173-77 Beach Ave COMM20-0027 Replace Concrete Areas with PaversOWNER:ADDRESS:CITY:STATE:ZIP:
SHORECREST
CONDOMINIUM
ASSOCIATION OF
JACKSONVILLE INC
PO BOX 330026 ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
KETTELL INC.1860 MAYPORT RD ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170314 1001 SHORECREST
CONDOMINIUM
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
173-77 BEACH AVE COMMERCIAL OTHER
COMMERCIAL
replace concrete areas with
pavers $8000.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
1 PUBLIC WORKS ON SITE RUNOFF INFORMATIONAL
Notes:
All runoff must remain on-site during construction.
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.
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.
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.
1 of 2Issued Date: 8/19/2020
PERMIT NUMBER
COMM20-0027
ISSUED: 8/19/2020
EXPIRES: 2/15/2021
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
PW REVIEW COMMERCIAL BLDG 001-0000-329-1004 0 $150.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING REVIEW MULTIFAMILY USES PER DWELLING UNIT 001-0000-329-1003 0 $100.00
TOTAL: $396.64
2 PUBLIC WORKS ROLL OFF CONTAINER INFORMATIONAL
Notes:
Roll off container company must be on City approved list. Approved list can be obtained at the Building Department at City Hall. Roll off container
cannot be placed on City right-of-way.
3 PUBLIC WORKS RIGHT OF WAY RESTORATION INFORMATIONAL
Notes:
Full right-of-way restoration, including sod, is required.
4 PUBLIC WORKS INFRASTRUCTURE INFORMATIONAL
Notes:
Any damage done to infrastructure must be repaired by Contractor.
2 of 2Issued Date: 8/19/2020
PERMIT NUMBER
COMM20-0027
ISSUED: 8/19/2020
EXPIRES: 2/15/2021
COMMERCIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $396.64
COMM20-0027 Address: 173-77 BEACH AVE APN: 170314 1001 $396.64
BUILDING $95.00
BUILDING PERMIT 455-0000-322-1000 0 $95.00
BUILDING PLAN REVIEW $47.50
BUILDING PLAN CHECK 455-0000-322-1001 0 $47.50
PUBLIC WORKS PLAN REVIEW $150.00
PW REVIEW COMMERCIAL BLDG 001-0000-329-1004 0 $150.00
STATE SURCHARGES $4.14
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.14
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ZONING PLAN REVIEW $100.00
ZONING REVIEW MULTIFAMILY USES PER
DWELLING UNIT 001-0000-329-1003 0 $100.00
TOTAL FEES PAID BY RECEIPT: R12868 $396.64
Printed: Wednesday, August 19, 2020 3:10 PM
Date Paid: Wednesday, August 19, 2020
Paid By: KETTELL INC.
Pay Method: CREDIT CARD 354516779
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12868
...... ~" Building Permit Application Updated 10/9/18
~ City of Atlantic Beac h Building Department
800 Seminole Road , Atlantic Beach, FL 32233
"ALL INFORMATION
HIGHUGHTED IN GRAY
""'D;U~}: IS REQUIRED . Phone: (904) 247-5826 Email : Building-Dept@coab .u5
Job A L?~-:-I q<3> \R?JJlr), h-Perm it N ~er: -----,---0---
LegaIDeSC rt pllonl (-IT:: l.q£ S~aq,~~,hl·IA!1(1.1t1D,t ,," RE# l703J1i-fOol
Valuation of Work (Re pl acement Cost) $ -SOOO Heated/Cooled SF """ '"65 ~n _ Heated/Cooled, ____ _
• Class of Work: DNew DAdditian ?Iteration D Repair DMave D Demo DPoal DWindow/Door
• Use of existin g/proposed structu r e(s): DCommercial ¥-Resi dential
• If an ex i sting structure, is a fire spri nkler system ins t all ed?: DYes D Na
• Will tree 5 be removed in association with ro osed ro'ect? DYes m u st submit se arate Tree Removal Per m it ~o
Describe in detail the type of work to b e p erformed:
~LL c\-kb,tKw
.. ,..}. '" " .
Florida Product App r oval tf .' for multiple prod u cts. u se p roduct approval form
Pro ert . wner Information ~~UlCwn ~) ~~~. .... 12 ~'" .
Name I h Add ress .~ uead, 'L .' (,
City Sta t e fL Zip 4 f 1 Phone '101{ 9Zf3tlZ81
E-Mail ~~ pM1f"!l;j,.I6AMlf~ en. t>1lfc.LUJIJ . lDn,
Owner or Agent (If Age nt, Power of Atto rn ey o7A gency Lette r R e q uire~) r .
Contractor Information IL." \L .zI:hlt
---, ___ --+...D<'--'1..'4-\-I--4'OLLL----~~li ltfcd{~ Bk£t;ate Yliip 37..2 ?J
Office Phone -44'4--L~~-I-..:.""'-""----Job Site Conta·ct Number :.
State Certificatio n/Reg istration # E-Mail l or;.@I&&//.h c .cc.....:. . ...!.
Architect Name & Phone It ...
Engineer's Name & Phone # .-)T '
Workers Compensation Ins ure r /ij::Tr.} rr OR Exempt 0 Expi ration Dat e 1D() f'Li>??I
App lication is hereby made t o obtain a permit to do t he work and in stal lations as indicated. I certify that no work or insta ll ation has
commenced prior to the issuance of a pe rmi t and that all wor k wi ll be pe rform ed to mee t the st andards of all the l aws regulating
constructi on in th is ju ri sdi ctio n. I und er st and t hat a sep ara t e per m it must be sec ure d f or ELE CTRI CAL W ORK, PLUMB IN G, SIGNS,
WELLS, POOLS, FURN ACES, BOILE RS, HEATE RS, TANKS, and AIR CON DITION ERS, etc. NO TI CE: In add iti on to th e req ui re m ents of th is
pe rmit, th e re may be add itio nal re stricti ons applica b le to t hi s property th at may be f ou nd in t he pu bli c record s of t hi s co un ty, and
there may be additio nal pe r m its r equ ired from ot h er governme nta l en tities such as water managem ent distr ict s, state agencies, or
federal agencies.
OW~ER'S AFFIDAVIT: I certify that all t he foregoi ng info rmation is accurate and that all wor k will be done i n com p lia nce with all
ap p lica bl e laws reg u lat in g const r u ct ion an d zoni ng.
WAR N ING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RE SU LT I N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY . IF YOU I NTEND
TO BTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE * R CO DI YOU NQ ICE OF COMMENCEMEN_T'-4~:L~~~~~~~ __ _
Signed and sworn to (or affi r med) before me t his __ day of Signe d an d sworn to (or affirmed) befo r e me th is __ day of
_____ ~ ___ ~,by~ ________________ _ ______ ~ ____ ~,by __________________ __
(Signatu re of Notary) (Signa t ur e of Notary)
[ ] Personally Known OR [ ] Pe rso nally Known OR
[ ] Produced Identification [ 1 Produced Id entification
Type of Identification: _____________ _ Type of Identificat i on: _____________ _
comm20-0027