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363 Atlantic Blvd (parking lot) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001594 Date 10/30/12 Property Address . . . . . . 363 ATLANTIC BLVD Application type description COMMERCIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc restripe parking ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SHOPPES OF NORSHORE LLC REPAIR SPECIALISTS INC P.O. BOX 330108 1109 HIDEAWAY DR N FL 32259 ATLANTIC BEACH FL 32233 ST JOHNS --- Structure Information 000 000 RE STRIPE PARKING Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit . . . . . . COMMERCIAL ALTERATION/OTHER Additional desc . . Plan Check Fee . 00 Permit Fee . . . . 55 . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/28/13 -------------- -------------------------------------------------------------- other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59 . 00 59 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION otlz— CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233 Office (904) 247-5826 Fax (904)'�4�7 ......... 6" '6 IV Cl Permit Number: Job Address: d_Z)/7 — Legal Description Parcel# _.//+oor Area Ulf' Tt. non-heated/cooled Valuation of Work Proposed work hqeated/cooled �2��, Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A Florida Product Approval 4 For multiple products use product ap iro�va5`rm Describe in detail the type of work to be perfonned: Property Owner Information: Z�Z e Address. Name: city State&Zi hone E-Mail or Fax (optional)— Contractor Information: Company Name::I�,1,6 I 4:r L11 6, Qualifying Agent: Address: city State Zip Office Phone Job Site/Contact Number -Fax State Certification/Registration 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 certify that no work or installation has commenced prior to the issuance qjCa permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is sus n or aWeriod of sixP6)months at any time after pended or abando edf I work is commenced. I understand that separate permits must be securedfor Electrical Work,Plumbing, Sikns, 0s,Pools, urnaces,Boilers,Heaters, Tanks andAir 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 FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Ihereb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this 17, )rk will be complied with whether specified herein or not. The granting of a permit does not presume to give uthority to violate or cancel the type o wt tr t* e peiformance of construction. provisions ofany otherfederal,state, or loc I law regulating cons u to n or th Signature Ow r Signature of Contractor PrintNa .. ............. ...... ... ....... ............................. Print Name ................................................................................................................................... Sworn t subs ribed e Sworn to and subscribed before me 20 0 this this Day of SHIRLEY L GRAHAM 's My COMMISSION 4 DD 957760 E2.fth /00, ota Bonded Thru Notary Public Underwriters Notary Public ised 01.26.10 )7c fE 'pal Z-7N v IP If I Cff ADA Accessibility Guidelines Page 4 of 98 Addition. An expansion, extension, or increase in the gross floor area of a building or facility. Administrative Authority. A governmental agency that adopts or enforces regulations and guidelines for the design, construction, or alteration of buildings and facilities. Alteration. An alteration is a change to a building or facility that affects or could affect the usability of the building or facility or part thereof. Alterations include, but are not limited to, remodeling, renovation, rehabilitation, reconstruction, historic restoration, resurfacing of circulation paths or vehicular ways, changes or rearrangement of the structural parts or elements, and changes or rearrangement in the plan configuration of walls and full-height partitions. Normal maintenance, reroofing, painting or wallpapering, or changes to mechanical and electrical systems are not alterations unless they affect the usability of the building or facility. Amusement Attraction. Any facility, or portion of a facility, located within an amusement park or theme park which provides amusement without the use of an amusement device, Examples include, but are not limited to, fun houses, barrels, and other attractions without seats. Amusement Ride. A system that moves persons through a fixed course within a defined area for the purpose of amusement. Amusement Ride Seat. A seat that is built-in or mechanically fastened to an amusement ride intended to be occupied by one or more passengers. Area of Rescue Assistance. An area, which has direct access to an exit, where people who are unable to use stairs may remain temporarily in safety to await further instructions or assistance during emergency evacuation. Area of Sport Activity. That portion of a room or space where the play or practice of a sport occurs. Assembly Area. A room or space accommodating a group of individuals for recreational, educational, political, social, civic, or amusement purposes, or for the consumption of food and drink. Automatic Door. A door equipped with a power-operated mechanism and controls that open and close the door automatically upon receipt of a momentary actuating signal. The switch that begins the automatic cycle may be a photoelectric device, floor mat, or manual switch (see power-assisted door). Boarding Pier. A portion of a pier where a boat is temporarily secured for the purpose of embarking or disembarking. Boat Launch Ramp. A sloped surface designed for launching and retrieving trailered boats and other water craft to and from a body of water. Boat Slip. That portion of a pier, main pier, finger pier, or float where a boat is moored for the purpose of berthing, embarking, or disembarking. http://www.access-board.gov/adaag/html/adaag.htm 10/29/2012 0 0 CD 0 La z cn C) El F 17- F7 Ll El El cl 0 0 M,of PEMA PROPERTY SALES-PROPERTY LEASING-PROPERTY MANAGEMFNT October 29,2012 To Whom it May Concern: Petra Management, Inc.at the direction of Shoppes of Norshore, LLC has authorized Repair Specialist, Inc.of 1109 Hideaway Dr. N,Jacksonville, FL 32259 to perform parking lot restriping at 363 Atlantic Blvd. if any additional information is needed please contact our office(904) 241-1151. Sincerely, Richard Trendel Licensed Real Estate Broker P.O.BOX 330448,ATLANTIC BEACH,FL 32233-0448 - OFFICE:904 241 1151 - FAX: 904 2410676 2012 LIMITED LIABILITY COMPANY ANNUAL REPORT FILED Mar 08, 2012 DOCUMENT# L09000031027 Secretary of State Entity Name: SHOPPES OF NORSHORE, LLC Current Principal Place of Business: New Principal Place of Business: 363 ATLANTIC BLVD. 363 ATLANTIC BLVD. ALTANTIC BEACH, FL ALTANTIC BEACH, FL 32233 Current Mailing Address: New Mailing Address: 2275 ATLANTIC BLVD. 2440 MAYPORT ROAD NEPTUNE BEACH, FL 32266 7 ATLANTIC BEACH, FL 32233 FEI Number:26-4559894 FEI Number Applied For FEI Number Not Applicable I ) Certificate of Status Desired Name and Address of Current Registered Agent: Name and Address of New Registered Agent: SORRELL, MARY C SORRELL, MARY C 2275 ATLANTIC BLVD. 2440 MAYPORT ROAD NEPTUNE BEACH, FL 32266 US 7 ATLANTIC BEACH, FL 32233 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: MARY C. SORRELL 03/08/2012 Electronic Signature of Registered Agent Date MANAGING MEMBERSIMANAGERS: Title: MEMB Name: HIONIDES,CHRIS Address: 2275 ATLANTIC BLVD. City-St-Zip: NEPTUNE BEACH,FL 32266 US I hereby certify that the information indicated on this report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 608, Florida Statues. SIGNATURE: CHRIS HIONIDES MGR. 03/08/2012 Electronic Signature of Signing Managing Member, Manager, or Authorized Representative/Date