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363 Atlantic COMM18-0018 Permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 COMMERCIAL -ALTERATION COMMERCIAL MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: COMM18-0018 Description: Door Replacement Estimated Value: 3500 Issue Date: 7/5/2018 Expiration Date: 1/1/2019 PROPERTY ADDRESS: Address: 363 ATLANTIC BLVD 13 RE Number 1697300000 PROPERTY OWNER: Name: MANDARIN EMPORIUM INC Address: 2240 MAYPORT RD#7 ATLANTIC BEACH, FL 32233 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Wilkinson Construction, LLC Address: 263 SW Wall Terrace Lake City, FL 32025 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts,state agencies, or federal agencies. * A notice of Commencement is only requind for work exceeding an estimated value of $2,500.For RVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. City of Atlantic Beach APPLICATION NUMBER Building Department Cro be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 CoMMIS- 0019 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@wab.us Date routed: City"b-site: thtpJA�.coalb.us 4U� APPLICATION REVIEW AND TRACKING FORM Property Address: Depa ent review required Y -No ldk��V -7 Planning&Zoning Applicant: Wikinsor� artshyA out Rr ko Tree Administrator Public Works Project: Public Utilities -Fublic Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt to of Permit Verified By Do —do Dept.of Environmental Pmtecrion Florida Dept.of Transportation St.Johns River Water Management District Amy Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco &her-. APPLICATION STATUS Reviewing Department First Review: MApproved. ElDenied. [-]Not applicable (Circle one.) Comments: CU1:LDlG:) PLANNING &ZONING Reviewed by: TREE ADMIN. Second Review: []Approved as revised. ODenied."' ONot applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date FIRE SERVICES Third Review: DApproved as revised. [-]Denied. E:]Not applicable Comments: Reviewed by: Date* Revised 0511912017 Aft Building Permit Application JUN Updated 1218117 City of Atlantic Beach IV 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5945 Job Address: 363 Atlantic Blvd Atlantic Beach FIL 32233 —Permit Number: ?L Legal Description RE# 13 Valuation of Work(Replacement Cost) Heated/Cooled SIF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration Repair Move Demo Pool Winclow/Door • Use of existing/proposed structure(s)(Circle one): Commercial Residential -J1 C.) 4 0 & Z • If an existing structure,is a fire sprinkler system instal led?(Circle one): Yes IN o N/A 2 9 0 • Submit a Tree Removal Permit Application if any trees are to be removed or Afficavit of No Tree Removal 0 Co t Z Describe in detail the type of work to be perform d: Lu 4 U DZMZ 0 04 Florida Product Approval# for multiple products use product j�epj (�n 0 !r Property Owner Information U. g ric t LIL M 2 Name: NShore LLC Address: ED Box 357742 0 w W City Gainesville State Fl. Zip 32635 Phone 352-514-9468 IM 0 E-Mail taratz.clarabiftinailLosm W 0 W Owner or Agent(if Agent,Power of Attorney orAgencV Letter Required) Tatar Dambi 'A Contractor Information NameofCompany: Wilkinson Construction LILC _Qualifying Agent: Anthony Mark Wilkinson Sr Address 1389 US90W Suite 190 —City--LakgQjIF—State Fl. Zip 32055 Office Phone 386-438-9931 —Job Site/Contact Number uB;-4gRqqq1 State Cenification/Registration# rRr17SSIS1 E-Mail marki4wilkinsonec.com Architect Name&Phone# Engineer's Name&Phone# Lou Pontigo&Associates Inc 904-242-0908 Workers Compensation NorGuard Insurance Company,WIWC899179/ Expiration Date 11/04/2008 Exempt/Insurer/wase Ennpio,,ees/Expiration Date Application is hereby made to obtain a permit to do the work and ins0callations as indicated.I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulationg construction in this jurisdiction.I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS,and AIR CONDITIONERS,etc.NOTICE:In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT:I certify that all the foregoing information Is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 NOTI"F COMMENCEMENT. (Signature of Owner or Agent) gnatu f Contractor) "u" T (including contractor) Signed and sworn to(or affirmed)before me this igned and sworn to(ar a III be ore din ay of ,,�Z-day of e i;;_ 2-olk by 261 c'q I of Notary) Notary Public V TOMNOMPERGER AZedisionally Known OR K ON#FF92�1 �Fddk t Id Precluded Ida State of Florida le u� n VA'?z -ol Typectif lidentificaStonfinnission Expires =/ /202o Idemiflialtionxt �aof kBintifnewro,F�tn'u L;OMMISSion NO. k3da OFFICE COPY pe y, 4 44: 60 r), k3n / e-0 0/ JP NOTICE OF COMMENCEMENT State of Florid, Tax Folio No. County of Duval To Whom It May Concern: The undersigned hereby informs you that irnproennents will be made to certain real property,and in accordance�ith Section 713 of the Florida Statutes,the JbIloviving inibmation is stated in this NOTICE OF COMMENCEMENT. Legal Description ofpmperty being improved: Address ofproperty being improved: 363 Atlantic Beach.FL 32233 General description of improvements: Replace stere from door Owner: NShone LLC Address: PO Box 357742,Gainesville FIL 32635 Owner's interest in site ofthe improvement: 1000/6 Fee Simple Tidcboldll�r Fee Simple Titleholder(ifother than ovmer): Name: Contractor: Wilkinson Construction LLC Addms:. 1399 US 90 W.Suite 190,Lake City,FL 32055 Telephone No.: 2IJ438-9931 Fax No: N/A Surety(ifany) N/A Address: Amount ofBond$ Telephone No: Fax No: Name and address of my person making a low for the construction ofthe improvements Name: N/A Addrm: Phone No: Para No: Name of person ithin the State of Florida,other than himself designated by oamer upon whom notices or other documents may be served: Name: Mark Wilkinsum Address:- 263 SW Wall Terrace Lake Cily FL 22025 TelephoneNo: ]E§-439-9931 Fax No: In addition to himself, earner designates the follovAng person to receive a copy of the Litman's Notice as provided in Section 713.06(2)(bk Florida Statues. (Fill in at Owner's option) Nacre; Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from die date of recording unless a differvan date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Eft Pope Notary PubliC Signed: Date: 2 State of Florida Beforemetbis /� day of��in the County oftc,2o"' OfFlo,ida,has personally appeaned ". � A,- My Commission Expires 12/29/202D Notary Public at Large,State afflori C%01`-�--, Allek� Commission No. GG 58908 My conaw sswn epues. 2 Pararna]ly Kra.; 5i--:' or Pradsad lde.tifiwf.—�