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60 Ocean Blvd # 38 Comm build out 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000455 Date 4/03/14 Property Address . . . . . . 60 OCEAN BLVD Tenant nbr, name . . . . . . UNIT 38 WHITS ICE CREAM Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 30000 ---------------------------------------------------------------------------- Application desc comm build out ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JUBRAN AND JUBRAN A ET AL MODUCOMM DEVELOPMENT INC 9912 VINEYARD LAKE LA 848 BONAIRE CIR JACKSONVILLE FL 32256 JACKSONVILLE BEACH FL 32250 (904) 228-5344 ---------------------------------------------------------------------------- Permit COMMERCIAL ALTERATION/OTHER Additional desc . - Permit Fee . . . . 200 . 00 Plan Check Fee 100 . 00 Issue Date . . . . Valuation . . . . 30000 Expiration Date . . 9/30/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 00 STATE DBPR SURCHARGE 3 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 200 . 00 200 . 00 . 00 . 00 Plan Check Total 100 . 00 100 . 00 . 00 . 00 Other Fee Total 6 . 00 6 . 00 . 00 . 00 Grand Total 306 . 00 306 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. AC")?" CERTIFICATE OF LIABILITY INSURANCE .77E(M.IDD1YYYY) 3/26/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen't(s). CONTACT PRODUCER NAME� Operations Center Herbie Wiles insurance PHONE (904)829-2201 FAX PIC,NQ.ExW (A,,,No): (904)829-2020 E bMDA I L RE 400 N Ponce de Leon Blvd A =SS INSURER(S)AFFORDING COVERAGE NAIC St Augustine FL 32084-3067 INSURER AAccident Insurance Co INSURED INSUREIRB: Moducomm Development, Inc. INSURERC: 848 Bonaire Cir INSURERD: INSURERE: IJacksonville Beach FL 32250-3933 INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 Liability REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR W-VD POLICY NUMBER MtDDfYYYY) MMIDDIYYYY LIMITS GENERAL LIABILITY FACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LVB(LIT, PREMISES(Eaoccurrence) $ 100,000 A CLAIMS-MADE I—XI OCCUR --PPOO1263300 3/10/2014 3/10/2015 MED EXP(Any one p�rson) $ 5,000 PERSONAL&ADV INJURY 1 1,000,000 GENERAL AGGREGATE $ 2,000,000 hCE-IJ'LAGGREGATE LIMIT APPLIES PEP PRODUCTS-COMPIOP AGG $ 2,000,000 IX —1 PRO- F I LOC Poucj �VCT COMDINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea amdent) AIJY AUTO BODILY INJURY(Per person) ALL OVVNED H SCHEDULED BODILY INJURY(Pet,accpdent) AUTOS AUTOS NON 0ATIE0 PROPERTY DAMAGE HIREDAJJT(-)S AUTOS (P-raccident) $ J - $ UMBRELLA LIAB OCCUR _fACH OCCURRENCE EXCESS LIAB H (-L/MMS MADE AGGREGATE DED I I PF-I El i I 0h 1,%,STATU- "OTH- WORKERS COMPENSATION f AND EMPLOYERS'LIABILITY YIN LIMITS I I EP ANV PROPRIETORIPART[qERIEl�ECIJTIVE E L EACH ACCIDENT OFFIrFRIMEMBER EXCLUDED? F--] N/A (Mandatory in NH) E L.DISEASE-EA EMPLOYEE wdesrnbe under D IPT ON OF OPERATIONS bplcw E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Atlantic Beach as Additional Insured for General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Atlantic Beach 800 Seminole Rd AUTHORIZED REPRESENTATIVE Atlantic Beach, FL 32233 Vincent Gallo Jr/VJG ACORD 25(2010105) @ 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005)01 The ACORD name and logo are registered marks of ACORD NOTICE OF COMMENCEMENT State of 1-/0/,1 Tax Folio No. County of 'D tA L/, To Morn It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: S-�I z I-Z.5 -z I C )(11 &1-,� Address of property being improved: 39 06emA blvd 4�1c, 1�.c &,a 1 3ZZ33 General description of improvements: fe VjdVfA1620 b e6f h 5'OA - ;-04!!!� L a LZ, 0 V1 fce-nv- -,'4[1 <,--j. i1c(,/ 1L..j tV1,U Am 9/ -(-K A�4$ Owner: rZ�4iel .,41(- Kim. Y Address': 1151) Piavcnd 0�lyi Owner's interest in site of the improvement: l;V PUA/ AqIKC�614 Irk -540 1 P Fee Simple Titleholder(if other than owner): Name: Contractor: f Address: ho,�41rc 61,kz, ,'AK R TelephoneNo.: qo�-M - 53qy Fax No: 1'0!�j Surety(if any) A//A Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy Zhe Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Conmiencement(the expiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: ,c - ey of D&val,State Before me this day of in the Coun -e Of Florida,has personally appeared e :",�j .. �"J' ' tator 1. Notary Public at Large,State of Florida. o.ntyy of D.,al. eY' 'y Doc#2014065906,OR BK 16729 Page 255, rsonally 1,-,no,n,' —T. or Number Pages:1 Noduced I Pentffioation: L-04 WVRNE�-=-- I Recorded 03/26/2014 at 08:31 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL W Bonded Thru Notaty Public UnderwOter- COUNTY RECORDING$10-00 FILE COPY ',_ 1 -BUILDING PERMIT APPLICATION 13 CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: OC Q-NA/ 1?1-0-D AJj&1d.1t_ -W.�3 Permit Number: I'q' 0 Legal Description -'d 21 2� 96 A41r,,i4AL geulc�\ Parcel# Valuation of Work S 1,loor Area of q.rt —7,01 cqq__Proposed Work heated/cooled 3 Pon-heated/cooled WIA Class of Work(circle one): (!� Addition (Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): Comm' ercia Residenti If an existing structure,is a fire sprinkler system ins a irc e one): Yes &OD N/A Florida Product Approval# For multiple products use prod uc_t_a_p__p_r5v`a-TTo—rm Describe in detail the type of work to be perf0rmed:AZe1ocJe Imle-roc ,�4[k I P-P A red on: Name: A ddress: City S t a ft le-FE-Z Zz i p -3 -%L&hone f -2 E-Mail or Fax#(Optional).. 114 :3:�!2 -;L q Contractor Infortn2tion- CONTRACTOR FKMAEL ADDRESS: CompanyName: /14 V1100"l- oe"100MWIt 10c, —QualifyingA ent- Address:_ �iss 3"Alazle- ........... City - T — Office Phone - 9�)( state 'Pt- Zip 3ZLro ___�j 0�1- 7 Z IS- 53gf Job Site/ContactNumber Fax# State Certification/Registration#_/ 6(_ 1 1_�q Architect Name&Phone 4 6 k- L 01-z-�I- o', Engineer's Name&Phone Fee Simple Title Holder Name—and Address Bonding Company Name and Address Mortgage Lender Name and Address,.--.,V : 5 h eby made to ob 11 ydo d n d �a d h 'nsa a,on 1,, commenced prior to the 0 1h' crtnit becomes null io 0 isd� em he wor 4 a cer" ti' h, ,_o 0 six 'sp '�dll�ad gr c, a s d t at any time after e 4�a"in c$ P, d ,d, 11 m d the tan i er 'a' P"'� a d, a rk w s en 11,V,pe is, )Mo.S, a 0 x to k S g b rnace Boileiw,Heafers, r r" 'Tot 0 '�o k d-,thin i ( months or I truct'on Ord' u, I t at.P, Per' 'e'ur f 0 tric W e d d d i�,m Elob d roEle plu, App tio u a cd 0 1 ok is I I Con itlon , et a u e a TanU a d e S, b WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTWE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO6R NOTICE OF COMMENCEMENT. I hereby cert6 that I have read and examined this a U t' and know the same to be true and correct. Allprovisions oflaws and ordinances governing this type qfwork will be compliedwith whether e'c',)Pteghicearelionnor not. The granting afopermit does notpresume to give authority o voa o-cancel the fconstruction. proviii,ons of any otherjederal,state, or localsfaw regulating construction or the PeTformance 0 t i I te t Signature of Owner Signature of Contractor Print Name J1_7 Y,I e- ........... Print Name le�* V-1 12 .................. ........................ ................... Beformeay of �th i s ay o� XP_4cck�_ Befo this ay of 201 nlq4,,,to, M 01 N y y Iblic 0 My COMMISSION#EE 1 1 EXPIRES-Augqt 22 2 ru N#jj7 I ..I—Ift BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 Office (904)247-5826 Fax (904) 247-5845 JobAddress: Qr_E-PA1 Ej-1,1P A41&14& ge&A4 ft-- W-33 Permit Number: 0 el 5- Legal Description !�-Lcl 21 -aS-296 A4l&A4V-, ge-AC�\ Parcel#--- Floor Area of SO.Ft. Sq.Ft Valuation of Work$ 7 0, c 0 0 —Proposed Work heated/cooled to non-heated/cooled WIA Class of Work(circle one): (2�� Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) circle one):. Commercia Resident If an existing structure,is a fire sprin=system in(:�s a�. irc e one): Yes i�tD N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Reloca4eo* A co-P&E- -r"e4vr '61k ;A� I 'S h4'iwA e,,j 1-ea"*,r e Property Owner Information: Name: MkAmd VACZ�tWNl Address: 111(?0 Dt'a-MCAW &P�C,'ytj < Pl- City Ettef-L Zip---7. - -7:) 3-7,��) - 'I-,�L -1 e? 32�_q E-Mail or-Fax 0(Optional) EZlw:�g �hone rej ctol.co b"'p, Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: 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 -4 a 1 here ade b an a ermit to do the work and installations as indicated. I certify that no work or installation has commencedprior to the ,,be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null 00 t ' p i 3 P'ic c'io s 'in by md t I rk i puan e o a e t an ha a Iwo w 0 p k is not co en ed within six(6)months, or if construction or work is suspended or abandonedfor aWeriod of six(6)months at any time after and' id f 0, m' c k is C, , c, . I u rs t t s i it is,Heaters, en d nd tand ha eparate permits must be securedfor Electrical Work, Plumbing,Signs, Ms,Pools,F rnaces,Bolle 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 FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOV]i NOTICE OF COMMENCEMENT. I herelb certify that I have read and examined this apolication and know the same to be true and correct. All provisions of laws and ordinances governing this Work will be coMplied with whetherspZified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherfederal,state, or loca regulating construction or the peiformance of construction. Signature of Owner Signature of Contractor Print Name Print Name Before me Before me this Day of 20 this Day of 20 Notary Public Notary Public Revised 01.26.10 Property Appraiser-Property Details Page I of 2 Primary Site Address Official Record Book/Page Tile# JUBRAN JUBRANA A ET AL 60 OCEAN BLVD 15831-01124 9421 9912 VINEYARD LAKE LA Atlantic Beach FL 32233 JACKSONVILLE, FL 32256 JUBRAN NAWAL EASA 41 3UBRAN NUHA 4�1 JUBRAN JEANETTE REVOCABLE TRUST 1 , FILE COPY "r'i, JUBRAN JEANETTE JUBRAN 1EANETTE 60 OCEAN BLVD Value Summary Property Detail 2013 Certified RE# 170227-0000 Value Method Income Incom!__ USD3 1692 SHOP CTR NBHD Total Building Value $0.00 $0.00 Extra Feature Value $0.00 $0.00— Land Value(Market) $342,363.00 $342,363.00 5-69 21-2S-29E Legal Desc ATLANTIC BEACH Land value lAqric.1 $001 $0'00 7'10,400.00 $1,710,400.00 03101,�TLAN�CBEACH Just(Market)Value $1, Total Area 12862 1 i Assessed Value $1,652,200.00 $1,710,400.00 The sale of this property may result in higher property taxes.For more information go Cap Diff/Porta-bility Amt $58,200.00/$0.00 $0.00/$0.00 to Save Our Homes and our Property Tax Estimato .Property values,exemptions and Exemy ions $0.00 See below other information listed as'In Progress'are subject to change.These numbers are part of the 2014 working tax roll and will not be certified until October.Learn how the Taxable value $1,652,200-00 _See below Property Appraiser's Office values property. Taxable Values and Exemptions—In Progress le Value is the same as the Assessed Value listed above in the Value If there are no exemptions applicable to a taxing authority,the Taxab Summary box. School Taxable Value County/Municipal Taxable Value SJRWMD/FIND Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions Sales History —7—Vacantilmproved Book/Page Sale Date sale p��Qeed instrument T oe CQde_ Civaltried/Unumalified 15831-01124 1/4/2012 $100.00 SW-Special Warranty Unqualified Improved 13905-01325 3/29/2007 $100.00 1 WD-Warranty Deed Unqualified Improved 07995-01585 12/7/1994 $100.00 Qc-Quit claim Unqualified Improved 07871-00356 5/23/1994 $100.00 WD-Warranty Deed Unqualified Improved 04204-00805 6/3/1976 $100.00 QC-Quit Claim Unqualified Improved 04099-00495 2/24/1976 $1()0.00 QC-Quit Claim Unqualified Improved Unqualified Improved 03493-00486 14/4/1973 $150,000-00 MS-Miscellaneous 4 Extra Features _J '�U in lits Value .00 2'919-00 LN Feature Cod Feature Description Bldg. Length Width Total U ilits; $2,919.00 1 0 0 4,422.00 1 PVACI Paving Asphalt 00 $1 99 17 $1,995.00 2 WMCC1 Wall Masonry/Concrt 1 10 0 674.00 3 ELHC6 Elevator Hydraulic 1 0 0 1.00 $25,594-00 4 ESHC6 Elevator Stops Hydra 1 0 0 2.00 $10,294.00 Land&Legal Legal Land _____�and�Value LN Legal Description LN We'Use Description Zoning Frcl-t Depth 7C..teg.,y Land Units Lan"T pe age $342,363.00 -2S-29E 1 1000 COMMERCIAL ACBD 0.0ci Common 13,700.00 Square Foot 1 15-6921 2 ATLANTIC BEACH 3 LOTS 5,6,N 37FT LOT 7 BLK 35 Buildings Building 1 —7& Stucco Building I Site Address Element Code Detail 60 OCEAN BLVD Exterior Wall 17 17 C.B.Stucco Atlantic Beach FL 32233 Exterior Wall 120 20 Face Brick Building Type 1602-SHOP crR NBHD Roofing Structure 4 4 Wood Truss Year Bulk 3/24/2014 http://apps.coj.net/pao asic/Detail.aspx?RE=l 702270000 _propertySearch/B Property Appraiser- Property Details Page 2 of 2 11958 Roofing Cover 14 14 Built Up or T&G Building Value $1,445,706.00 Interior Wall 5 5 Drywall Int Flooring 14 14 Carpet Gross Heated Effective Int Flooring 11 1 lCeramic Clay Tile Type Area Area I Area A S RSG'AOF Heating Fuel 4 4 Electric - -I * P 210 210 210 Heating Type 4 4 Forced-Ducted A Base Area LL_J! Average Office 210 210 210 Air Conditioning 3 3 Central Canopy 616 0 Ceiling Wall Finish 5 5 S Ceil Wall Fin Average Office 616 616 616 Comm Htg&AC 1 1 Htg&A/C Pkg Base Area 1512 1512 Comm Frame 3 3 C-Masonry Average Office 1512 1512 1512 Restaurant Element Code 1620 1620 1944 Average 1620 1620 Stories -2.000,— FILE Average Office 1620 1 COPY Baths 32.000 Canopy 616 0 1 154 Rooms/Units 18.000 Average Office 616 616 616 1 Restaurant 147 147 206 Avg Story Height 12.000 Good Average Office 147 147 147 Canopy 63 0 16 Average Office 63 63 63 Restaurant 3240 3240 4536 Good Average Office 3240 3240 3240 Base Area 144 144 144 Finished upper 144 144 144 story 1 Unfinished 70 0 28 Storage Canopy 50 0 12 Canopy 50 0 12 Total 16506 15041 17096 2013 Notice of Proposed Pro Z Rerty Taxes(Truth in Milla e Notice) Taxing Distri Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back $1,652,200.00 $0.00 $1,652,200.00 $10,130.39 $13,621.73 $11,145.91 Gen Govt Beaches I. Public Schools:By State Law $1,652,200.00 $0.00 $1,710,400.00 $8,038.70 $8,791.46 $9,273.28 By Local Board $1,652,200.00 $0.00 $1,710,400.00 $3,376.50 $3,844.98 $3,895.09 FL Inland Navigation Dist. $1,652,200.00 $0.00 $1,652,200.00 $51.82 $57.00 $54.85 Atlantic Beach $1,652,200.00 $0.00 $1,652,200.00 $4,999.41 $5,499.35 $5,478.03 Water Mgmt Dist.SJRWMD $1,652,200.00 $0.00 $1,652,200.00 $497.61 $542.42 $542.42 Gen Gov Voted $1,652,200.00 $0.00 $1,652,200.00 $0.00 $0.00 $0.00 School Board Voted $1,652,200.00 $0.00 $1,710,400.00 $0.00 $0.00 $0.00 Urban Service Dist3 $1,652,200.00 $0.00 $1,652,200.00 $0.00 $ $0.00 Totals $27,094.43 $32,356.94 $30,389.58 Just'Value Assessed Value Exemptkms Taxable Value Last Year $1,502,000.00 $1,502,000.00 $0.00 $1,502,000.00 Current Year $1,710,400-00 $1,652,200.00 $0.00 $1,652,200.00 Property Record Card(PRC) The Property Appraiser's Office(PAO)provides historical property record cards(PRCs)online for 1995-2005.The PAO no longer maintains a certified PRCfile due to changes in appraisal software;therefore,therp arc no PRCs available online from 2006 forward.You may print this page which provides the current property record.(Sections not needed can be minimized.)To print the past-year cards below,set your browser's Page Set Up for printing to Landscape. 2005 12004 1 2003 12002 1200112000 1 1999 1 1998 1 1997 11996 11995 More Information -ontact Us I Parcel x Record I GIs Mai) I map th,s prope on Google maps I City Fees Record http://apps.coj.net/pao_propert, .: �.rch/Basic/Detail.aspx?RE=1702270000 3/24/2014 03,'26?2014 13:13 FAX 9045652440 BROWN & BRUWN JAA. -MV.0 j-UBRAN"RANA A ET AL Jubran InvestmOnts I E COPY 4541 St.Augustin,8 Rd, Ste 1 j2c6-0Dvjjj,e,FL 32207 City 6f Atlaitic Beach Building Depurtmtnt V00 semi-acle Road Ariantle Beazli.A,32233 U-Leur of AtaOrizatiOt forronant Build-out at 3 0 0002n Blvd,AtImLic Bewh.FL 32233 To whom it may 00neem-'a tonaut,bfichael S.McKinley and the c'Ontlaltor QIwwd to pema tile I gant SUthM-L-Ati*n to th spate at 38 OcCan givd,Atiantio i3euch,FL 32233. Altamtlons to necassajj�alters&w to the Ox'sting and uwes-firY PlufObing W"' building inta&r include but a,net limited to-,relocation Of restro" electrical adjustynMts. ms at(904)591-3031 -please rcntaa we should ther--be uY quwlous or corlm Best FOprds, Jimmy Jubs6i O,wmer jubrAn jubrIna A ft al jubran Investiaeuts TO 39�)d SIN3WiS3ANI NV�Wf' 60/-ZO6EV06 OV:ET tTOZ/SZ/Eo -TI Ln r7l r7l K rT1 rT1 r7l w X [30 m mz P6 rT1 mu M m C:) m V CD Z-4 (A 0 CD ?A>zu, C-3 < 4 CD z m 0 m COPY THIS PLAN MUST BE AhTuffm FOR CODE C�jAFUAWE- Crff nANnC BEACK 0 JOB SITE FOR SEp jvBRMrM FOR pmDMONAL -rS AND COTMMONS, EACH INVU;I ION CRAIG A. SOMMERS, AIA EIKIT ARCHITECT AR0016480 DOHERTY SOMMERS Tj ARCHITECTS ENGINEERS, INC- 370 15th Ave S; Units A & B Jacksonville Beach, FL 32250 904.249.0698 p El 904.241. 91 f El www.ds e.net th No. 00009393 Florida e ificate of Au� --ach City of Atlantic E* APPLICATION NUMBER Building Departr.-,etit (To be assigned by the Building Department.) 800 Seminole Road A/ t ant c each, Florida 2 233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-deptCa�,oab.us Date routed: Cityweb-site: http://w,,vo,.coab.us 11 APPLICATION REVIEW AND TRACKING FORM Property Address: 6t4, LlelA,-71 411�/fd at 01 Department review required Yes No I ��r aX, V — Applicant: U ;�? ;r Planning &Zoning I ree Administrator Project: a e(,r Public Works Public Utilities t Fire Services- Review fee Dept Signature Other Agency Review -r Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environrmtal 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 [!�[Approved. nDenied. (Circle one.) Commentc BUILDING PLANNING &ZONING Reviewed by'. —Date:,3-3/V�1 TREE ADMIN. Second Re . --w: FlApproved as revised. n9enied. PUBLIC WORKS Comments PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: nApproved as revised. []Denied. Comments, Reviewed by: Date: Revised 05/14/09 City of Atlantic l:� .;,ch APPLICATION NUMBER Building Departt: ,eiit (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida -- �233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@:,oab.us Date route City web-site., http://w,,vpi.coab.us APPLICATION REVIEW AND TRACKING FORM D iew re uired Yes No Property Address: 6d U1,1V-h 46/rd epartment review re uired jq&Ling�. Applicant: dzi Ad M M.. r Planning &Zoning 7 I ree Administrator Project: z 4 o.r Public Works Public Utilities ,fety F!ire Sery ces Review fee Dept Signature Other Agency Review -r Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environr -mtal Protection Florida Dept. of TransporLtion St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco I Other: I APPLICATION STATUS_____ Reviewing Department First Review [�fApproved. F]Denied- (Circle one.) Commentf� BUILDING PLANNING &ZONING Reviewed by: In Date:3 -3/-/!/ TREE ADMIN. Second Re -w: [:'�(Approved aenvgwm� FIffenied. PUBLIC WORKS Comments PUBLIC UTILITIES PUBLIC SAFETY Reviewed by Date. FIRE 7SERVICE Third Review: nApproved as revised. F]Deni�-. Comments, Reviewed by-.-- Date: Revised 05/14/09 COPY BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office(904)247-5826 Fax(904)247-5845 1 Job Address: 0C 0001 91-OP Nlalrf 1'c &ewhg FL W-3-3 Permit Number: 0 5-5- Legal Description '_�-(29 14416,A4W-- 9110--XA\ Parcel Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 70, C00—Proposed Work heated/coolcd_-J,� :-�O . pon-heated/cooled_XtA Class of Work(circle one): Addition Alteration Repair Move Demolition pool/spa window/door CEW) P Use of existing/proposed structure(s)(circle one): Commercia Residenti Irc e 0 If an existing structure,is a fire sprin1der system ins a irc e one): Yes N/A Florida Product Approval N For multiple products use product ap 30—riii— Describe in detail the type of work to be performed:_RelocAe 'Ke, -evvvt, 4z>v A ��e-rec- anlk, requi*#-e c(v ProveM Owner Information: Narne: lRitLaid 04(eadviJ Address: 111W Q%'rLMVAW1 City StateELZIP-5 -0 &hone 2) a-zq- E-Mail or7Fax 0(Optional, ond,re Contractor Information: CONTRACTOR EMAIL ADDRFSS: Company Name: MoJul'o- otvtlotly"6J, TAC Qualifying A4)-ent- Address; 1648 Br,,^ ;te I- (a - City -1:91Y. 35c -J,�-- State 'F-4- Zip .3zz- ro Office Phone I 4 ,f Job Site/Contact Number. 6A,,T -7�,4L,��Fax# 0+ 701- 130 State CertificatiordRegistration Architect Name&Phone 4 ra�!5 01 7- - 044q Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address qVIA Mortgage Lender Name and Address A/ �pplication is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or installation has coinatencedprior to the issuance ofa permit and that all work will be per ormed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes nuil f and void ay'work is not commenced within six(6f months, or i(construction or work is suspended or abandonedfor a geriod ofsixfi months at any time after j workiscommenced I understand that separate permits must be securedfor Electrical Work,Planibilig,Signs, eMsAriols, urnacesBoileis,Heaters, Tanks andAir Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEME NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCINGp CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. I hereby certify that J have read and examined this 4qplicafian and know the same to be true and correct. Ail provisions oflaws and ordinances governing this type of wark 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 provisions ofany otherfederal.state,or local 7my regulating construction or the peFformance ofconstructi6n. Signature of Owner y A Signature of Contractor Print Name ...... Print Name J�-, ri 5 ................ ............... ............ Befq�e e Befo this 39vay of VXQC&- this ay of 20 Iq No JE JESS MCIONLEY My COMMISS10N#EE 1 1 M 0 N 40L 91 M SIO #r 015 �j,(COM SION It EE 124091 'M' EXPIRES:Au IR gu E Au st ..... EXP bry Publ rs Bonded Thru N 2015 -tXPIRES:August 22. Th ru Bon, 1 1 A=� 0 ndewfters --pill I ru Notgry pubk UndewIters ded Th -wasamooft BUILDING PERMIT APPLICATION CITY OF ATLANTIc BEACH i F ILE COPY : 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845, Job Address: E),-VAI A41e,44 4- ge"k, Ft VR33 Permit Number: Legal Description �\ Parcel# 'q Floor Area ot Sqxt " t Valuation of Work$ 70icOO ProposedWork heated/cooled & 4�_O no�n-heated/cooled NIA Class of Work(circle one): (!� Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pro osed structure(s) circle one):. Commercia Residenti4l, If an existing structure,is a fire sprinMr system in'::�s a�. irc e one): Yes (No-,,' N/A Florida Product Approval# For multiple products use prod ict ap provalTo—rm Describe in detail the type of work to be performed: fZe_j0C4Aej 0.0—pe-E- gat Property Owner Information: Name: Artiv-1 1&jr_e1Vj4V Address: r city 7:57pc k��O.Az t4,t�F, State-FL Zip S;9ya &hone (Z j-7�� 3-7,�i E-Mail or-Fax#(optional) Q)et,01 Contractor Information: CONTRACTOR EMAH,ADDRESS: Company Name: 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 as ilicated. I or installation has commenced prior to the o ork and n a a n"is in, ca a e ade a a fdo he ' " tio s I t t i s d a thisjurisdiction. This permit becomes null A n 0 er t w h tan a 0 1 1. s f six PU5) fter k qWersiod o months at any time a m t r orme m r od �s k il be e d to e s ,e mo, s, orZ " ru t 0, c t c'o' v ,(6 th f w p her by d th 'a 0"d thpi,s t -PP ic,tio s a, at 1'0' a per it 0 t i t be secured or E ec rica e Pools, urnaces,Boilers,Heaters, 0 _s 0 c I ce - it d 'd rk n '_ ' t t sep r t, 'r, s mu 'o is 'o" �t I u der ta'd ha a a p 'k c ' ced n s 7anks and Air Con i ioners,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 here 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 1�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 1 iction or the pe ormance ofconstruction. provisions of any otherfederal,state, or local law regulating constri Tf Signature of Owner Signature of Contractor PrintName ......................................................................................................................................... Print Name ....................................................................................................................................... Before me Before me this_Day of 20 this —Day of 20 Notary Public Notary Public Revised 0 1.26.10 r1opCity t-jpplal�,Vl - I IUP--ILY "k -U113 JUBRAN JUBRANA A ET AL Primary Site Address Offic al Record Book/Page Tile# 60 OCEAN BLVD 15831-01124 9421 9912 VINEYARD LAKE LA Atlantic Beach FL 32233 JACKSONVILLE, FL 32256 JUBRAN NAWAL EASA JUBRAN NUHA IUBRAN JEANETTE REVOCABLE TRUST r� F I L JUBRAN JEANETTE JUBRAN JEANETTE w. 60 OCEAN BLVD PropertyDetail Value SumTan( RE# 170227-0000 2013 Certified lax Distri USD3 value Method Income Income Total Building Value $0.00 $0.00 Propgrty U 1692 SHOP CTR NBHD Extra Featur-e Value $0.00 $0.00 #of Buildings I Land Value(Market) $342,363.00 $342,363.00 5-69 21-2S-29E Legal Desc. ATLANTIC BEACH Land Value(Agric $0.00 $0.00 Subdivision 03101 ATLANTIC BEACH Just(Market)Value $1,710,400.00 $1,710,400.00 Total Area 12862 Assessed Value $1,652,200.00 $1,710,400.00 The sale of this property may result in higher property taxes.For more information go Cap Dkff/Portability Amt $58,200.00/$0.00 $0.00/$0.00 lues,exemptions and gxgmp Ions $0.00 See below to ave Our Homes and our Property Tax Estimator.Property va other information listed as'In Progress'are subject to change.These numbers are Taxable Value $1,652,200.00 See below part of the 2014 working tax roll and will not be certified until October.Learn how the Property Appraiser's Office values Property. Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value S3RWMD/FIND Taxable Value School Taxable Value No applicable exemptions No applicable exemptions No applicable exemptions 11 Sales History -------- Book/Page Sale Date Sale Price Deed Instrument lype Cod Qualified/Ungualified Vacant/Improved 15831-01124 1/4/2012 $100.00 SW-Special Warranty Unqualified Improved 13905-01325 3/29/2007 $100.00 WD-Warranty Deed Unqualified Improved 07995-01585 12/7/1994 $100.00 QC-Quit Claim Unqualified Improved 07871-00356 5/23/1994 $100.00 WD-Warranty Deed Unqualified Improved 04204-00805 6/3/1976 $100.00 QC-Quit Claim Unqualified Improved 04099-00495 2/24/1976 $100.00 QC-Quit Claim Unqualified Improved 03493-00486 4/4/1973 $150,000-00 MS-Miscellaneous Unqualified Improved Extra Features LN Feature Cod Feature Description Bldg. Length Width Total Units Value 1 PVACI Paving Asphalt 1 0 0 4,422.00 $2,919.00 2 WMCCI wall Masonry/Concrt 1 0 0 674.00 $1,995.00 3 ELHC6 Elevator Hydraulic 1 0 0 1.00 $25,594.00 4 ESHC6 Elevator Stops Hydra 1 0 0 2.00 $10,294.00 Land&Legal Land Legal, LN Code Use Description Zonin Front Depth Category Land Units La pd Typp Land Value LN Legal Description 1 1000 COMMERCIAL ACBD 0.00 0-00 Common 13,700.00 Square Footage $342,363.00 1 5-69 21-2S-29E 2 ATLANTIC BEACH 3 LOTS 5,6,N 37FT LOT 7 BLK 35 Buildings Building 1 Building I Site Address Element Code Detail 60 OCEAN BLVD Atlantic Beach FL 32233 Exterior Wall 17 17 C.B.Stucco Exterior Wall 20 20 Face Brick Building Type 1602-SHOP CTR NBHD Roofing Structure 4 4 Wood Truss Year Buift http://apps.coi.net/pao property Search/B asic/Detail.aspx?RE=1702270000 3/24/2014 i-ropciLy t-ipPdR!,ut Roofing Cover 4 4 Built UP Of-, &G LL9� Interior Wall 5 5 Drywall I Building Value $1,445,706.001--- Int Flooring 14 14 Carpet 7 I lCeramic Clay Tile RT __` Gross Heated Effective. Int Flooring 11 S I A TM Area Area Area Heating Fuel 4 4 Electric A RSG:AOF 4 Forced-Ducted L_A_L�_L Base Area 210 210 210 Heating Type 4 _j Average office 210 210 210 Air Conditioning 3 3 Central Canopy 616 0 154 Ceiling Wall Finish 5 5 S Cell Wall Fin Average office 616 616 616 Comm Htg&AC 1 1 Htg&A/C Pkg Base Area 1512 1512 1512 Comm Frame 3 3 C-Masonry Average office 1512 1512 1512 Restaurant 1620 1620 19,44 Element Code Average Stories 2.000 1 i FILE COPY Average office 1620 1620 1620 Baths 32.000 ik — . - - 154 Canopy 616 0 18.000 t .....O'�. Rooms/Units 616 Average Office 616 616 Avg Story Height 12.000 Restaurant 147 147 206 Good Average office 147 147 147 Canopy 63 0 16 Average office 63 63 63 Restaurant 3240 3240 4536 Good Average Office 3240 3240 3240 Base Area 144 144 144 Finished upper 144 144 144 story I Unfinished 70 0 28 q Storage Canopy 50 0 12 Canopy 50 0 12 Total 16506 15041 17096 2013 Notice Of P100010 PEgRerty Taxes(Trulh in Millage Exemptions Taxable Value Last Year Proposed Rolled-back Taxing DigLgi Assessed Value Gen Govt Beaches $1,652,200.00 $0.00 $1,652,200.00 $10,130.39 $13,621.73 $11,145.91 1 $1,710,400.00 $8,038.70 $8,791.46 $9,273.28 Public Schools:By State Law $1,652,200-00 $0.00 1; $1,710,400.00 $3,376.50 $3,844-98 $3,895.09 1 By Local Board $1,652,200-00 $0.00 i $1,652,200.00 $51.82 $57.00 $54.85 FL Inland Navigation Dist. $1,652,200-00 $0.00 Atlantic Beach $1,652,200.00 $0.00 $1,652,200.00 $4,999.41 $5,499.35 $5,478.03 Water Mgmt Dist.SJRWMD $1,652,200.00 $0.00 $1,652,200-00 $497.61 $542.42 $542.42 Gen Gov Voted $1,652,200-00 $0.00 $1,652,200.00 $0.00 $0.00 $0.00 $1,652,200.00 $0.00 $1,710,400.00 $0.00 $0.00 $0.00 School Board Voted $0.00 $1,652,200.00 $0.00 $0.00 $0.00 Urban Service Dist3 $1,652,200-00 Totals $27,094.43 $32,356.94 __ $30,389.58 f"a le Value 3-u st Value Assessed Value Exemptions Last Year $1,502,000-00 $1,502,000-00 $0.00 $1,502,000-00 $1,652,200.00 CurrentYear $1,710,400M $1,652,200.00 $0-00 Property Record Card(PRC) -2005.The PAO no longer maintains a certified PRC file due The Property Appraiser's office(PAO)provides historicall property record cards(PRCs)online for 1995 re,therp,arc no PRCs available online from 2006 forward.You may print this page which provides the current property to changes in appraisal software;therefo the pasL-year cards below,set your browser's Page Set Up for printing to Landscape. record.(Sections not needed can be minimized.)To print 1 2005 12004 12003 12002 1200, 12000 1 1999 j 1998 1 1997 1 1996 11995 More Information ontact Us I Parcel Tax Record I GIS maQ I Mav this Orol2erty on Google maus I City Fees Record httD://ay)i)s.coi.net/l)ao provert. , .rch/Basic/Detail.aspx?RE=1702270000 3/24/2014 03,126/2014 13:13 FAX 904s652440 J�ROIVN & BRUWN JAL jU-BRAN"RANA A ET AL F L Jubran InvestmOnts I E COPY 4541 St.Augustine Rd, Ste 1 jacksonville,FL 32207 M=h 24,U14 City,of Atlw6c Beach building DOFUWI'�nt EDO Gemiaola Road AtImtIr ,Bd:azl4 FL 322.33 RE,Leftr of AUtjjorZ2L,,0n for'ren%nt Build-out at 3 9 oce=Blvd,Atj-antic Bewh.FL 32233 To whom it mOY coneeM and the contsactorgov-ed to pedor,thl &Ori�ion to the wallt,1,66aol S.M61KInley, 'aeadi,FL 32233. Alterations to I grant st at 38 0cew Blvd,AtIR11tic ,,Wsave alterafum to the oxistins spa0e n o-rrestrcArn and necepary pluo'bing and building jn�or include but Ue not limited to-.relma" electical adjustmet", Mns at(904)591-3031" 'Please cont3d uLe 5110,ald there be EwY 4aw'Ons or corl D.St Jimmy C)Wner jubran jubrana A Et @3 Jubran Investments TO 119kId SiN3WISAANI NV�MC 602-Z06EV06 OV:ET VTOZ/GZ/EO CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-000004S5 Date 4/08/14 Property Address . . . . . . 60 OCEAN BLVD Tenant nbr, name . . . . . . UNIT 38 WHITS ICE CREAM Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 30000 ---------------------------------------------------------------------------- Application desc comm build out ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JUBRAN AND JUBRAN A ET AL MODUCOMM DEVELOPMENT INC 9912 VINEYARD LAKE LA 848 BONAIRE CIR JACKSONVILLE FL 32256 JACKSONVILLE BEACH FL 32250 (904) 228-5344 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . INTEGRITY FIRST ELECTRIC CO Permit Fee . . . . 72 . 20 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/05/14 --------------- ------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 72 . 20 72 . 20 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 76 . 20 76 . 20 . 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 Ph(904) 247-5826 Fax(904) 247-5845 JOB ADDRESS: �26 6_6120 91VK1 a'01' PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VA L UE 0 F WORK NEW SERVICE 0 Overhead Ej Underground Underground up Pole OResidential(Main)Service 00-100 amps El 101-1 50amps El 151-200amps O_amps #of Meters 0 Commercial(Main)Service 00-100 amps 0101-150amps El 151-200amps E_amps OCT Service amps Conductor Type Size OMulti-Family(Main)Service 00-100 amps 0 10 1-15 Oamps D 151-200amps []-amps #of Unit Meters DTemporary Pole O_ amps SERVICE UPGRADE O-amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps E150amps 0200amps El amps E CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps Appliances: ___2__0-30amps 3 1-1 00amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS hp E]SwimmingPool OSign El Smoke Detectors_Qty D Transformers-KVA OMotors FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty_volts/amps REPAIRS/MISCELLANEOUS tion 0 Panel Change 0 OH to UG 0 Replace Burnt/Damaged Meter Can 0 Safety hispec 0 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 1-'.�V" Phone Number Electrical Company TA�\tNA( ��vtN OfficePhone q011-2%-&&15 Fax e 1_j I Co.Address: Cit'v 7yv�)C' Bc�' State NP C_ Zip 3-2 r2 S_b License Holder(Print): rtification/Registration# EC int),. Notar* 'r 00 0' Notary Public State of Florida B bre me this/ 20 Shirley L Graham Nly Commission FF 086990 %*FN Expires 02J1412018 S1 nature of Notary ic CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000727 Date 5/08/14 Property Address . . . . . . 60 OCEAN BLVD Tenant nbr, name . . . . . . UNIT 38 Application type description MECHANICAL GAS PIPING Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc PIPING FOR WALKIN COOLER REST EQUIPMNT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JUBRAN AND JUBRAN A ET AL JENKINS FOOD SERVICE EQUIPMENT 9912 VINEYARD LAKE LA AND SUPPLIES LLC JACKSONVILLE FL 32256 S638 COMMONWEALTH AV JACKSONVILLE FL 32254 (904) 388-8542 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL GAS PIPE PERMIT Additional desc . . Plan Check Fee . 00 Permit Fee . . . . 55 . 00 valuation . . . . 4700 Issue Date . . . . Expiration Date . . 11/04/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 S5 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59 . 00 S9 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. SECTION 1 DESCRIPTION AND SPECIFICATIONS 1.1 DESCRIPTION The M202 is continuous flow custard machine. It is equipped with fully automatic controls to provide a uni- form product and feature Quick-Freeze technology. This manual is designed to assist qualified service personnel and operators in the installation, operation and mainte- nance of the M202 frozen custard machine. NOTE Product breakdown could happen quicker ifproduct is stored in the freezing cylinders for more than one hour After a batch is made, close the flow control and empty the contents of the freezing cylinder FILE COPY Figure 1-1 Model M202 27 1/2" [70.0 cm] n n n n EJ 61 3/4' [157.0 cm] F-3 Eil Air Out L 5T. Em C149,9 cm] 46 1/2" 1118.2 cm] 0 0 34 1/4" Welter Outlet [87.1 CM1 Water Inlet n t) 32 7/8" LUJA CMJ 3/4-L 40 3/8" [102.6 cm] Front View Side View Rear View (Air—Cooleol) (Water—Cooied) Figure 1-2 Model M202 Dimensions Owner's Manual#513666 Rev.1 1 M202B Model Machines 1,2 SPECIFICATIONS M202B A/C M202B A/C Remote M202B W/C Dimensions Machine with crate Machine with crate Machine with crate width 27-1/2" 48,' 27-1/2" 42-1/2" 27-1/2" 42-1/2" (69,9 cm) (121,9 cm) (69,9 cm) (108,0 cm) (69,9 cm) (108,0 cm) 59" 69-1/4" 57-1/2" 67,'cm) 57-1/2" 67" height (149,9 cm) (175,9 cm 146,1 cm) (170,2 (146,1 cm) (170,2 cm) depth 40-3/8" 60" 32" 48" 32" 48" (102,6 cm) (152,4 cm) (81,3 cm) (121,9 cm) (81,3 cm) (121,9 cm) Weight 845 lbs 1100 lbs 645 lbs 945 lbs 845 lbs 1100 lbs (383,2 kg) (498,9 kg) (292,5 kg) (428,6 kg) (383,2 kg) (498,9 kg) Electrical 1 PH 3 PH 1 PH 3 PH 1 PH 3 PH circuit ampacity 20A 15A 15A 15A 20A 15A (per barrel) overcurrent protection 25A 15A 15A 15A 25A 15A device (per barrel) Drive Motor Two - 2 hp Air cooled units require one remote condensing unit (with compressor) per barrel. Condensing units#285090 Water cooled units are self Self contained air cooled units and#285091 ship from the contained and require a require 6" (15,2 cm) air space factory with 20 lbs of R-404A Standard Hose Adapter water Cooling on sides and 24" (60,9 cm) at for up to a 50' line set.Add fitting and a 1/2" OD drain the back.They are charged 1 lb of refrigerant for every fitting for each barrel.They are with R-404A. 10' increase to the line set. charged with R-404A. Line set max 100'. (Remote condensers CU-0050 and CU- 0060 do not ship charged and require 20 lbs of R-404A) Hopper Volume Two - 5.4 gallon (20,57 liters) Remote Condensing Unit (1 per barrel) Dimensions Condenser width 37-3/4" (95,9 cm) height 17-1/4" (43,7 cm) depth 28-1/4" (71 ,7 cm) Weight 222 lbs (100,7 kg) Electrical 1 Phase, 208-230 VAC, 60Hz 3 Phase, 208-230 VAC, 60Hz circuit ampacity 20A minimum 15A minimum overcurrent protection 25A maximum 20A maximum device I Refrigerant R-404A Charge 20 lbs. (Charged at Factory) efrigerated Line Liquid Line - 3/8" Sizes Suction Line - 5/8" Owner's Manual#513666 Rev.1 2 M202B Model Machines MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904) 247-5845 OB ADDRESS: &W A�,/?; &k , Fl- 5 7.7-33 PERMIT# PROJECTVALUES W&P--Q- — ARI# REQUIRED —Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AirConditioning: UnitQuantity _ TonsPerUnit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED MPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED 4RE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) 4RE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators �LL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems 4f 0 Duivwwl 0,JjLr'1L Tanks (gallons) XW^4 )Ir J* Wel at 1A Zo&Z.-;M- &A FAvr&'L Aw- -Ytf5m )T W_Afk4k5?��e 10'r WU0*1Td_ 04'Ajoo'DN*r%L.A$ dCLdftf,�/ _fj�& ermit becomes void if work does not commence within a six month period r work is susl3enAd or al(andoned for six months.I Wereby certify that I have read tf )plication and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specifiedOTnot. -rmit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Iroperty Owners Name Me,, Phone Number 317- 3 7?-92�7 0/1 4echanical Company r&4 4Azlj�fj /%dZ�016fficePhone%9- 00Y� ax9W-3W-2-416 BA f4 r e, 4JN&JJ&d 0 City State ZiD .o. Address: st�nf 54- /_ i � ,icense Holder(Print): UXA*" 0 tate Certification/Registration _G44-6-!5936.6 iotarized Signature of License Holder A ore me this 0�,r day of Notary P tific Staft of FWda Ron Sealey S1 nature of Notary Public My Cornmisioon FF 017304 0,1W 63 07/20/2017 R EXPir Kn 4! INSULATK)N,AK-XPS4 HFPERFORMANCE PANEL CORE In 2"CLEAR(AIR)13ETWEEN WALX-IN AND COOLERS R-29,FREEIERS R-32 CORE FLAME SPREAD RATING OF 15 41THOUT PROBLEM INSIDE YOUR ROOM SMOKE DEVELOPED OF 165 lJSULATIlON WrrH 50 YEAR R-VALUE WARRANTY L�j __j cn c I D L�j REFRIGERATION 1 1/2 HP =6= zii= zj� BHT005X6BFM-ADT052AWMC6K w 0 x (5120 @ 35 - F BOX) R-404A 771 0 HERMETIC REMOTE OUTDOOR UL SYSTEM 208-230/60/1,WITH EXTENDED 5 YEAR COMPRESSOR WARRANTY REFRIGERATION QUOTED WITH PSC MOTORS PER CUSTOMERS REQUEST. AMERIKOOLER RECOMMENDS EISA-COMPLIANT EC MOTORS. CUSTOMER WILL ASSUME ALL RESPONSIBILITY FOR NON-COMPLIANCE WITH EISA LAWS. CD LJ 0 D z LJ cn Z,5 DESCRfrrX)N _T/2'_X5 1/4"ALUM. FLOOR ANGLE FOR DOOR LEGS tg-E-EDNSF, 6' LONG EACH ONE, PLUS(4)CORNER OF 12'X 12' L�i n :2 n < =D z Li 5i; V) u /14ALL PANEL ASSEMBLY DETAIL V EISA VERIFY ALL INTERIOR AND EXTERIOR DIMENSIONS AND ALLOW A MINIMU EXISTINGIPROJECTED STRUCTURES. NYC, HOUSTON TX, STATE OF OREGON BE SURE THE LARGEST PANEL TO BE MANUFACTURED WILL BE HANDLED! 33-111) [47)1] N;F 4 ClF co :z c:c >< cn re rn L COOLER 00 NO/FLOOR >< 1-7 NlF ITEM QTY 1 (2 ) l 1/2-X 2 (4 ) VINYL St ACRYLIC COATED GALVALUME ON TOP OF CEILING WALL PANEL 4' INSULATED STUCCO EMBOSSED PANELS. SEAL W/SILICONE ACRYLIC COATED BY OTHERS GALVALUME 31: FINTERIO�l]OF W VINYL SCREED, NSF 7LK WALK-N DETAIL 81 4" ANCHORED TO FLOOR, 0 X 1 1/2" WITH 1/4 DRIVE PINS AT 24" O.C. BY OTHERS, c 1 3 DER AND SILICONE UNDER VINYL SCREEI SEE DETAIL SE ONAL VZW V\14-03499\14-03499. .9,417/2014 9:20:13 AM,Eng-MP 4002 PCL 5e.pc3