751 Atlantic Blvd (Vineyard) roof in riser room 2014 CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
±� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00000129 Date 2/18/14
Property Address . . . . . . 751 ATLANTIC BLVD
Tenant nbr, name . . . . . . BEACHES VINEYARD
Application type description COMMERCIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
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Application desc
rebuild roof in riser room
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Owner Contractor
-
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OUR PROPERTIES INC STYLES CONSTRUCTION, INC.
P O BOX 330108 1537 PENMAN ROAD SUITE A
ATLANTIC BEACH FL 322330108 JACKSONVILLE BEACH FL 32250
(904) 241-4477
--- Structure Information 000 000 ROOF RISER ROOM REPAIR
Occupancy Type . . . . . . BUSINESS
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Permit . . . . . . COMMERCIAL ALTERATION/OTHER
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 8/17/14
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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 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --------
Permit Fee Total 100 . 00 100 . 00 . 00 . 00
Plan Check Total 50 . 00 50 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 154 . 00 154 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
�s r Building Department (To be assigned by the Building Department.)
r 800 Seminole Road
Atlantic each, Florida 32233-5445 / v
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: Z 9
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �'/�'� C ✓ D9.111artment review required Ye§e No
Applicant: S 1���7 d/I Planning &Zoning
Tree Administrator
Project: 11-4Public Works
Public Utilities
Public Safety
Z h / �Q� Fire Services
t�
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or ReceiptDate
of Permit Verified By
Florida 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 Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: [ pproved. ❑Denied.
(Circle one.) Comments:
BUILDING
PL ZONING Reviewed by: nX Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑D Hied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
BUILDING PERMIT APPLICATION i ..
CITY OF ATLANTIC BEACH
FILE
800 Seminole Road,Atlantic Beach,FL 32233 Cuf
Office(904)247-5826 Fax(904)247-5845
Job Address: 751 Atlantic Blvd. Permit Number:
Legal Description 38-2S-29E 2.14 B De Castro Y Ferber Grant Parcel# 177645-0000
75)
oor Area o q. t. q. t nn
Valuation of Work$ 01 0M.010 Proposed Work heated/cooled non-heated/cooled D u
Class of Work(circle one): New Addition Alteration Repai Move Demolition pool/spa window/door JAN 2 9 2014
Use of existing/proposedstructure(s)(circle one): Commercial Residential
i
If an existing structure, s a fire sprinkler system costa irc a one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form Ly_qb��=!�=71
Describe in detail the type of work to be performed: Beaches vineyard Church Riser Room Repairs
Gu at:&at:1S Can 'a j)% 6Le/ ra n (� v� t-
Property Owner Information:
Name: Shoppes of Lakeside,Inc. Address: P.O.Box 330448
Cit, Atlantic Beach State FL Zip 32233 Phone (904)241-1151
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Styles Construction,Inc. Qualifying Agent: Darrell Smith
Address: 1537-D Penman Rd. City Jacksonville Beach State FL Zip 32250
Office Phone (904)241-4131 Job Site/Contact Number Fax# (904)249-4134
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 ' 2 1 14
Application is hereby made to obtain a permit to do the work and installations as indicated. /cert I
issuance of a permit and that all work will be performed io meet the standards of all laws regulattnt
and void rfwork is not commenced within six(6)months,or if construction or work is suspended o
work is commenced. /understand that separate permits must be secured.for Electrical Work,P
Tanks and Air Conditioners,etc. �C '
WARNING TO OWNER: YOUR FAILURE TO J �L �✓� ( -
COMMENCEMENT MAY RESULT IN YOUR PAYING Out
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN Y wl
YOUR LENDER OR AN ATTORNEY BEFORE REC
COMMENCEMENT.
I hereb certify that/have read and examined this a ph non and know the same to be true and c
type oowork will be complied wit {vhether. ct ted erein or not. The granting of a permit
Provisions ofany otherfederal,st e r loc ating construction or the performance ofc
C �
Signature of Owner ,1 Signature c
Print Name �\1f 1 1- \OY�1 _ PrintNamr
Sworn to and subscribed before me Swp� /
this 21 Day of D n�snn u 20 I`� thisL
Notary Public
Revised 01.26.10
BETHANY L SALCAN
Notary Public-State SAL]
Florlft rEm
FF 011480My Comm.Expires Apr 17,2015 R`� SSION Commission#EE 85067 ri' ed° � Bonded Through National Notary Assn. %?