Loading...
363 Atlantic Blvd 08 COMM19-0022 Partition Wall ;,S.M%1\LI, COMMERCIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH COM M19-0022 � 800 SEMINOLE ROAD ISSUED: 10/17/2019 °i;19,' ATLANTIC BEACH. FL 32233 EXPIRES: 4/14/2020 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: 363 ATLANTIC BLVD 08 COMMERCIAL ALTERATION PARTITION WALL $1500.00 COMMERCIAL TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 169730 0000 ATLANTIC BEACH COMPANY: ADDRESS: CITY: STATE: ZIP: Wilkinson Construction, 1389 W U.S. HWY 90#190 Lake City FL 32055 LLC OWNER: ADDRESS: CITY: STATE: ZIP: NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32635 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 $60.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $30.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $94.00 Issued Date: 10/17/2019 1 of 2 ,!' ''„ COMMERCIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH COMM19-0022 �� I •, 800 SEMINOLE ROAD ISSUED: 10/17/2019 �� ' ATLANTIC BEACH. FL 32233 EXPIRES: 4/14/2020 I Issued Date: 10/17/2019 2 of 2 City of Atlantic Beach APPLICATION NUMBER 'i BuildingDepartment p (To be ssigned by the Building Department.) 800 Seminole Road \� � Atlantic Beach, Florida 32233-5445 CD MAA t -00z-z-- Phone(904)247-5826 • Fax(904)247-5845 -"' c;,19%-• E-mail: building-dept@coab.us Date routed: 0/ t 1 (q City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: T(C.h Ii3(v c Department review required Yes No • �$uild 9 Applicant: Lk.) ,r\mon U S` Planning & Zoning Tree Administrator Project: PaT 421.+10'1 Li ( ( Public Works Public Utilities Public Safety � ire Services 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 �\k- Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: [1 Approved. I 1Denied. Not applicable (Circle one.) Comments: BUILDING PLANNING & ZONING /0 '!�,`� Reviewed by: Date: TREE ADMIN. Second Review: Approved as revised. I 'Denied. f Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: Approved as revised. I 'Denied. I 'Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 ryLy;y City of Atlantic Beach APPLICATION NUMBER Building Department (To be ssigned by the Building Department.) j 800 Seminole Road II Q '/ Atlantic Beach, Florida 32233-5445 Q Plll M 1 l �'O �� \ Phone(904)247-5826 • Fax(904)247-5845 / ''.�J;t1)r E-mail: building-dept@coab.us Date routed: ) © t (t`"i City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM _l 61„, IIProperty Address: SCt�3 R4i � ci Department review required Yes No II ,, ll ildinc� Applicant: l/& t , �,-.i !`SO/1 C©n Sf Planning &Zoning i J- ( ( Tree Administrator Project: PQ�f o'1' (/`J0..l ` Public Works Public Utilities Public Safety ire Se ices Review fee $ De5t 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: 0 proved. ❑Denied. ❑Not applicable (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: .✓-^--- Date: / 0/i 9/J 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 Building Permit Application Updated 10/9/18 ..46..-' City City of Atlantic Beach Building Department **ALL INFORMATION %./ 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY :� ;.� "i� IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us Job Address: 363 Atlantic Blvd,Suite 8,Atlantic Beach,FL 32233 Permit Number: 04/1/1A l CI •-(X)Z Z Legal Description RE# l C0 ct .5o-_coo S Oe Valuation of Work(Replacement Cost)$\l() Heated/Cooled SF Non-Heated/Cooled • Class of Work: ❑New ❑Addition ❑Alteration ❑Repair ❑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 tree(s)be removed in association with proposed proiect? ❑Yes(must submit separate Tree Removal Permit) 13No Describe in detail the type of work to be performed: Add a non-weight bearing partition wall,no electrical,no plumbing Florida Product Approval# for multiple products use product approval form Property Owner Information Name NShore LLC Address PO Box 357742 City Gainesville State FL Zip 32635 Phone 352-514-9468 E-Mail taraz@gmail.com Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Taraz Darabi Contractor Information Name of Company Wilkinson Construction LLC Qualifying Agent Anthony Mark Wilkinson,Sr Address 1389 US 90 W Suite 190 City Lake City State FL Zip 32055 Office Phone 904-878-1554 Job Site Contact Number 386-438-9931 State Certification/Registration# CBC1255151 E-Mail markta wilkinsongc.com Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer N/A OR Exempt Or Expiration Date 12/8/2019 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 regulating 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 ' ,.•-11 ...._1 E OF COMMENCEMENT. (Signature of Owner or Agent) (Signature of Contractor) Signed and sworn to(or affirmed)before me this q day of Signed and sworn to(or affirmed)before me this q day,ofl 00-0 kg( ,a01� ,by�A ( 7. y Dar 0, i QC to Zr , c,20 I C,by A( -*- a�Lj MYl( l LJI I KK; rJuliaA.Lake - Q k Q . y Notary Publiclet ature of Notary) Julia A.Lake ature of Nota State of Florida (� Notary Public My Commission Expires 02/17/2023 ;!! p State of Florida [ j Perso^na� nown QR27� [ I Peisdnally iq& ���n Expires 02/17/?023 roduced Identifica 'on QQ)roduced Identi ica o No.GG 3302772.2 0 TypeTy�of Identification: V U(L r.V Q.v ,a LP.Y15 Q Type of Identification: ion k)(2:‘ecs . (.c.e `� Printing :: CR531152 Page 1 of 1 Duval County, City Of Jacksonville Jim Overton , Tax Collector 231 E.Forsyth Street Jacksonville,FL 32202 General Collection Receipt Account No:CR531152 Date: 10/14/2019 User:Prevention,Fire Email:FirePrev@coj.net FIRE MARSHALL FEE FOR SERVICES PROVIDED Name:wilkinson Const. Address:363 Atlantic By ATL BCH Description:fee Plan Review Comm 19-0022 TranCode I IndexCode I SubObject I GLAcct I SubsidNo I UserCode I Project I ProjectDtl I Grant I GrantDtl I DocNo 1 Amount 701 I FRFP159FI I 34222 I ( I I I I I I ( 150.00 Total Due:$150.00 Jim Overton , Tax Collector General Collections Receipt City of Jacksonville,Duval County Account No:CR5311S2FIRE MARSHALL FEE FOR SERVICES PROVIDED Date: 10/14/2019 Name:wilkinson Const. Address:363 Atlantic By ATL BCH Description:fee Plan Review Comm 19-0022 Total Due:5150.00 https://tccr.coj.net/printing.aspx?cr=CR531152 10/14/2019 NOTICE OF COMMENCEMENT State of Florida Tax Folio No. County of Duval *.rl.o M/l 9 - OO 2 Z, To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF CO MENCE ENT. Legal Description of property being improved: .5. �' i/ — c>1 --'t>2 7 /6- . /� 7 /1 ,4 • C /9eAc/c ,Za/J 7 �// te, /ter /of i9 j �'CG/J d/ i82, Address of property being improved: 363 Atlantic Blvd,Suite 8,Atlantic Beach,FL 32233 General description of improvements: Add non-weight bearing interior wall, no electrical and no plumbing Owner: NShore LLC Address: PO Box 357742,Gainesville,FL 32635 Owner's interest in site of the improvement: 100%Fee Simple Titleholder ZS rr Fee Simple Titleholder(if other than owner): o p) U Name: a Contractor: Wilkinson Construction LLC 17.U aU t'l�` Address: 1389 US Hwy 90 West,Suite 195,Lake City, FL 32055 cO w Telephone No.: (904)878-1554 Fax No: 0 rn o o Surety(if any) o o 0 93 Address: Amount of Bond$ ° 1° z as >— ct Telephone No: Fax No: E o z z oo Name and address of an 00 o t Et 0 Et y person making a loan for the construction of the improvements0 L.11 Z Name: N/A 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: Mark Wilkinson Address: 4051 NW River Sebastian LN,Lake City, FL 32055 Telephone No: (386)438-9931 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 (aigiAMR Signed: Date: Before me this CI day of ( in the Co ty of Duval,-,State A I Notary Pubic State of Florida Of Florida,has personally appeared- Sal CA ) GAY C I`\ `k my Commission Expires 02N7/2023 Notary Public at Large,State of Florida,County of Duval. CpionNp.GG302722 My commission expires: \C-b . i�] ao&3 Personally Known: or Produced Identification: I-, 0(LI 4'Qr7 k.1c 42'-11 48'4 5' 363 Atlantic Boulevard, Atlantic Beach Florida 32233 ,Suite 8 OFFICE COPY REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC E EACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS REVIEWED BY:— DATE: /0 0 Z c) rn .0 co D&A CERTIFICATE OF AUTHORIZATION #3436 DATE PROJECT NO: O O u M APPROVED FOR'q fA BY R 363 Atlantic Boulevard, Atlantic Beach Florida 32233 ,Suite 8 OFFICE COPY REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC E EACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS REVIEWED BY:— DATE: /0 D&A CERTIFICATE OF AUTHORIZATION #3436 DATE PROJECT NO: DESIGNED APPROVED FOR'q fA BY ���f ��� ,t� �� � rani CHECKED �a 0 ociates Inc. Envirmental Consulants FRANK DARE, SCALE DWG# T DRAWN LTR DA TE BY APPRO. P.L. #20385 1 4140NW37th PLACE, SUITE A, GAINESVILLE FLORIDA 32606 PH 352-375-6533 363 Atlantic Boulevard, Atlantic Beach Florida 32233 ,Suite 8 OFFICE COPY REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC E EACH SEE PERMITS FOR ADDITIONAL REQUIREMENTS AND CONDITIONS REVIEWED BY:— DATE: /0