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193 BEACH AVE COMM22-0052 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP: RUPPERT NANCY MURRELL BELL 1 CHESTNUT DR SWANNANOA NC 28778 COMPANY:ADDRESS:CITY:STATE:ZIP: MILLENNIUM CONTRACTING AND DEVELOPMENT I 13509 PRINCESS KELLY DR JACKSONVILLE FL 32225 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170314 1006 SHORECREST CONDOMINIUM JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 193 BEACH AVE 3 COMMERCIAL ALTERATION COMMERCIAL KITCHEN REMODEL $25000.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 BUILDING NOTICE OF COMMENCEMENT INFORMATIONAL Notes: No inspections may be scheduled until a copy a recorded Notice of Commencement has been submitted to the Building Department 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 1 of 2Issued Date: 12/15/2022 PERMIT NUMBER COMM22-0052 ISSUED: 12/15/2022 EXPIRES: 6/13/2023 COMMERCIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $180.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $90.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.05 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.70 TOTAL: $276.75 2 BUILDING ROUGH TRADES INSPECTION INFORMATIONAL Notes: THE ROOF MUST BE COMPLETE AND THE BUILDING DRIED IN BEFORE SCHEDULING ROUGH TRADES INSPECTIONS. 2 of 2Issued Date: 12/15/2022 PERMIT NUMBER COMM22-0052 ISSUED: 12/15/2022 EXPIRES: 6/13/2023 COMMERCIAL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 e-"" 1%-- Building Permit Application Updated 10/9/18 i1 City of Atlantic Beach Building Department ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY o;=t% IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us t' a Permit Number: mm ?-7----00S ZJobAddress: /93 eg CA Uvc7 3' Q Legal Description/6-2S-2gE 56recoveCbtic' UNnt3 Q/R 55a' - 2o93 RE# 17 os/q- /d o.c Valuation of Work(Replacement Cost)$ 2 S°°° Heated/Cooled SF 76 $ Non-Heated/Cooled Class of Work: New DAddition *Alteration Repair OMove ODemo Pool Window/Door Use of existing/proposed structure(s): Commercial $Residential If an existing structure, is a fire sprinkler system installed?: Yes *No Will tree(s) be removed in association with proposed project? Yes(must submit separate Tree Removal Permit) PNo Describe in detail- the type of work to be performed: 7e / 6 e 4/0 V 4.--6164) Florida Product Approval# for multiple products use product approval form Property Owner Information Name fdittasr7 Nc,.,t( 9u,.1/ Address /Q3 D€ac 5 Rile C•Ff/ !C'3CityliCdc4yState4Zip72ZS)Phone 3 2 *- 6.$ 6-©© 2V E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information nnt, Name of Company/Vt//e.j(I1 tlW?hn Ct4 C7"iNg t r"c tie/at Quali in Agent a,Okt 4P1 l", 'V Address La 3"; ftI!plA rS-rD r City J. X State Zip 32Z Z Office Phone 2 5D- qell Job Site Contact Number 6 35- 1 `/8 State Certification/Registration# C'3C f Zsdl VZ- E-Mail ot.f 56NLt1 (/114./4 c601G4f7-•/rtT Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt& Expiration Date 313• z I 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 LENDS a'?A NEY BEFORE RECOR ING YOUR NpTICEp7". CEMENT. I Signature of Owner Signature of Contractor) Signed and sworn to(or affirmed) before me this da of Signed and sworn to(or affirmed)before me this day of g y Nov r rr,1,. r by AJLv1 t y /j") ,(I P'„p1” k r>t,-, 2-v z by VI)U a.wj, -A 1 1 i--).--- L 41' - L" "ate_—— — r i DWAYNE HUGHES II D`.•'::k.. A QU _INE F. IACANDONGJ `'.. MY COMMISSION#HH 196158 I :P• 1;s^`: Notary Public-State of Florida i. : Commission M GG 956658 Q r EXP,i1ES:March 7,202E IS(IPersonally Known OR 4 d p PersonallyKnown OR oF ri?,,:' Bonded Thru Not- Public C,ars ' My Comm.Ea fres Mar 5,2024 [ Notary_ Underwriters Produced Identification Bonded through National Notary Assn. 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