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31 Seminole Rd COMM19-0012 Stucco COMMERCIAL PERMIT PERMIT NUMBER r , CITY OF ATLANTIC BEACH COMM19-0012 V~ 800 SEMINOLE ROAD ISSUED: 7/9/2019 Uji1" ATLANTIC BEACH. FL 32233 EXPIRES: 1/5/2020 MUST CALL INSPECTION • • • 1 + PM FOR + INSPECTION. ALL • ' K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ BUILDING CODE, ' AND OF ATLANTIC + CH CODE OF ORDINANCES . ALL • • OF PERMIT APPLY, • + + 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 31 SEMINOLE RD COMMERCIAL NEW STUCCO - 300 SF $2000.00 COMMERCIAL TYPE OF ZONING: :D • • • GROUP: 170667 1000 SALTAIR SEC 01 COMPANY: ADDRESS: VARELA CONSTRUCTION 1865 EVERLEE RD JACI<SONVILLE FL 32216 GROUP AKA A ALEXIS • ADDRESS: SOLOMON PROPERTIES 14255 BEACH BLVD JACI<SONVILLE FL 32250 INC 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. 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 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $4.09 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.73 Issued Date:7/9/2019 1 of 2 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road 00( 7- I I Atlantic Beach, Florida 32233-5445 I !� Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: z I City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: .I ��(YN l j1�O De artment review required Yes No (J� / / uildin =1C Applicant: I'1 P\I ( S, V ec� Q.GL_P IIJC' ning &Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date p Florida Dept. of Environmental Protection Florida Dept. of Transportation St.Johns River Water Management District Army Corps of Engineers O� Division of Hotels and Restaurants Q) Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: OApproved. ❑Denied. []Not applicable (Circle one.) Comments: BUILDING U PLANNING &ZONING Reviewed by: Date:-7' 2'�q TREE ADMIN. Second Review: ❑Approved as revised. ❑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 PY (A--- Buildin Permit A licatio�nFFlC ® U doted 10918 City of Atlantic Beach Building Department � **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 24�j7-5IS REQUIRED. /826 Email: /Building-Dept@coab.us /–� 7 Job Address:�[ ern(/6��Ei ��q Permit Number: �()M m t9 r V©I E Legal Description RE# Valuation of Work(Replacement Cost)$ 740DO Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration WRepair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No • Will trees be removed in association with proposedproject? ❑Yes must submit separate Tree Removal Permit ❑No Describe in detail the type of work to be performed: � 4&C z,0 Ow 5-77JG�(--o Florida Product Approval# for multiple products use product approval form Property Owner Information Name AA '5000fl Address -S/ SeM."dole_ 4,0-�T City r' g r, State Zip 30Z33 Phone E-Mail Owner or Agent(If Agent, Power of Attorne�j or Agency Letter Required) Contractor Information v0.f'C' l//C� Co n<��r L)C JCA► N 0Xc)(if Uc f / Name of Company .4.. XIS 11 dMl,J //�G Qualifying AgentVd rla Address 1365 werlec Aped City....ACK Rv/ G State Zip_-ji b Office Phone qQv L Job Site Conta t Number A tx�l ,Ale d State Certification/Registration# 60 E-Mail 1palY10 Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer V f 17, OR Exempt O Expiration Date lA Application is hereby made to obtain a permit to do the work and in ations 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 regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SICS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirementvof this N H permit,there may be additional restrictions applicable to this property that may be found in the public records of this count!garnd .J Z there may be additional permits required from other governmental entities such as water management districts,state agens�brZ 0 federal agencies. < O 0 LM ~ Z ~ OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance wit II a 0 Q applicable laws regulating construction and zoning. U a 0 a W H Q a WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MA@ 0 a RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN z TO OBT N FINANCING, CONSULT WITH YOUR LENDER OR AN TTORNEY BEFORE O < W Rcc ECOR UR NOTICE F COMMENCEMENT. O W W M LU 0 W W m F- w a LU (Signature of Owner or Agent) (Signature of Contractor) W V N uJ W ?� > IX W_ Signed and sworn to(ora rr ed) before me thisz day of Signed and sworn to(or of' d)before me this of > 2o►a Y Ane ZC y D c,� v� (Signatur f Notary) (Signature o Notary) ROMO STRONG RONALD STRONG [ Personally Known Op�bn/GG309504 y 1 �% r, y:• ( ]Personal) Known OR ? commission GG 309504 Produced Identific {�n� ';e:J trtMeteh10,2023 Produced Identification ; ,r'; Expires March 10,2023 /ype of Identification �` *' Fainlnwrancn800.385•T019 ype of Identification: "'. � �gTnruTreyF�Inlnsurence800.385.7019