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900 Plaza unit 118 shower duraock CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 lilt Application Number . . . . . 13-00002793 Date 6/04/13 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . #118 Application type description COMMERCIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 300 ------------------------------------------------------------------------ Application desc REPLACE DUROCK IN SHOWER AREA & CERAMIC TILE ---------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- SEA OATS LIMITED PARTNERSHIP RKS CONSTRUCTION & DESIGN INC C/O INTERSOUTH 1545 SAINT MARKS POND BLVD 3 LOCKWOOD DR SUITE 303 ST.AUGUSTINE FL 32095 CHARLESTON SC 29401 --------------------- Structure Information 000 000 ---------------------- Occupancy Type . . . . . . BUSINESS -------------------------------------------------------------- Permit . . . . . . COMMERCIAL ALTERATION/OTHER Additional desc . . Permit Fee 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 300 Expiration Date . . 12/01/13 --------------------------------------------------------- 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 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: y6V /�4""I A,,�- * I l U Permit Number: Legal Description Floor Area A SParcel# t Valuation of Work S 300, y U Proposed Work het.ated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Re air 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# For multiple products use product approva orm Describe in detail the type of work to be performed:' !- C elzIl M I(, /iii I �� Property Owner Information: Name:Se a Oats Address: q 00 Df 2 A- City AA-\0. ,nA ,e PS e-r—c h State E Vip 5 2.23 3Phone C1 U q E-Mail or Fax#(Optional) Contractor Information: Company Name:4XI WC_ Qualify mg Agent: Address:6'/-' f :-! � avb gIra city tate 61- Zip 3.209S k Office Phone 9oy-��7'03,27 Job Site/Contact Number j'W-1/66' 070.0 7 Fax# 9oy" F2) 0;,A 6 State Certification/Registration#CA C o 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. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work well be performed to meet the standards of all laws rpegulating construction in thisjurisdiction. months at This permit becomes null or work is susd or and ion work void if ommenced I understand that separate permitsom if be secuconstrucredfor Electrical Work,Plumbing,S gins,or aWe11s,Pools,eriod six ur aces,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 RNEY BEND TFORE RECORDING YOOBTAIN UR NOTICE OF CONSULT H YOUR LENDER OR AN ATTORNEY I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type o17, ork will be complied with whether speci eed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. f ^ Signature of Owne d6� ASignature of Contr for4�-�� ` t6t�- Print Name .....f ....SiQ`. G/ ` ................................. Print Name . ......................................... . I.. BeforeBefore 20 20 this e 20 ) 3 D of this Day of NEN T,PUTNAM Notary Public �.�A Notary Public,State of Florida Notary Public � ��,public,State of Florida Re� s��p9�Q148 Commission$DD998148 My comm.expires July 20,2014 My comm.expires July 20,2014