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