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900 Plaza 2014 Windows all Buildings �S �j r rJvy q `S CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000764 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 11-18 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW/DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATIONTr#wMT. '` CITY OF ATLANTIC BEACH s 800 Seminole Road, Atlantic Beach, FL 32233 1 FILE COPY Office (904) 247-5826 Fax (904) 247-5845 ,,;Q Job Address: C-1_n., ; 1/(.A 2A_ Q,2'�1 e Permit Number: Legal Description - 2�I. IZoHA-L_ QAc_yQ Parcel # o. - }S^ Q Floor —Sq.F't. S q t Valuation of Work$ i3�ao® Proposed Work heated/cooled J I, non-heated/cooled_ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residents If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No_= /A Florida Product Approval # 15a 1 7,S ' 217,6t 15 33 2, Z For multiple products use product app val form 1 Describe in detail the type of work to be performed: 1,. VA O n vj-s D--i-o-5 1) r.l.Ts - lT Property Owner Information: Name: 5CA1 q.s Ac—Ci 25—% o-t-S Address: C,tA (MOA". &x-- 3l StagZip 3:g2TTPhone E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name:77` __U i )Li 64-1 Qualifying Agent: Address: City;5_ ,Ac_ t%L State -CL- Zip 73;2233 Office Phone357, %A - \ Job Site/Contact Number .3J�1 jIA - 1°6 Fax# State Certification/Registration# t f,(' ► � `� i '1 Architect Name &Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address �Jd Bonding Company Name and Address LV IN 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 tl issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nu and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for ape *ad of six(6) months at any time aft work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers, Heater 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. 1 hereby certify that I have read and examined thisapplication and know the same to be true and correct. All provisions of laws and ordinances governing th type o1 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 tl provisions of any other federal stateor local law regulating nstrWjion or the performance of construction. , - Si nature of Owir Signature of Contractor Signature g Print Name lR................... .............. .Il.J.�1.�1.G.1. ....................._.............. �"L............................................. Print Name &L Before me Before me this -7 Da o 20 this Day of 201 d1�,/ CINDY DUNG-MA1711 Notary bli =d""'"`�C� N t, k 4 u is MY COMMISSION#FF073701 =o:. �� INDY DUNGAN EXPIRES:DEC 01,2017 MY MMISSION#FF073701 Revised 01.26.10 EXPIRES:DEC 01,2017 Js axt.a.irtf City of Atlantic Beach APPLICATION NUMBER n� Building Department 800 Seminole Road (To be assigned by the Building Department.) r �r Atlantic Beach, Florida 32233-5445 y Q Phone(904)247-5826 - Fax(904)247-5845 ;t >a E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us L.- --- -J APPLICATION REVIEW AND TRACKING FORM Property Address: �04 ��2 l Department review required Ye_ No uilding Applicant: j)� -P-Tanning Zoning Tree Administrator Project: (� Q Public Works Public UtiRies Public Safety Fire Services 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: proved. ❑Denied (Circle one.) Comments:CE I �'v+,�,�o r PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. 1. ❑ pp ❑De ie�. 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 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 jilt Application Number . . . . . 14-00000765 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 21-28 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATIONw `fi"""'' i� J� CITY OF ATLANTIC BEACH L800 Seminole Road, Atlantic Beach, FL 32233 �I►1� 1 t;t Office 904 247-5826 Fax 904 247-5845 Job Address: C-1 CLQ 1/ -A 2A D21412 _ Permit Number: Legal Description W - 9,f YK - X5 - Z� ii � S L �HPA Parcel# I'1 i r)r)-� - } rJ Floor Area meq. t. Sq.Ft Valuation of Work $ 1'3 Qo Q� Proposed Work heated/cooled , non-heated/cooled _ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti 7 If an existing structure,is a fire sprinkler system installed? (Circle one): Yes Florida Product Approval # a 17 15-.732. 2- For For multiple products use product approval form Describe in detail the type of work to be performed: t,.,;,n o n"JS ��� �J vy•-�C 2-1 - Property Owner Information: Name: 56 A 2,-;—% on.S Address: City LA.,J;,ti +. ,, StagZip TTPhoneCI E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: C Company Name:---( _ t-`— i i%�4/1 Qualifying Agent: Address: City--5',AL��:��s��t State -C �. Zip 731223 Office Phone3,5:,j- - \ Job Site/Contact Number .3,tj,a, 51.-k - (16 L-A Fax# State Certification/Registration# 2C Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address LV IN Mortgage Lender Name and Address p,/nx 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 tot) issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nt, and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a eriod of six(6) months at any time aft, work is commenced. 1 understand that separate permits must be secured for Electrical—Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers, Heater 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 hereby certify that I have read and examined thi'sapplication and know the same to be true and correct. All provisions of laws and ordinances governing th type o1 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 ti provisions of any other fede 1,stat or o al law regulatin conskyction or the performance of construction. 6 Signature of Ownei Signature of Contractor- r �c.�`�' Print Name �� k10Print Name �^................� .... ��....................................................... ....... ..P�......... 1..1`.�7.,t�►i .1...1....................................... Before me Before me this Day of 20 l this Day of _ 2014 No r Publ' - y ?"4—co MY COMMISSIONFF073701 N o ry _L t C CINDY DUNGAN EXPIRES:DEC 01,2017 0,- ..e, CoMMIssIoN#EFF073& ised 01.26.10 EXPIRES:DEC 01,2017 c�0% - sir f�f City of Atlantic Beach APPLICATION NUMBER Building Department (Fo be assigned by the Building Department.) 800 Seminole Road r� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.usi� )ate routed: City web-site: http://www.coab.us L_-_ APPLICATION REVIEW AND TRACKING FORM - ss,, Property Address: �Z rC� / c� De artment review required Yes No uilding Applicant: jf� anninc Zoning Tree Adr+• nistrator Project: d Q Public V!-:..,rks Public U_i-;:ties Public S.: ety Fire Ser i-'s Review fee $ Dept Signature Other Agency Review or Permit Required Review or Recf. of Permit Verified_ Date 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: nrpproved. ❑Denied. (Circle one.) Comments: /VD6— BUILDIN PLANNING &ZONING Reviewed by: /v ' Date: � TREE ADMIN. Second Review: ❑Approved as revised. ❑Denier. 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 ,� 'i CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J =". ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 i JJ3S�• Application Number . . . . . 14-00000766 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 31-38 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. .1• �1,��` City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /�, �/ s� Atlantic Beach, Florida 32233-5445 V Phone(904)247-5826 • Fax(904)247-5845 s >�' E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us --_ APPLICATION REVIEW AND TRACKING FORM Property Address: 04 /L 2 ��/ Department review required Yes Ao uilding Applicant: jJr3 anninc : Zoning Tree Adronlistrator Project: -;hD d Q Public rks Public U,�:Ides Public :,`. .-3ty Fire Ser• es Review fee $ Dept Signature Other Agency Review or Permit Required Review or Rece Date of Permit Verifieo 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: ETApproved. ❑Denier, (Circle one.) Comments: n© e- UILDING PLANNING &ZONING Reviewed by: A'71cj�� Date: I TREE ADMIN. Second Review: ❑Approved as revised. ❑Denier: J PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: I Reviewed by: Date: Revised 05/14/09 BUILDING PERMIT APPLICATION • i" CITY OF ATLANTIC BEACH ILE 800 Seminole Road, Atlantic Beach, FL 32233 COPY Office (904) 247-5826 Fax (904) 247-5845 t. Job Address: _G o ; V .A2,4 Qz a Permit Number: Legal Description W - 9 A .31 - dL5 - Zj ZoH� OA Mo Parcel# I n i Ian -i�5;� r,—,)oor Area of-meq. t. Sq 't Valuation of Work$_ 00 o Proposed Work heated/cooled non-heated/cooled_tVA_ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Resident If an existing structure,is a firerinkler system installed? (Circle one): Yes s No Florida Product Approval# I$ 7, S j ?/y7, S-332,2 For multiple products use product approvR1 form J Describe in detail the type of work to be performed: t„ ��o�, �� / -`ten��t� D - h 2S o jAl�T�3I- � �' Property Owner Information: Name: 56a Address: {VI r City - + State—Zip 3,,12ja Phone 15 E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: �-- Company Name-- k>� i til Qualifying Agent:�J*!nj Address: City( t State :TL_ Zip Office Phone \ Job Site/Contact Number 352k 51`k - 06L-1 Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address_ tiJ Bonding Company Name and Address L V pN Mortgage Lender Name and Address o J i", 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 tl issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nn and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time aft, work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells, Pools,furnaces,Boilers,Heater 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. 1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing th type o�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 tl provisions of any other feder 1,stat r ois aw e 1 onsmzction or the performance of construction. Signature of Owner Signature of Contractor tSy_-:AA_11 Print NameJ.. ....... . .Q.1..Z,__.......................................... Print Name .......l il, ....... (L.1. l e. -`.................................. Before me Before me th' '-Y-Day of AVAA A 20 Iq this 01A Day of 2019, Notary Publ' � Nota.,, b i 6 =o �� CINDY DUNGM r � Y DUNGM MY COMMISSION#rFF073701 N'v %O . ISSION#FF073701 evised 0l.26.10 ' „ EXPIRES:DEC 01,2017 � h EXPIRE OEC 01,2017 '% CITY OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J131�� Application Number . . . . . 14-00000767 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 41-48 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. MT► r 34 City of Atlantic Beach Building Department APPLICATION NUMBER E 800 Seminole Road (To be assigned by th Building Department.) ,r. Atlantic Beach, Florida 32233-5445 /V 7�v Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us =routed: City web-site: http://www.coab.us _ APPLICATION REVIEW AND TRACKING FORM s Property Address: I�z 7() De artm_ent review required ed Ye_s o uilding Applicant: 4i anninc Zoning Tree Adrr,iaistrator Project: /7(j (,J Q Public We-,rks Public Utilities Public Safety Fire Ser.-Y;ces Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receip_ of Permit Verified '=ay Date 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: 194—proved. ❑Denied. (Circle one.) Comments: NO (5-- BUILDING PLANNING &ZONING /�, Reviewed by: k /r Date: 5" '/ 3 V TREE ADMIN. Second Review: ❑Approved as revised. ❑Denier. 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 . CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE C " A� Office (904) 247-5826 Fax (904) 247-5845 n � Job Address: C-1 n ; 01-A 7 A C),2'�)!e Permit Number: Legal Description { LA _ 92, 31 - aS - Z3 L 1 2HA-L- QgCVQ Parcel # i V11 r)0_ 7 — Floor Area of Sq. t. 't Valuation of Work$_i 3 oc�© Proposed Work heated/cooled J no )led Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door w Use of existing/proposed structure(s) (circle one): Commercial Residents - , If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No Florida Product Approval # /S 0. 5- 5 /5;0_04= / /S- 33Z, 7 For multiple products use product approval orm Describe in detail the type of work to be performed: Property Owner Information: Name: 5eA J 'S Address: {VI City T r StatC_ Zip 3:22 S reJ Phone R - E-Mail or Fax# (Optional) 7— Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name:-- Qualifying Agent: Address: City-,"S,Ac t0 State :TL- Zip Office Phone \ Job Site/Contact Number .351 511-k - (`6 LA Fax# State Certification/Registration# t G�' ► S `-� 1 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address ;�y A Mortgage Lender Name and Address t )/f�, 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 ti issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nz, and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a eriod of six(6) months at any time aft work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces,Boilers, Heater 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 here bywcertify that I have read and examined thisapplication and know the same to be trate and correct. All provisions of laws and ordinances governing th type o1 ork will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel 0 provisions of any other feder 1,stat r owl la re 1 'n onsttuction or the per formance of construction. Signature of Owner i..7 Signature of Contractor Print Name �►^ -�- Print Name r'T`......,...... .r,......... ..................................................... ............... ...Q. ..�1. .e. -........................................ Before me Before me thi Da of 20 14thi C Day o 20 Notary Pub] ioM'"'"tc CINDY DUNGAN N6t_ary-F`ufiTjZ7 MY COMMISSION#FF073701 �It4DYUCN evised 01.26.10 EXPIRES:DEC 01,2017 N L;WMISSION#F�073701 EXPIRES:DEC 01,2017 lv� CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J131� Application Number . . . . . 14-00000770 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 51-58 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE CC Cl 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: C-tGn�; PLA 2-A 0.2'�)Q Permit Number: Legal Description q _ qo_� 2`) L II'0H� Qq m Parcel # I'1 1'7 a.7 - i^,S Floor Area o q. t. 't Valuation of Work$ 1'3 goo© Proposed Work heated/cooled nn--h-ated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti - �-,- If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No_=,I�A Florida Product Approval # S- " 11 2-17, 6 / S 3'3w_,;1 For multiple products use product appr6val form Describe in detail the type of work to be performed: 0-,x..15 l 15��.-` Property Owner Information: Name: 5C4 Address: {V1 City - % r Stat4;,_Zip ),- `TPhone E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name— v` t .k i.;S.n Qualifying Agent: Address: City to o L State TL- Zip 3�U3% Office Phone - \ Job Site/Contact Number .3 51-{ - 1°6 W Fax# State Certification/Registration# Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address— Bonding ddress Bonding Compan.,Name and Address L u IN 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 tl issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nz, and void if work is not commenced within six(6)months, or if constructionor work is suspended or abandoned for a period of six(6) months at any time aft work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces,Boilers, Heater 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 hereby certify that 1 have read and examined thisapplication and know the same to be true and correct. All provisions of laws and ordinances governing th o type work will be complied with whet er specified herein or not. The granting of a permit does not presume to give authority to violate or cancel ti provisions of any other feder 1, r claw g nstr'ketion or the performance of construction. Signature of Owner Signature of Contractor /sJ �✓C�C/� Print Name J �� �'p fiZ_ Print Name .off .................. ......................... � Before me Befor me tl s Day of 20 l this Day of 201 "L_ -V A A 10�� Notary Pub sr`'"`'"� CINDYDUNGAN No Wc, 7EXPIRES: MYCOMMISSION FF073701 CINDY DUNG0EXPIRES:DEC 01,2017 OMMISSION#FFOed 01.26.10 t- __ DEC 01,2017 City of Atlantic Beach Lassignedby ICATION NUMBER Building Department 800 Seminole Road [.)ate To be the Building Department.) Atlantic Beach, Florida 32233-5445Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us 49 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: f�/,t Z � �/ -vgDertm_ ent review re uired Ye-s No g Applicant: jfy� nc Zoning Tree Adr:-,;nistrator Project: 6 Q e, Public W)rks Public UV�i ties Public Su Iletv Fire Ser ces Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receiril. of Permit Verified_8v Date 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: Wpproved. []Denied. (Circle one.) Comments: UILDING � PLANNING &ZONING Reviewed by: / / ' Date: TREE ADMIN. Second Review: []Approved as revised. ❑Denied. 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 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD Ja, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J111 SA Application Number . . . . . 14-00000771 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 61-68 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. k BUILDING PERMIT APPLICATION ILpCITY OF ATLANTIC BEACH 800 Seminole Road Atlantic Beach FL 32233 - - Office (904) 247-5826 Fax (904) 247-5845 Job Address: Gn�; 1/(A 2-A D,2'Q Q Permit Number: Legal Description X5 - Z� H�L I�� Qa ) Parcel # l'1 1'�aS Floor Area o q. t. Valuation of Work S_Q oo Q� Proposed Work heated/cooled non-heated/cooled _ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti - If an existing structure,is a fire sprinkler system installed? (Circle one): Yes LNo /A Florida Product Approval # 15417, /521-7, 6 5'33Z, 2- For multiple products use product apprOval form Describe in detail the type of work to be performed: 0,0 Nf-,1 Property Owner Information: Name: 5eA w-,J - ,i oy-t-S Address: C,k4IM City Stag Zip Phone - E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Qualifying Agent: ��(1�� ���•�� i Address: City;-"5_ .,Ac State -t L- Zip 3 Office Phone \ Job Site/Contact Number .3J'a, 51q - ('6L-A—Fax# State Certification/Registration# t Com' f, �i►i '-� i rl�� Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Lu IN Mortgage Lender Name and Address t.,/1--, 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 tl issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes nz, and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time aft, work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heater 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 application and know the same to be true and correct. All provisions of laws and ordinances governing th type o) 'work will be complied with whet er specified herein or noj„ The granting of a permit does not presume to give authority to violate or cancel ti provisions of any other feder ,s 1 ccy.[aw nstruction or the pet formance of construction. Signature of Owner Signature of Contractor SA_&� Print Name �\ ']//11 Print Name /hc ,J..2 ........'[ L. ........................_........................... `.. .......5.....................jZ..1.1he.4.!,.. .......................... Before me Before me th' -7 D y of 2014thisay of 2014 I V C1 NotaryPubl' _° s° MY COMMISSION#FF073701 No I,tybIffl, ond� EXPIRES:DEC 01,2017 =o�f''�'6+F� CINDY DUNGAN MY COMMISSION#FF073701 evised 01.26.10 �, EXPIRES:DEC 01,2017 . 1. 3 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 1.. Atlantic Beach, Florida 32233-5445 7 Phone(904)247-5826 • Fax(904)247-5845 I E-mail: building-dept@coab.us )ate routed: 19 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM 1 • �a� Property Address: !� ,C z �(.— Oanninge artment r p Y eview required Yes No ing Applicant: jfy� � Zoning Tree Administrator Project: d !,J Q Public Works Public Utitities Public Safety Fire Senrces Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: [9<pproved. ❑Denied. (Circle one.) Comments: 0 1 ' V CBILDIN PLANNING &ZONING Reviewed by: /r Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑Denier 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 � Ly CITY OF ATLANTIC BEACH } 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000761 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 71-88 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW/DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 --------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATION '- CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 ': I L E C O P Y } Office (904) 247-5826 Fax (904) 247-5845 Job Address: Gn�1 PLA 2A QZ�)Q Permit Number: Legal Description F1 326 asZ� L Z�HAL PA ao parcel # l�1 �'� } r3 t, oor Area o q. t. �'t Valuation of Work$�`po� Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Resident If an existing structure,is a fire sprinkler system installed? (Circle one): Yes LLO Florida Product Approval # Sa " /5' 1 6 For multiple products use product app ova orm Describe in detail the type of work to be performed: - I IJ,cS r1 I- b S Property Owner Information: Name: �2-cix­ E-Mail 's - Address: {V1 City Phone or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: l V, t .k i 4/1 Qualifying Agent: Address: City�`�C,��;,,,�;��t State :;FL_ Zip 3;22-'V Office Phone:)5:j- - \ Job Site/Contact Number 35 aj , 51`'l - 15 W_Fax# State Certification/Registration Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address 011 Bonding Company Name and Address LV Mortgage Lender Name and Address 0,4A 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 of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, urnaces,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 herebYcertify 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 type work will be complied ith wh e s ecifTed herein or not. ,;he granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, Ire o tructzon or the performance of construction. Signature of Owner Signature of Contractor Print Name L� �- . ..D.......Z........................................................... Print Name .. . e. .........._�.t1,�.n ..1 ......................................................... Before me Before me this--7—Day of CILA 201_q__ this Day of 20 Notary Public Notary Pu i v* CINDY DUNGAN .� �o u ti o.-•"�••..ti C NDY DUNGAN " MY COMMISSION*FF073701 :` MY COMMISSION#EFF073701 Revised 01.26.10 EXPIRES:DEC 01,2017 �� EXPIRES:DEC 01,2017 • - City of Atlantic Beach FAPPLICATION NUMBER Building Department (To be assigned by the Building Department.) •� 800 Seminole Road P �J �r Atlantic Beach, Florida 32233-5445 H /4, Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �QQ ��Z -Department review required Yes o Buildin Applicant: 17rAn Planning &Zoning JF �/\ Tree Administrator Project: //i� �U Q Q4 ,s Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified_€3 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: EgApproved. ❑Denied. (Circle one.) Comments: BUILDING �� C_ PLANNING &ZONING Reviewed by: Date: TREE ADMIN. Second Review: ❑Approved as revised. ❑ ie 1 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 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 '�Jjilt Application Number . . . . . 14-00000762 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 91-98 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOORS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. 6_- _ BUILDING PERMIT APPLICATION - }. CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach FL 32233`` FILE COPY, � Office (904) 247-5826 Fax (904)247 -5845 �` Job Address: C-IGn:; Vl'_..A 7.-A Permit Number: Legal Description_�{g _ 9 ol, 31 - asZ� 17'0%4A%- QA Parcel # i'1 Floor Area o q. t, q. ,t Valuation of Work S_V) oolz� Proposed Work heated/cooled'-`�'`� non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti ,-� If an existing structure,is a fire sprinkler system installed? (Circle one): Yes Nom, /A Florida Product Approval # /5-a 11, 5' ' 6.10. 15`3 3 2_ 2- For multiple products use product approva orm Describe in detail the type of work to be performed: ,%0 CJS 154,TA,-_, D Ci K Property Owner Information: Name: C' 's - ' o Address: {V1 City - + State;_Zip 15 Phone , E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name ~ vim. Qualifying Agent: Address: -' i2���►� �\ City ,A� �CJ:���:o t- State :t L- Zip 3,22223 Office Phone:)57X- - \ Job Site/Contact Number .3 Aja, 51-k - lc6 Fax# State Certification/Registration Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address �u 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 t1 issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes ni and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6) months at any time aft, work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, nrnaces,Boilers, Heater 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 here b certify that I have read a e t a pking n nowvThe same to be true and correct. All provisions of laws and ordinances governing th type oivork will be complied w' er p e ed The granting of a permit does not presume to give authority to violate or cancel t1 provisions of any other federal t te, or ala gun ction or the pee formance of construction. Signature of Owner I Signature of Contractor Print Name �„�.e �F l�1 '` �^ .................................�.........�Z............................................... Print Name Cz.n ' ..............1....Q.�l. .t- ....................................... Before me Befor me W- u 20 thisDay of 20 L;NUY DOW I N—ofa1TiLb l' MY COMMISSION#FF073701 EXPIRES:DEC 01,2017 a CI DY UNGAN Revised 01.26.10 MY COM SION#tFF�73701 ^� - 1400, EXPIRES:DEC 01,2017 City of Atlantic Beach APPLICATION NUMBER Js �� Building Department (To be assigned by the Building Department.) - 800 Seminole Road 1 Atlantic Beach, Florida 32233-5445 — 76pz Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: �QQ ��`L'Z 9�" / Department review required Yes No uilding Applicant: / ' k n��l r1�51'raC'�Q� Planning &Zoning �//�� Tree Administrator Project: /05 Q Q e Public Works Public Utilities Public Safety Fire Services Review fee $_ Dept Signature Other Agency Review or Permit Required Review or Receipt Date 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: 1Q<pproved. ❑Denied. (Circle one.) Comments: /V D C, BUILDIN PLA ZONING Reviewed by: Dates TREE ADMIN. Second Review: ❑Approved as revised. ❑Den 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 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 oil �• Application Number . . . . . 14-00000763 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 101-108 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW/DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATION �"` � CITY OF ATLANTIC BEACH r FILE COPY 800 Seminole Road, Atlantic Beach, FL 32233 .z Office (904) 247-5826 Fax (904) 247-5845 Job Address: G 0c, 1/!A 2.4_ -7 e Permit Number: Legal Description 3 L4 -cl o), 31 - J15 21- 11'0H� PA VO Parcel # 1"11')0� — Floor Area of-—Sq. t. 'q Pt Valuation of Work$_1'3,a©Q, Proposed Work heated/cooled J1 non-heated/cooled ,jA Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti - --r-� If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No /A Florida Product Approval # /5,11-7, :5-7 ; I S X17. G j /5-732- 2- For multiple products use product apprbval form Describe in detail the type of work to be performed: t,. .og 0 n"JS Property Owner Information: Name: e 's - %' o �A�d�drreess: {V1 City - Stag—Zip 22 S J Phone , E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name!_ V Qualifying Agent: Address: City�"*N( ��"�,;��` State rt L- Zip:jam Office Phone - \ Job Site/Contact Number 3J". 51� - `6 L-A # State Certification/Registration# ! Cc. 15 '12C Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address t' 1A Bonding Company Name and Address LVA 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 ti issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes ni, and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time aft, work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heater 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. 1 here b 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 th type oIwork will be complied with whether speci Ned herein or not. The granting of a permit does not presume to give authority to violate or cancel tl provisions of any other federal state, or to al law regulating fcnstruction or the performance of construction. Signature of Owner j Signature of Contractor� Print Name 2... ... ........ ./...... D...1....Z............. Print Name v 1t`L "ll. f ............................ lL.)............ 1.S(. ..�1.............................................................. Before me Befor me th' �` ay o 201 this Day of 20/ Notary Pu i Notary ub 7=o%fir�`�n CINDY DUNGAN Rev d 01.26.10 MY COMMISSION#Ff073701 a_. EXPIRES:DEC 01.2017 City of Atlantic Beach f' APPLICATION NUMBER Js Building Department o be assigned by the Building Department.) 800 Seminole Road /_ Atlantic Beach, Florida 32233-5445 / / & Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: J City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM /0 Property Address: �06Department review required Yes No & -z l,�-� /D/ —. q / ing Applicant: k nnf/� eros T'ru�77.Gl� anning &Zoning // Tree Administrator Project: N�,/�D Q QQ IC Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: []Approved. []Denied. (Circle one.) Comments: /V0 Cr UILDIN PLANNING &ZONING Reviewed by: Date: S 3" TREE ADMIN. Second Review: ❑Approved as revised. []Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000768 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 111-118 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ,; 800 Seminole Road, Atlantic Beach, FL 32233 FILE U , l Office (904) 247-5826 Fax (904) 247-5845 Job Address: _C-1 c; 1/(.A 2A D244 j f Permit Number: Legal Description t u — 9,�, 3X ' a5 ' Z-5 f.. I_OH� QA at.) Parcel# I oor Area o q. t. q. 't Valuation of Work$ I*'Jo�;oProposed Work heated/cooled T non-heated/cooled _ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Resident' If an existing structure,is a fire sprinkler system installed? (Circle one): Yes Florida Product Approval # /7. ' /52 7.6 ' /,g 2. 2 For multiple products use product approva orm / Describe in detail the type of work to be performed: Q ela as Property Owner Information: Name:, CA zs `-J NLC -S S�'�� 5 Address: City Vms_A.,f m '��,rt StattG,Zip Phone E-Mail or Fax#(Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: �-- Company Name-t_ t� L i ail Qualifying Agent: Address: City{- ,Ac State -C t... Zip 32233 Office Phone)5:X- \ Job Site/Contact Number_'!jX 51 k - 0' Fax# State Certification/Registration# rL Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address tiJ/ Bonding Company Name and Address Lu IN 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 ti issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes ni, and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a Period of six rr6)months at any time aft, work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools,1�urnaces,Boilers,Heater Tanks and Air Conditioners,eta 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 a plication and know the same to be true and correct. All provisions of laws and ordinances governing th type o work will be complied with whether speci led herein or not. The granting of a permit does not presume to give authority to violate or cancel 0 provisions of any other federal,state, or l cal law regulating construction or the performance of construction. Signature of Owner Signature of Contractor Print Name S�� w1pi 'ZPrint Name................... ................................................................ ..........(S..�..l-e .. . ....... ...q0-44.1f.c.. ............................. Before me Before me t ' Da of 20 1 this q Day of 20 Notary Pub off!!"-:��� CINDY ry o a i MY COMMISSION#A N3701 P tT DUN S d 1.2 6.I 0 �}�? ION�1137�1 �c., EXPIRES:DEC 01,2017 a ^M EC 01,2017 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assign b the Building Department.) " a5 800 Seminole Road Atlantic Beach, Florida 32233-5445 7�, Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us -_ APPLICATION REVIEW AND TRACKING FORM Property Address: ��/�Z r(.� `` l r���/ C artment review required Yes No ng t/ Applicant: �m inc Zoning Tree Adr.,;nistrator Project: -4h d 6 Q Public V_:_rks Public U;.i ,ties Public'::_ qty Fire Ser -s Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified_B 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: [Wpproved. ❑Denied (Circle one.) Comments: tv 0 (Bt�DIN PLANNING &ZONING TREE ADMIN. Reviewed by: � _._ Date: S Second Review: ❑Approved as revised. ODeniec'. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: i FIRE SERVICES Third Review: []Approved as revised. @Denied Comments: Reviewed by: __ Date: Revised 05/14/09 t .Ly �S r�i r J�vl ' z CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J =" ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000772 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 121-128 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. BUILDING PERMIT APPLICATION _ .. ��..: ... CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 - Job Address: _C-1 (17�; Q(_A X_A_ ��/Q _ Permit Number: ' Legal Description W — Clo), 31 - res Id�oH14L Qq NU Parcel # 1 V") i q rdS — ��S rJ Floor Area oF Sq.Ft. 't Valuation of Work$ 1'J�ooQ� Proposed Work heated/cooled non-heated/cooled _ Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti - If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No,- /A Florida Product Approval # /5-417, 5 , /52/-7- & j 15732-, 2_ For multiple products use product aper va form Describe in detail the type of work to be performed: ij 141 Property Owner Information: Name: C'iq J�.S Ac—Ci 1`ST',a-r-S Address: City_ l-A-i;,-�_ StagZip 32 '5Phone E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: Company Name: v` t i �.i1 Qualifying Agent: Address: City--s,4A( t- State ::L_ Zip:3;2233 Office Phone35-X- - Job Site/Contact Number 3.57x. 1`6 CA Fax# State Certification/Registration# t Cc 15 Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address LV IN 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 tl issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes m, and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six 6) months at any time aft, work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, urnaces,Boilers, Heater 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. 1 here b 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 th type oj�work will be complied with whether speci Ted herein or not. The granting of a permit does not presume to give authority to violate or cancel 0 provisions of any other fed ral,stn local law re ulati conUruction or the peT formance of construction. Signature of Own ` Signature of Contractor PrintName ......itol ..--........................................__.......... Print Name ��3................� 1.1,_............................. Before me Befor me thisDa of 2014this Day of 201 Notary Publi c�'sY:ti CINDYDUNGAN Notary ub _ MY COMMISSION#EFF073701 VADYDUNGAN R vised 01.26.10 EXPIRES:DEC 01,2017 IVY COMMIMN#tFF073701 „a�` EXPIRES:DEC 01,2017 City of Atlantic Beach APPLICATION NUMBER S i Building Department (To be assigned by the Building Department.) 800 Seminole Road /� Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us __. APPLICATION REVIEW AND TRACKING FORM 12 Property Address: Aanning Yaent review required Yes No Applicant: 6OT-) Zoning Tree Ad , ;nistrator Project: -)1 -be7Q Public Works Public Utiiities Public Safety Fire Ser-vices Review fee $ Dept Signature Other Agency Review or Permit Required Review or Recei Date of Permit Verified_ y 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: [Approved. []Denied. (Circle one.) Comments: yt, CBULDING 1 V PLANNING &ZONING Reviewed by: !' / Date: TREE ADMIN. Second Review: A roved as revised. ❑ pP ❑Denies)< .. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: _ Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denie ' Comments: Reviewed by: Date: Revised 05/14/09 ' s CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 J131� Application Number . . . . . 14-00000773 Date 5/19/14 Property Address . . . . . . 900 PLAZA Tenant nbr, name . . . . . . 141-148 Application type description WINDOW AND/OR DOOR Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 13000 ---------------------------------------------------------------------------- Application desc WINDOW DOOR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEA OATS ACQUISITIONS, LLC TRUNNELL CONSTRUCTION SERVICES JEFFREY D. KLOTZ P O BOX 367 645 MAYPORT ROAD SUITE 5 GAINSVILLE FL 32635 ATLANTIC BEACH FL 32233 (352) 514-1861 ---------------------------------------------------------------------------- Permit . . . . . . WINDOW AND/OR DOOR PERMIT Additional desc . . Permit Fee . . . . 115 . 00 Plan Check Fee 57 . 50 Issue Date . . . . Valuation . . . . 13000 Expiration Date . . 11/15/14 ---------------------------------------------------------------------------- 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. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ---------------------------------------------------------------------------- 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. i► - �� % City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road a � Atlantic Beach, Florida 32233-5445 7 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: 1J City web-site: http://www.coab.us - APPLICATION REVIEW AND TRACKING FORM 141- NS Property Address: /,"At Z 4antning rtment review required Y@s No gApplicant: 6jj� Zoning Tree Adri.r,iistrator Project: (j 6 Q Public V. rks Public ies Publics : qty Fire Ser .yes Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified_B 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: l pproved. ❑Denied. (Circle one.) Comments: yU0 BUILDING PLANNING &ZONING Reviewed by: Date: !F 3-1 5/ TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denie+: PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:___ Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05114109 " �° ''"°"�° "`` BUILDING PERMIT APPLICATION FILE COPY CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: C)ci OLA 2-A Q,2'�)e Permit Number: Legal Description q — 9 e), 31 " aS - 2`� 1 Pato Parcel # 1 q i 0-t S Floor Area ot Sq.Ft. Sq.Ft Valuation of Work$ oo C� Proposed Work heated/cooled J I,Ps, Don-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/sp window/door Use of existing/proposed structure(s) (circle one): Commercial Residenti - If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No /A Florida Product Approval # 5 2J S` ' 1-5 2-i 7d r i 55-33 z,_Z For multiple products use product apgri-o-v--al form Describe in detail the type of work to be performed: I,")yn 0 n"aS �i�►���. �.,�5 Property Owner Information: Name: 5eA % Address:����j City -m_ + .- StatC:L-Zip Phone E-Mail or Fax# (Optional) Contractor Information: CONTRACTOR EMAIL ADDRESS: C Company Name�^ V, L _-.z 6 S.i1 Qualifying Agent: �� -j � ����►� i Address: City;�5_ ,�1r,�{��, ,�:��t State C �- Zip 3�3 Office Phone - \ Job Site/Contact Number .35tk 'S1q - l'6 W _Fax# State Certification/Registration# t f (' ► S h 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 tl issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes m and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time aft, work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces,Boilers,Heater 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 hereby certify that I have read and examined this a hcation and know the same to be trace and correct. All provisions of laws and ordinances governing th type o1 work will be complied with whether speci ied herein or not. The granting of a permit does not presume to give authority to violate or cancel tl provisions of any other federal,state, o local law re a�lati con#N-uction or the pei formance of construction. Signature of Owne Signature of Contractor Print Name Print Name r . ..... 2�1. t4`......................................5555.... e. F'. .... ..Q --............................................... ....5 Before me Before me thi --) Dayof_M42LAA 20 this ay oPDEC 201 c� Notary Publi CINDYDUNGAN Not ' ,0MMISSION#FF073701 o�ar�pti vised 01.26.10 r,/` xPiRES:DEC 01,2017 MY 70 --- -- wE � 7 NOTICE OF COMMENCEMENT State of hflTax Folio No. '� S ns C O County of ?;; A L To Whom 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: — jK — `' ac�LIq �a`_r►� `� to C (L� Address of property being improved: General description of improvements: ti�,� ,�Tr,y �,1_ �,,� 50 X00 .JT C3 rit4�\AL� ,A� Owner: CC, �•4�5 �c .1�.�^i ,.1 L-LL Address: !� �— _ Owner's interest in site of the improvement: A�Aa � 1 � -� �- 3;ka33 Fee Simple Titleholder(if other than owner): Name: �- Contractor: A-%,C- � ��^�=�: ��c T '�:�.�1 S F f �.� I --�rel C Address: P� ^J:.;� S '1`iC (o e"e1,A Telephone No.: Fax No: Surety(if any) (� l Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: t� ` 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: `�_,>\,�1 M A 2Ti Address: M /-i LA--►'iC- k3o A!14 �1<� 33 Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: 2" Y1 (o ,4 ^,-1 C D037S Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1) year from the date of recording unless a different date is specified): Doc#2014121330,OR BK 16797 Page 2496, Number Pages: 1 1WNER pot Recorded 06/02!2014 at•10:06 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL gned: Date: COUNTY efore me Jthi _� _day of MCA-t-\ in the County of Duval,State RECORDING$10.00 f Florida,has personally appeared \ otary Public at Large,State of Florida,County of Duval. My commission expires: QRc. 11 Zca 1"I o�!"'`l-¢. CINDY DUNGM Personally Known: t/' or MY COMMISSION#FF073701 Produced Identificati ,,,'6 > EXPIRES:DEC 01,2017 �,/