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435 ATLANTIC BLVD - INTERIOR REMODEL PERMIT rr,J`lJ Jai „s, CITY OF ATLANTIC BEACH ,..;" - 800 SEMINOLE ROAD � `� v,, ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 -1'740* COMMERICAL ALTERATION/OTHER MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Sob ID: 16-CAAR-2170 Job Type: COMMERCIAL ALTERATION Description: commercial interior remodel Estimated Value: $53,567.00 Issue Date: 10/31/2016 Expiration Date: 4/29/2017 PROPERTY ADDRESS: Address: 435 ATLANTIC BLVD RE Number: 170694-0000 PROPERTY OWNER: Name: FRANCHISE REALTY INTERSTATE Address: PO BOX 49189 MCDONALD'S GENERAL CONTRACTOR INFORMATION: Name: AULD & WHITE CONSTRUCTORS LLC , CGC012462 Address: 4168 SOUTHPOINT PKWY APT 101 STEVEN W AULD Phone: - - PERMIT INFORMATION: FEES: PLAN CHECK FEES $147.13 BUILDING PERMIT FEE $294.27 STATE DCA SURCHARGE $4.41 STATE DBPR SURCHARGE $4.41 Total Payments: $450.22 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S ' a City of Atlantic Beach APPLICATION NUMBER • . Building Department (To be assigned by the Building Department.) j.f 800 Seminole Road 040 C 1 i\�'a at) Atlantic Beach, Florida 32233-5445 /� ,� v Phone(904)247-5826 • Fax(904) 247-5845 G ,;;ts:- E-mail: building-dept@coab.us Date routed: Oct )a p I L 1 D City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: LA- 5... AC-V tCLatic- IZNO a. Department review requiredte: hNo A 10 1,, Bud ili Applicant: Auk a 4 Why t �- '�. Planning &Zoning Tree Administrator Project: \r Q4c ( 0...om IA Q.,fC col fivi\06,.(A Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 11111.11 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 Reviewing Department First Review: Yfiapproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: t Date: i D(ti (t G TREE ADMIN. Second Review: I '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 Job Address: L-135 t 1a tt_ -%.`va• Permit Number: IlO_eAAQ,-at-i-0__ Legal Description ZI/Z.S/29 G Parcel# I l 0(0914- coo D Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 5 g1 5(0-1Proposed Work heated/cooled q 0 non-heated/cooled Class of Work(circle one): New Addition Repair Move Demolition pool/spa window/door Use of existing/proposed structures) (circle one): 4 ommerci. Residential If an existing structure ,is a fire sprinkler system instal e' . irc e one): Yes No N/A Florida Product Approval# Cl \g For multiple products use product approval form Describe in detail the type of work to be performed:V . wo•r I.A rtec It4reikcckl Property Owner Information: Name: Ul etrbv.oJd'S Address: 10150 1A 10\x\&ma 1,11/416anor.br. 3 S'E1 D City o.. StateFL Zip'3300 Phone E-Mail or nix#(Optional) Contractor Information: m€(Gni 2. 38(v. 502 ` .%o O - C.crC-f' Company Name: PtLL1cs 4- k, e6n5�� Qualifying Agent1;yv- o-&' t'./ 3. Co -Cr1 Address: �I(las Sob t.kh .n f kk � 1 City L.)0 State • Zip 32ZL1L' Office Phone 904. 25/ce,• "L5SS Job Site/Contact Number Fax# State Certification/Registration# C.7C — 0544 LI C7`3 0,1% 4_R14'$i ' ame&Phone# Seo` 1uurdy it t3. •v5 3• bogs 1O Engineer's Name& Phone# Fee Simple Title Holder Name and Address — ` © 0Bonding Company Name and Address O o Mortgage Lender Name and Address S�Q Application is hereby made to obtain a permit to do the work and installations as indicated. I certi ,„, work or ' . allation h,• ,mmenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating ;t : on ', :s jurisdic This permit becomes null and void f work is not commenced within six(6)months,or if construction or work is suspended or a'•a'' _: ,r a_perm. six 6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical-Work, Plum,' g, igns, W ., 'ools, Furnaces, Boilers, Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RE S RD 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. I hereby certify that 1 have reexamined 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 comp!' wit hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other fed ral,state,or local law regulating construction or the performance of construction. / c / Signature of Owner \X—, (6°-------_, Signature of Contract. _' Print Name � C�ttS s Print Name 1 ....It” ...) r..n..�7 J n.L, • . M /... Sworn to and subscribed before me Sworn tcand subscr'bed befor- e , 20 ' O this Day of l^t Ae,r o , 20 1 k this a( 'Day of - `6 0 r,, . , • - Notary ub is 0.00..% Notary Public State of Florida Revised 01.26.10 f. • Melanie Lime ``��„� 4:0 0` My Commission FF 058992 `�� �,nt ►v #i•� MELANIE'FOF of Expires 12/25/2017 �+c;',1-...e: . - _ ,/l' %.1'.1. Nntary Pt!Hirt-Flnriria