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72 LEVY RD - COMM21-0017 �j' -%� COMMERCIAL PERMIT PERMIT NUMBER '.�_ CITY OF ATLANTIC BEACH COMM21-0017 'r ISSUED: 4/6/2021 %/ 800 SEMINOLE ROAD ` �`''g1, V ATLANTIC BEACH. FL 32233 EXPIRES: 10/3/2021 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: 72 LEVY RD COMMERCIAL ALTERATION 26 GA SHEATHING / $20000.00 COMMERCIAL DECKING - ROOF AREA ONLY TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170797 0050 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: ATKINS BUILDERS, INC PO BOX 51262 JACKSONVILLE FL 32250 BEACH OWNER: ADDRESS: CITY: STATE: I ZIP: C QUEST PROPERTIES LLC 36 W 6TH ST ATLANTIC BEACH FL 32233 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 $155.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $77.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.49 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.33 TOTAL:$238.32 Issued Date:4/6/2021 1 of 2 ''''' Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department **ALL INFORMATION 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY ,n yr IS REQUIRED. Phone: (904) 247-5826 Email: Building-Dept@coab.us j Arg 42- ! c1 LaiArh a 0 01 7 Job Address: �.(j� Permit Number: Legal Description /95 et el Q/ 7 JCS RE# / 207-Y.?"CVZ Valuation of Work(Replacement Cost)$ a7�(LO Heated/Cooled SF /,CSC) Non-Heated/Cooled /OCV • Class of Work: ❑New DAddition DAlteration EiRepair ❑Move ❑Demo DPool ❑Window/Door • Use of existing/proposed structure(s): AlCommercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ALo • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed: Florida Product Approval# for multiple products use product approval form Property Owner Information Name — u Sl 04ry'P4 j,rlf ILC Address 3C Guff g-fik S/ - City ii' lro-cl l- 4 L. State f1i Zip 722-73 Phone C/t//r- 73 V 13 E-Mail „lc, G Giocs(e—S. , iOM Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Information / / / �-/' Name of Company /17(�'Us l6IJ,letiS Qualifying Agent c_.); —, , T1'c Address 0(, 3o 5/and-- 5,4k '(L FL 1 So City --I"4 r- (... State FL Zip 25-(-) Office Pho — .- Job Site Contact Nur ber 'I - - i ` State Certification/•egistration# Ct30 05-4,d0 E-Mail /1 /J$'J5fJ/L,jC ' 5 /?i /fL , C69.41 Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Insurer OR Exempt,` 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 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 ANA RNEY BEFORE RECORDI YOU NOTICE NOTICE OF COMMENCEMENT. (. Signa7,ce f Owner or Agent) /(Signature of Contractor) Signed and sworn to(or affirmed)before me this S day of Signed and sworri/to(or affirmed)before me this ' day of r•i/.ri ( , 44'2.I ,by 4//P.IL , 2ci1 ,by (Signature of Notary) (Signature of Notary) tip.% GRAEME THOMSON 04:4z.... GRAEME THOMSON R ; MY COMMISSION#GG 273455 IA Personally Known OR ':i t„,1 MY MY COMMISSIION I/GG 273455 V'+Personally Known O . EXPIRES,November 1,2022 'N..' ''�`'.p`•t EXPIRES'November 1.2022 l )Produced Identifica r'4,: i\i Bondenvw ' public n l 1 Produced Identification �••..;ryq, Bonded'mu Notify pvbkundeiwrkin Type of Identification: Type of Identification: NOTICE OF COMMENCEMENT State of 1l0/r 1//4 Tax Folio No. /140 -79 q^ C.0--(C) of Lu j/� L 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 COMMENCEMENT. Legal Description of property being improved: c/ 65 — -7-,L qV/- 72 ,(20 6c 1 /- 37-2 3j Address of property being improved: 'Fa /264-6 / hnY-L 6,L1 FG-- 77.7.3" General description of improvements: 7C l4 .( /1Z'7)? Owner: C-/UP5-7- vlr)/1�i�i/ f-f / C- Address: 31. Gvl5"7- ‘7I`"` 5/Owner's interest in site of the improvement: &GO G/G Fee Simple Titleholder(if other than owner): Name: Contractor: /1%/C /4/c- j3, J `rieei 2 // / Address: /��€ 31 K 2-&Z_ J4- /$ /t PC- 322_7 O p 9'0 - hi/37Y� Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements 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: 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: /9-,-,14 , CRd ✓C,44- Address: 4Address: 36 (,,e-5'j- 6 /'--, c /3l Li /2 7,,?2 32 Telephone No: rf0y- -?3 Y- 2 C 3 Fax No: gC)L7 --gVg 3o 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 ,/ Signed: ,/ dp / �.v Date: 7 ?V.2,/ Doc#2021085380,OR BK 19662 Page 958, Before me this day of a i ( in the County of Duval,State Number Pages:1 Of Florida,has personally appear d Recorded 04/05/2021 02:28 PM, Notary Public at Large,State of Florida,County ofDuval. JODY PHILLIPS CLERK CIRCUIT COURT DUVAL My commission expires: Al(,v H tiff/ 1 Z. COUNTY _ _�� RECORDING $10.00 ersonally Known: K - -1 or � 3roduced Identification: ( 1' GiL,EME n,oMsorl ,a. .1 • ••i• ti. ' rc •4 I? 411.-+�` EXPIRES:November 1,2022 L Bonded Una Notary Public Untiervel we