469 ATLANTIC BLVD #11 - BUILD-OUT ,..„
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t„ ,- , \,,r
s f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
`J ATLANTIC BEACH, FL 32233
\, INSPECTION PHONE LINE 247-5814
J�J.F(
COMMERICAL ALTERATION/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-CINT-2897
Job Type: COMMERCIAL INTERIOR BUILD-OUT
Description: INTERIOR RENOVATION
Estimated Value: $5,150.00
Issue Date: 1/25/2017
Expiration Date: 7/24/2017
PROPERTY ADDRESS:
Address: 469 ATLANTIC BLVD UNIT 11
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: LDP QUALITY CONSTRUCTION INC
, CBC1253877
Address: 7225 Maple Tree DR
Phone: 904-759-0920
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $37.88
BUILDING PERMIT FEE $75.75
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $117.63
PERIM"' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
mss' • Building Department (To be assigned by the Building Department.)
si 800 Seminole Road I l0—CI Nr-- 2897
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 • Fax(904) 247-5845 ( Z� 7-9 9:- E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Etvp Property Address: 4009 . -r &VTI' G D partment review required Yes No
BuildinV
Applicant: LDP � �-
ULur CO --ening &Zonin
re- • • inisttrator
Project: I 1J Teat 0 E Public Works
Public Utilities
(°0 WW1&WW1E L t✓ Public Safety
Fire Services
Review fee $ Dept Signature _-
Review or Receipt Date
Other Agency Review or Permit Required 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: ,Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by:, �..,�•--r
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. DDenied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
(-i-il.Alf:,--„t\
.-. % Building Department (To be assigned by the Building Department.)
• : � 800 Seminole Road I (0—Ci N r— 7-(69.7
r>. s�
).4„,, _ Atlantic Beach, Florida 32233-5445
Phone(904)247 5826 Fax(904)247-5845
r-/osior E-mail: building-dept@coab.us Date routed: 1 z_/ i 9 / i ( .,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
01')I i l
4Qc1 )f l.. rJ71 G 2:0inDe�a�ment review required Yes No
PropertyAddress:
Build __
Applicant: Lo p UL 'Le. _.0Kas y (' _ming &Zoninpp la- liTee A'dministfator __-._._
R.enno rJ E C._... Public Works
Project: I K.) �"C Zt CLQ O .
Public Utilities
rm
�-v(Y\ 'A.E2L L A t✓ Public Safety
Fire Services
Review fee $ Dept Signature
Review or Receipt
Other Agency Review or Permit Required 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: VApproved. ❑Denied.
(Circle one.) Comments: l
leo 4/�'� �. C"q'z�—
BUILDING
PLANNING & ZONING Reviewed by: Date: v q.2. 1 t—"r
TREE ADMIN. Second Review: I 'Approved as revised. EDenied.
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
r`,�1,,;?, BUILDING PERMIT APPLICATION
.)' i\
.:,.-
r------
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
�'c.)'i19r Office: (904)247-5826 • Fax: (904)247-5845
Job Address: y 61- tt Beau kir '%\.%.1 d. Permit Number:
Legal Description IO-Ils 21-2S-2.cl iSal}a:.c Se�S RE# ..- 11-0000000
Valuation of Work(Replacement Cost) $ 5, 15.0,00 Heated/Cooled SF 1006 Non-Heated/Cooled NA
• Class of Work(Circle one): New Addition Alteration Re air Move Demo Pool Window/Door
• Use of existing/proposed structure(s) (Circle one): t;Commercial Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: P.:1--.„1: r i -i v)cs. 1 AJL-e r;c,2. '.e...,c> •i--4i-1.o;'N.t, t''`i Ct td-
p a_,-4.. -i c,,\.1 w{l-t t S ) k,q-Ndl CL: ,S lq r ,`1'(�. J,i)K5
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name:C-Ae rroowec gale,- Address: 10°>, ii %n2 Se.& .
City p,I,` kc, teach StateeLZip 82233 Phone 3-2.-k- 2.X -Rl9S-
E-Mail S\.S,c.re_a v.e_.g€ v . .. cerrv1
Owner or Agent (If Agent,Power of Attorney or Agency Letter Required)
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.
Contractor Information: `
Name of Company: L.D P Ou.(i-1,•1'-`1-. (�', ,1 s• ,tuc.j vi Qualifying Agent: e_c v O^i c jco l e I I (
Address: 7 76.7 M 212 i 111`tr, ss").S Cit - 3 Zz. '7 -7
y J,,)•x , State Zip f=t_,
Office Phone 9 oci-`7Sel-0°t 2 0 Job Site/Contact Number 'eltQ'-t--1S.°( -60( 20
State Certification/Registration# C.`3C.1�5 ;8- 7 E-Mail L'Poo Le.3 13et 1So 447 lU e',1-
Architect Name &Phone# R-t tC 6 /1-I,UI,q-i:;► fi9--ivy ^lvq- 7:'-/ /77/
Engineer's Name &Phone#
Worker's Compensation i X t ,�n(3+. l1 /d.c., t
Exempt / Insurer / Lease mployees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced
pnor 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 if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a
period o six(6)months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,
Signs, Wells,Pools,Furnaces,Boilers,Heaters, Tanks and Air Conditioners,etc.
Signature of Property Owner: Signature of Contractor r. �, " , //
Before me
this Day of Nt r SER i 1-01 to Before me this Q1 4 h Day of_ ��01(O
Of PGB
on KIMBERLY STANTIAL At � __l['l• ■ a r .IIC
Notary Public: .v. .l �,dP$..jilt- :__„• •,, • 1664 N' tary Publ.,. `s�
•" My Commission Expifes illi • °ma
• I herebycern that I have read ant' A `°i ,_ •e 24..�019�. �► M �!t°. 19
fY same to be tr d coni 9"m 900E408,6
ordinances governing this type oil' . —"' •- • • , i,wi t w tet ter spec?fied herein or not. Thin}pn ,{rg� , y.t(�s
presume to give authority to violte or cancel the provisions of any other federal, state, or local law regiila , 'bh!W iEdiod4
performance of construction.
Rev.3/14/16
1
0I , , f
c) 0 CITY OF ATLANTIC BEACH
A.
J 800 SEMINOLE ROAD
- s) ATLANTIC BEACH, FL 32233
(904) 247-5800
BUILDING DEPARTMENT PERMIT NOTES
Date: 1/23/2017
Permit#: 16-CINT-2897 Applicant: Leonard Poole
Site Address: 469 Atlantic Blvd. Address: 7707 Merrill Rd
Review: 1 Phone: 759-0920
RE#: Email: Lpoole32bellsouth.net
Application is APPROVED WITH COMMENTS:
NOTE: The attached bill, for $ 150.00, from the COJ Fire Marshal's Office, will be due at
Final Inspection. Proof of payment must be provided before the Certificate of Completion
can be issued.
I
Opp'
Oeb
CDA
Y 1
Printing :: CR397832 Page 1 of 1 ,
Duval County, City Of Jacksonville
Michael Corrigan , Tax Collector
231 E.Forsyth Street
Jacksonville,FL 32202
General Collection Receipt
Account No:CR397832 Date: 1/19/2017
User:Groff,James Email:JGroff@coj.net
FIRE MARSHALL FEE FOR SERVICES PROVIDED
Name:LDP Quality Construction
Address:7707 Merrill Rd.STE8575 Jax F1.32277
Description:CR for plans review for 16-C1NT-2897 Atlantic Beach Building Permit.
TranCode I IndexCode I SubObject I GLAcct I SubsidNo I UserCode I Project I ProjectDtl I Grant I GrantDtl I DocNo I Amount
701 I FRFP159FI 134222 I I I I I I I I 1150.00
Total Due:$150.00
Michael Corrigan ,Tax Collector
General Collections Receipt
City of Jacksonville, Duval County
Account No:CR397832FIRE MARSHALL FEE FOR SERVICES PROVIDED Date: 1/19/2017
Name:LDP Quality Construction
Address:7707 Merrill Rd.STE8575 Jax F1.32277
Description:CR for plans review for 16-CINT-2897 Atlantic Beach Building Permit.
Total Due:$150.00
O
4''
http://financeweb.coj.net/TCCR/printing.aspx?cr=CR397832 1/19/2017
--- - •• --• •� .. i `Ivi i \t_Ivl/ II v.J UI vvl I/IIVVLLi \JV I LL I
\ND LIGHTING CIRCUITS ARE SHIFTED USING EXISTING
;RCUITS. NEW CIRCUITS ARE PROVIDE FOR
'EW EQUIPvENT.
REVIEWED FOR CODE COMPLIANCE
CITY OF ATLANTIC BEACH
SEE PERMITS FOR ADDITIONAL
REQUIREMENTS AND CONDITIONS
REVIEWED9Y• 1 DATdt 23 c`1
INDEX OF DRAWING .
•
S
T1 .0 TITLE SHEET
LS1 .0
A1 .0
LIFE SAFETY FLOOR PLAN
EXISTING / NEW FLOOR PLAN
A1 . 1 REFLECTED CEILING PLANS
P1 .0 PLUMBING PLAN
t
E1 .0 ELECTRICAL FLOOR PLAN .
E1 . 1 ELECTRICAL LIGHTING PLAN
• ' ,11 sem
0 \ DOCVP \ TS 11 20
EYPLAN 1119 z . PROJECT SITE
Er 6 469 ATLANTIC BOULEVARD STE II
- JACKSONVILLE, FLORIDA
, LE CODES :
REVIEWED;�
Jacksonville Fire Prevention
014 5TH EDITION FLORIDA BUILDING CODE JAN 1 9 2016
0 NO EXCEPTIONS
014 5TH EDITION FLORIDA BUILDING CODE 1:3 EXCEPTIONS AS NOTED
SHEET#
014 5TH EDITION FLORIDA BUILDING CODE
011 NEC - NATIONAL ELECTRICAL CODE
J14 5TH EDITION FLORIDA BUILDING CODE -
)12 5TH EDITION FLORIDA BUILDING CODE
)12 NFPA VOLUME 101 LIFE SAFETY CODE
)12 5TH EDITION FLORIDA BUILDING CODE
)12 FBC - FLORIDA FIRE PROTECTION CODE
)14 5TH EDITION FLORIDA BUILDING CODE - ENERGY/CONSERVATION
SCE 07- 12 ®pp
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