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1500 Mayport Rd 2013 comm build out ** CITY OF ATLANTIC BEACH k j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �to)1319'� Application Number . . . . . 13-00002003 Date 2/07/13 Property Address . . . . . . 1500 MAYPORT RD Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120000 ---------------------------------------------------------------------------- Application desc hardees build out ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SPARTAN FOODS, INC. HORIZON CONSTRUCTION CO C/O CARL KARCHER ENT. INC. 415 WINKLER DR STE B PO BOX 4349 ATTN: TAX DETP ALPHARETTA GA 30004 SPARTANBURG SC 29304 (770) 283-9490 --- Structure Information 000 000 INTERIOR FACE LIFT Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit . . . . . . COMMERCIAL ALTERATION/OTHER Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 120000 Expiration Date . . 8/06/13 ---------------------------------------------------------------------------- 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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115 . 00 115 . 00 . 00 . 00 Plan Check Total 57 . 50 57 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 176 . 50 176 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. DING PERMIT APPLICATION FILE UOPT ITY OF ATLANTIC BEACH G �� 8 0 eminole Road,Atlantic Beach,FL 32233 -1 FEE" , ice(904)247-5826 Fax(904)247-5845 Job Address: 155 tl b0d C UcMh Permit Number: Legal Description R" -E -Of)! Parcel# 1IWI0;3- 0 3D Floorea of �q. t. 'q, t Valuation of Work$ ZQ Qv� Proposed Work heated/cooled 'n n' Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/propomme sed structure(s)(circle one): 1 Residential If an existing structure,is a fire sprinkler system instal ircle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: v Property Owner Information: ,,^ Name:�� � �IV W yS Address: I-52vy�j• City Sta16L>-ZiPtT!59q_Phone 0XD0 —477—4 t L-t 1 E-Mail or Fax#(Optional) Contractor Information: //���� +.`' r, * Company Name: L b6arn aysty D n t.,OYK� ali �JL+�lL� tNt Address: - Y y State 6 1— Zi Office Phone .') 2 0 Job Site/Contact Nu ber ' - 3 x# 73472 State Certification/Registration# 15C Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address 4o Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain o permit to do the work and installations!indicated. !certify that no xbrk or installation has commenced prior to the issuance of a permit and that aU work will be performed ro meet the standards llaws regulating construction in this jurisdiction. This permit becomes null and void f work is not commenced within sir(6)months,or if construction or rk is suspended or abandoned jot a period Lal5)months at any time after work is commenced. I understand shat separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Bailers,Heaters, Tanks and Al,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 Y014i NOTICE OF COMMENCEMENT. I hereby certify that I have read and examined this plication and know the same to be true and correct. Al!provisions o ws and ordinances governing this type o work will be complied with whether speci led herein or not. The granting of a permit does no ne t t e uthority to v' late or c the provisions of any other federal,state,or local law regul ting construction or the performance of const on. Signature of Owne Z: Co of Contr (,, Print Name Ob.� ft' p Print Name WC�[ �... ........... ......�V1.1 Sworn to and sub r e o Swo and subscribqibefore m�1 this hof 20 this Day of J 20 13 �C�/CJlA tL y`''r 2Li c cc cn No blic �F;.• ;taR'y are �6rnrn Ws i6n �1Fpirej 3(�t3 �Q. CEXp�RES - Revised 01.26.10 t1ARCR�p3•, ` (tit STATE OF CALIFORNIA } } ss. COUNTY OF ORANGE } On January 9, 2013, before me, Hazel E. Streetmaker, Notary Public, personally appeared Colleen Ford McDonough , proven on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he/sheik executed the same in tris/her4he4 authorized capacity, and that by higher/#eit-signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. HAZEL E.STREETIMER Commission# t961281128t Signature: Notary Public-California (Seal) Orange County ' My Comm.Expires Nov 20,2015 CITY OF ATLANTIC BEACH r s, Building Department J 800 Seminole Road J r� Atlantic Beach,Florida 32233 (904)247-5800 PLAN REVIEW COMMENTS Permit Application # / 3 "v?D 0.3 Property Address: 1500 Applicant: 80 f? / ego r'1 e h.SST✓'. Project: lir l 00r is PL a(00 /0 0070", This p mit application has been: Approved F-1 Reviewed and the following items need attention: an iii Itorso it, yloc-e ly /. i1. 13 �rM Please re-submit your application Reviewed By: . Date: /�/ ( City of Atlantic Beach Building Department ffDale PPLICATION NUMBER 800 Seminole Road by the Drat) Atlantic Beach. Florida 32233-5445 Phone(904)247-5626 - Fax(904)247-5645 �r S;;fWr E-mail: buiicnng-deptcgcoa�b_us ed: 1 s, / City web-site: ttip:/Avww.coab.us _ APPLICATION REVIEW AND TRACKING FORM Property Address: Department review wired Y NO_Sui iy Applicant: r 1'2 d n ns rzf 0�✓ ree Administrator Project: l�I%C�,ei j� a%l d OGt 1 Public Works Public utilities �,/�t O� pubtie-Saf�y Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt fied 13y D Florida Dept. of Environmental Protection of Permit Veri Florida Dept. of Transportation SL Johns River Vllater-Management District Army Corps of Engineers Division of Hotels and R waurants Division of Alcoholic Beverages and Tobacco Other i APPLICATION STATUS I Reviewing Department First Review: IEJAWroved. (Circle ons) Comments: ❑Denied. ( BUILDIflIG PLANNING&ZONING Reviewed by: -� Die: TREE ADMIN. Second Review Approved as revised. DDeni j PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed lay_ Date: FIRE SERVICES JhUXLR81dGvw OApproved ❑Denied Comments: i Reviewed by: Date: Revisal 07127110 "1'M1MYM•i]Y••swM_l�.•a r .,. .,w.4:.+r:'A"n•f�.q.,y BLDING PERMIT APPLICATION V 1 C CITY OF ATLANTIC BEACH FILE 8 L 3 QOt eminole Road,Atlantic Beach FL 322.3 ystpffice(904)247-5826 Fax(904)247-5845 Job Address: �rJ� Q i�{ �1L Permit Number: Legal Description s20'J —(X� 1��2S�JRrr, (a Parcel# (12008_00 poorrrhea or q. ,t. �3�t Valuation of Work$ Igo, ode • roposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pooLispa window/door Use of existing/proposed structure(s)(circle one): mme 1 Residential If an existing structure,is a fire sprinkler system instal a ircle one): Yes No N/A Florida Product Approval# For multiple products use product approval-form /) Describe in detail the type of work to be performed: t V�Gn 5+,,uC4o/- `( 1'r)4 Crt of oe{,+' Property Information: Name:J_A_ ?�N %M Address: t32,tY W �� City i Stalf;tA'-ZiPhone E-Mail or Fax#(Optional) -- Contractor Information: -�M ��� r, Company Name:_ob6an Cl�n�fy� D/� Ct ali �1E'+t�n tA;tlL4 Address: 5- ` iY(c}p� (2y �jQ y StateZi Office Phone -'1 2 0 Job Site/Contact Nu ber 3- 0 x# a State Certification/Registration# C PSC 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 o a permit"and that all work will be per armed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and ivid a work is not commenced within six(6)months,or ifconstruction or work is suspended or abandoned for a period ofsis/6)months at any time after work is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,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 hereb certify that I have read and examined this plication and know,the same to be true and correct All provisions of-1 ws and ordinances governing this type P.work will be complied with whether specified herein or not. The granting of a permit does no e t eve uthority to v' late or the pro of any otherfederal,slate,or l�Iaw �iingnstruction or the performance of cons tion. Signature of Owne 4ignature of Contrde Print Name CArNj>�YV..... ..__ItYk.��;�!{�:L Print Name �ltG ......... Sworn to and sub r� Swot;i,(p and subscri( before me thisrq/of 20 _ this Day of 20 l3 rri <2/_�tictw— No blit u is CDCnrAKj i6n &fired 3 dd t"3 EXPIRES i S Revised 0l26.10 t7.()RGLk '•,t.1ARCti 20 f�•� PLI J� City of Atlantic Beach APPLICATION NUMBER Building Department (To be by the Building Dtatr a t) 800 Seminole Road .Atlantic Beach. FW.da 32233-5445 — Z D(� Phone(904)247-5626 • Fax(904)247-5645 E-mail: builr.Gng-dept(Mcoab.us Daterouted: Cityweb-site: tVp:!w%w.00ab.us APPLICATION REVIEW AND TRACKING FORM Property Address: /�D a ent review uired 1( No i Applicant: ►'' Zan �,nS1—raC,4-;e1V ' / ree Administrator Project: l-777-921 �. ((%�pC o�t l Public Warks Public utilities Pu ' ety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified ByFlorida 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 Tobacoo Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: //�71 ` Date._,/ l Y TREE ADMIN. Second Review• Deni ®Approved as revised. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127/10 Building Lifecycle Solutions" Authorization Letter 02/06/2013 I, Wade Jeffress White, contractor license number CBC054563; hereby authorize Shawn Illeck to act as my agent in obtaining permits/licenses in the City of Atlantic Beach, Duval County, Florida for the remodel construction of Hardees Restaurant, 1500 Mayport Road, Atlantic Beach, FL 32233. Agent Name- Shawn Illeck Driver License Number- �� 5 17 1<52 r Sig atur State of Georgia County of Cherokee Sworn tond sub_�cribed to before me this day of 1'z,lGUl 2013 by �l( �S who is personally known to m has produced as identification and who did (did not) take an oath. ����uun►n+ira��' 1�2tcl�-� ' 'o-VARY' ? •••'�s'%� Notary Public •�, 4: IRES ? GEORGIA Commission Expires MARCH 20,2p13 � ''.�• PUBLIC'•OJ�� 415-B Winkler Drive•Alpharetta,GA 30004 Ph.770.772.0303•Fx.770.772.0302•www.horizonC.com Page 1 of 1 11111111111111 IN Print Date: 1/15/2013 12:49:44 PM .j ............ - Transaction#: 2228802 Receipt#: 2163124 Cashier Date: 1/15/2013 Ronnie Fussell 12:49:42 PM(ARIVAS) Clerk Circuit Court Duval County 501 West Adams St RM 1051 Jacksonville, FL 32202 (904) 255-2000 Customer Information Transaction Information Payment Summary DateReceived: 01/15/2013 Source Code: BEACH () SPARTAN FORD SYSTEMS Q Code: BEACH Return Code: Over the Total Fees $19.15 Counter Total Payments $19.15 Trans Type: Recording Agent Ref Num: 1 Payments =IS� p CREDIT IPASS 7370476 $19.15 IPASS Convenience Fee 18.5 $0.65 1 Recorded Items BKPG: 1621711817 CFN.•2013013096 R (N/C)NOTICE COMMENCEMENT Date:1/15/201312:49:40 PM From:SPARTAN FORD SYS To: COMMENCEMENT INDEXING 2 $0.00 RECORDING 2 $18.50 0 Search Items 0 Miscellaneous Items file:NC:/Program%20Files/RecordingModule/default.htm 1/15/2013 Doc#2013013096,OR BK 16217 Page 1817, Number Pages:2 Recorded 01/15'2013 at 12:49 PMRonnie , COUNTY ssel!CLERK CIRCUIT COURT DUVAL RECORDING$18.50 Permit Number Parcel ID Number 172053-0030 NOTICE OF COMMENCEMENT State of Florida County of Pinellas 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): 17-20-53-00, 1702S-29E,PT GOVT LOT 3 RECD O/R BK 6812-332 a)Street(job)Address: 1500 MAYPORT ROAD,JACKSONVILLE FL 2.General description of improvements: GENERAL CONSTRUCTION 3.Owner Information or Lessee information if the Lessee contracted for the improvement: a)Name and address: SPARTAN FOOD SYSTEMS, 1325 N.ANAHEIM BLVD,ANAHEIM CA 92801 b)Name and address of fee simple titleholder(if different than Owner listed above) c)Interest in property: FEE SIMPLE ------- -------------------- 4.Contractor Information a)Name and address: HORIZON CONSTRUCTION COMPANY,415-B WINKLER DRIVE,ALPHARETTA GA 30004 b)Telephone No.: 770-772-0303 _ – — Fax No.:(optional) 770-772_0302 5.Surety(if applicable,a copy of the payment bond is attached) a)Name and address: NA b)Telephone No.: c)Amount of Bond: $ 6. Lender --- a)Name and address: NA b)Telephone No.: 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: a)Name and address: NA b)Telephone No.: Fax No.:(optional) 8.a.ln addition to himself or herself,Owner designates NA of - ---to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. b)Phone Number of Person or entity designated by Owner: NA _- 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 year from the date of recordiaiu ess a different date is specified)` _ 20 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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. Colleen Ford McDonough,Vice President,Real Estate Asset Management (S na re o Owner or Lessee,or Owners or Less e's(Au Ized –Officer/Director/Partner/Manager) (Print Name and Provide Signatory's Title/Office) The foregoing instrument was acknowledged before me this day of --- _ — _ 20 by as — (type of tie g.officer,trustee,attorney in fact) for _ (Name of Person) (type of authority,...e.g.officer,trustee,attorney in fact) for lioname of party on behalf of whom instrument was executed). Personally Known ❑ Produ Type of ID Notary Signature Print name STATE OF CALIFORNIA } } ss. COUNTY OF ORANGE } On January 9, 2013, before me, Hazel E. Streetmaker, Notary Public, personally appeared Colleen Ford McDonough , proven on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that #e/sheAhey executed the same in lois/her/qtr authorized capacity, and that by 44is/herAheirsignature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. HAZEL E. STREETMAKER rAA9% C0M!,,,.. 1961281 Notary oran�County (Seal) 11—W- MIComm.Expires Nov 20,2o1s+ CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j . : ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �JF3 Application Number . . . . . 13-00002003 Date 2/11/13 Property Address . . . . . . 1500 MAYPORT RD Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120000 ---------------------------------------------------------------------------- Application desc hardees build out ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SPARTAN FOODS, INC. HORIZON CONSTRUCTION CO C/O CARL KARCHER ENT. INC. 415 WINKLER DR STE B PO BOX 4349 ATTN: TAX DETP ALPHARETTA GA 30004 SPARTANBURG SC 29304 (770) 283-9490 --- Structure Information 000 000 INTERIOR FACE LIFT Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . . Sub Contractor . . ALDRIDGE & SONS PLUMBING Permit Fee . . . . 125 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/10/13 ---------------------------------------------------------------------------- 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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 125 . 00 125 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 129 . 00 129 . 00 . 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 800 Seminole Rd Atlantic Beach, FL 32233 N7 Ph(904) 247-5826 Fax (904) 247-5845 0 � 9 T 0 LI JOBADDRESS: I `J©� MON Polf ' F 1aoo Z00W Ll NEW OR REPLACEMENT INSTALLATION: Project Values /0 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 '3 Hose Bibs Urinal Kitchen Sink Vacuum Breakers VV Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE of FIXTURE QTY TYPE of FIXTDRE 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 MISCELLANEOUS: ❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans) ❑ Lawn Sprinkler System-Number of Heads ❑ Well **SIRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection." ❑ 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 v o to the pro inions of any other state or local law regulation construction or the performance of construction.'Y-A . Property Owners Name --5 Phone Number Plumbing Company Idf-dqe- -?IIx%M Office Phone Z8 7-395'9- Fax Zbg 3Z3r Co. Address: P Q o x 60 0 9 24 City �a-� State R Zip ii 0 License Holder(Print): W;I/;of w'7 /71 r �� State Certification/Registration# C F-L 1 y z -2- Nota d Notarized Si nature o License Holder 2 ,;wt": SHIRLEY L Da fore me this day 0 �✓ _.: r MY COMMISSIONEXPIRES:FebruBonded Thru Notary Pgnature of Notary Public CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD s) J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r JJiI Application Number . . . . . 13-00002003 Date 2/13/13 Property Address . . . . . . 1500 MAYPORT RD Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 120000 ---------------------------------------------------------------------------- Application desc hardees build out ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SPARTAN FOODS, INC. HORIZON CONSTRUCTION CO C/O CARL KARCHER ENT. INC. 415 WINKLER DR STE B PO BOX 4349 ATTN: TAX DETP ALPHARETTA GA 30004 SPARTANBURG SC 29304 (770) 283-9490 --- Structure Information 000 000 INTERIOR FACE LIFT Construction Type . . . . . TYPE 5-B Occupancy Type . . . . . . BUSINESS ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . SOUTHERN ATLANTIC ELECTRIC CO Permit Fee . . . . 64 . 60 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/12/13 ---------------------------------------------------------------------------- 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. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64 . 60 64 . 60 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 68 . 60 68 . 60 . 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 �drj. /,T-0000 Z0.07 Ph (904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: 15-00 narf PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS eOO AMPS Z0 g VOLTS Y PHASE VALUE OF WORK$ 00.00 NEW SERVICE ❑ Overhead ❑ Underground EDUnderground up Pole Residential(Main) Service 0-100 amps 1101-150amps 151-200amps i amps # of Meters Commercial(Main) Service 0-100 amps ! i 101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main) Service 0-100 amps 1101-150amps 1151-200amps amps # of Unit Meters Temporary Pole ! ! amps SERVICE UPGRADE I amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps i i 150amps 200amps ' amps CT Service amps ADDITIONS,REMODELS,REPAIRS,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: /4K OTHER ELECTRICAL PROJECTS Swimming Pool I I Sign i iSmoke Detectors_Qty Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can 'Safety Inspection Panel Change OH to UG 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 Electrical Company Atlwfi �te></ic es. Office Phone *V24? • 0j, 2 Fax 9oyz«7899 Co.Address: Ilel S 62AL, i; log.' City�T�c,�rrr.✓�/l State FL Zip Ju fr License Holder(Print): Al.",M&"./ AaZlod State Certification/Registration#2,1�21 6WI� 09 Notar' SHERYL A LANIER COMMISSION#EE6$610r me this 3 day of OfU�f 20 13 EXPIRES FEB 7 2015 °""ff OON090T ROMFI Si na re of Notary Public Kw RU u+suwa+u aAnr