725 Atlantic Blvd #3 demo permit CITY OF ATLANTIC BEACH
rAm- 800 SEMINOLE ROAD
" . 1 ATLANTIC BEACH,FL 32233
Olt S) INSPECTION PHONE LINE 247-5814
DEMOLITION PERMIT
MUST CALL BY 41PM FOR NEXr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-DEMO-2222
Job Type: DEMOLITION
Description: demo/remove plbg fixtures, lighting, ceilings, non-bearing
walls, exterior metal loading dock, windows, door, floor
Estimated Value: $8,000.00
Issue Date: 10/20/2016
Expiration Date: 4/18/2017
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 03
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: HORN BUILDERS INC
Charles R. Horn, CGCOSS802
Address: 12 HOPSON RD CHARLES R HORN
Phone: - -
PERMIT INFORMATION: PUBLIC WORKS:
Roll off container company must be on City approved list and containercannot be placed on City Right-
of-Way. (Approved:Advanced Disposal, Realco Recycling, Republic Services,Shapell's,Sunshine
Recycling and Waste Pro).
Full right-of-way restoration, including sod,is required.
Any utility cuts in the road must be repaired using CO)Standard Detail Case X and must be overlaid 10
feet in each direction from the center of the cut. Repair must be shown on the plans.
FEES:
Demolition Fee $100.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
PERMIT IS APPROVED ONLY M ACCORDANCR WIM �L CnY OF ATLMTIC BEACH ORDINANCES AND ME F[,0RIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
(El Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept(igmatims Daterouted:
City web-site: htp:11�.coab.us;
APPLICATION REVIEW AND TRACKING FORM
Property Address: '�3,EA-+kamL, RUA. Department review required Yes No
-Buildihg�.�
Applicant: paa�Ulu S .,3;nc -Planning &Zoning
Tree Administrator
Project: cl,�6 -tov-elY (—Public Wo-Mg':> 1-k
Public Utilities
bu""(\b We't(St Lo"(U) 4CX�t) Public Safety
Roo( 5�'Oc Fire Services
Review fee
Other Agency Review or Permit Required Review=P.ty Date
Of Pernnit
Florida Dept.of Environmental Protection
Worida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
DMvsion of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: 'VApproved. []Denied.
(Circle one.) Comments:
BUILDING 0 %4'-
PLANNING &ZONING Reviewed by:_ 7:;141 Date: 0 %A
I— 1k
TREEADMIN. Smond Review: DApproved as revised. ElDenied.
PUBLICWORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date
FIRE SERVICES Third Review: E]Approved as revised. DDenied.
Comments:
Reviewed by: Date
Revised 0511"9
City of Atlantic Beach
Building Department
800 Seminole Road
Atlantic Beach,Florida 32233- 5
Phone(904)247-5826 Fax
E-mail: building-dept@coab.0 W143 2016
CRY web-site: hftP:/Avwv.coa
APPLICATION REVIEW AND TRACKING FORM
Property Address: De artment review re uired Yes No
ull ing
Applicant: !&A.ZlidU S _�-^C. Planning&Zoning
Tree Administrator
Project: A-CM0 vl�ke', Public o s
u lic Utilities
Public Safety
e'rvices,
;FiFe S
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt
Of POnnift Verified 8 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: &4Apiproved. E]Denied.
(Circle one.) Comments:
BUILDING
PLANNING&ZONING
TREEADMIN. Second Review- E34pmved as revised. E]De ied.
PUBLICWORKS Comments;
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: E]Approved as revised. ODenied.
Comments:
Reviewed by: Date:—
Revised 05/14109
PERw ARPLICATION
ZVOC F ATLANTic BEACH
aft 2 800S I Road,Atlantic Bunch Fl,32233
(904) 7-5826 Fax: (904)247-5945
Job Address: Ig I ,.p jjj;-r L I S Permit Number: ItQ�EA D-Q"A 4�),
Legal Description g;�Sj RE# 171.7&3-000
Valuation of Work(Replacement Cost)SAAC20--Heated/Cooled SF 11 A CQ Non-Heated/Cooled
• Class of Work(Circle one): New Addition Alteration Repair Move emo Pool Window/Door
(nR)
• Use of existing/proposed structure(s)(Circle one): mmercial Residential
<T;�Mw
• Ifan existing structure,isafirusprinkler system installed7TO-m-le one): Yes <fD N/A
• Submit a Trw Removal Permit Application if any trees=to he removed or Affidavit of No Trec:Removal
Describe in d tail the t c f work to be erfo Jefi,�VUJE 16�01.0&6 rQX7UA4" t;W
A A) Wl�v,
Loa
Florida Product Approval# for multiple products use product approval form
Property Oivner Information
Name: Cm
AAa L W ULI Address: 4500 SO� 4* RdA t 3-ZZI�0
Ci
ity State;�rZip kMfOPhone qffw�2Jq4 �f 8
PAA�il APA A L: ifi� AA-A
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 NOTOE OF COMMENCEMENT.
Contractor Information:
Name of Company: Z&gAZ lifying Agent: jr,� e-1,1�&.4
Address:4tAir <1 S,"ig y-an,&:r r�v d.tw
-Atnl�-�O zrA�aljht State Zip F%���
Office Phone JoI) Site/ContactNuumber
- i-o ?�16-4e� i2c irmo E-Maile
State Certificatit�egtstrat n#
Architect Name&Phone# Ad #,-j(A6jt1
Engineer's Name&Phone#
Worker's Compensation A A;
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S-grounne of propcsr�owner
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I hereby cenify that I haw read and examined this application and kno.the same to be tru r I
oldiounceS gave . th' ty, ea
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performance arconsiruclion IMIMFOl
F 939
Rr1E3PWS*.y 7.201
FLORIDA DEPARTMENT OF STATE
Divisjos OF CORPORATIONS
Detail by Entity Name
Florida Limited Liability Comvanv
ATLANTIC-PENMAN, LLC
Filina Information
Document Number L02000023679
IFEI/EIN Number 22-3873890
I Date Filed 09/12/2002
State FL
I
Status ACTIVE
Last Event LCAMENDMENT
Event Date Filed 08/03/2012
Event Effective Date NONE
Principal Address
500 SOUTH 3RD STREET
JACKSONVILLE BEACH, FL. 32250
Changed: 01/31/2013
Mailinci Address
5DO SOUTH 3RD STREET
JACKSONVILLE BEACH, FL 32250
Changed: 01/31/2013
Registered Acient Name &Address
DARABI, FARZIN
600 SOUTH 3RD STREET
1 JACKSONVILLE BEACH, FL 32250
Name Changed: 08/03/2012
Address Changed: 08/03/2012
Authorized P rson(s) Detail
Name & Address
6 Title MBR
DICKINSON, ALAN E
2307 SAWGRASS VILLAGE DR
�PONTE VEDRA BEACH, FL 32082
Title MGRM
DARABI, FARZIN
500 S. THIRD ST.
JACKSONVILLE BEACH, FL 32250
Exhibit"All
Legal Description
amel 1:
A Part of the C-astro-Y-Ferver Gram,Section 38 'to
wnship 2 South,Range 29 East�in the city of
Atlantic Beach, Florida, and being mom partQarly described as follows: Conouncing at the
"nersecdOn Of the East line of said Section 38 with the North RfW line of Atlantic Boulevard;
dunce South 89 degrees 13 minutes 5a seconds Wes� and along the North line of said Atlantic
Boulevard,360.4 feet to the point of beginning;thence continue South 89 degrees 13 minutes 58
seconds West and along said R/W line 125.09 IeV4 thence North 7 degrees 16 minutes 02
sCCOnds Wes% 153.35 fm� thence North'I degree 05 minutes 30 seconds West 494.55 feet to a
Lonthe South line of Royal Palms Unit 2A;thence South 85 degrees 3
m n
a, 7 minutes 27 seconds
d long said South line of Royal Palms Unit 2A, 276.36 feet to a point in the West RIW
line of Sailfish Drive East; thence South I degree 05 uninutes, 30 seconds East and along said
, 457.71 feet; thence: South 7 degrees 16 minutes 02 seconds East and along said RfW
=im,51 t feet;thence South 89 degrees 13 minutes 58 seconds West, 150.0 feet thence South 7
degrees 16 minutes 02 seconds East, 150,0 feet to the Point of beginning.
Parcel 2:
Lot 1,Lot 2 and Lot 3 less and except the West 27.25 feet ofsaid Lot 3,Block 16, Royal Palms
Unit Two A.aczordj� to plat thereof recorded in Plat Book 31, pages 1, Lk through ID of the
current Public records of Duval County,Florida.
PaV 32 002
(MORTGAGE)
Doc # 2016227558, OR BK 17729 Page 371, Number Pages: 1, Recorded 09/30/2016
at 01:50 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
h� County0f PkVAP T&rFolioNo. 1716&9—MO
To Whom It May Concern:
The undersagned hereby informs you tbat unprovements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is actual in this NOTICE OF COMIENCEMENT.
Legal Description of property being improved: A?s�4&,FPM�,!S lWj!;rwj'4, W. /4.,
15 na Vlz&-Ae� �_f r . -
Address of property being improvat :;725 A,,LdjA232,;,, Al-Lsp, -50171 AILA&tzl� A
Generaldescriptionofimproventants: cr= al&/' =�'e
PeRA,0A,29, r�h AA2 M,)A-!jrr 6-i-4
�16Z Ak)fld
Owner's internet in site of the improvemem t:
Fee Simple Titleholder(if other than owner): ZVAL
Name:
Contractor: AAAeA 22 12 2k=66'DA
Address: 4421.!5 <-7� )Z A).
TelephoneNo.! p4e-O FaxNo:
S.ty(if-Y) A114
Address: Amount of Bond$
Telephone No: Fallo:
Name and address of any person making a low for the construction ofthe improvements
Name: cli D%'
A Ila
Address:
Phone No: Fes,No:
Name of person witfun the State of Florida,other than himself,designated by owner upon whom notim or other docurnmats may be
served: Name;
Address:
Telephone No: Fax No:
In addition to himselt owner designates the following person to receive a copy of the Lience's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name: AJII&
Address;
TelophomeNo: Fax No:
Expination daft of Notice of Commencement(the expiration daft is one(1)your from the daft of recording unless a diffmnt data is
specified):
TIM SPACE FOR RECORDER'S USE ONLY OVM
sum OFRORM
Signed: Due: 1-74-6
Before me a f Ctycf1)uva1,S1sdc
OfFloflXmdrw�pwso=;=&�Uy§pP...d e"n
P..n K...:
—or
P�uwd Identification:
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Exhibit "A"
Legal Description
Parcel 1:
A part ol'the Castra-Y-Ferre, Section 38 Township 2 South,Range 29 East,in the City of
Atlantic Beach, Florida, and being mom partQarly described as follows: Commencing at the
intersection of the East line of said Section 38 with the North line of Atlant c ulev
then- South 99 degmes 13 minutes 58 mounds West, and a on R/W i BO ard
Boulevard,360.4 feet to the point of begim I g the North Hoc,of said Atlantic
Ring;theme continue South 89 degme, 13 minutes 58
=Onds West and along said RfW line, 125.09 feet; thence North 7 degrees 16 minutes 02
sCCOnds Wes� 153-35 feet theme North I degree 05 minutes 30 seconds West,494.55 feet to a
Point in the South Ime of Royal Palms Unit 2A;theme South 95 degrees 37 minutes 27 seconds
East and along said South line of Royal Palms Unit 2A,276-36 feet to a point in the West R/W
line Of Sailfish Drive East- theme S uth
R/W line, 457.71 feet; thc;c; South 0 1 degree 05 minmcs� 30 seconds East and along mid
line.5.36 ficet;theme South 89 deg 7 degrees 16 no utes 02 seconds Em and along said R(W
� 13 minutes 58 secands Weal, 150.0 feet; thence South 7
degrees 16 minutes 02 seconds East, 150.0 feet to the Point of beginning.
Pascal 2,
Lot 1,Lot 2 and Lot 3 less and except the West 27.25 feet of said Lot 3,Block 16,Royal Palm
Unit Two A,accnrdj�to Plat thereof recorded in Plat Book 31,pages 1, Lk through ID of the
current public records of Duval County,Florid&
N&Mf32 [MORTGAGE]