900 PLAZA #66 - INTERIOR REMODEL f J(. S, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
■ ' INSPECTION PHONE LINE 247-5814
COMMERICAL ALTERATION/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-CAAR-2160
Job Type: COMMERCIAL ALTERATION
Description: UNIT#66 - INTERIOR REMODEL - NEW CABINETS, TILE,
PAINT, MOVE W/D HOOK UPS
Estimated Value: $7,500.00
Issue Date: 9/28/2015
Expiration Date: 3/26/2016
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725-0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: MASTER BUILDING CONTRACTORS, LLC
Address: P.O.BOX 11565
JACKSONVILLE, FL 32239
Phone: 904-463-3895
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $43.75
BUILDING PERMIT FEE $87.50
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $135.25
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
BUILDING PERMIT APPLICATION r" ,� ;.., F., .
CITY OF ATLANTIC BEACH i`'-,,.. `.. r
800 Seminole Road, Atlantic Beach, FL 32233
WIT IP c(0 Office (904) 247-5826 Fax (904) 247-5845 15 _C BAR -Z t (o O
Job Address: 9 00 P I - P IZ J- 1 DC H 1l Y;)(:,723 Permit Number:
Legal Description S D 1 3 P.tg`q 2TM Parcel# ) / / 7 2 S - 0500
0
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ 7500 Proposed Work heated/cooled SO non-heated/cooled
Class of Work(circle one): New Addition Alteration R- •ai Move Demolition pool/spa window/door
41,l/Ft2r—rn007S
Use of existing/proposed structure(s)(circle one): ommercial Residential�
If an existing structure,is a fire sprinkler system insta es . irc e one): Yes U N/
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: t'-' Cli T:5) (ouW'JT LL Toer, TJ L ., pcuyv7--
yvt a U t` WO hoa K vt e5
Property Owner Information:
Name: PA 041-5 F U 7 7ror�/ i-' - Address: G 1-I S /'i'1 $}-Y P6 2 1 �1.J2
City t 1 L 1-" -C J 6 M State t`)Zip 31:17y Phone ei a Z4- a`-..(7- 533`1
E-Mail or Fax#(Optional) 5 7N I M prSTen .Bu fl 9.1W 6 Conlin 0C1tVLS . COM
Contractor Information:
Company Name: lei fl 5 Tom- l�u.�19.iN(' ODN l . Qualifying Agen i SE-741\.) ��MAS"N
Address: 3 r o. ` l 57 City j(4 PI Ni State T( Zip Ice)/
Office Phone 'AO Lid-6 - 6414) Job Site/Contact Number 104-y 63'79 9 5- Fax# t-1 D 7-42-6- -t5(14 g
State Certification/Registration# <-.9L 1? 53 a`( 3
Architect Name&Phone# 1^)/A
Engineer's Name&Phone# N I Pr-
Fee Simple Title Holder Name and Address f' M L A S AJ Ovti
Bonding Company Name and Address IN-)/
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. l 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. /understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereby certify that l have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of 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
provisions of any other federal,state,or local law regulating construction or the performance of construction.
Signature of Owner 1,_‘. n Signature of Contractor pL
Print Name ,b.a,,,l Lpl,. c..• Q..1.414,b— Print Name N -0— 450/\)
Sworx o and subscrib b me Sworn and subs bed b Qre
this I Day of e4 .20 fore /' this Day of 1 04 C .20
/ # •
Notary Public ' '`&. • NOTARY .1: ' ,� Nom. 'T'"�
4/;;A,i '‘.
STATE OF FLORIDA ra tR ry'ublic State of Florida
OF; Elizabeth E Peters Revised 01.26.10
My Commission EE 172364
."-.I . Expires 1,1212019 7.0r,,sr Expires 02/22/2016
AFTER RECORDING–RETURN TO: Fl L E COPY
PERMIT NUMBER:/5 ��/� (p�, 'i al60, '16f, a/6),<2/6 3; a 160
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,
Florida Statutes,the following information is provided in this Notice of Commencement. /� T
I. DESCRIPTION OF PROPERTY(Legal description of the property&street address,if available)TAX FOLIO NO.: , 1 -�_nc L l)
SUBDIVISION BLOCK TRACT LOT BLDG UNIT
Se-Pt p ass ( ciJQ roil 01,1v-e, avtit . lob, 6 Y, �7 �� �- I/
2.GENERAL DESCRIPTION OF IMPROVEMENT: { tr I f red ttio IA' r-
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
a.Name and address: Sett`p(*)Q, U, R' o n 1 -CJ
b.Interest in property: Ittd V t�( / 6 key ! L I A
c.Name and address of fee simple titleholder f(if ddiittTerent from Owner listed/above):
4. a.CONTRACTOR'S NAME: M b i s 1 t K WL1 L�rid G C D (� /
Contractor's address:,`�1 b l" S l ,Jt1 J, 6 tVdt b.Phone number: -`°(4– 03-- /"_` 1•
5. SURETY(if applicable,a copy of the payment bond is attached): `14 ✓2's o
a.Name and address:
b.Phone number: /� c.Amount of bond:$
6.a.LENDER'S NAME: N) P,
Lender's address: b.Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
a.Name and address: V P /71 I Da�..(A, &i,of, 'l Q j�'(j
b.Phone numbers of designated persons: /7 - vJ�
8.a.In addition to himself or herself,Owner designates of —1C)L1 -
to receive a copy of the Lienor's Notice as provided
/iinn Section 7113..1'39(1))(b),FloriidapStatutes.
b.Phone number of person or entity designated by Owner. Y[/I Y 1, pelt e/ (A-1't/uttl `/`, edivI & �
9. Expiration..d,a44e--of notice of commencement(the expiration date will be 1 year from the date of recording unless a different date is
specified): T 20_
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART I,SECTION 713.13.FLORIDA STATUTES,AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT,
, V L C�L s e v/ l-}ott r/ry &C,�,e�
(Signature of Owner or Lessee,or Owner's or Lessee's not Name and Provide Signateiy's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of LC,-
County of y
The foregoing instrument was acknowledged before me this .21 S` day o(f� ,� ,, ►�20 � /5
by (,� ( L C t r se,t,v ,as l� fi PUY f yc V
JJ��( ame o rso / (type of authority!...e.g.officer,trustee,attorney in fact)
for �,/�, VLi,� ���I'll�/` 1,L
(name of party on behalf o whom instrument was executed)
Personally Known � or Produced Identi .t. , Type of Identification Produced
spar p�AG Notary Public State of Florida "�
I' Elizat��th E Qetets7 '`/ Itl
My CommissionEE 1.72364
°E�ose Expires 02122/2016 (Signature of N Lary Public)
(Print,Type,or Stamp Commissioned Name of Notary Public)
Rev.10-15-12
(gIAN:,; City of Atlantic Beach fr:le Building Department APPLICATION NUMBER
800 Seminole Road (To be assigned by the Building Department)
,v' ', Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 �� —z
".o;ilu%' E-mail: building-dept @coab.us
City web site: http://www.coab.us Date routed: 5
a..,..
APPLICATION REVIEW AND TRACKING
FORM
Property Address 9 c,6 Pt..AzR 44 CcDG Depar ent review required Irin riIdin o
•Applicant: L `� " 40,,,,,,, v r = _ g �/-
• • oning _-
Project: (v Tree Administrator _�
C 2l�)2
Rc:-\.--_,M04;) Public Works _-
Public Utilities _-
Public Safety _ M
EMEMMEIMMIllumill Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified By Date
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:
IIIIIIIIIIIIIIMIIIIMIM
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APPLICATION STATUS
Reviewing Department First Review: �
(Circle one.) I�Hpproved. ❑Denied.
Comments:
UILDING
PLANNING &ZONING
Reviewed by: ffr . 715-
TREE ADMIN. Date:
Second Review: QApproved as revised.
PUBLIC WORKS Comments: ❑Denied.
PUBLIC UTILITIES
PUBLIC SAFETY
Reviewed by:
FIRE SERVICES Third Review: Q Date:
Approved as revised. []Denied.
Comments:
Reviewed by:
. Date:
sed 07/27/10