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390 Main St RES20-0022 Kitchen and Bath Remodel cPERMrt'�.A.I ,2 RESIDENTIAL PERMIT IT NUMBER ,t RES20-0022 CITY OF ATLANTIC BEACH ISSUED: 1/29/2020 800 SEMINOLE ROAD wO=;»k ATLANTIC BEACH. FL 32233 EXPIRES: 7/27/2020 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: RESIDENTIAL ALTERATION KITCHEN AND BATH 390 MAIN ST $2300.00 RESIDENTIAL REMODEL TYPE OF REAL ESTATE ZONING: I BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170900 0600 ATLANTIC BEACH SEC H COMPANY: I ADDRESS: CITY: STATE: ZIP: South Edge Construction 14333 Beach Boulevard Suite 33 Jacksonville Fl 32224 OWNER: ADDRESS: CITY: STATE: ZIP: WEST GROUP ACQUISITIONS LLC 623 MAIN ST ATLANTIC BEACH FL 32233-2530 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. I 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 WORK WITHOUT PERMIT 455-0000-322-1000 0 $175.00 Issued Date: 1/29/2020 1 of 2 .,,,IL N.,., RESIDENTIAL PERMIT PERMIT NUMBER to r s , RES20-0022 CITY OF ATLANTIC BEACH D ISSUED: 1/29/2020 800 SEMINOLE ROAD r.;3 Wi ATLANTIC BEACH. FL 32233 EXPIRES: 7/27/2020 TOTAL: $279.32 Issued Date: 1/29/2020 2 of 2 rxL.uy,; City of Atlantic Beach APPLICATION NUMBER } Building Department (To be assigned by the Building Department.) IE�'\ 800 Seminole Road Q Atlantic Beach, Florida 32233-5445 R \J Phone(904)247-5826 • Fax(904)247-5845 ?'i�'—.fir J E-mail: building-dept@coab.us Date routed: 15 a City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 390 1\j\Fc .) ST De artment review required Ye No wilding ) Applicant: O(' rH EoG.62.,.,,, ( Zoning Kr-10,Hr: 1))14-7ti Tree AdministratorProject: /J E 1 6:_iyi '�( 1, Public Works Public Utilities Public Safety Fire Services Review fee $ Dept Signature 0 Other Agency Review or Permit Required Review or Receipt Date \\--)(� ' of Permit Verified By Vv 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: ti Approved. ❑Denied. I 'Not applicable (Circle one.) Comments: 7"h;S ,}, / n �r Ph y w it Sn�/f ✓a AY }MwN 4 BUILDING S TOP u/Otic. O�pj2 - ,�c. " 4.I'! p!e.se- PLANNING . PLANNING &ZONING Reviewed by: / / ' Date: /'at P '0-6 TREE ADMIN. Second Review: Approved as revised. I ]Denie . 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 '' -.-4... Building Permit Application OFFICE COPY (..: - ••1';';City of Atlantic Beach Building Department Updated 10/9/18 "ALL INFORMATION p,,.� / 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Phone: (904) 247-5826 Email: Building-Dept@coab.us IS REQUIRED. Job Address: 390 Main St,Atlantic Beach,Florida,32233 1 eseo ,-��ar^*�,z`� Permit Number: C tiJ C_ Legal Description 18-34 17-2S-29E.117 ATLANTIC BEACH SEC H LOT 6 BLK 124 RE# 170900-0600 Valuation of Work(Replacement Cost)$ a Fav 6 Heated/Cooled SF 1122 Non-Heated/Cooled 1406 • Class of Work: ONew ❑Addition ®Alteration ®Repair ❑Move ODemo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial EResidential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ON • Will tree(s)be removed in associatio_ t with proposed proiect?❑Yes(must submit separate Tree Removal Permit) ®Nq Describe in detail the type of work to be performed: VA. Replace and Repair 2 bathroom vanities,kitchen cabinet replacement,install;, - `` T nk�i car n , r 1 .,baseboard. a Florida Product Approval g for multiple products use product approval form Property Owner Information JAN 2. 2 ?fl?Q Name West Group Acquisitions LLC _ Address 632 Main St. City Atlantic Beach States Florida 7 32233 E-Mail Brandonperrywest@gmail.com p Phone 904-537-5790 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Contractor Information ci,t •y Cif,`r ;1 t utK: ;t^«: LName of Company Edge Construction LLC William Mazar Address 13749 San y reek Lrnve — — Qualifying Agent y04"-697M49--- City__ Jax State FL Zip 37274 Office Phone Job Site Contact Number State Certification/Registration 4 CO(c2 5 3 o)a E-Mai? infoa.southedgeconstruction.com Architect Name&Phone#i Engineer's Name&Phone 4f _ Workers Compensation Insurer OR Exempt cX Expiration Date T LI Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or instal lation 'des commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating i J z I construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,--I U O WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS, and AIR CONDITIONERS,etc. NOTICE:In addition to the requirements ofRAis< Q E permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,a8 L 1.--- .9 H there may be additional permits required from other governmental entities such as water management districts,state agencies(gr Ll O federal agencies. LII H 0 c OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all0 0 Q applicable laws regulating construction and zoning. U 0 LI' (n I— 0) i•- WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY o z tal RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEL 0 ui TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE L11 >" n- 5- a RECORD ►L. �,� \N T CE OF COMMENCEMENT. I, O w u ( :nature of Owner or Agent) (Sig laof C. tractor) CC w 1 a— Signed and sw• n to` (or affir ••ed) before me this�� da�(of Steed and sworn to(or affirmed)b• • •= Ws day of c��fYl , • 1�l by S-.�Vll .1\..m - Y' '3 ,L.'avz ,by . ` 1 " onl�n.1GG924916 ozozrzaso aaJIdx w ' 9LSLZ6 DO uolssiwwo0 AN jr lt, 1 %�c ?FE i' ^ �y Personally Known OR ueWSSo!y3S•1 43!pnp •y1� ober 22,2023 ( Personally Known OR 4 �;+ �J4 O Bouold{o eels a! n NI"''1044��g' '1 ';t Arm Notary Produced Identificati IQ d Aieio '�fy�1►dt I J Produced Identification ��1 Type of Identification: Type of Identification: