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900 PLAZA #77 - INTERIOR REMODEL " `` '��, CITY OF ATLANTIC BEACH . , -- j 800 SEMINOLE ROAD \j T �r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 JJ ' COMMERICAL ALTERATION/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-CAAR-2162 Job Type: COMMERCIAL ALTERATION Description: UNIT#77 - 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 BEACII ORDINANCES AND TIIE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 �5 _Ca Kg- 1Z l(oZ- ul ici l" 77 Office (904) 247-5826 Fax (904) 247-5845 Job Address: 1 00 P/ PZ- P/2 )- r DC H P1 3'0W'5' Permit Number: Legal Description St O f- 1 5 (2-171/2 t7'` 73 Parcel# i 1) 7ok. - 0500 Floor Area of Sq.Ft. Sq.Ft Valuation of Work $ 7500 Proposed Work heated/cooled0 non-heated/cooled Class of Work(circle one): New Addition Alteration Re.ai Move Demolition pool/spa window/door r-rn tW?S Use of existing/proposed structure(s)(circle one):insta omercial Residential If an existing structure,is a fire spri m nkler system costa e s . irc e one): Yes N/ Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: h)t CRP -T�/ Lou►JT 2 Top.5 TJ L PAi-Vr ,M.0 t; U1/4J 10 1106K �5 Property Owner Information: Name: *CAI 01`15 f�CQk.t,—1T.tor)l J.-L.-C._ Address: G L� < t�l r+Y Pe/L I (2-07:1--D City R-1 Y�r' ..11 -c 6c.M State.jZip 3 j Phone °�o Z4- 9-'1"2_ 533`f E-Mail or Fax# (Optional) 5 CN M pr5Tea BU s1 ff_!Yv 6 Colvin f1-Cry/LS . COM Contractor Information: Company Name: Ai) fl 5 T 641219.L)vC% CbN f. Qualifying Agen : 5C-A t\ ivs'�iu Address: 310 C79 4T' F. N ) City t1(L.�f q N State F f ZipLa nit Office Phone 'AO' a(0 - 16414) Job Site/Contact Number IN-(-4(03-79 ei 5 Fax# I-}a 7-4X6- -b 1. State Certification/Registration# &DC I a 5 5 N 3 Architect Name&Phone# N- i Engineer's Name&Phone# (V / i( Fee Simple Title Holder Name and Address 'P M E A5 A.,6€4A.,6€4)&.-O Bonding Company Name and Address 1\--)/If 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 f 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, 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 I have read and examined thisplication 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 authority or cancel the provisions of any other federal.state,or local law regulating construction or the performance of construction. Signature of Owner G. Signature of Contractor - Print Name e IAit t.t. G 1,,,r}412.4\.r Print Name . N �So/r) Sworn o and subscn e� e lye Swo to and subscribed befo �me 201 ,20 this ` Dpay of �l�li h L1 , 20 /S� this Day of (�(,(�t( i JILL g baNDER Litt,?& N otary Public y.`� '` NOTARY PUBLIC y'L't 1 f' f STATE OF FLORIDA roe*" Ndt11ry public State of Florida Revised 01x26.l0 [rococo#FF189043 • . EIlMeth E Peters . .�•-0 t My Commission EE 172364 E Expires 1/12/2019 and- expires 02/22/2010 AFTER RECORDING–RETURN TO: FILE COPY PERMIT NUMBER:/5 G nng� (9/59)01601 .216/, a/bra, /6 3i 2/6 /-) 'J 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. � 1, I. DESCRIPTION OF PROPERTY(Legal description of the property&street address,if available)TAX FOLIO NO.: )1 1 ( r2-7 —Dc v SUBDIVISION BLOCK TRACT LOT BLDG UNIT S€-P oats ( citD v-2 Ij u )6r 1010, y, 17 qv 11 2.GENERAL DESCRIPTION OF IMPROVEMENT: y n yeki 'A� tA 41 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a.Name and address: WO.*A]�)U is b.Interest in property: �-Q�yI,1I. t ay May/ CD Vt L c.Namc and address of fee simple titleholder(if different from Owner listed above): ( V1 ) /M1 4. a.CONTRACTOR'S NAME: (AStC.K [ L r t G �Vi ,�,� L' q j} (�}_INA Contractor's address:31 V �', �' ,JQ i hi is dt b.Phone number: q O`l-`j'co 3-- 7" i c 5. SURETY(if applicable,a copy of the payment bond is attached): �a 5�If t' a.Name and address: b.Phone number: c.Amount of bond:S * 6.a.LENDER'S NAME: l V) A 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: � I, a.Name and address: V P VA I Da.v r/, V(/L b.Phone numbers of designated persons: q Y Y6 q l - y 8.a.In addition to himself or herself,Owner designates of —I 0 -.4-5 5?2/ to receive a copy of the Lienor's Notice as provided /iin Section 7///1���3..1'3D(1)(b),Florida Statutes. b.Phone number of person or entity designated by Owner: -F( t ►' ` p. m,' ((Ake,„1 C�, 1t. Gt jr 9. Expiration date of notice of commencement(the expiration date will be I year from the date of recording unless a different date is specified): 11 11. E 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, V161 I e v Aoticr Ry h4' (Signature of Owner or Lessee,or Owner's or Lessee's tint Name and Provide Signatciy's Title/Office) Authorized Officer/Director/Partner/Manager) State of (r County of J� ' -, The foregoing instrument iwas acknowledged before me this �I Sr day of AWL,' ,20 by VlGl C.11 e,t, ,as (eoo f 6/ U ff�( ame o erso -t- / (type of authority.e.g..officer,trustee,attorney in fact) for �.r�t. V�I.� 1(�� �-V (name of party on behalf o whom instrument was executed) Personally Known V/ or Produced Identi t .ti., Type of Identification Produced olpav <i Notary Public State of Florida L n/ (Ifs' /� ”"u : Elizabeth E Pete(S !Y/l/ I(! /,(dd7& My Commission`EE 172364 °��oa Expires 02122/2016 (Signature of N tary Public) • (Print,Type,or Stamp Commissioned Name of Notary Public) Rev.10-15-12 01.A.pkri, City of Atlantic Beach �JS -0' , Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department) Dt . �r Atlantic Beach, Florida 32233-5445 5 -L.R Phone(904)247-5826 • Fax(904)247-5845 '"E-mail: Z 0100 building-dept @coab.us City web-site: http://www.coab.us Date routed: f �■ ( r5- APPLICATION REVIEW AND TRACKING FORM Property Address 9 GO PL,.3 7 A Depa ent review required Ilan No . lding AIIIIIIIIIIINEIMII Applicant: t ��P. AI OIL II N.) • Cot," • • oning Project: (v Tree Administrator == —2l ) RE,M©Q Public Works Public Utilities == Public Safety manrcimiuminiall 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: APPLICATION STATUS Reviewing Department First Review: f I�'fApproved. ❑Denied. (Circle one.) Comments: BUILDI PLANNING &ZONING Reviewed by: ,"7i p_/7 TREE ADMIN. Date: 7 / Sr Second Review: i QApproved 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: sed 07/27/10