA
11( 11.DING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH OFFICE COPY
800 Seminole Road,Atlantic Beach,FL 32233
Office (904)247-5826 Fax (904) 247-5845
Job Address: J7 C /7zLo,,,/,G "Vvd Permit Number: /S 'C/4i7'/917
Legal Description Parcel#
Valuation of Work$ -/C oo' oor ea o q. t. cj_ ,t
Proposed Work heated/cooled
Class of Work(circle one): New Addition .-Alteration) Repair M 1 I Demolition pool/spa P p /door
Use of existing/proposed structures (circle one): Commercial Re 1 : al I
If an existing trucure ,is a fire sprinlder system installed? (Circle one): 1- i o
Florida Product Approval# ,v . r' alb
For multiple products use pro uct approva orm
Describee in detail the type of work to be performed: ',' /1, ,-n f, ,-, ,, e‘,.3 ,-'3 , - ,,, S
r?4 r4 I,-,,✓ 6./;i' , fVr / p/u..,h -j
Property caner Information/7l �
Name: ,,i14/1'Q., s I �� �✓
City —_ Nod.
,f StatetZip 12d_d2ry ne
E-M ail or Fax#( ptiCr oral)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: S jay.•s lz✓dr✓4/4:„,.... L,,,, Qualifying Agent: let rrr A G, 5.77,fX
Address: /537 r':-'-4/2-0..., 41....../' City 3::.x. /i/-
' State /, Zip 3z z s-
Offce Phone z q -ri�j Job Site/Contact Number y�- 9�o Fax#State Certification/Registration# ,o c /z 5"..,-.4 9
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certifi,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 laws regulating construction in this jurisdiction. This permit becomes null
and void if wor k is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six_(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools, Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
I
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 YODUR NOTICE OF
COMMENCEMENT. -
hereb certify that I have read and examined.tliis pli ion and know the same to be true and correct. All provisions of laws and ordinances governing this
vpe of work will be complied with•whether speci re rein or not. The granting of a permit does not presume to give authority to violate or cancel the
rovisions of any other federal,state, or local it g sting conduction or the performance of construction.
ignature of .G-
/"lb,--- Signature of Contractork/Z-s-2,eL/17
tint N s. N -` . - C- .s e til• Print Name 1� c
efor / Befo f" 1e.,c. t Lt' � Y lZ.�� ,-,
iis, ■ ay of _�_...s�..��-•r.uw�!!"!41</11 r A.
MY C4 MISS 42 17340� z+►+ � Eotary u.lis r wins August 28. ' Notary.Public ,'-i a •� m - ,: � _
__
p "
(407)V9'1-0153 f orkieNa.rys�000n( see ozw
Revised Ol.26.1 b
OFFICE COPY
Graham, Shirley
From: Escanio, Rey[REscanio @coj.net]
Sent: Tuesday, August 25, 2015 2:44 PM
To: Graham, Shirley
Cc: Groff, James; Walker, Jennifer
Subject: RE: 725-9 ATLANTIC BLVD
Shirley,the architectural plans for 725-9 Atlantic Blvd were reviewed and approved.
Rey Escanlo
CFPE
Fire Safety Inspector
Fire Prevention Division
214 North Hogan, #281
Jacksonville, FL 32202
Phone: (904)255-8561
Fax: (904)2558559
Cell: (904)891-7232
�+ r
� z
m w
*
47'4"5C U E t)*--t)*--r
From: Graham, Shirley [mailto:sgrahamOcoab.us1
Sent: Monday, August 24, 2015 10:06 AM
To: Groff, James
Cc: Escanio, Rey; Walker, Jennifer; Gindlesperger,Toni; Arlington, Daniel; Jones, Mike; Reeves, Derek
Subject: 725-9 ATLANTIC BLVD
We have a new commercial build out going into 725-9 Atlantic Blvd that will need fire review.
ShI.rLeu ctrahavu.
Cite of Atl.awti.c Beach
Building Permits Technician
Atlantic Beach, Fl 32233
904 247 5800
sgraham @coab.us
1
Cj.?.t. Cit y of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /�., A J _ /�Atlantic Beach, Florida 32233 5445 N'1� f 7 7
r Phone(904)247-5826 • Fax(904)247-5845 Q ,`;;�cr y E-mail: building-dept@coab.us Date routed: O /2 7
City web-site: http://www.coab.us j —
APPLICATION REVIEW AND TRACKING FORM
_ - eA,✓1ii✓a, La1S
Property Address: 72 b 9 �i7oh� 6 Bl ir�l Department review required Y7 -No
Eild.
Applicant: slid i..5 ncST �L74 7 Crra
,��
a nnin &Zoning
reeministrator
Project: e://ninG€N Q- C ea / lo/ Public Works
Public Utilities
d c-r Public Safety
ire Services
Review fee $ Dept Signature
A7 -7116/7.g.46
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By N �D«�
Florida Dept. of Environmental Protection �n
Florida Dept.of Transportation f
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.
(Circle one.) Comments:
(BUILD
IVoc-
PLANNING & ZONING ?•a�'.�
Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
rfyvp.,7, City of Atlantic Beach APPLICATION NUMBER
�S , Building Department (To be assigned b the Building Department.)
'i 800 Seminole Road �g �i ,�/ �' g /p� )
s) Atlantic Beach, Florida 32233-5445 /� "' l.�IV � - /07 7 7
\,v V� Phone(904)247-5826 • Fax (904) 247-5845
\, '� 2
�J;0• E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
_ _
?, ,J7'7 >V Lays
Property Address: 72. - i Al ani- C B/i/c Department review required Yes No
uild.
Applicant: S7)--// s e/'167-ida71i.0�'7 tannin &Zoning
/ Tree Administrator
Project: 61/n/11 EleCt Q C eu L a Public Works
Public Utilities
d IA--C Public Safety
ire Service
Review fee $ Dept Signature 4/1"*P46
Other Agency Review or Permit Required Review or Receipt Date N idS
of Permit Verified By
Florida Dept. of Environmental Protection --Florida Dept. of Transportation
1!_i_7±._.
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: M pproved. I 'Denied. � / _I G V,r co nes,
(Circle one.) Comments: 'P/ease xdt ,L4ge Ct�V1^e�✓'Es 14A0f(�°Q
BUILDING '
PLANNING & ZONING ,
Reviewed by: , ,i _ _, _■_ , Date: Zc� �.�
TREE ADMIN.
Second Review: ❑Approved as revised. [( -nied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: I 'Approved as revised. I 'Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10