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900 PLAZA - COMM BRICK REPAIR %S'APJ. COMMERCIAL PERMIT PERMIT NUMBER 2 CITY OF ATLANTIC BEACH COMM19-0001 ISSUED: ,�: v 800 SEMINOLE ROAD "'j3 s) ATLANTIC BEACH. FL 32233 EXPIRES: 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: 900 PLAZA COMMERCIAL ALTERATION BUILDING 1 UNIT 13 - BRICK $6000.00 COMMERCIAL REPAIR TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 171725 0500 ROYAL PALMS ACRES COMPANY: ADDRESS: CITY: STATE: ZIP: MASTER BUILDING CONTRACTORS, LLC 484 Whiting Lane Atlantic Beach FL 32233 OWNER: ADDRESS: CITY: STATE: ZIP: SEA OATS ACQUISITION 645 MAYPORT RD STE 5 ATLANTIC BEACH FL 32233 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 4S5-0000-322-1000 0 $85.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $42.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 1 of 2 ,S'='_''rt, COMMERCIAL PERMIT PERMIT NUMBER �_'? CITY OF ATLANTIC BEACH COMM19-0001 ,v V 800 SEMINOLE ROAD ISSUED: ?6\!;11-'1i ATLANTIC BEACH. FL 32233 EXPIRES: [ _ TOTAL: $131.50 Issued Date: 2 of 2 (:,:,.f- • Building Permit Application City of Atlantic Beach Updated 12/8/17 `,1 / 800 Seminole Road,Atlantic Beach,FL 32233 ` Phone:(904)247-5826 Fax:(904)247-5845 C� I Job Address: `*c"l P/0 c?i / //4„f,F /— Jd' ( 5 Permit Number: Cn IVt IY\ 1 ( ._OO O 1, Legal Description 3/'- 7) 32-`.P5 - )9L- ,i/ 442.5 ,44cj-,s i'17;dK"T/ RE# / 7/ 7dS • (1 S(,(/ Valuation of Work(Replacement Cost)$ C'1 C't ( — Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Alteration eepaiMove Demo Poo(indow/o' • Use of existing/proposed structure(s)(Circle one): Commercial 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: (n� } 1U. KC-' \�/ L -0.:,,-,1‘ z S1,\!(�l' I�i„�C�� i`��' ."k.1 LI, „,j.,. (3v;lorrs y G„ -� g 34,4 Florida Product Approval# for multiple products use product approval form Property Owner Information Name: i69 0/4Ts 4C' q..5. TiO!v cc C Address: 1.'VS MA//oot r ,ed ,f44.1,f44.1rt -Si City /}TC4A)r•G. , t�/ehState L Zip 3. 233 Phone 904' 57 Y-/o9v E-Mail . •.7/<'La L [? �nYliiL STA/ ‘Lk O,'17 Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) –.ic'c K 10 7-2- Contractor 2Contractor Information C Name of Company:ifASI=2 4cv% Vj Di (D,t,�,4iC'7�,eS Qualifying Agent: J64,vD'AN4Jsc N Address `/1'/ Lt/)rTi� c_ I C 4 ACity ATLi1A,�,1 i&- d, State F( Zip 3.1 2 3.E Office Phone //64/ `/63 •7d9 5! Job Site/Contact Number 9v(/ <7k 3 - "1.5k 5- -State Certification/Registration# E-Mail JE/3n/ L',..ie iwS.',ti 2(1 C' 9,Y14,L -C`_D m Architect Name&Phone# N/ 4 Engineer's Name& Phone# /i:/.4 Workers Compensation 17/,iU'3,s 4..1/,11-;JN.1/ 1-4,1sq£4/V4L ('-C • 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 RECORDING YOUR NOTICE OF COMMENCEMENT. , /� , - (S nature of Omer or A nt) (Si ure of Contractor) (including contractor) Signed and sworn to(or affirmed)before me this of Signed and sworn to(or affirmed)before me this.Aay of J/fN.c4/L( , 02-0/q ,by 1F<< .6 - I(/or"Z JANE-/}/1-1/, 02 0/9 ,by-1044/ e. j-M Ai se 4/ A,,,_ 4<c46-64ivie, X.-ii,- e.,(Yel,,,.;Iii ignat1( too ER (Signature of Notary) S LISA A.BINDER ' NOTARY PUBLIC GARY, ›Q,Personally Known OR d . STATE OF FLORIDA Personally Known OR o� NOTARY PUBLIC ( )Produced Identification % i Comm#FF189043 ( 1 Produced Identification 0, ESTATE OF FLORIDA Type of Identification: /NCF 19' Expires 1/12/2019 Type of Identification: 0:‘f ' 2* Comm#FF189043 CE 14 Expires 1/12/2019 NOTICE OF COMMENCEMENT State of /=l0 it I D A Tax Folio No. 17 I7Z 5 05 00 County of ,Q/,{ //4/ /� To Whom It May Concern: ( J© ` C� y o `- l 1 C 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: 3c/ - 902 35 - .2...5 - „29 C 6'-'d• / 7 / 1,25" - es-00 Address of property being improved: 90a PM Z4 / T( //7,C 6exi(fj / I( 3.2233 General description of improvements: Rep4i 2 / ,t et w0-(!, ;JliCG 6 ,N 0) /l/��tv Lt)i w Dv Owner: -�CA (Mrs /}L'j'tu s %i�N , LLC Address: (9�,/.S�/YI 0 4�P�xT 2/� . /�rctir/c B� /r,Fl wner's interest in site of the improvement: 3.2.23:3 Fee Simple Titleholder(if other than owner): Name: Contractor: /7J/t,STA 6 Li/Dtiiii con)7`/LAe7Rs L 4. L Address: VP/ tVAi`Rdi LANcr" 74-r(-74-r(--44)77477 e- Ze i 1/ 3-223 ? Telephone No.: 'i 0 q (.4.3 78 9.r Fax No: 901/ eVf 3 - b 9%Z 6 Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Doc#2019002129,OR BK 18647 Page 1021, Name and address of any person making a loan for the construction of the imp Number Pa :1 Recorded 0174/2019 08:55 AM, Name: RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY Address: RECORDING $10.00 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 OWNER ``pQy48 LISA A.BINDER Signed: Date: //02/02 Q/ 1 r• NOTARY PUBLIC Before me this ; Nd day of t• L .0/' in the County of Duval,State 2, STATE OF FLORIDA Of Florida,has personally appeared �.Tjr .11• K/0 r Z.- •`; i Comm#FF189043 Notary Public at Large,State of Florida,County of Duval. 1 E X910 Expires 1/12/2019 M mmis 9 expires: /�/� /�D/y ersonally Known.) or Produced Identification: M s=t`!r, Revision Request/Correction to Comments **ALL INFORMATION �g% HIGHLIGHTED IN " City of Atlantic Beach Building Department GRAY IS REQUIRED. i 15 �V 800 Seminole Rd, Atlantic Beach, FL 32233 Jr‘ - 4 2019 P Ui:>, Phone: (904) 247-5826 Email: Building-Dept@coati us PERMIT#: Ua /9-d o / Revision to Issued Permit OR ❑ Corrections to Comments Date: ////', Project Project Address: 9oo Pha2A (A.,,/I i Gn,Y Contractor/Contact Name: /lAsie, x,./,,6,., e,547ne/w CSA 11"441 deafere.' Contact Phone: 10-/-333-yGOl Email: SleAckFso-t, ta 4411,004 C +er.v;ts .C-ate Description of Proposed Revision/Corrections: to:^cde. C e r-E. I ChAv.'. A.-0,,..Ott r"s•-- affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? JNo ❑ Yes (additional s.f.to be added: ) • Will proposed revision/corrections add additional increase in building value to original submittal? RVo ❑*Yes(additional increase in building val e• $ ) (Contractor must sign if increase in valuation) *Signature of Contractor/Agent: j___________ (Office Use Only) rApproved ❑ Denied ❑ Not Applicable to Department Permit Fee Due$ ,s'O.Oc Revision/Plan Review Comments4O/1746-7 40 ,p/Uk'✓f Z o j r Copy 8 pay Pet"- Department e '.Department Review Required: Bui —.17)1) anning&Zoning Reviewed By Tree Administrator Public Works Public Utilities / — .2 z--7, Public Safety Date Fire Services Updated 10/17/18 * Z 74" Z›D 39 N N �Zf O O Z _ 11 coo__ c 0za D ZZ� r ff•' m Gym m I. z6 N gym + N o .g 6 D 70 xo m Z b N n ��� o v -n = OOOgo Zl O I1' z -I M % % __ ,.._. e a O ❑ PIM o O — L D o ag \% C D_ \ < • xi ii— Irnm0mm cJ cm --I M 0 :70,-:,,)2 rn s 0 cn" H fTl ,� AZ D C� y Co 7a mho D _ � c . -am Ft co v)A z •9 a : rn >O -° m -o ItOO D :.J rng O ■■ o fir, 13int■ A � � �— o az " `� � m m= ? r- ZA zm M - c-� max -' Cr.) Z Cr/ y Z N U _ 40Z CN 1 O -i a cn D zv n 1 7 c -1 c� o •-"- W m Ii 2 . 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SERIES MODEL&PRODUCT MAXIMUM SIZE TESTED DESCRIPTION 3540 TRIPLE SH(FIN) FRAME SASH MI Windows&Doors,LLC 10817 (PVC)(O/X.O/X.O/X)(IG) 2731 mm x 1867 mm 860 mm x 919 mm Code: MTL (INS GL)(REINF)(TILT) (ASTM) (9'0"x 6'2") (2'10"x 3'0") This Certification will expire April 12,2022(extended from April 12,2017 per AAMA 103-15)and requires validation until then by continued listing in the current AAMA Certified Products Directory. Product Tested and Reported by: Architectural Testing,Inc. Report No.: C7327.01-109-47 Date of Report: May 7,2013 Evaluated for Certification: August 28,2017 0 A i jb A . .ted Laboratories, Inc. -,„ O Authorized for Certification: August 28,2017 ^rn CJ JGS/JTS O C1_,..."7-1 :16.4.4 -13 ACP-04 (Rev.6/16) Amer n Architectural Manufacturers Association I • 9E 74' m(�7 N N Oyr- r x `O) n' -gym r f)TD z r zom m 1. 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Ie o —O oto `Ovm'N 0 . 0 ^ d0Y O 30JAOdN • N 0 •y 3 VNJ dwa• OOVJ O 4 Ft-, y v O< C v f —_, 00 sm m ° c m.N m •Ns cn Qo +d N J om o 2< o Z • Q J , o * p.. . J �� ,3 “,.,3 “,.,1 o 0•>•J 'n • mO � _ ITr1 - Ji0 .0 c n O� 0- 0nfE7 0 0 0 ,Es ° n0 ' o —d 0 ° � F J. 0. o ° m:0m o N d .1.,,3o � dS � doo O °\ O.N NTdWN oz a ONNNpj, 3 NaJ A J T No C J O x J x f a 1 .. d 5. m N O -; • d D (7 i J W 2 J ^ o n A Z 9 •9 tO o N mJj { Y.1. 2 _ 0 ~» =g,n3 ' d a I ! - Ol0 o' O dx a A • L • I AAMA (Validator/Operations Administrator) CERTIFICATION PROGRAM ► I AUTHORIZATION FOR PRODUCT CERTIFICATION MI Windows&Doors,LLC P.O.Box 370 Gratz, PA 17030-0370 Attn: Rick Sawdey This authorization is based on the successful completion of tests, and the reporting to the AAMA Validator of the results of the tests by an AAMA Accredited Laboratory.The product information below will be added to the next update of the MMA Certified Products Directory. SPECIFICATION AAMA/WDMA/CSA 101/I.S.2/A440-08 RECORD OF PRODUCT TESTED LC-PG35"-2731 x1867(108x74)-H Negative Design Pressure=-50 psf COMPANY AND CODE CPD NO. SERIES MODEL&PRODUCT MAXIMUM SIZE TESTED DESCRIPTION 3540 TRIPLE SH(FIN) FRAME SASH MI Windows&Doors,LLC 10817 (PVC)(O/X.O/X.OIX)(IG) 2731 mm x 1867 mm 860 mm x 919 mm Code: MTL (INS GL)(REINF)(TILT) (ASTM) (9'0"x 6'2") (2'10"x 3'0") This Certification will expire April 12,2022(extended from April 12,2017 per AAMA 103-15)and requires validation until then by continued listing in the current AAMA Certified Products Directory. Product Tested and Reported by: Architectural Testing,Inc. Report No.: C7327.01-109-47 Date of Report: May 7,2013 Evaluated for Certification: August 28,2017 A i 4:4_, C. A . .ted Laboratories, Inc. Q w Authorized for Certification: August 28,2017 C) JGS/JTS ACP-04 (Rev.6/16) AmerC .r.Z.1— n Architectural Manufacturers Association ID