Permit Comm Alt 295 Royal Palm 2011 4 f ' � CITY OF ATLANTIC BEACH
; ' , s 800 SEMINOLE ROAD
e Mk N ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
"" �ii
Application Number 11- 00001634 Date 2/16/11
Property Address 295 ROYAL PALMS DR
Application type description COMMERCIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 35000
Application desc
interior remodel
Owner Contractor
ABC LIQUORS, 191 ABC LIQUORS INC
P.O.BOX 593688 9001 S ORANGE AVE
ORLANDO FL 32859 ORLANDO FL 32824
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee 115.00 Plan Check Fee . . .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/15/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 115.00 115.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 119.00 119.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 2 - 82 6 Fax (9 -5845
JOB ADDRESS: C7295 71 41- ELM �/ PERMIT #
—
PROJECT VALUE $ /OD°
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI #
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators /Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: /A13 ?7.-c7 i3 e WieA. ` 7 / a/. <fc.4sae.rs /$ /i.. 1 J4t7
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name !1� Z-7i-�. Phone Number %2 83/ --
// !� 6✓ / yon V97
Mechanical Company P./7-6 e!g' / f Office Phone OV. ° SkFax 8 6 *Z
Co. Address: ZD_3 5 c (i • City ') .4 State f Zip 32703
License Holder (Print): E J i.4./ ... - --/ " A Stat Certification/Registration # eg6 05706/
Notarized Signature of License Holder
/4 ' Q
Sworn and subscribed before thi_ day of friB 20 H
�.► 4, Notary Public state of Florida - nature of Notary Pub1i' ,,/�•' 3i,��I1 .—"
Phyllis Fitzpatrick g 041111."7,i My Commission EE008125
1 po Expires 08/02/2014
t^:).' .*Prp, , , t'`')
CITY OF ATLANTIC BEACH
�
' 800 SEMINOLE ROAD
� '"� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001634
Date 2/16/11
Property Address
295 ROYAL PALMS DR
Application type description COMMERCIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 35000
Application desc
interior remodel
Owner Contractor
ABC LIQUORS, 191 ABC LIQUORS INC
P.O.BOX 593688 9001 S ORANGE AVE
ORLANDO FL 32859 ORLANDO FL 32824
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 225.00 Plan Check Fee 112.50
Issue Date Valuation 35000
Expiration Date . . 8/15/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
Other Fees STATE DCA SURCHARGE 3.38
STATE DBPR SURCHARGE 3.38
Fee summary Charged Paid Credited Due
Permit Fee Total 225.00 225.00 .00 .00
Plan Check Total 112.50 112.50 .00 .00
Other Fee Total 6.76 6.76 .00 .00
Grand Total 344.26 344.26 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
cc 1 " Jape 56,
NOTICE OF COMMENCEMENT
Number Pages.
Recorded 02/16:2011 at 10:09 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Permit No. COUNTY
Tax Folio No. / 774 o Z. • Go .110 • 7 RECORDING $10.00
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description):
a) Street (job) Address: .Q93 'o A/,., D 41/ 4- J' � . 3 2 3 3
2.General description of improvements: /,cam 7+ ,¢ f 0 , .4 t 7/a�a �': o 4-4
3.Owner Information
a) Name and address: iy ,gc. c7//7.
b) Name and address of fee simple titleholder (if other than owner) $,e/ .S. d,ayG E a (.,(G
c) Interest in property O X21-4 A.' • Z 32$ SS
4.Contractor Information
\n a) Name and address: le Z ef /r,e Ala/ -5-- / Q R4 j,� 4-4/e--
'1J, b) Telephone No.: yU � e 3/ • 0 0 0 o Fax No. (Opt.) c p 7 s ZG � � �G 370z.57
5.Surety Information 9,36,
a) Name and address: �`}
b) Amount of Bond:
c) Telephone No.: Fax No. (Opt.)
6.Lender
a) Name and address: A/ "g
Phone No.
7. Identity of person within the State of 'da designated by owner upon whom notices or other documents may be served:
a) Name and address:
b) Telephone No.: Fax No. (Opt.)
8.In addition to himself, owner de gnates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address: 'Y
b) Telephone No.: Fax No. (Opt.)
9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date
is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PINELLAS 1 L /C -�, /v� ✓ —f= —
Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager
c /7'" 12 G. ES _747 E S z
Print Name
The foregoing instrument was acknowledged before me this / day of /EB/r4/44. , 20 // , by /7,444,,PLES
",41/ G C-5 as / j+✓ESi j) j (type of authority, e.g. officer, trustee,
attorney in fact) for /OR Lie/ (name of party on behalf of om instrument was executed).
Personally Known V OR Produced Identification N otary Signatures I
—
'
Type of Identification Produced Name (print) ,/ - Lj � /� S TZ1, /2 /'c-
OR
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMS/NOC,rvsd20 I 0 er ° Ce, Notary Public State of Florida ' ��
Phyllis Fitzpatrick
r My Commission EE008125 Signature of Natural Person Signing (in line # 10.) Abe
‘p, p Expires 08/02/2014
- BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 1 T 800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845 FEB 0 3 2011
C -
Job Address: A l94 , CA Permit
Legal Description h59 25. t oor ea Y /ire.- P arcel # / 77Ga Z - OO SO
— 9.
q t
Valuation of Work $ 3.5' Proposed Work heated /cooled 2 t
n heated /cooled //
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed structure(s) (circle one): ommercial Residentia
If an existing structure, is a fire sprinkler system installe s . rc e one): Yes o N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: /n ,e - 7?‘- n,dt/z._ �/ /A,a. �a■=2
//).5 / /e 1.- sf/EL vr:-/! as� / fr - / 4 '57.7 —/ ,
Property Owner Information:
Name: Me Lys! Address: 0 . 6�4(/ 4V'6
City ORL4, /4U State A' Zip 37 '9 Phone e 7. 95-/- o '
E -Mail or Fax # (Optional) %'7. 82G. • IgG/
Contractor Information:
Company Name:# L do,S. /'• Qualifying Agent: ---- ?Of .�
Of t ..4�.cs
Address: 940Y 5 O ?AA./4 E ,1Vls< City D/2G ,a,c/ /0b State /_/ Zip d
Office Phone 4 /r7 $S/ es ova Job Site / Fax # p 3z z �
State Certification/Registration # C ,, :� ., `�° ' 8 z ' Q 9G /
Architect Name & Phone # P. C. _ E C ► , d .. v
Engineer's Name & Phone # A-
Fee Simple Title Holder Name and Address ii S, ; PERMIT • r . III 21 . , III M Lit 1
Bonding Company Name and Address
Mortgage Lender Name and Addressl .4 MENTS . • � � • _ 1 ll
�. - DATE: P 7-Y( ,.., ,....
Application is hereby made to obtain a permit to do the wor an, i 1 ,,t no '''"""a"..
• issuance ofa permit and that all work will be performed to meet the standards of all law"' egu a in g i
- ; ha commenced prior to the
on. and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a�perio, o six (6) T mo permit months at ny time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo Heaters,
Tanks and Air Conditioners, etc.
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 YOUR NOTICE OF
COMMENCEMENT.
I hereby certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give auth rity to violate or cancel the
provisions of any other federal, , te, or local law regulating construction or the performance of construction.
i
Signature of Owner � • ��
Signature of Contractor
Print Name agRc E s t SR)* c e N, . . Print Name /QEx Z. -� s
L
Sworn to and subscribed before me Sworn to and subscribed before me
this of / fir , 20 it this • . of fE� , 20 //
N • •. ' u' c e� Notary Public Stab of Florida Nota "%li r: 1 w • Ph llis Fitz � trick of Florida +i Phyllis Fitzpatrick y pa
My Commission EE008125 -� MY Commission EE008125
p p Expires 08/02/2014 a s R- f 1
_:�'s.,/ City of Atlantic Beach APPLICATION NUMBER
� f :>, Building Department (To be assigned by the Building De artment.)
800 Seminole Road f
�� Atlantic Beach, Florida 32233-5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
011 � E -mail: building- dept @coab.us Date routed: 2 J
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 296 1 r /, Department review required Ye No
: i 'mg
Applicant: 425 d. L, t ,f7 S - 2 Planning & Zoning
Tree Administrator
Project: / Q f Public Works
Public Utilities
Public Safety
Fire Services
Rev evgfal: ` 1 4 x - Dept S gn ture *-. f °,.19 ., ; 5` z
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: proved. [Denied.
(Circle one.) Comments:
C irJILDING
PLANNING &ZONING Reviewed by: '17 Date:a `7 — f/
TREE ADMIN. Second Review: ['Approved as revised. ❑ enied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ['Approved as revised. [Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
.
Av
CITY OF ATLANTIC BEACH
(" 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 11- 00001634 Date 2/16/11
Property Address 295 ROYAL PALMS DR
Application type description COMMERCIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 35000
Application desc
interior remodel
Owner Contractor
ABC LIQUORS, 191 ABC LIQUORS INC
P.O.BOX 593688 9001 S ORANGE AVE
ORLANDO FL 32859 ORLANDO FL 32824
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 74.80 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/15/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 74.80 74.80 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 78.80 78.80 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 F x (9 845
JOB ADDRESS: % 5 y PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS /Doe AMPS /Zt/2qa VOLTS PHASE
VALUE OF WORK $ 2 000 —
NEW SERVICE ❑ Overhead ❑ Underground nJ Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Meters
Commercial (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps 1CT Service amps
Conductor Type Size
__; Multi - Family (Main) Service
110 - 100 amps -:101- 150amps 1151 200amps ! _i amps # of Unit Meters
Temporary Pole r amps
SERVICE UPGRADE L' amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
-1 100 amps ' 1150amps 200amps amps ]CT Service amps
ADDITIONS, REMODELSEPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: .. 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 2 $ '
OTHER ELECTRICAL PROJECTS
Swimming Pool ' Sign Smoke Detectors Qty 1 Transformers KVA 1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can 1 Safety Inspection 1 Panel Change OH to UG
l Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. �,�
Property Owners Name Phone Number j "9"
ti
Electrical Company _ • � % siOffice Ph ne o7 0 8W Fax fiery OYLZ
Co. Address: 249 3 / f�/vd Cit State Zip 32743
License Holder (Print): ED ki/x/ c �o% 1. S ate ertification/Registration # c?Dd0 /601
Notarized Signature of License Holder e J..P,fi
orn and subscribed bef e me this day of I%B 20 4'
.40+►�"� P Notary Public State of Florida /
Phyllis Fitzpatrick S•• nature of Notary Publi ...,,1,,,,,a►,
c. M Commission EE008125
o, r �o Expires 08/02/2014