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1221 MAYPORT RD -COMM18-0027 INTERIOR BUILDOUT -1-A) COMMERCIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH COM M18-0027 ` "� ISSUED: 10/16/2018 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233 EXPIRES: 4/14/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1221 MAYPORT RD COMMERCIAL ALTERATION INTERIOR BUILDOUT- $19000.00 COMMERCIAL JAGUAR POWER SPORTS TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171090 0100 ROYAL PALMS UNIT 01 COMPANY: ADDRESS: CITY: STATE: ZIP: B-COOL A/C & HEATING, 1003 BLANDING BLVD BLVD STE# 301 JACKSONVILLE FL 32203-0062 INC. OWNER: ADDRESS: CITY: STATE: ZIP: SHOPPES OF AIA NORTH 4237 SALISBURY RD N STE 212 JACKSONVILLE FL 32216 LLC WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $150.001 BUILDING PLAN CHECK 455-0000-322-1001 0 $75.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3381 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.25, Issued Date: 10/16/2018 1 of 2 • ' "rk• " COMMERCIAL PERMIT PERMIT NUMBER j% CITY OF ATLANTIC BEACH COMM18-0027 800 SEMINOLE ROAD ISSUED: 10/16/2018 Au ;ii9EXPIRES: 4/14/2019 ATLANTIC BEACH. FL 32233 TOTAL:$230.63 Issued Date: 10/16/2018 2 of 2 NOTICE OF COMN`T'""'''' Doc#2018246005,OR BK 18565 Page 110, � i Number Pages:1 State of r dith Recorded 10/16/2018 12:04 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL County of Ou"'�1 COUNTY RECORDING $10.00 To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: 30-6038 _14' rayu.) e.,,loiS CA ott4 01 ?t 0'0' A g c c D oeg 17654 -!,O Address of property being improved: it LI ,io-y?.d. RI A+/.,,v. 4.,44 Sail General description of improvements: lhivi-/ re?,a"5 Owner: S/,d./.. 57.0Aml Address: n1.i v+1.7?f'' ' Owner's interest in site of the improvement: &'t,g--'1 Fee Simple Titleholder(if other than owner): Name: Contractor: 3 e tea! o-+r c.4..11{t,"c'".j 4,,4 Ne..+4441 P,C. Address: 1033 0..11, 414.6 s*- lag Dro4,9t pwrk ft 3 2'15 Telephone No.: 9''- 17C-9 769 Fax No: I► 94` '-?if-#9Y7 Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): ,/; THIS SPACE FOR RECORDER'S USE ONLY OWNER7 QSigne • Date: om;.•••• T Before me this in day of 0 M1thq County f Duval,State �! N,�SSIDN Of Florida,has personally appeared �( :':;•VO •:*= Notary Public at Large,State of Florida, o ty of Duval. Ear"fi.t 9 • . My commission expires: , Q.,. �- 1 �• 0 I I "59_• � : Personally Known: ✓�� ,,- d or L Produced Identification: '-*,'O6 `ems`; ''',,'Public,,,` City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 °AA_i r\ - QZ 7 Phone(904) 247-5826 • Fax(904) 247-5845 ki, .219:- E-mail: building-dept@coab.us Date routed:9 / ( B City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 12.2 I ��� 24') De artment review required Yes No wilding ) Applicant: e_00 C.._ arming &Zoning Tree dministra or Project: 1 i`�J `Z'C c( oRZ, 3 OCA ( Public Works Public Utilities Public_Safely (ire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receirilt—I 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: 14pproved. ['Denied. ['Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: - Date: lb i 511,d1 TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ['Denied. [—Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 • Building Permit Application /'or-- Updated12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 Phone:(904)247-5826 Fax:(904)247-5845 /�,� Job Address: 1'1 a7 In P� fi� Permit Number:Co t V\ ( B -Oc z Legal Description 30 °38 �2.�_�E 9 r ya/ r%ds.s 579vim, `1/ f.-Ac+ /f Ed o04/R �763a- iV o RE# /7/opo-ui/ Valuation of Work(Replacement Cost)$ i y11uU Heated/Cooled SF 7-0'v Non-Heated/Cooled 0 • Class of Work(Circle one): New Additio Alteration Repair Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): mmerci Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes '0 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: . l z r �r, t,..JiJ ./„ rei...4 rtcu 0. � neN (, 4ty ?.•,_ , F(�" nw grid rcr/M- Florida Product Approval# for multiple products use product approval form Property Owner Information o 4 a t( K.)01-171 L_l_C Name: St•v� 3'.'.ck0,l /7o.9var+i'Duu/ S'r1J Address: /22- ""V?.'# /ll City -_c State ct Zip 32233 Phone 838- 8y/ Z E-Mail Ye.94dar rr,Loi- S?,ifs 4.4•.t,p l,c,,� Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information Name of Company: 6'-c 0,1( c-.•111"11rh3 H°'fr"✓ `�� Qualifying Agent: Mg,1 et-vd'1 Address 1033 t/0",4,-) bivv twit 3+r City off"' t r'°rk State Ft Zip Szs 5 Office Phone 9°Y- 37f- 9769 Job Site/Contact Number Sot-97Yr State Certification/Registration#Clic,2-SyZ9/ E-Mail 6 ce / a:r ?C,,.,c,-J#'At, Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Nur ()wart ,,..0 ' c,.".?'- i [-I -/9 Exempt/"---1Q.2.9/Lease,Employees/Expiration Date Application is hereby made to obtain a permit to do the work and instaftatlons 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 ONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR • ' CE OF,2O 1MENCEMENT. Or 'igna ure of ,41Kr Agent) (Signature of Contractor) �cs (ince,• g c•ntractor) I Si ned and sworn to(or affirmed)before me thi day of Signed and sworn to(oraffirmed)before mgthisaS day of ,pCAK,by�i. 0,0 ACKFTT�'; ature of ' • (• (Si(Si;(�ture o Julie Tacketro""" Julie Tack m; No�t.c [personally Known OR P ••• k"),,�i Personally Known OR _ Fp\RE 2Q,19 : [ )Produced Identification '. ",MtSS��'• produced Identification = is\• • ` Type of Identification: >•'C. R ' ...Typsof Identification: Tr , �, J Com( c U; NJM7E - r'. O 7.. *". �ugust19.2019 rp _ ''•,�'AUbI1G, -'r,, Building Permit Application 2 or Updated 12/8/17 City of Atlantic Beach 800 Seminole Road,Atlantic Beach,FL 32233 r Ph.,�-:(904)247-5826 Fax:(904)247-5845 I �("��7 Job Address: ��\ 4 ' A� Permit Number: 0min `� �`' `'7 Legal Description %( --b67 3, —2 5--` •R7 6 7 )yci ( Octifit5 RE# / 70'( © `01(© Valuation of Work(Replacement Cost)$ )7j Heated/Cooled SF 000 Non-Heated/Cooled 0 • Class of Work(Circle one): New Addition 'Iteration Repai Move Demo Pool Window/Door • Use of existing/proposed structure(s)(Circle one): 'ommercia Residential • If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No 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: k..t ri ' .f.[e'^b1 01 �(S �eG�It>�( 1 �( � Soo�K � rj� 1 Florida Product Approval# for multiptielproducts use prod.ct approval form Property Owner Information 64 �� - �, � C // / Name: i )i „ r t i rr��uc Address:� ^1Sq shu Id -4 RIR City • IA t State Zip _ ,1 Phone •C.•• A E-Mail f'Sq.[r� c prow, rv](, z.i/Yi 9O(- g7.— 3.5 ce(( Owner or Agent(If Agent, Powe of Attorney or Agency Letter Required) Contractor Information e)w� `( Name of Company: ©Q Qualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/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 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 j ' CORD , -- • U ' NOTICE OF COMMENCEMENT. er gicto-Ai u, o t, (Signature of Owner dr gent) (Signature of Contractor) `f rt2 �r o .L t. (includi g contractor) . ,T,ti:` 'ed . d sworn to(or affi ed before - is 4(:j:y,(�f, • Signed and sworn to(or affirmed)before me this day of wJ�:_• ZO[0,by a ;wt. • -k-k- , , by !a -- Oil 0 o a — Signature of '. .ry) (Signature of Notary) wqi J •,,,�(,r.:rsonally Known OR L ' [ I Personally Known OR Q�?°•• •, ' educed Identifications 433 3 _Q t bVs L� (-� [ ] Produced Identification ,.t �.k of Identification: J V Type of Identification: 01..A1\, City of Atlantic Beach APPLICATION NUMBER JS i, Building Department (To be assigned by the Building Department.) s 800 Seminole Road 7 ,�.,; - �r Atlantic Beach, Florida 32233-5445 Cans m I g - oz Phone(904)247-5826 • Fax(904)247-5845 Q '!D;31�' E-mail: building-dept@coab.us Date routed: /zB/(B City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 Z2 ( I ' ` f y ©,r go Department review required Yes No ` � �'uild� g Applicant: E — e00 ,_ am' in, & .nine Tr-e £ finis ratir Project: 1 l'`{) 'TCS_( o(Z, 13 U t Lpv - Public Works Public Utilities El an Sate_ CFire Services Review fee $ Dept Signature cor- `" Other Agency Review or Permit Required Review or Receipt Date v of Permit Verified By Florida Dept.of Environmental Protection v Florida Dept. of Transportation o 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: Ivf Approved. ['Denied. Not applicable (Circle one.) Comments: BUILDING NNI & 0X ! �Q.:�. r '' Reviewed by: ,� Date: IC-Z- TREE ADMIN. Second Review: 'Approved as revised. ❑Denied. ❑Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: f iApproved as revised. I 'Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 1 Printing :: CR479014 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:CR479014 Date: 10/2/2018 User:Prevention,Fire Email:FirePrev@coj.net FIRE MARSHALL FEE FOR SERVICES PROVIDED Name:Jason Canning Arch Address: 1821 atlantic Blvd Description:Atlantic Bch plan Review Jaguar Power Sports 1221 Mayport Rd TranCode Inder:Code I SubObject I GLAcct I SubsidNo I UserCode I Project I ProjectDtl I Grant f GrantDtl I DocNo I Amount 70I I FRFP159FI 134222 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:CR479014 Date: 10/2/2018 FIRE MARSHALL FEE FOR SERVICES PROVIDED Name:Jason Canning Arch Address:1821 atlantic Blvd Description:Atlantic Bch plan Review Jaguar Power Sports 1221 Mayport Rd Total Due:$150.00 • NsR http://fmanceweb.coj.net/TCCR/printing.aspx?cr=CR479014 10/2/2018 ,;S!,_Vif� City of Atlantic Beach APPLICATION NUMBER (4sA Building Department (To be assigned by the Building Department.) 800 Seminole Road (� - _, Atlantic Beach, Florida 32233-5445 CI d i!VL/ m ( C� - 0 Z 7 7:3--,- _} Phone(904)247-5826 • Fax(904)247-5845 Q J:3 �? E-mail: building-dept@coab.us Date routed:9 / Z8 I C City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 1 ZZ ( (Y\ ©1-( go Department review required Yes No ` ("guiding Applicant: Q _ e00 (...... anning &Zoning I� Tree�dminis rf ator Project: 1 (-, ''r-C2c O�, 13 01 (�� Co - Public Works Public Utilities fiblicfet CFire SeiVicesTh 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 Reviewing Department First Review: ['Approved. ❑Denied. ot applicable (Circle one.) Comments: BUILDING PLANNING & ZONING byl0_�_ f� Reviewed b Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ['Denied. ['Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ['Denied. ['Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 EXHIBIT A SITE PLAN Shoppes of141A Wort( Suite Suite Suite Suite Suite Suite Suite Suite 1261 1257/1253 1249 • 1245 1241 1237 1239/1233 1225 900 SF 1,800 SF 900 SF 900 SF 1,200 1,200 SF 1,800 SF 900 SF SF Domino's Broadfoot Gnarbuc Word Venture Reve Pizza Thomp Designs ha Revolt Dynam Boost Brew son Art Mobile Perfor Gallery mance *Drawing is not to scale. Outdoor Storage Area 4S 2 :.r-' �'n _� y (S f'3��4�°?7P r3�,vP �l j 1S 'I 1• by' '�t^�ria r0 ,hd.�•y BECINNINC ! Acl Y' C AL PREPARED ja�- , •• j BY TNIS FlRM / U- / ao• •v T *IEE UNOBS'RUCIEC s I / i'' ;,"',•°r 4r.1jy �7 N PER 6'7/Wl ECORDS E p ;WM,•^4. n''�G7 l� d PACT X9.1 OUMr 1,1 A y.Y p 1 ,°mv„n Sure O� .. ., / °t/1 / �*i.. �` 6 Sd• % J n' • PONT OF PEOINNING 1`\„�•wo a --1,-. it ^ Y ,e,,,,, F I BRE cOYMIiNENT PARCEL I f / 1 • ire.,r. 7 S 6• 9.T �'.r f�cipt�, ,1-47.,..,. raw `nasi 412- r• .94. ip J1? '''or 1 106 - ,i II / MEAS. /b 800,S'?a cx ,o,8,i�•(M> w� 1 it 506°43'33"E 42 o A,�?�4. �sr r Pq�J • I 35.56' AO;Jr The Castro Y. Ferrer Grant,_ _ i.,t'► ' i *Tenant may use area behind premises for storage as long as it does not encroach on easement or interfere with other tenants. Page 13of18 I