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Permit 1198 Mayport Rd Unit 9-10 (vault) 1 N n4,l V JOBADDRESS '7 TYPE WORK PROFF-R-TY0WIVER _ �JL d,�_ TM F WO1T CONTRACTOR C�r �LfK M.FPAOIVT PE M-T NUMBER DATE �J , INSPECTIONS: FOOTING STAB TLE BE" . LLYTEL NAILlN VG F.RAMINGICOYER ITP INSULATION FINAL BUILDJNG CERTEFICATE OF OCCUPANCY ELFCTImICAL PFM&M INSPECTIONS ROUGH FINAL MEC2L4NIC4L PERMIT'# INSPECTIONS ROUGH FINAL PLUMBING PERM INSPECTIONS ROUGE4 NDER,SLAB TOPODT WATERISEWER FINAL Nom. , CITY OF ATLANTIC BEACH Cc: BUILDING / ZONING DEPARTMENT MSogegrr s �,. 800 Seminole Road J Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # 05— 2-qeloog Property a Address: ee 0-04 ( SU! Applicant: Project: y V This permit application has been: ❑ Approved U' Reviewed and the following items need attention: �iz Please re-submit your application when these items have been completed. Reviewed By: `-4 Date: Date Contractor Notified: ; s 1�r ��� � r� �aCITY OF ATLANTIC BEACH t f BUILDING PERMIT APPLICATION r , MAR 3 0 200 (Structural Repair) 0� y �Y: ..�,.� d - Date: Job Address: Owner of Property: (Lc-q-Z, , Pc,v�C L� Address: 5�1 �lcti7`tiJ Sit ��� ��cTelephone: `XY-5� 5 7)3q Legal Description: Block Number: Lot Number: Zoning District: Contractor: 5 . 1>"1 S bN W At1 k-�& -- State License Number: Contractor Address: 7 "A I IAIkYf`Ie-e -ILD. Telephone: b`3 ' Z'`{3 Fax: Describe proposed use and work to be done: ,4 P �Y _ci�t:S I`'� ( (-•1-4 Present use of land or building(s): ANMM 00— Valuation of proposed construction: Dimensions of space to be repaired: c CP feet x feet Is approval of Homeowner's Association or other private entity required? ff O If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Please submit Building Permit Application, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247- 5826 STEP 2. In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I hereby certify that all informatio prov' ed ith this application is correct. Signature of owner. Date: -5/2 1015 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the 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 authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 http://www.coab.us 9/13/04 VI - 30- 2 Signature of Contractor: JAW Date.. W5 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: �y-� ,� A Sworn to and subscribed before me this day of ` I 20� State of Florida, County of Duval Notary's Signature. �--- sY'>ye, JENNIFER SCHLUETER =a4' MY COMMISSION#DD 121301 ❑ Personally known ..: EXPIRES:May 27,2006 Bonded Thru Notary Public Underwriters �' rloduced identification rr----- r>1_/Type of identification produced t---l/ r>1_/ 1A 314-1 AS TO CONTRACTOR: -�D- S-� Sworn to and subscribed before me this day of 2005. State of Florida, County of Duval Notary's Signature: — U❑ P sonally known Produced identification _ JENNIFERSCHLUETER Type of identification produced D 73 `1 — Z' '= Y COMMISSION#DD 121301 '•' `aa M EXPIRES:May 27 2O6rltere I — O d: Bonded Thru Notary Public Un 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 http://www.coab.us 9/13/04 J , CITY OF ATLANTIC BEACH OWNER/BUILDER AFFIDAVIT Date: Job Address: ' ��d � S ' C/ AwGn-,7� CHAPTER 489,FLORIDA STATUTES,PART I "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE— OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT TT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER$2,000)BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES;OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER"DIRECT SUPERVISION OF THE OWNER,WHO MUST BE ON THE JOB AT ALL T Iy ES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE OWNER OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY"CERTIFICATE OF COMPETENCY"OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. JENNIFER SCHWETER := MY COMMISSION N DD 121301 EXPIRES:May 27,2006 PROPE OWNER/BUILDER Bonded Thru Notary Public Underwriters SWORN TO AND SUBSCRIBED BEFORE ME THIS ✓ DAY OF 1 O-V� 20 V-J OT Y PUBLI NW-COMMISSIO EXPIRES: NOTE: PHRASES UNDERLINED ABOVE. �i rhe CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD —} -, ATLANTIC BEACH, FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00030034 Date 4/06/05 Property Address . . . . . . 1198 MAYPORT RD UNIT 09 Tenant nbr, name . . . . . . DRYWALL REPAIR Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 350 Owner Contractor -- ---------------------- ------- ------------- ---- HADLOW, BRYCE TDB CONSTRUCTION INC 114 SOUTH ST THEODORE DAVID BERKSTRESSER NEPTUNE BEACH FL 32266 423 ST. AUGUSTINE BOULEVARD (904) 247-0047 JAX BEACH FL 32250 (904) 813-2959 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee . . . 35 . 00 Plan Check Fee 17 . 50 Issue Date . . . . Valuation . . . . 350 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES,,, , BUILDING OFFICIAL I CIS CITY OF ATLANTIC BEACH Y APR 00 BUILDING PERMIT APPLICATION (Structural Repair) I 1k `rt Date: 141VO Job Address: IM N;Npof Owner of Property: - jl Address: I V t S Nkye o Telephone: Legal Description: Block Numy�ber: Lot Number: Zoning District: ' Contractor: -r c f2 e b6eiLl.L<JR--egs k State License Number:C01la G I.S�L IvS ,7 Contractor Address: Z c i'11& 8I t j 1 &1-, 3 ' -' Telephone: _c 42 9 -913 1 5__� I Fael y Fax: �G' j-2729 Describe proposed use and work to be done: , NV wat i 24 i r Present use of land or building(s): Valuation of proposed construction: �v ® T Dimensions of space to be repaired: feet x _feet Is approval of Homeowner's Association or other private entity required? If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Please submit Building Permit Application, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247- 5826 STEP 2. In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I hereby certify that all information pr ded wit this application is correct. f Signature of owner: Y Date: 4/1/05 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the 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 authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 http://www.coab.us 9/13/04 M r� Signature of Contractor: Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: R), t4q 0 Mailing Addrescs�: ��t So L4� `7 ASF r^t 1 PL., j� Telephone: !d7 J147-004-7 Fax: c/6'4'C- :�t 7- 0 S 77 E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of10�` ( 20 . State of Florida, County of Duval Notary's Signature: 5'pY 1�A!i JENNIFER SCh{LUETER ❑ personally known V'*: MY COMMISSION#DD 12130" — * �roduced identification �;,•: ,< EXPIRES.May 27,2006 O '.�P'••'• ' Bonded Thrd Notary Public UnderNriters Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 4 day of n I 12005 State of Florida, County of Duval e Notary's Signature: S ❑ Personally known [Produced identification u Type of identification produced JENNIFERSCHWETER�1 V k= MY COMMISSION It DO / 27 2006 *: ;q EXPIRES:MBur'cUndewdters Bonded Thru Notary P ,QF 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 http://www.coab.us 9/13/04 CITY OF ATLANTIC BEACH Cc: s BUILDING /ZONING DEPARTMENT s L. Higgins UN 800 Seminole Road oerr Atlantic Beach,Florida 32233 Jt3 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application #(35—,300 3 Property e Address: � l cf � ►�'1�1 u �� � T` GOr�s-t-✓y Applicant: �� CA I �1 Project: LJJ CJI,I/L )Q--J 06 ,( This permit application has been: Approved r-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed _ Reviewed By: A/0- ( Date: x( 15!r 0 Date Contractor Notified: I�EP_ RTME,1 dF' �� � f °, Olt OERTIrl �O C7ZOR BER CST"A' B CON IS CEFtTIF`ILD under flfe`Provisiona of Ch,4'89 p5. Expiration date: AUG,.- 31, Z16®6 - v X0'!'0604020$7 00, SfA7 OVFLORIDA DEhA 'TMEN'P Old BLSES���,� PRZl�ESS`�gAREfN QE2t43$ ' ;.b, 'S� ',, tJA ,II�IF3FF � i Akft01f TDB :CC3NS1,7, ALLSM �Bf7S1SS = ISQUALZFT Exp ender ttie rdvid o140 Cri 49 f3': iration 86tas ATJG--31 i Q�19 � 48; 350'039T i 0 `j /D G1sV OF 10 �1a of gv,%%dlll E G�JON Q Est folk�NSp2 aEQv �imt"°- Date "'' d. Z1me d MQ g\NG' A Pse ss GOn 0 R eve °tOs Po Heaim9 ec Gontsa taoe Job Pddsess ESR\Cpl Rop nt O Fab A ev Wi(in9 � h Se,�es o)( poke DWnes;�� G�t►GREC� ReMP to D sday aFoR iNSpE�,�N cnurs. p1N ' ,ABV 1_,,/ sam �1ng ectiron tnsUtatlon F1nat tnsP cuPan Sues Gestlticate°t Gc Mon- Date tnsPect�on Made tnsPg0t0s t� C �ct� c all pF �✓ Q ptti��a� utt�ta9 } pt{t�e FpA kits �pN REQv�s Qerrntt N° �--; Q�l p,M• �aG�.tity Date 4 D 6��G` D prr Ztn`e dtr Neatrn9 oe Ae°eNe GpP n D Ftre pta t.9 rum dr ss �p�GP D ou9 t D pre Fab fob Edo 9h Wtrin9 D Se et pM' EtE P pole D O'++ners �pNca D Temp Friday rr`8 D Ftr,at otpN g�1�C\NC D S�yb 9 D DY FpK wis Znurs' rn9. D vmt6EP R �Ied PM, at taspeotroo D parrcy D p'rn tosuta Zues °t G ertrti°at6 pate Mp°• tosPe�rOn Made c tnsP�to i W, , 5 CITY OF 3 p -g,Sgq/ Office of Building Official REQUEST FOR INSPECTION Date `✓ Permit No. Timet y� A.M. Received I i 1176 Job Address I V Locality Owner's Name Contractor ANI FlammBUILDING CONCRETE E TR L � iNG n Framing ❑ Footing O R W ug Air Con iJ Re Rooting rr jj❑ Slab 0 Temp Pae op O g .:_ suration ` Lintel ❑ Fir j n �CIUN Sewe L Fire Place CJ ��..�;' j�j� i Pre Fab J I R DY FOR INSPE A.M. Mon. Tues. [jy V� Thurs Friday RM, V T Inspection Made Inspector Final inspection 0 7 /',, ( Certificate of Occupancy 0J A��`-r t Date f p�LANTj�, F�ORIOQ` OF ADDITIONS or • - - •D• NOT REMOVE JOB 1 5_ oo"eD au;r WC 3r t6 THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted t C MAR 1 1 $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMnA ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 SLOGp.m. Monday through Friday. CX Ti of � jj% %n9 O%ON e /1 t"� �ft;Ce of 8 R 1Nc�pE « ��QU��jS �• Petmd No Al� R V pate Poor 3 "b C 'Re me clot WN►B� G Neaftn9 F ecery e Fite Pi b � fob p�dress Ewa` SoP Dut Pte Fa `PIS 4 E� itin9 C Seset M, oW"et,s co � jemP pope CS N Fooim9NgpE�toN nuts BV11.N1N C Slab i D , (I!, D tate 1:111, fon9 C pM ai insPectio"ocopancl G insula �� Sues ✓ FG'efo%cote of j f l t1 Date 000. Made tnsPectto" VO)eckof ,l BUILDING, PLiNNINGAND ZONING INSPECTION DEPARTMENT CITY OFA TLANTIC BEACH, FLORIDA CERTIFICATE OF OCCUPANCY WORKSHEET Date Requested: 1-0 Building Contractor: &CIUC Catr) Building Permit Number: Address : 11Q1y -ecal Descriction: Improvements to the above described property have been completed in accordance with the terms of the permit and is ce_tir ed to be ready for occupancy as L-44nd-411-0A r" Lowest Floor Elevation : required as built BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE DEPARTMENT DATE NOTIFIED DATE APPROVED BY Fire / -y2 7-2 - 02 .' Public Works Planning &uilding E i � Y Y CITY OF ATLANTIC BEACH - 800 SEMINOLE ROAD y _ ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00025243 Date 11/27/02 Property Address . . . . . . 1198 MAYPORT RD #10 Tenant nbr, name . . . . . . 4 X 7 . 75 PLASTIC SIGN Application description . . . SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ THE TINT SPECIALISTS 1198 MAYPORT RD. #10 ATLANTIC BEACH FL 32233 (904) 270-2191 ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . 0 Fee summary Charged Paid Credited Due ----------- ------ ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 a BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. , C ° I'J" BUILDING OFFICIAL RFCFTV F;D NOV 2 6 002 BY: City of Atlantic Beach • 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ci.atlantic-beach.fl.us APPLICATION FOR SIGN PERMIT DATE_ /U6U d� PROJECT LOCATION IM("o��Iat4 ffi l SUITE NUMBER_,/b APPLICANT �it-� �e'- ZONING DISTRICT ELECTRICAL PERMIT REQUIRED: ❑YES* ,4EPNO *ELECTRICAL CONTRACTOR TYPE OF SIGN AND METHOD OF CONSTRUCTION r '^7 , DIMENSIONS AND TOTAL SQUARE FOOTAGE OF SIGN - Signs over fifty(50)square feet in area or of any size and height weighing more than one thousand(1000)pounds shall be submitted with drawings from a registered engineer. Signs with an area greater than thirty (30) square feet shall be constructed to withstand minimum wind loads of thirty-five (35) pounds per square foot. Drawings shall also demonstrate that the support structure of the sign is adequate to support the weight of the sign, as required by and in compliance with Section 3108,Florida Building Code. PLEASE PROVIDE TWO(2)COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION. 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs,mounting detail and type of illumination,if any. 2. Provide linear frontage of office,business or storefront,or entire building,as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. (Signature of owner or authorized a ent. ) SIGNATURE PRINT NAME I-0. -( `-�'-� W'L ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS Stb�_Ak �l.L PHONE _2C) ala -FAX—Q-)I) E-MAIL OWNER'S AUTHORIZATION FOR AGENT ( is hereby authorized to act lJl� on behalf of C ST t\��'��� the owner(s) of those lands described within the attached application, and as described in the attached deed or other such proof of ownership as may be required, in applying to the City of Atlantic Beach, Florida, for an ` application related to a Development Permit or other action pursuant to a: i ❑ Zoning Variance ❑ Appeal ❑ Use-by-Exception ❑ Fence or Pool Permit ❑ Rezoning , Sign Permit ❑ Plat or Replat ❑ othr BY: -- — Sipa_tur of Owner / r Print Name Signa f Owner }� Print Name Telephone Number State of Florida County of Duval Signed and s om before me on this a 6 —day of,2001. B Y_ Identification verified: _ Oath sworn: -- Yes 4Y? •• STACIE PRINGLE Signature MY COMMISSION#DD 103129 �''kpf nes' aond�X�PIR EXPIRES: 19,2005 My Commission expires: �-' 1► `' CITY OFATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 S FAX:(904)247-5805 SUNCOM:852-5800 If3NV http://ci.atlantic-beach.fl.us PIAN REVIEW COMMENTS Permit Application # Applicant: C-- -Q GLI Address: aL " , L Project: a X C �ourplicati6n is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by _ Signed YDate Z-- Contractor Notified Date t►,,' �} CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J a ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX: (904)247-5805 t� SUNCOM:852-5800 http://ci.atlantic-beach.fl.us PLAN REVIE`,W COMMENTS Permit Application # `2-' z- 13 Applicant: vik—fv Address: a 001-k t5f JJ X -7 � o Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date l S ATt City of Atlantic Beach Planning and Zoning Department This approval verifies compliance with applicable zoning, subdivision and other local land development regulations, but does not constitute approval for the issuance of permits. Compliance with Florida Building Code and all other applicable local, State and Federal permitting requirements must be verified by signature of the City of Atlantic Beach Building Official'prior to the ance of a Building Permit. Approved By: -` ommun Deve opmentDirector Date: O -Ft 4 sew --7 1(7.5 DDOC � ^Cook r PREPARED 10/09/02, 17:02:45 INSPECTION TICKET PAGE 2 S CITY OF ATLANTIC BEACH INSPECTOR: DON C FORD DATE 10/10/02 ------------------------------------------------------------------------------------------------ ADDRESS SUBDIV: CONTRACTOR ADKINS ELECTRIC INC. PHONE ; (904) 765-1622 x 301 1 OWNER HADLOW, BRYCE PHONE PARCEL TBU - - - APPL NUMBER; 02-0CTRIC ONLY ------------------------------------------------------------------------------------------------ PUNIT: BLEC 00 BLEMICIL PBRAIT V REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 23 01 10/10/02 D EL FINAL TIME: 13:00 /9002 _f�- ------- ---- ------ ------------------ COMMENTS AND NOTES --------------------------- 4 �u CITY OF 4&, Ax-*4�A Office of Building Official ' REQUEST FOR INSPECTION Date Permit -- t Time A.M. Received � � P { ,lob Addre s Locali / i Owner's Name ontractor CONCRETE ECTRICA P MEUHA CAL Framing `�^�c..... ;■.�••� Rough Wiring ><Rough D ,Air Cond. Re Roofing 7 Stab Temp Pole ❑ Top Out Heating Insulation L7 F1mA FinalG Sewer ce C Pre Fab �4. D REA Y FOR INSPECTION -..t Mon. MALI 4W Wed. Friday—)I—.PM. r A.M. Inspection Mad PM. Final Inspection 11Inspector (Sf „} ! N. Certificate of Occupancy C Date I , -it LA N. v F�ORIOa OF ADDITIONS or CORRECTIONS11111i D• NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted l $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. BLDG CITY OF ATLANTIC BEACH — -- --—__-- DEPARTMENT OF BUILDING J 800 Seminole Road-Atlantic Beach, FL 32233- Tel: 247-5826 - Fax: 247-5877 ELECTRICAL PERMIT "PERMIT INFORMATION Penna Number: 23535 _._- 'OCA TTON'INFCIRMATOIV` Permit Type: ELECTRICAL Address: 1198 MAYPOR-T ROAD#9, #10 j Class of Work: NEW ATLANTIC i BEACH FL 3 Proposed Use: COMMERCIAL Townshi Range: 2233 P= RanBook: Square Feet: Lots): Block: i f Est. Value: Subdivision: Section: Improv, Cost: Parcel Number. Date Issued: 3/02/2002 z m.O1NNER tNFORMATON Tota{ Fees: 25.00 Name: HADLOW, BRYCE Amount Paid: 25 00 Address: 1198#9 &#10 Date Pa;d ' 3/02/2002 ATLANTIC BEACH, FL 32233 Work Desc• NEW 200AMPS COMMERCIAL TENANT BUIL©Phone: (000)000-0000 A COIlTRAGTOR.S _ — DKINS ELECTRIC INC. — TiONFEES 25.00 •^y r g'' •* � ' �' fi,ir 'fir-i' �"u. k �� � ' �. :,�,a �... � t x+e' u.esti ,"r,' `•. � �' � � � _nm zt �. _, � ,r>'.a-•r �, �,�`rt-�� y s�.V ca :�.a- 3� -y Tzs °��r�,.. � e A� Y'`^s�< --' ` ''R• . . ,,A"y � c� ��,�c. -":F` -T+^.._ ."; yam;',-...�,p •� q,. �; •TT - 'h Jd+yAh- ��t� by NOTICE ( E f ='ri E-1 ow2t PECTION BUILDING MATERIA - �?' MUST BE CLEARED � S` TT � u SIN P L!C SPACE,AND .FAILURE TO CoM F PROPERTY OWNERf = , "}€N LAW lI~ N THE ISSUED ACCORDING TO APP FOR VIOLATION OF APPLICABLE D SUBJECT TO REVOCATION Oper: CHERYLE Type: OC Drawer: i t Date: 3/84/82 91 t Recei 14 P -AtiILDIN6 1p no. 383E+1 Trans ERNITS $25.88 ATLANTIC BEACH BUILDING DEPT. ERMITSCK CHECKS792884 28994 $58.86 Trans date: '.3194102 Ti se: 15:44:13 JUN-27-2000 01:59P FROM: 247-5845 TO.99249816 P•1/1 CITY OF ATLANTIC BEACH, FLORIDA 1 � 77, AMM~Of APPUCATION FOR ELKTRICAL PERMIT TO THQ CHIEF ELECTRICAL INSPECTOR: MATE: Z-0 flWORTMT NOTICE: IN CONSIDERATION Of PERMIT GIVEN FOR D0ING THE WORK AS DESCRIBED IN THE POLL0W M0. WE HEREBY AGREE TO PEMGRM SAIL WORK IN ACCOROANCS wTTH THE ATTACHED PLANS AND SPOMMATIOM WHICH ARE A PART HEREOF.AND IN'ACCOROANCE WITH THE ELECTRICAL RNGULATIONS.00065 AND tm OF ATLANTIC BEACH OROINANCIM 6LECTR L FIRM AN M A M ./ (�_ Ll//�/a�iCS rtMMR 12 7 lira.812E 89TWYEEPI: RES.t ! AFT.( 1 =OAK I I-r - PUSILIC I ) RNDUL t 1 NEW i ! OLD i I RETS.I I ADDITION I ) TRAILER t ) TEMP.I I SIGNS ( ) tIRL Ff. SERVIM, NEW I%4----ltrCREAM I ! REPAIR I ) FEE GONDl cma SIZE AMPS ALUM. S^4 d JMVM OR ICER 6 v AMTS FM 3w 'W T 2 L Y E)tl=i SERV. Albs PN iM VOLT RACEWAY FSMXM NO. SIZE NO. SIZE ND. Size UGHTING OUTI-M ?i" CONCIALED orEN 1 TOTAL i Z10 ROMOTACLES A CONCEALED OPEN TOYAL O-J10 AM». it-100 AhIM swrPCl'Iz INCANDESCANT FLUORUCENT a ML V. f0= 0,199 AMM ev, APP UANCIM BELL TRANSF. AIR H.P.RATING N.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AWS CZIL MEAT: KW-NEAT ai "a MOTORS N.P. VOLTAGE PFR$ NO. VOLTAGE PHS MIBCELLANEOUll A-19 As 15A 8 NSFORMEft UNDER SM V. OVER 600 V. NO. KVA M NO. KVA NO.NEON TRAMSF. NO. VA. t1tA. MOTOR MME SNITCH FLAMEM EACH SIGN FORWARDED s7, yd TOTAL r'EES " CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD j. ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024979 Date 10/09/02 Property Address . . . . . 1198 MAYPORT RD ��Lr�►f C� Application description . . . ELECTRIC ONLY l Property Zoning . . . . . . . TO BE UPDATED- Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HADLOW, BRYCE ADKINS ELECTRIC INC. P.O. BOX 311 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32219 (904) 765-1622 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . SPLIT TENANT 100AMP SPACE Permit Fee . . . . 87 .40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 .40 87 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 40 87 . 40 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT Permit Number: 23535 r. Address: 1198 MAYPORT ROAD#9, #10 Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class 0!Work: NEW Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: E "B E7'. ° Date Issued: 3/02/2002 Name: HADLOW, BRYCE Total Fees: 25.00 Address: 1198 #9 &#10 Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid:' 3/02/2002 Phone: (000)000-0000 Work Desc: NEW 200AMPS COMMERCIAL TENANT BUILDOUT a 'ilF :APPLI.�AT�aN ADKINS ELECTRIC INC. 25.00 : �� G 71 y a �*�x?#R� k� ✓ 3 �yay.dr" a�iy�;,w ...+.. ���i����t'3q' }s"t`^'= :at,� n .' ^S'- � a' ..fts• bf��'. - '��� 5��;�'� ' rt.: �`�a �� t�sn a '�,� T 4 .' "fit ..; ,.. � '�` . 4`�• r,'�. !°"�^ �'t � :;.14, _ t t +a N Sen� �`•��°,h��1� 'r �t.�� � M. h�� NOTICE ( i ^CC Et:TEAT � � t PECTION BUILDING MAI ERII# LIC SPACE, AND MUST BE CLEARED 3Tt Ol t ,FAILURE TO COM LAW w N THE PROPERTY OWNER ISSUED ACCORDING TO APP Y F� 'D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE ' z Oper: CHERYLE Type: OC DrawerrI Date: 3/84/82 61 Receipt no: 36961 / + 14 PERMITS=BUILDING 1 $25.N Trans number: 792864 ATLANTIC BEACH BUILDING DEPT. CK CHECKS 284 $58." Trans date: `3/84/82 Time: 15:44:13 JUN-27-2000 01:59P FROM: 247-5845 TO:992,4%16 P:1i1 6- 1 ► tioc I CITY OF ATLANTIC BEACH, FLORIDA ^00npw w AP'UCATION FOR ELECTRICAL PUMIT TO THE CHIEF ELECTRICAL INSPECTOR: DOTE: MMOTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOINQ THE WORK AS DESCRIBED IN THE FOLI.OMVRM6. WE HERESY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PIANS AND SPECifICATmNS. WHICH ARE A PART HEREOF,AND IN-ACCORDANCE WITH'THE ELECTRICAL ReClUTAUINS,CODES APD CRif OF ATLANTIC BEACH ORDINANCES. _mK:ns i1gdtR:c INC. yl44v�",W . '�c0001iI), RICAL FiRlit. Jouf1 EVa" Qu. ha �dleleS 1 YY1ahPoR i �ta1, Lk":^ #`9 oY Rkckt- 00Km i 4 _"�-�... . AODRl6ffiI l q$ I��a _wx_„r RLDIL SIZE BETWEEN: RES( I An.( ) COMM,t ) PUOLIC t ) IWOUL t I NEW t Y OLD I I REW.( i AODITION( 1 TRAILER 1 TEMP.( I SIGNS t ) ap,pT, SERVICE- NEW t ) INCREASE( ) REPAIR l ) FEE CONDUCTOR SIZE AMPS ALUM. offim1 OR lLII O O AMPS I PN w -/4110 T Y w' SERV.SI MAWS PH N VOLT RACEWAY FEEDERS NO. SIZE I NO. Sze NO, size LIGHTINO OUTLETS COMCSAL m OPE)11 TOTAL ReCEP ACLES CONCsiALiD (wpmTQTAL 0-410 AMPS. ss-foo AwPq. JWPIZh" INCANDIESC8I11T FLUORESCENT a M.V. P1x= 0.190AMBO. ev Af PLIAme s SELL TRA11W. AIR H.P,PATING H.P.RATING CONDITIONING COMP,MOTOR OTHER MOTORS AMP6 IL HEAT: KINMEAT o•� ovfll MOTORS H P. VOLTAGE PLASS NO. I VOLTAGE Mo LAN OU8 N5P4DRNtERS: UNDER 600 V, OVER W0 V. ND. KVA NCI, KVA NO.NEON TRANSF. NO. VA. 11tH. MOTOR 317E SMHTCH 1 LASi1E ' EAC"SIGN FORWARDED ao TOTAL FEES Fwb 141' 02 01: 3p P. 1 RECEIVED IFE15 14 -nep ir_ City of Atlantic Beach E uii°stn; and Zoning City of Atlantic Beach• 800 Seminole Road• Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• FAX (904)247-5805• http:/Avww/Ci.atlantic-beach.tl.us PERMIT APPLICATION FOR REMODEL,ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION '(�3 u DATE Z— 1 q APPLICANT IR-1 C v t 1 A (p W ADDRESS 1651 5 CM I N o L E ►a j) GG PHONE: ADDRESS WHERE WORK IS TO BE PERFORMED t -I$ A-/ Pz,IZT R?A UN 1 TT /0 LEGAL DESCRIPTION: BLOCK NUMBER 11 LOT NUMBER 31115LZONING DISTRICT CONTRACTORCr u 1*z 13 N!fir-►��11-j �) C STATE LICENSE NUMBER e� �Ct 05'7 Z-`-i ADDRESS 18/ J� JiZ POI �!" Lf+a - t�wI).T�cilfIPI PHONE C`*— r7 ZS -0 6 2 CITY I A__C STATE 1R- _. ZIP 3 2-Z/ 6 FAX !i vN — 9 2- DESCRIBE DESCRIBE PROPOSED USE AND WORK TO BE DONE ► I /3 N/i_o a u i_ PRESENT USE OF LAND OR BUILDING(S) ��►�M clt r3 t_ VALUATION OF PROPOSED CONSTRUCTION fI 1_3f i>J '� Is this an addition? If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as aR12rotkriate.) STEP L Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Departrnent of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 oyo2 Fab lit' 02 O1: 04p P.2 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey slowing the property boundary with bearings and distances and the legal description 2. Location of all structures,temporary and parmanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CM,natural water bodies. 6. Impervious Surface arcs calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY TEAT ALL INF TI OVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER DATE_� ~z -- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE 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 AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PMUT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQIrusED. rl : IV-- SIGNATURJKOFCONTRACTOR4 DATEADDRESS AND AND CONTACT INFORMATION OF PERSON TO.RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME 12 A`( S►�� ) 4-,Z Y MAMING ADDRESS p s e�IZ/Do,Z R?'� LQ +,kF 13l-�/ ). PHONE '(JLf- 7 257-0&24 FAX r72-1- 5060' E-MAIL 813-1 d96 SWORN AND SUBSCRIBED BEFORE b%THIS_ DAY OF a STATE OF FLORIDA,COUNTY OF DUVAL NOTARY'S SIGNATURE el N Melanie A Nordahl-Newcomer My Commission AS TO OWNER: [Q—Peasonally known Expimss 2• er 27 2006 15 ❑.Produced identification Type of identification produced AS TO CONTRACTOR: ersonally known Rtoduced identification Type of identification produced Letter of Authorization N f Re: West Plaza Warehouse 1198 Manort Road Jacksonville. Florida To whom it may concern, As the owner of the above referenced property I hereby authorize Jaguar Builders, Inc., and/or Anchor Engineering to act as my agent for the purpose of obtaining governmental approvaWpermits for this project. --lo _ Signature -Br-,cc [ThP "�Si�eKt Printed name Title The foregoing instrument was acknowledged before me this .2-4ay of 20_OL by Who is personally known to me mor has produced_ as identification. Notary Public, State of _Wa J. 'a— Cou of— �,� Z_ Lori B.Westmoreland MY COMMISSION# CC941756 EXPIRES June 4,2004 BONDED THRU TROY FAIN INSURANCE,INC. t1 ' My commission expires: Notary panted signature CITY OF ATLANTIC BEACH DEQ:rMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION .,*mit Number: 22967 Address: 1198 MAYPORT ROAD#1 THRU 11 Permit Type: COMMERCIAL ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: 18 Proposed Use: WAREHOUSE Lot(s):1-5 Block: 46/47 Section: Square Feet: Subdivision: MARSH LANDING Est. Value: Parcel Number: Improv. Cost: 442,200.00 OWNER INFORMATION Date Issued: 11/02/2001 Name: HADLOW, BRYCE Total Fees: 15,553.00 Address: 1651 SEMINOLE ROAD Amount Paid: 1-5,553.00 ATLANTIC BEACH, FL 32233 Date Paid: 11/02/2001 Phone: (904)274-0047 Work Desc: CONSTRUCT NEW OFFICE/WAREHOUSE STRUCTURE HSF/13,400 SCHG 13,400 CONTRACTORS _ APPLICATION FEES JAGUAR BUILDERS, INC 7, 2,234.00 ;tl y 1,800.00 5,360.00 � 1,090.00 t - 1,075.00 AIP , a, r 63.65 3.35 + y�O 35.00 ; 4 - � 03-N< F � ,, 60.30 k � �.' 6.70 Y. a. TREE BARRICA 'SAO �� i �I1 � ' COVER UP CERTIF/OCCU . s. NOTICE.. _ _ T ' TION 1. 5 s 41:."r",L �;�1`i "' `�•a 'i. N."-"R,y""+y' n.-. L BUILDING MATERIAL '� _h��=9A LIC SPACE,AND MUST BE CLEAREDA t "FAILURE TO COMPIit : ► 1N THE ;� ' z� PROPERTY OWNER P YLIO I �' r ISSUED ACCORDING TO APP ROt il4 T f NO SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PR • � A � p NN 2 9 m j� A.TLA TIC BEACH UIL G DEPT. J CK# ' iitwealt 1 A i?h PA94W +�••a o Prbpared by: Lewis Ansbacher,Esquire Ansbacher&Schneider,P.A. 5150 Belfort Road,Building 100 Jacksonville, FL 32256-6010 Book 10124 pager 2232 Permit No. Tax Folio No. f NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Comme^cement. 1. Description of property(legal description of the property and street address,if available):See Exhibit A attached 2. General description of improvement: Construction of office/warehouse building 3. Owner information: a) Name and address: Bryce P. Hadlow and Sheldon C. Bryan 114 South Street, Neptune Beach, FL 32266 b) Interest in property: Fee Simple C) Name and address of fee simple title holder(if other than Owner): 4. Contractor(name and address). Jaguar Builders, Inc., 1815 Corp Square Boulevard, Suite 200,Jacksonville, FL 32216 a) Phone number: b) Fax number(optional, if service by fax is acceptable): 5. Surety information: a) Name and address: b) Phone number: C) Fax number(optional, if service by fax is acceptable). d) Amount of bond: $ 6. Lender(name and address): CNB National Bank,Attention: Damon Olinto 9715 Gate Parkway North,Jacksonville, FL 32246 looks 1032414636 Pains: 2232 — 2234 Filed A Recorded 08/27/2001 02:24:08 PH JIM FULLER CLERK CIRCUIT COURT DWAL COUNTY TRUST FUND f 2.00 08/16/01/cjs COPY FEE S 3.00 00-0266.o�.e-1 CERTIFY $ 1.00 ,.. DIS f 13.80 4 , Boole 10124 Page 2233 a) Phone number: b) Fax number(optional,if service by fax is acceptable): 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes (name and address): a) Phone number: b) Fax number(optional,if service by fax is acceptable): 8. In addition to himself, Owner designates: of (address) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. a) Phone number: b) Fax number(optional,if service by fax is acceptable): 9. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is specified): --/�) 141L-1�1_(SEAL) B, O.P. Had w (SEAL) Sheldon e. an STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was acknowledged before me this�1 day of August,2001 by Bryce P. Hadlow,who(Y�is personally known to me or( )produced (Florida Driver's License)as identification. 1 Notary Publ ,State of Florida My Commission Expires: CHERYL E.SASSARD STATE OF FLORIDA ='`' } COUNTY OF DUVAL =,, a MY CONOYNSSION p CC 942801 'I ^ EXPIRES:JUNE 6,2004 The foregoing instrument as acknowledged before me thi�'t'�day of August,2001 by Sheldon C.Bryan,who )is personally known to me or( )produced iorida Driver's License)as identification. Notary Public, State of Florida My Commission Expires: r� "w CHERYL E.SASSARD ; } MY COMMISSION#CC 942801 tg ,.. taP1NES:JUNE b,?.004 a EXHIBIT A Book. 10124 Page 2234 Lots I and 2 (except that portion lyin g within the right of way of Mayport Road), Block 46, all of Lots 3,4 and 5, Block 46, Lots 1 and 2 (except that portion lying within the right of way of Mayport Road)Block 47, all of Lots 3, 4 and 5, Block 47, Section "H", Atlantic Beach, according to plat thereof as recorded in Plat Book 18,page 34, of the current public records of Duval County Florida. STATE OF FLORIDA DUVAL COUNTY I,THE UNDERSIGNED Clerk of the Circuit Court,Duval County Florida,DO HEREBY CERTIFY the within and foregoing is a true and correct copy of the original as it appears on record and file in the office of the Clerk of Circuit Court of Duval County,Florida, and the same is in full force and effect. WITNESS my hand and seal of Clerk of Circuit Court at Jacksonville,Florida,this the qday of� A.D.,20QL JINb Ft1LLER Clerk,Circuit and County Courts Duval County,Florida j 1 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address III 'Vd 43u(cp OUT Date '-J -2-0 -62 Heated Square Footage @ $ per sq ft = $ Garage/Shed xfl @ $ per sq ft = $ Carport/Porch J @ $ per sq ft = $ Deck r @ $ per sq ft = $ Patio V @ $ per sq ft = $ TOTAL VALUATION: $/L f o6 G Total/ Valuation^ 1st $ ' 0 c 0 F s Rem :Ling Value $,1 per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ TO - ( ) Fireplaces @ $15 . 00 $ O BUILDING PERMIT FEE $ 90 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) s HYDRAULIC SHARES $ CROSS CONNECTION S ( ) SURCHARGE .0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-826-FAK 247-5877 PERMITT,. IFORAItA'I'10111: ? _" Ill - I0N: 1 Permit Number: 23501 Address: 1198 MAYPORT ROAD#9, #10 Permit Type: COMMERCIAL ATLANTIC BEACH, FL 32233 Class of Work: OFFICE Township: Range: Book: Proposed Use: COMMERCIAL Lot($): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: _ Improv. Cost: 10,000.00 Date Issued: 2/20/2002 Name: HADLOW, BRYCE Total Fees: 90.00 Address: 1198#9 &#10 Amount Paid: 90.00 ATLANTIC BEACH, FL 32233 Date Paid: 2/20/2002 Phone: (000)000-0000 Work Desc: TENANT BUILDOUT JAGUAR BUILDERS, INC Y°w 90.00 -� o'S � 3 1 '. 01 Vk -anti �•.,�;7�w��--:. ..;:.•c'-iv,�,� -� u NOTICE 'fC1N CTION 4 BUILDING MATERIAL, �'�l'I ['s` 11UT: t{?T ISE E " . BLIC SPACE,AND MUST BE CLEARED UFS 'xl1i'iF BY EITNYC 2ATOR CQF�.. R "FAILURE TO COMP L CC` N LI v T IN THE PROPERTY OWNER PA ISSUED ACCORDING TO APPROVEDI IT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVIS Oper: DSMITH Type: OC Drawer: 1 Date: 2/22/82 81 Receipt no: 37828 14 PERMITS-BUILDING 1 $98.88 ATLANTIC BEACH BUILDING DEPT. Trans number: 798837 CK CHECKS 3655 (165.88 Trans date: 2/22/82 - Time: 15:56:37