Permit CINT 793 Mayport Rd Units 795-797 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001902 Date 12/27/12
Property Address . . . . . . 793 MAYPORT RD
Tenant nbr, name . . . . . . UNIT 795 & 797
Application type description COMMERCIAL INTERIOR BUILD-OUT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 36485
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Application desc
Redesign office layout
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Owner Contractor
------------------------ ------------------------
BEACHES HABITAT FOR HUMNITY BEACHES HABITAT
793 MAYPORT ROAD 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 24 1-1222
--- Structure Information 000 000 COMM BUILD OUT UNIT 795 AND 797
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . BUSINESS
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Permit . . . . . . COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 235 . 00 Plan Check Fee 117 . 50
Issue Date . . . . Valuation . . . . 36485
Expiration Date . . 6/25/13
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 53
STATE DBPR SURCHARGE 3 . 53
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 235 . 00 23S . 00 . 00 . 00
Plan Check Total 117 . 50 117 . 50 . 00 . 00
Other Fee Total 7 . 06 7 . 06 . 00 . 00
Grand Total 359 . 56 359 . 56 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach
Building Departrnent APPLICATION NUMBER
800 Seminole Road (To be assigned by If*Builft D%aftent)
Atlantic Beach, Florida 32233-S445 J q
Phone(904)247-5826 - Fax(W4)247-5M5
E-mail: builcfing-dept@?coab.us Date routed: 4)
Cityweb-site: http://www.00ab.us i
APPLICATION REVIEW AND TRACKING FORM
Pro rty Address: -7 q3 6Wd111 rbepartme-nt review required-VY—es o
Maw Building I x
Applicant: Planning&Zoning
ning
Tree Administrator
Project: U4 Public Works
Public Utilities
-Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Pennit Required Review or Receipt Date
Florida Dept.of Environmental Protection of Permit Verifi
Flodda Dept. of Transportation r"'on
Rev r Rei
:rnit R uired of P rif
eZ1t0Ke I
'MENot on
st
St Johns River Water Management District
Anny Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacoa
Other:
APPLICATION STATUS
Reviewing Department First Review:
0�wroved. FIDenied.
(Circle one.) Comments:
(:B:U1LD71:N:�) I
PLANNING&ZONING Reviewed by: Date: /2-7o)6-/Z_
/Z
TREE ADMIN.
Second Review: DAPProved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
'IRE SERVICES
r Third Review: E]Approved as revised. ElDenied.
Comments:
Reviewed by: CWe:
Revisad OV27110
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
JobAdlr*eAsts ZySl7q7 Permit Numberg_:���A
Legal Description ,Floor Area of Sq.Ft. Parcel# Sq.tt
Valuation of Work 41,95-, Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition LAIteratio-i Repair Move Demolition pool/spa window/door
1.
. j o
Use of existing/proposed structure(�) (circle one): Commercial Residential
1 0
If an existing structure,is a fire sprinkler system insta e ne): Yes No N/A
Florida Product Approval# %,viefts,", P).,* Itm- I
For multiple products use product approval form'
Describe in detail the type of work to be performed: Ra 005�q H 0 A0Yor7_
Av�*115 7-0 ,wo w hJ51 W,
Property Owner Information:
Name-. Zeac�es /51,9&-ror 53,,ez Address: 1471 F1',4`v"r4f 046fe-
city State 66 Zip 3223-7 Phone q0ir' 2111- 122J-
E-Mail or Fax# (Optional) 464ts7ro 55,fff 6eAdwJ Am6_17-16r,411z6%
Contractor Information:
CompanyName: ?2fAAeS Qualifying Ag�nt:
Address: 1671 &ayeL 01'e- city- 47-2. f�,-O,�ek7 State Zip
Office Phone %� ZY/ j.2 2-2- Job S e
State Certification/Registration# Job S IR CODE COMPI
Architect Name &Phone# KAUXANUE
Engineer's Name&Phone# h
s
Fee Simple Title Holder Name and Address RE()tJ!RU&NT8ANB e0ND1 I IONS.
'I
Bonding Company Name and AdIldress
r ss REVMWO Ry—..__ff I
Mortgage Lender Name and Address DATE:.
0 th'
Application is hereby made to obtain a permit to do the work and installati,Wv, ty, cer i ftp to the,
*s null
t
issuance oJ a permit and that all work will be pe�formed to meet the standards of all laws regulating construction in this jurisdiction. D -Me
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of si%) nt),Mny nie after
B rs aters,
work is commenced I understand that separate permits must be securedfor Elect car work, Plumbing Sians, Wells, Poo s, u es,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTIC
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.
Ihere 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
11"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
provisi.ons ofany otherfederal,state, or local aw regulating construction or the puformance of construction.
Signature of Owner Signature of Contract
oz_ Print Name llf2teco
Print Name 0 r7a57/9� ......................................................................................................................................
........ ..................................................................................................................
Before me Before
this LJ_"- Day of e"eC 2011— this 10))'Nay of d-ecy4e_( 20 1 Z_
Notary Public N
KkEMURRAY 4r KYLLE MURRAY/,-�
SON#EEI �d 10.24.12
MY COMMISSION#EE185723 My COMMIS
EXPIRES AprN 02,2016 EXPIRES Apro 02,2016
NOTICE OF COMMENCEMENT
Permit No. 90d- Tax Folio No.
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
I. Description of property (legal description of property and address if available):
- 7C1Z1-ryqVp-c-(eT RD �17L,�O* '-j2,e,4,A F)-- ��2-233
2. General Description of improvements:
3. Owner Information:
a)Name and Address: 'Bc,,4c�e-_( //ta 6;-PAT F,a I-lu—olg wl 1y , 1ZA71 Fi-r-7 wc 1'5 ve- /47�/i ti� elkk
b) Interest in property: 0 4..,tye(;�
c)Name and address of simple titleholder(if other than owner):
Contractor Information:
a)Name and Address: -3je,1qc�.L,3 Pq i3,rqT F-i'z ge-�14tji�Z 71 F�-,Q wc;� ,Ule 19�7'�IqH 7-k i3,!/i,k'1 t--Z, 3 2Y33
b) Phone Number:
5. Surety Information:
a)Name and Address: I
b) Phone Number:
c) Amount of Bond: $ FILL HrY
6. Lender Information:
a)Name and Address:
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a)Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a)Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of Recording unless
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
1, 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this Il dayof 2 0 62,
- ---------------------
NOTARY PUBLIC, STATE OF FLORIDA
IM C U1100A%F A
Display AttributeDAta Page I of I
Parcels
RE # 17.1.17.95. O�000
Name BEACHES HABITAT FOR HUMANITY INC
7 93
Address �AYPORTRID ATLANTICBEACH
32233
Transaction Price $327300
Acres 0.33
Book-Page 1608102395
Map Panel 9417
31-13 38-2S-29E .33
Legal Descriptions ATLANTIC BEACH M LLA UNIT 2
LOTS 29�O BLK 3
Flood Zone L4 14
AshSite Not in AshSite Zone
JEDC Zone Not in Enterprise Zone
Evacuation Zone CAT 3
CPAC N/A 1�Planning Dist:
Noise Zone NA
APZ NA
Civ HH Zone NA
M1 HH Zone Mayport Horizontal Surface Elev 300)
Civ School Reg NA
MISchoolReg NA
Lighting Reg INA
Civ Notice Zone INA
MI Notice Zone INA
1,/Iv, NeiyJ-ibcrhood
fit' I L E OP
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-0oo01902 Date 1/03/13
Property Address . . . . . . 793 MAYPORT RD
Tenant nbr, name . . . . . . UNIT 795 & 797
Application type description COMMERCIAL INTERIOR BUILD-OUT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 36485--------------- --------------
----------------------------------------------
Application desc
Redesign office layout -------------------------------
-- ------------------------------------------
Contractor
Owner ------------------------
------------------------ BEACHES HABITAT
BEACHES HABITAT FOR HUMNITY 1671 FRANCIS AVENUE
793 MAYPORT ROAD ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233 (904) 241-1222
--- Structure Information 000 000 COMM BUILD OUT UNIT 795 AND 797
Construction Type . . . . . TYPE 5-A
occupancy Type . . . . . . BUSINESS-------------------------- -------
---------- -------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc - -
Sub Contractor . . ADVANTAGE PLUMBING . 00
Permit Fee . . . . 69 . 00 Plan Check Fee 0
Issue Date . . . . Valuation . . . .
Expiration Date - - 7/02/13 --------------------------------
---------- ---------------------------------
Special Notes and Comments ORIDA FIRE PREVENTION CODE
2010 FLORIDA BUILDING CODE, FL
2008 NATIONAL ELECTRIC CODE L DAMAGE TO THE BUILDING
*REPORT ANY UNFORSEEN STRUCTURA
DEPARTMENT IMMEDIATELY. --------------- ----------------
------------------------------------STATE PLBG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLBG DBPR SURCHARGE 2 . 00
---- -------- ---
-------------------------- ------------Paid Credited Due
Fee summary Charged -- --- ------ ----------
----------------- -----69 - 00 69 . 00 . 00 . 00
Permit Fee Total . 00 . 00 . 00
Plan Check Total . 00 4 . 00 . 00
other Fee Total 4 . 00 . 00 . 00
Grand Total 73 . 00 73 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JoB ADDRESS: PERwr#
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE OF FixTuRE QTY TYPE OF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE: TYPE OF FEUVRE QTY TYPE OF FixTuRE QTY
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Stop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
MISCELLANEOUS:
• Sewer Replacement C3 Back Flow Preventer Ei Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinkler System-Number of Heads o Well
**SJRWD Well Completion Form. CompleteTf—orm to be submitted to the—Building Department for final inspection.**
o Other
abandoned for six months.I hereby certify that I have read
Permit becomes void if work does not commence within a six month period or work is suspended or ill be complied with whether specified
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work w
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance ofconstruction.
/rV Phone Nurnber,::;q��22-
Property Owners Name Y,
Office Phone �gcj 7L!�/
Plumbing Company /Id, �Fax er�V-Y Z:-'id9—'
State 4E4 Zip I-:?-�20
4A-, -6�e-
Co.Address: city Certification/Registration#
License Holder(Print): e
Notarized sif."W'1 ,7�0'f License Holder 2Q
e et is of
d subscri e
tiolic Un-lerwriters
-�rg= of Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
If)for
Application Number . . . . . 13-00002489 Date 7/30/13
Property Address . . . . . . 793 MAYPORT RD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 cu 1 ahu
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Owner Contractor
------------------------ ------------------------
BEACHES HABITAT FOR HUMNITY FLORIDA AIR SERVICE & ENG.LLC
793 MAYPORT ROAD 150
ATLANTIC BEACH FL 32233 HIDDEN RD #308
PONTE VEDRA FL 32081
(877) 735-2247
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/26/14
----------------------------------------------------------------------------
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 BEAC14
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax(904)247-5845
Jon ADDRESS: -7 ftutmrr#
PR OJE�CT VAL UE $
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air ConditioDing; Unit QuantiLy - Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Ratin
Duct Systems: 1 11,1 otal CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
AP,l #
Air Conditioning: Unit Quantity Tons Per Unit S1. 0 �QU[�fD
Heat: Uldt Qualitity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quanti ty (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main. Value (Requires 3 sets of plans)
Fire Bose Cabinets Quantity (Requires 3 sets of plgns)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity --------- (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated fireplace Qty Autornobilc Lifts
Gas Piping Outlets Boilers 13TU's
Elevators/E-scalators
ALL OTHER GAS PIPING 'Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condcnscr BTUs
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Pennit becomes void irwork does not commence within a six M'Jnth period or work is suspended or abandoned for six months.I hereby ccrtiry t1lit I have read
this opplicotion nnd know the same to be true and correct. All pripiqjkinq of laws and ordinances governing this work will bc f;omplicki with wlivaier specified
ornot. The permit does not give authority to viohlig Lhu pruvi8i0ii%'oFwiy otlierstatc or local law regulation construction ortho porformanceareofistrUction,
Property Owners Name 6tEktmAr_% t4AVM4— Phone Number
Mechanical Company 0A )& &Wux e —Office Phone Fax U�q 19E
Co. Address: IN-0 _t#ubw 4 lor city P-Q,*Tr V11% State 14— zip �Ldkl
License Holder(Prin v- 4tt j e !S State Cei-tific-.ttioll/RegistTttioii# 64 C 4-111�A
Notarized Signatureff k.*J V;
Nmer S-
3 4.4 ;.,�1p.."S
a*: SwP?t9and subscribe m his (ko ay of 20.
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