Permit Sign M Shack 299 A Atl 2011 "� S CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
N rT,e a
-- 013 9
Application Number 11- 00002715 Date 10/05/11
Property Address 299 ATLANTIC BLVD A
Application type description SIGN PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
NEW WALL SIGN
Owner Contractor
SOUTHCOAST CAPITAL PTNRSHP LTD QUALITY NEON SIGN COMPANY
1600 INDEPENDENT SQUARE P 0 BOX 57280
JACKSONVILLE FL 322025018 JACKSONVILLE FL 32241
(904) 268 -4681
Permit SIGN PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 4/02/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 26 19 1 a (11 - 1 I vs.. 4--i G�V1 -1 (.&1/1 F(.. 3 2 Pe mit Number: J/ a7 / S
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work $ Proposed Work heated /cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): omme Residential
If an existing structure, is a fire sprinkler system iinstalle , . ircle one): Yes No N /A
Florida Product Approval #
For multiple pr use product approval form
Describe in detail the type of work to be performed: lJej ( S: 4.0 de- I 514 fit() 14.1,p„% - r41,,,,,,,:44
Property Owner Information:
Name: Ca , Gt Prr# 3.P LT ,okddress: 1 � r`i c , t - Pt 4.41 --rr �Q 57 10
100
City _ v� ✓, LLt StateFt Zip ?)Qc -- Phone 0 Li - UAL? -g- & -()'
E -Mail or( ax Optional) `-� L) - to 34 • v Lo £
Contractor Information: ``
Company Name: .41. Sig es -ti I. uorbt^,e Qualifying Agent: R.03 a. f S . CARaa..
Address: �S3°o S k' 4 City T. ..^ v :(tt_ State F L Zip 3=145"7
Office Phone gel— fill — 6 81 Job Si l - - -- ,t,.. a, - -, ; — $ Fax # lag — Z 6 - g.. i f s. el le _
State Certification/Registration #:
Architect Name & Phone # 1 • t ' I ' 1 1E COMpr.rs. V 1 .,
Engineer's Name & Phone # 1 CITY 0 .; , , .►, . _ 1 - ,�,,, a' �,Z�
Fee Simple Title Holder Name and Address 1 SEE PERM v a . .. a ,
Bonding Company Name and Address I ' QUIREME :. , a . : . ♦: v4 _: '
Mortgage Lender Name and Address ( ' ;� r W
1 s : • L(II
Application is hereby made to obtain a permit to do the -- � . r i ,, ; , co J eisced prior to the
issuance ofa permit and that all work will be performed to sheet the - standards o a711, § . J — 'on. '' nut becomes null
and void (f work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a peri.. o 6 -:• the at any time after
work is commenced I understand that separate permits must he secured for Electrical Work, Plumbing, Signs, Wells, Poo . , naces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
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 NOTICE OF
COM ENCEMENT.
I hereby certify that 1 have read and e f,,- ' .•d this ' ation a , kn, he same to be true and correct. All provisions of laws and ordinances governing this
type of work will be comate; w • , e. e i ed h ein or 01. e granting of a permit does not presume to give authority to violate or cancel the
provisions of any other f •er. , star or 1, egulatt cons -tic or the performance of construction.
/ / x/d /'
A
- Signature of Owner Signature of Contractor
Print Name t,`? . P---t De,i7 LC ✓V-T Print Name ,
Sworn to and subscribed before me Sworn to and subscribe. befor- me
this - :.I / ay of ^ • -..P i e -r-t6 20 l 1 this
,, pay ,, say of ' • ii i ce' r- , 20 ►J
■
• . . . � �1 • _ L 4 . ., A .`, : wrr�
Notary • ublic Notary Public
• • 6.10
' ' S. KIRKLA * : ' '' SHERRY J. BISHOP
'ill��, COMMISSION k DD 889300
;s MY CLA MY ( 88 COMMISSION UD IA li EE 008208 1,-;..."- 0.? EXIRES: September 12, 2013
"' = ;' = EXPIRES: August 14, 2014 11f„ , Bonded Thru Notary Put* Underwriters
fy � Bonded 7hru NMary Publk tJndtarwti - -. --
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
E� a ;iy 800 Seminole Road — 7/ N Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845 p
F3 Tfr E -mail: building- dept @coab.us Date routed: / c '3/ /
City web -site: http: / /www.coab. tutor
h ) n
• ND (RACKING FORM
APPLICA • N RE EW
6/hire
Property Addre - : 9 ,- 124 1') £. '/' d 7 4 Department review required Ye V No
: uildin • '?
Applicant: nn & Zoning
finis ra or
Project: / 4 0 tQM t ' Sri Public Works
Public Utilities
Public Safety
Fire Services
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: EApproved. ['Denied.
(Circle one.) Comments:
(UILDIN
PLANNING & ZONING Reviewed by: ` U Date: ? /
TREE ADMIN. Second Review: ['Approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
t , lr , City of Atlantic Beach APPLICATION NUMBER
+ s� Building Department (To be assigned by the Building Department.)
• z 800 Seminole Road j f = _.
y z Atlantic Beach, Florida 32233 -5445 l / ,_. /1
Phone (904) 247 -5826 • Fax (904) 247 -5845
", 01 o' E -mail: building- dept @coab.us 9 Date routed: -.P /' /
City web -site: http: / /www.coab.us
APPLICATION REV j:
�ND T RACKING FORM
__ - -_ i -1)// it(
Property Add ree.4: ., ' . r. _ -» /) 6 , / d De artment review required Yes No
uilding„:
Applicant: I/ -- . - ( Planning & Zoning IV
Tree - Ad m i n i strato r
Project: / ` .2 i( CL "j 1/t 6' S rC i 1 Public Works
Public Utilities
Public Safety
Fire Services
R V t Si kre rt�. i Y Y a ,r fit e T n ih s a.ra' s C
Y i+�n :�,ia��'. �;r,.s', ��: ,
Other Agency Review or Permit Required Review or Recei 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:
APPLI ATION STATUS
Reviewing Department First Review: Approved. ['Denied.
(Circle one.) Comments:
•LANNING & Z• ■ G Reviewed by: 3,441044-1C Date: <o / 0 3 al/
TREE ADMIN. Second Review: A roved as revised.
❑ pp ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09