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1 OCEAN BLVD - WALKOVER PERMIT t,r-----, ,, Jr;;. �' \fCITY OF ATLANTIC BEACH r' !r s) 800 SEMINOLE ROAD _r 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: 16-CAAR-2630 Job Type: COMMERCIAL ALTERATION Description: BOARDWALK (DUNE WALKOVER) REPAIR Estimated Value: $53,892.00 Issue Date: 12/6/2016 Expiration Date: 6/4/2017 PROPERTY ADDRESS: Address: 1 OCEAN BLVD RE Number: 170229-0000 PROPERTY OWNER: Name: ASHFORD ATLANTIC BEACH LLP Address: 431 E HORATIO AVE SUITE 120 431 E HORATIO AVE SUITE 120 GENERAL CONTRACTOR INFORMATION: Name: COMPLETE PROPERTY SERVICES INC , CGC059169 Address: 140 S PINE AVE QA HANK T. GATTI Phone: - - PERMIT INFORMATION: PUBLIC WORKS: Roll off container company must be on City approved list and container cannot 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. The City of Atlantic Beach approves this work, but check with other Government Agencies, DEP and Corp of Engineers for approval. FEES: PLAN CHECK FEES $147.78 BUILDING PERMIT FEE $295.57 STATE DCA SURCHARGE $4.43 STATE DBPR SURCHARGE $4.43 PERMIT IS AI'I'ROV I.I) ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ris '' S, CITY OF ATLANTIC BEACH __Al.,' - J 800 SEMINOLE ROAD ++j 3 '� ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 DTI l9r Total Payments: $452.21 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ..0..L :„ City of Atlantic Beach 6 . APPLICATION NUMBER al Building Department (To be assigned by the Building Department.) :- T 800 Seminole Road �u Atlantic Beach, Florida 32233-5445 ) 6-CARR- Zr '3 _� Phone(904)247-5826 • Fax(904)247-5845 \r,:t»r E-mail: building-dept@coab.us Date routed: t i Z3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I O Cap ELVR Department review required Yes No :uildin• Applicant: aome (-E7"C- PRO Pee:T "'Tanning &Zonin. ree Administrator Project: 3 U KD • W A 0 v6-2.__ _ -ubIrAVV►i '•siiC I I ities RC jp R-( 2_ • Safety Fire Services 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: ViikKroved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: . k Date: t A.12-3\l & 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 s1-tik, City of Atlantic Beach ��'' APPLICATION NUMBER � Building Department (To " 800 Seminole Road be assigned by the Building Department.) W.,:<; ) c -C.FiAR— Z6,30 �� � Atlantic Beach, Florida 32233-5445 � Phone (904)247-5826 • Fax(904)247-5845 '��filo� E-mail: building-dept@coab.us Date routed: ( < Z3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 )CEf ) Et,V� Department review required Yes No PRo uildin Applicant: o(YAPETC P6 (g:T tanning &Zonin 1 ree Administrator Project: U lU6 LA)Pt Ove _ Pubs ■•lic II title ,D REPR( FZ -= • Safety Fire Services 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: kjApproved. ['Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: ,.���� Date: t7/¢y/i 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 i Js a.Aav;41 City of Atlantic Beach F APPLICATION NUMBER Building Department (To be assigned by the Building Department.) �'1 `,. J ) V-CAAR Z3� le 1 Atlantic Beach, Florida 32233-544 .� Phone(904)247-5826 • Fax(904) -5845 J' E-mail: building-dept@coab.us _— Date routed: I </Za1/ \\,...... \ City web-site: http://www.coab.us y Y APPLICATION REVIEW AND TRACKING FORM Property Address: 1 OCEPS ELV-Di De artment review required Yes No uildingT_ Applicant: COMP LETC- PRoPeoxy I'�anning &Zonis ree Administrator (� Project: -- V►J6 ( )Pt Ltd C7 V , Pubic Wo ks -••lic lib sties RE-- -P14( t .; • 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 ) 0 /�� Reviewing Department First Review: Approved. ❑Denied. ' -'1/.- !/'ZV*`'-!� (Circle one.) Comments: fee i4 u, `1j / -Wi/w�% ( BUILDING `!J� PLANNING &ZONING Reviewed by: , f1 / / Date: ///2-4c TREE ADMIN. Second Review: ❑Approved as revised. ❑1enied. 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 s it City of Atlantic Beach r.:. " F^• 7,77. �� ;, •„ W.: APPLICATION NUMBER .`‘ Building Department (To be assigned by the Building Department.) a.� 800 Seminole Road r'41 NOV232016 /AtlanticBeach, Florida 32233 5445 6--CAIRR- Zb3rj Phone(904)247-5826Fax(904) li,-5845 E-mail: building-dept@coab.us L,'{;____ Date routed: 2-3 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I OCEA� cLVJ:I Department review required Yes No RoApplicant: o mp LETG Pee,-r fanning &Zonin Tree Administrator Project: PO& W Pt(—KJ:Were_ _ Pub • A A . s _ Public Utilities J `CPR( 2_ Safety Fire Services Review fee $ Dept Signature ✓•t,\ 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: APPL ATION STATUS Reviewing Department First Review: it/I/Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: �� Date: 1/ 146__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 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 ) Go -eNkR_ ZcC) ob Address: \ 002.1.xh 1G\v A. fl+10.,.h-vim BGcN a 322313ermit Number: ,egal Description 5-lpq 2 1 -2-S-19 2,3SD Parcel # loorAreaof Sq.Ft. Sq.Ft Taluation of Work$ 63 1`61"2-, 0 Proposed Work heated/cooled non-heated/cooled :lass of Work (circle one): New Addition Alteration Repair) Move Demolition pool/spa window/door Jse of existing/proposed structures circle one): fan existing structure,is a fire sprinkler system installed?(Circle one): Re Yesnti N/A lorida Product Approval # or multiple products use product approval form )escribe in detail the type of work to be performed: B(')eiorAWCKA, \f Tei\,— `c)' c . \,-) 0.\k vv 'roperty Owner Information: '1 lame: AsArcl M16\n}4( I t,6. LL}' Address: 143i E Nbrtdo A-ve 5&A f t 120 'ity Mo\��-\.Av>t� r �C� State FL Zip 327T 1 Phone Mail or Fax#(Optional) 'ontractor Information: 'ompany Name: CrJ,cr\p\Ae- - tr S-e.Y \Ac.-t\ Qualifying Agent: .ddress: 13505 Pru_sN\ t_ p\, ,` `s"City ,^a State FL._ Zip 33(0 35 )ffice Phone 7y' -TRI 9-71-1 Job Site/Contact Number SArreAd@c.or.,,Q09_ Fax# tate Certification/Registration# C ei c O51 1 b cl erti•?.e.t', �aM .rchitect Name&Phone# ngineer's Name&Phone# ee Simple Title Holder Name and Address :onding Company Name and Address fortgage Lender Name and Address nuance ona is and that all willrbetperfoormed t t Heel he standards of all lawstregulating ollstruction work his jurisd coon.Thus permit becomes i the tel void{work is not commenced within sir(6)months,or if construction or work is.sus ended or abandoned for a eriod ofit r6 months at any time after 9rk is commenced. I understand that separate permits must be secured for Electrical"Work,Plumbing,Sins,bells,Pooh,Furnaces,Boilers,Healers, inks 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 YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ereby 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 this re pf work will be complied with whether speci led herein or not. The granting of a permit does not presume to give authori to violat• or—cancel the 'visions of any other fe 1 state,or local taw regulating construction or the performance of construction. gnature of Owner _ ter Signature of Co . ctor ' int Name __./.. ti,"a 1 4,-..4,,e,.. Print Name o and subscri before rr�e /�a4JK _! ' `D torn --- s 1 Day of /U y--c-fv--1-.-� ,20 I i Savor • and subsc '• d before me � this Day o it ,..a&o ; 20 Gary Public #'2.L ir► s U•`( /• ` Revised 01.26.10 I SHARY ARNOLD aY Pu =.� �," Commission N FF 929053 *s' • •It' JENNIFERAPERGIS ih := , MY COMMISSION#FF 950845 i , ,,i My Commission Expires w '���:- "'''`0,•,°. October 20, 2019 °ah' EXPIRES:March4,2020 %Nrun.•� 4 '1,tt,,e Bonded Nu Budget Notary Services i