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1021 Atlantic Blvd (unit 983) LA Fitness preview signage 2012 lf� CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000721 Date 6/18/12 Property Address . . . . . . 1021 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT 983 Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5060 ---------------------------------------------------------------------------- Application desc LA FITNESS PREVIEW SIGN AND ELEC ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EQUITY ONE ATLANTIC VILLAGE, ART KRAFT SIGN CO INC 16 NE MIAMI GARDENS DR 2675 KIRBY CIR NE ATTN: TREASURY DEPT PALM BAY FL 32905 MIAMI BEACH FL 33179 (321) 727-7324 --- Structure Information 000 000 BUILDING SIGN ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/15/12 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. u15YM1'Ykpry; :'Y6"Y.YYFr�1•vAw.wwnv-e...-.�—..--... .".- /... BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH ., 4 COP 800 Seminole Road, Atlantic Beach, FL 32233 I U I'I'') /,1 �»,..wx�r;-wA• cww.w+�.w»aww*�n � Office (904) 247-5826 Fax (904) 247-5845 Job Address: � �� /9 !Q17 "lTC f/� 4 ( Permit Number: //07—'�a` T R0 Y T12f2EP- Legal Description'- 2 _ 02� L I�F • O�f O GPIA t`'7"Parcel# 60 2 _C)o Cf O _ n- oor Area o q. t. 't Valuation of Work$ J,.0 6 O Proposed Work heated/cooled noheated/cooled Class of Work(circle one): CNew /Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one):• Commercial Residential If an existing structure,is a fire sprinkler system cost d? (Cir ne): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: rl)(3-n r)e� &MA-s. �o L 0- Tkae_u'�euo (im_�� Property Owner Information: Name: I NCd16Address: t City t State ipDaLj!jPhone E-Mail or Fax# (Optional) et— Contractor Information: Company Name: ART-- (_` 5 a G 0 ' )QA Q Quali in Agent: -f Q�PLt� H , R Et(Y Y Address: e e- Ci —State ff— Zip zc?D S Office 2t 2 Job Site/Contact Number 32i Stateerificatio egistration c -U © � I 1-4-1 C Architec a Phone# 2, Engineer's Name& Phone# l - Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations s' I certify that no work or installation has commenced prior to the issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a_pereod of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells, Pools, Furnaces, 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 COMMENCEMENT. I hereb certify that I have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether sped ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal,state, or local law regulating construction or the performance of construction. Signature of Owner SC Q_ C p_ q Contractor— Print C-`1 P �_� Signature of Contractor Print Name ....... Print Name ...�.o..^....�.��...........�.. ..1.. .................................... .................................................................................................................................. Sworn to and subscribed before me Sworn to and subscribed before me this Day of 20 this d,ff D y o fI� 20 l a Notary Public lic KATIE HART Notary Public-state of Florida Revised 01.26.10 •; �. My Comm. Expires Feb 19,2013 Commission#DD 840230 Bonded Theouah National Notary Assn. �n.vra.r�w.;n+tara�.�wrn.es«".s+.aPwv+z�.a ELECTRICAL PERMIT APPLICATION - "�' ` CITY OF ATLANTIC BEACH FILE � 800 Seminole Rd, Atlantic Beach, FL 32233 t j Ph(904) 247-5826 Fax (904) 247-5845 � ti YWCP_'i'Ml'•tl�''°1N."-,W6iF.J.:'R:NRIR w!154:: .'.✓ . .TOB ADDRESS: �� !�� <', z�)(_ yL PERMIT# /9" `7a L A LiTi\j�_SS F'f��J l ��� C-LI JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2,_0 VOLTS PHASE VALUE OF WORK$ 6 0-0 NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole DResidential(Main) Service f_0-100 amps ❑101-150amps l 151-200amps i amps #of Meters Commercial(Main) Service �JO-100 amps -1101-150amps 151-200amps amps CICT Service amps Conductor Type Size Multi-Family(Main) Service -10-100 amps :1 101-150amps 151-200amps [_'1 amps #of Unit Meters Temporary Pole L amps SERVICE UPGRADE C amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) _]100 amps 11150amps _200amps i ampsL CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICA TS Swimming Poo ign -]Smoke Detectors_Qty i Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can I Safety Inspection Panel Change OH to UG Other: /-I=- 2 1C e�c lSE C\C fZLCYa le� C Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. c Property Owners Name EqLAIL 1`t d f32— A RA A tJ (�- U t LL A6�_ /,&)G Phone Nuber � 3��; Electrical Company : _ KKR FTl C ti O07eA N� Offce Phon� 22-4- 7 3 2� 3xZ.� 95/_��� Co.Address: a �� N ��i R6u 2C� City State Zip 3 License Holder(Print): L Stat Certificatio egistration# �'S ld6001.70 N i ' f t ,fijo e s - KATIE HART y Notary Public-State of Florida worn subscribed before me thi y of C�- I 20 12 My Comm. Expires Feb 19,2013 Commission#DD 840230 ignature of Notary Public C of:F e "' Bonded Through National Notary Assn. DEI LE C P EQUITY ONE INC. May 18, 2012 Duv Cotl�(t C, To: To Y To: Building Department Owner: Equity One (Florida Portfolio) Inc., 1600 NE Miami Gardens Drive N. Miami Beach, FL 33179 Re: LA Fitness Preview Center 983 Atlantic Boulevard Atlantic Beach, FL 32233 This letter serves as confirmation that Equity One (Florida Portfolio) Inc., hereby authorizes Art Kraft Sign Co., Inc. & their authorized agents to secure permits for the installation of a channel letter sign, provided said work meets all building code requirements. Should you have any questions, please contact Property Manager, Susan Forman, of our Jacksonville office at: (904) 292-2222. Thank yo X Ken Cho etteice President of Construction As Authorized tgeent for: Equity One Inc., a Maryland Corporation STATE OF FLORIDA COUNTY OF Individual Before me, this';01S+ day of February, 2012, Ken Choquette personally appeared and executed the foregoing instru t, and acknowledged before me the same was executed for the purposes therein expressed. NOTARY STAMP: Signattoof Notary .••\wEx �. ' ' e `v• y�4�QI t.�o*rf nission expires: 4. Print Notary Name = ,•�' �Ideriation IYlethod:'� Personally known �•, A- Produced I.D. '�frjl9�`x����"•�.��~ Equity One Inc. 1 1600 NE Miami Gardens Drive I North Miami Beach,FL 33179 1 Main 305.947.1664 1 Fax 305.947.1734 1 www.equityone.net Book 8130 Pg 2297 8k: 8130 Prepared By and Return Toa `- I" Pit 2297 —98133310 2 Howard J. Smith Filed 6 Recorded Smith Hulsey & Busey FIL E Cc 07/14/95225 Water Street 03:17:39 P.N. Suite 1800111 AWN. COOK Jacksonville, Florida 32202 , 'CLERK CIRCUIT CUT OlA1Al. COUNTY, FL REC. f 28.50 GEED f 41,650.00 WARRAN'T'Y DEED THIS WARRANTY DEED made this day of June, 1995, by ATLANTIC VILLAGE ASSOCIATES, LTD. , aiFlorida limited partnership, -f} whose address 6196 N. W. 11th Street;, Sunrise, Florida 33313-6116 ("Grantor") , to EQUITY ONE (ATLANTIC VILLAGE) , INC. , a Florida corporation, whose address is 777 17th Street, Penthouse, Miami Beach, Florida 33139 ("Grantee") . �9 WITNESSETH: That the Grantor, for and in consideration of the sum of $10.00 and other valuable considerations, receipt whereof is hereby acknowledged, by these presents does grant, bargain, sell, o alien, remise, release, convey and confirm unto the Grantee, all that certain land situate in Duval County, Florida, more }. � a particularly described in Exhibit "A,rr attached hereto and made W J N part hereof. . � ,°'Dz o o TOGETHER, with all the tenements, hereditaments and aAappurtenances thereto belonging or in anywise appertaining. &$ TO HAVE AND TO HOLD, the same in fee simple forever. 1Oy AND Grantor hereby covenants with Grantee that subject to the matters set forth on Exhibit "B", Grantor is lawfully seized of the Property in fee simple; that Grantor has good right and lawful O authority to sell and convey the Property; that Grantor hereby (•�' warrants the title to the Property and will defend the same against t4'} the lawful claims of all persons claiming by, through or under Grantor but not otherwise; provided, 'however, that the Property is subject to those matters set forth on Exhibit "B" . IN WITNESS WHEREOF, the Grantor has caused these presents to be executed the day and year first above written. Signed, sealed and deliv- ATLANTIC VILLAGE ASSOCIATES, LTD.,' Bred in the presence of- a Florida limited partnership . ...*_ ` s By: The Sinclair Fund, Inc , a + r, I 4 Nam • k_L,sr4.j A an. 0s-He7 .f t1Se/ New Jersey corporation, ` General Partner • (//�/� B s. 1 ame: T l JefKirsch "r r ,firms Its resident Book 8130 Pq 2298 STATE OF 'P:L0 F j bA COUNTY OF p,jZb W Ap p The foregoing instrument was acknowledged before me this aqt'—' day of June, 1995, by Jeffrey L. Kirsch, as president of The Sinclair Fund, Inc. , a New Jersey corporation, which corporation is the general partner of Atlantic Village Association, Ltd. , a Florida limited partnership, on behalf of such corporation. He is Rersonally known to me or has produced as identification. Name:67ne,,H 5 f-a L>li.4�3 Notary; Public, State and County Aforesaid Commission No. My Commission Expires: GINA M STATHAKIS. 149592.1 Nub =State of Florida ` P tw My Comm Exp.06,151'98; %� Cornni# CC3833oo a AttacL®mt�: HXhM"A"-L gal Dw4*ian pmlu"B"-Pamimed RWq*kW 2 EXHIBIT "A" Back 8130 Pg 2299 A part of the Castro Y Ferrer Grant, Section 38, Township 2 South, Range 29 East, Duval County, Florida, more particularly described,as follows: For a point of beginning,commence at the Southeast comer of Lot 1, Block 26, Replat of Part of Royal Palms Unit Two A, as recorded in Plat Book 31, Pages 16, 16A, 168, 16C and 160 of the current public records of said County;thence South 07016'020 East,along the Westerly right of way line of Royal Palms Drive, as established as a 60 foot right of way by Official Records Volume 1819, Page 52 of said public records, a distance of 20.42 feet; thence North 85037'27" West, along the North line of the lands as described in Official Records Volume 2010, Page 42 of said public records, a distance of 80.29 feet; thence South 001041'22" East, along the West line of said lands as described in Official Records Volume 2010, Page 42, a distance of 214.92 feet; thence North 89018'38" East, along the South line of said lands as described in Official Records Volume 2010, Page 42, a distance of 147.68 feet to a point an the aforementioned Westerly right of way line of Royal Palms Dave, said right of way line being a curve concave Northeasterly having a radius of 515 feet, thence Southeasterly along the arc of said curve, a chord bearing of South 44°14'11" East and a chord distance of 236.50 feet to the point of tangency of said curve; thence South 57031'02' East, Continuing along said Westerly right of way line, a distance of 87.05 feet to the point of curve of a curve concave Southwesterly having a radius of 113.55 feet; thence Southeasterly along the arc of said curve, a chord bearing of South 52013'10" East and a chord distance of 20.97 feet,thence South 89018'38' West, along the North One of the lands as des 'bed in Official Records Volume 3397, Page 69 a distance of 126.77 feet;thence South 00041'22" East,&I' g the West line of said lands,a distance of 62.00 feet;thence North 89°18'38" East,along the South ane o said lands as described in Official Records Volume 3397, Page 69, a distance of 160.00 feet to a point on the aforementioned Westerly right of way line of Royal Palms Drive, said point being on a curve concave Southwesterly having a radius of 113.55 feet; thence Southerly along the arc of said curve, a chord bearing of South 05 045'42" East and a chord distance of 20.08 feet to the point of tangency of said curve; thence South 890 18'38" West, along the North line of the lands as described in Official Records Volume 2219, Page 306 and along the North line of the lands as described In Official Records Volume 2843, Page 750 and along the;North line of the lands as described in Official Records Volume 3231. Page 773, a distance of 440.00 feet; thence South 00041'22" East,along the West tine of the lands as described in Official Records Volume 3231, Page 773, a distance of 160.00 feet thence Soule 89°18138" West, along the North right of way ane of Atlantic Boulevard (State Road A-1-A) as now established as a 100 fact right of way, a distance of 569.18 feet: thence North 07°16'02" West, a distance of 160.00 feet;thence South 89018'380 West,parallel with said North right of way ane of Atlantic Boulevard, a distance of 201.42 feet to the Easterly right of way line of,Aquatic Drive, as established by Official Records Volume 3278, Pages 176 and 177 of said public records;thence North 11042'30" West, along said Easterly right of way line, a distance of 390.26 feet: thence North 82043'58" East, along the South line of the lands as describ9d in Official Records Volume 2411, Page 1171,a distance of 262.48 feet;thence North 13054'50" East, along the Easterly line of said lands as described in Official Records Volume 2411, Page 1171 and its Northeasterly extension, a distance of 192.81 feet; thence South 85°37'27" East, along the Southerly line of aforementioned Block 26,Replat of Part of Royal Palms Unit Two A, a distance of 37.52 feet; thence South 07016'02" East, along the West line of the lands as described in Official Records Volume 1471, Page 472, a distance of 35.00 feet;thence South 85°37'27" East, along the South line of said lands,a distance of 60.00 feet; thence North 07016'02' West, along the East line of said lands as described in Official Records Volume 1471, Page 472, a distance of 35.00 feet;thence South 85°3727" East, along the aforementioned Southerly ane of Block 26, a distance of 541.85 feet to the Point of Beginning. TOGETHER WITH the non-exclusive right to drain surface water and run-off from the aforementioned real property thereinafter called the "Shopping Center Property") over, across and through the drainage ditch and facilities constructed along and within the strip of land being approximately 40 feet in width along with the Western boundary of the property as set forth and reserved in Official Records Volume 5683, Page 362. EXHIBIT "$" $ook 8130 P9 2300 PERMITTED EXCEPTIONS 1. Restated, Modified and Replacement Mortgage and Security Agreement executed by Atlantic Village Associates, Ltd. , a Florida limited partnership, and formerly known as KKT, Ltd. , a Florida limited partnership, in favor of Florida National Bank, a national banking association, dated May 6, 1986, and recorded in Official Records, Volume 6126, page 1781, as assigned to Lincoln National Pension Insurance Company, an Indiana corporation, in Official Records, Volume 6126, page 1819, all of the current public records of Duval County, Florida, as amended and modified by that certain Agreement for Modification and Assumption of Mortgage and Security Agreement and Mortgage Real Estate Note, executed contemporaneously herewith, and to be recorded in the public records of Duval County, Florida. 2. UCC-1 Financing Statement in favor of Florida National Bank, recorded in Official Records, Volume 6064, page 1539, as assigned to Lincoln National Pension Insurance Company, recorded in Official Records, Volume 6126, page 1823, and as modified by instrument recorded in Official Records, Volume 7768, page 1677, all of the current public records of Duval County, Florida, which assumption or modification shall reflect Equity One (Atlantic Village) , Inc. as Debtor, as amended and modified by that certain Agreement for Modification and Assumption of Mortgage and Security Agreement and Mortgage Real Estate Note, executed contemporaneously herewith, and to be recorded in the public records of Duval County, Florida. 3. Assignment of Rents and Leases executed by Atlantic Village Associates, Ltd. , a Florida limited partnership (formerly known as KKT, Ltd. , a Florida limited partnership) , in favor of Lincoln National Pension Insurance Company, an Indianacorporation, dated May 6, 1986, and recorded in Official Records, Volume 6126, page 1832, of the current public records of Duval County, Florida, as amended and modified by that certain Agreement for Modification and Assumption of Mortgage and Security Agreement and Mortgage Real Estate Note, executed contemporaneously herewith, and to be recorded in the public records of Duval County, Florida. 4. Blanket Assignment of Leases executed by Atlantic Village Associates, Ltd. , a Florida limited partnership (formerly known as KKT, Ltd. , a Florida limited partnership) , in favor of Lincoln National Pension Insurance Company, an Book 8130 Pg 2301 Indiana corporation, dated May 6, 1986, and recorded in Official Records, Volume 6126, page 1827, of the current public records of Duval County, Florida, as amended and modified by that certain Agreement for Modification and Assumption of Mortgage and Security Agreement and Mortgage Real Estate Note, executed contemporaneously herewith, and to be recorded in the public records of Duval County, Florida. 5. Assignment of Property Management Agreement executed by Atlantic Village Associates, Ltd. , a Florida limited partnership (formerly known as KKT, Ltd. , a Florida limited partnership) , in favor of Lincoln National Pension Insurance Company, an Indiana corporation, dated May 6, 1986, and recorded in official Records, Volume 6126, page 1838, of the current public records of Duval County, Florida, as amended and modified by that certain Agreement for Modification and Assumption of Mortgage and Security Agreement and Mortgage Real Estate Note, executed contemporaneously herewith, and to be recorded in the public records of Duval County, Florida. 6. Easement for Drainage and Utilities dated August 24, 19640 by Interstate Contracting Company, to City of Atlantic Beach, Florida, a municipal corporation, recorded in Official Records, Volume 2509, page 568, of the current public records of Duval County, Florida. 7. Easement dated February 7, 1968, by Interstate Contracting Company, to City of Atlantic Beach, Florida, a municipal corporation, recorded in Official Records, Volume 2828, page 374, of the current public records of Duval County, Florida. 8. Easement contained in Quit Claim Deed dated July 28, 1971, from Interstate Contracting Company, to Beaches Aquatic Pool, Inc. , recorded in Official Records, Volume 3247, page 442, of the current public records of Duval County, Florida. 9. Easement Agreement dated July 20, 1983, by Atlantic Beach Associates, Ltd. , a Georgia limited partnership, and American National Bank of Jacksonville, a national banking association, recorded in Official Records, Volume 5683, page 366, of the current public records of Duval County, Florida. 10. Easement Agreement dated July 20, 1983, by Atlantic Beach Associates, Ltd. , a Georgia limited partnership, and American National Bank of Jacksonville, a national banking association, recorded in Official Records, 2 City of Atlantic Beach LDaterouted: PLICATION NUMBER Building Department igned by the Building Department.) 800 Seminole Road AZ - Z Atlantic Beach, Florida 32233-5445 — Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@wab.us City web-site: http:lAWAV.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ��Z �� ► C, �f�ck--A,-r 943 D ent review required Yes No Applicant: QS94—r) Planning&Zoning !WW=AdfM-hidbator Project: l'j �7 - Public Works Public Utilities Public Safety Fire Services !�1 Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING CANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: [—]Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. _]Denied. Comments: Reviewed by: Date: Revised 07127110 Book 9130 Pg 2302 Volume 5683, page 371, of the current public records of Duval County, Florida. 11. Covenants, conditions and restrictions, as contained in instrument recorded in Official Records, Volume 5644, page 1336, of the current public records of Duval County, Florida, but omitting any covenant or restriction based on race, color, religion, sex, handicap, familial status or national origin unless and only to the extent that said covenant (a) is exempt under Chapter 42, Section 3607, of the United States Code or (b) relates to handicap but does not discriminate against handicapped persons. 12. Lease made by Atlantic Beach Associates, Ltd. , to Fabri- Centers of America, Inc. , an Ohio corporation, a memorandum of which was filed August 23, 1984, in Official Records, Volume 5844, page 149, of the current public records of Duval County, Florida. 13. Lease made by Asa G. Candler, V, individually, to Walgreen Co. , an Illinois corporation, a memorandum of which was filed May 3, 1983, in Official Records, Volume 5645, page 859, as ratified in Official Records, Volume 5872, page 245, of the current public records of Duval County, Florida. 14. Lease made by Asa G. Candler, V, to Publix Super Markets, a memorandum of which was filed April 27, 1983, in Official Records, Volume 5643, page 859, of the current public records of Duval County, Florida. 15. Rights of tenants, as tenants only, under the existing leases for Atlantic Village Shopping Center. 149685.1 3 411,111, -U+ .z,. mw > 9 30 -4rF0rr -tTp -, mm0rgm D 00 r mr - xOmmrOmm - x Dmmm - D �� �' (jr ? 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I. �•I Ad03 3113 N I� ,- v m = CO -A D XFAr -nS 0 7C -� -n N OO V, 00 ma m v Z n a m D o on zv0 • MoD - Z � < -iZ LIN k. u � vn -+ w r npm0v0 < m m m 11 p 0 .m C o m f m w m a o Z , LA S Amh NR th I Z _�"p' r0 nDfD as �0 o m v o` X12 Arno` ou>j da � mav =133 �i ° ° � w � ° � °1 cn � p.n < m ctmp_0 oppp03n+ aS yyc W v m O 7 7 $:-i 3 3 O _ � � ' fp d y Q O fp N D�� E.'o m ° o � 3$' iiiS c4� �n �_0 ciOt ti WC8m a, y R (et c B. y 8 o `� `•° ' y!D� am �� � mu �' m ° o �.eas � T Om y n O O b 0� N (�� y Q = Il t71 G -6�7 QO O d� O t_J/ O C N f0 C N o�n F 0 3 � � = 01 �O W e 'W n ° � ° 3 N D ma to W m� mCD w ° Z O O N D SO y N --1 n a Chi'01 n 2. �p 'p p:O c O y N m a C O < O fD N O 2 p• G y 0 - N y ?LC 1=0 4.O fD TI". ° 'aSm O N W =rfD f/! CID fpDCID � N rn � Al O OEM Wi CL > 8. N O. oo q rn mcg OZL3 � �c A� w Onc m c �_i ROL� F n'o EF m 8. m=3 3 wF w S�2Lmm.x� � `°''� gmm'-3 w CO O -4 C C p'p to y O C. 8 'o O r"'? OD w a 0z N OCD 'FPIf' ID y (DCDa 7 3 3 ry lD p/ ((, -1 fD ID y y C X O C71 O y,N d 2 7 fD y, O -I r y N I� C rn y m ja y.; y r"d O S N C 5-m N.I? fD �O7j N "' "''D a 3 N O yd W O dap m O S.C yO O �m aG'NC1 C• j J O CODS Ol 2� R- -4 � � 8 N a _o_ p• 11 < p to y N 3 11 X 11 S O.O.t0 7 3 11 yN v=. 6`i Uy va 5* A W 8 F� 11 11 $° ( y Na_a^j� O2 w0=c crco _1-p p vi o+ 07� y EF L-, N g� Fn o w. o_Gi O- r0 mG $ y 3 �i o 23 � mpmo' 0 3 Nm a .gm .7 C 8 Q°1 �_.''fppD 3 O ll! <O 5 Ol �'O O CL CL-i N 1"'y �+• 11 SO _7.y 7 Q 7'p-• g D -1 M. II �_ O -'N N n N -ID C a 3 f� �o (D y ?m rng�� Wpd 00 m ° y ID �3 Qui y ° 3 R m. CCS°i II <fD ^ (3� n n N 3ID 3 3 jl C. p11 O O N R O. CD 7 G7 C ? to y y CD 0 ", rn 1 o ::,i � �_ CL D too y r � 3 P- S o ? ski S rn u 3 ('�,,.,7'7 a 3 3 y Q N O) .A. y C C IN71 N O C r N N O N 3 n 3 C O y 3 y /r W W� C fD O 3 OR N Q N N 3 rrn jam, an!aCl o!lanbd r �. w V00 ar OD y <„ G1 I o , D � v ; 0 t m� _ olIll - - ': Il li --- l D W — > r- — ❑ m z� m ox z C n 7 y n _ 0 N _ Z 7 i = � z o aniaQ weed IeAo�j Date: To Whom It May Concern: License Holder: Donald H. Reilly State License: ES-12000170 Firm Address: 2675 NE Kirby Circle, Palm Bay, FL 32905 Telephone Number: 813-907-8000 1 hereby authorize the following individuals to act as my agent in all areas of permitting and licensing procedure with the municipality to which this is presented. This authorization is for sign permits at various locations and to register the contractor X This authorization is for the following location: Stephanie Arce,West Central Florida Permits Brian Kelleher,West Center Florida Permits Cindy Evangelista,West Central Florida Permits Steven Kelleher,West Central Florida Permits Patricia Ortiz,West Central Florida Permits Jim Russell,West Central Florida Permits Matthew Granville,West Central Florida Permits Date ( C;LSigned:— ---- Contractor CONTRATOR'S SIGNATURE NOTARIZED: State of Florida County of tJ12f�V 0.l. Subscribed before me on this day of 2012 by rt�c�-Q , Vp who is rsonally known to me. Notary Signature Commission Number °¢ KATIE HARD19,2013 k 1 Notary Public-State My Commission Expires: = My Comm. Expires Fecommission#DDBonded Through National ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: 286 (W ICU41 C',,L U ) 1 2 PERMIT# -"- L A r1Tf\j r SC7 LILV 1'F l_l_\' c' ti i �- JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2,0 VOLTS PHASE VALUE OF WORK$ Zc NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole Residential(Main) Service i0-100 amps 101-150amps 151-200amps amps #of Meters Commercial(Main)Service 1 0-100 amps 101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main)Service '0-100 amps 101-150amps 151-200amps amps # of Unit Meters Temporary Pole amps SERVICE UPGRADE I i amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps 'J 150amps 200amps amps !CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: I 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRIC CTS 'IiSwimming Poo ign Smoke Detectors_Qty Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG Other: /-/-cn--e IC L_co C �_'�I ClAU C_' e G- [ �C r Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. r Property Owners Name EQLLL `-( C) K)_ /1-1 Lr� U"LL A& / C-Phone Number }�Y�i K R,t1 ,_T 3�r 1 i ax r, Electrical Company S�C `�`-' '�{���� �'`� Office Phony� �?3_��2.t/ 'Fax Co.Address: a�� �%� K plui2.c'_�E._ City Vn� State�Zip 3 ... _._ rte,..,.-c . License Holder(Print): t,,1 rA c Q R(tf A y Stat Certification)Registration# �S 1 400/3a � Nat -AAS e" KATIE r ART h f` rdotary Pohle State of Florida worn and subscribed before met �4:��d y of ��� ���( 20 l 2 My Comm. Expires Fah 99, 201;3li Commission # [I'D 840230 gnature of Notary Public :'"s Bonded Throt qh Natonai h'^tary Assn. NOTICE OF COMNIGNCENIENI. Sl A fF OF_ L U 2 1 v ----------- COUNTY OF D1..`V,— THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. fJe) ! ft l� /� 6 n of � r - I. Description of pro rty:(legal descriptiopropert , i d street address if availa Ie) l�------ _C J `r; C; w - zs 2. General description of improvement: 3. Owner information: a. Name and address: 04 � � tr 11 + E'r t o1 b. Phone number: J`� `1 '� `� f 4 c. Name and address of fee simple titleholder(if other than owner): (�, L I I 4. Contractor: _ a. Name and address: l t ! rr'r' ! % 5d{.r'� , L f '3 ��i l S Q12, 1 b. Phone number: I 7J /' -7 3 A y" 5. Surety: a. Name and address: b. Amount of bond$ C. Phone number: 6. Lender: a. Name and address: b. Phone number: 7. Persons with the State of Florida designated b Owner upon whom notices or other documents may be served as provided by Section 713.13(i)(a)7, Florida Statutes: a. Name and address: b. Phone number: 8. In addition to himself,Owner designates the fol wing person(s)to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number: 9. Expiration date of notice of commencement(the4viration date is one(1)year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF T14E NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,SECTION 713.13, FLORIDA STATUTES,AND CAN 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 COMMENCING WORK OR REC!:��OUR NOTICE OF COMMENCE ENT. (�- Gid c72` Signature of Owner or Owner's Authorized Office r/Direecc ! artnerr/Manager Signatory's Title/Office /�/ 1 ec' �1 / Al�I TLhe fore oing instrument was acknowledged before me thisLam- day of t "'� _ _-by (name of person)as (type of authority....e.g. officer,trustee,attorney in fact)for L. C- &,fes ' _Game of party on be If of whom instrument was executed). I' /' + ___ Sig�re of Notary Public–State of Florida Print,type,or stamp commissioned name of Notary Public Personally Known OR Produced Identification Type of identification produced C11 Verification pursuant to Section 92.525,Florida Statutes Doe#20121244-87,OR SK 15970 Page 952, KATIEDHARTNumber Pages: 1 ° " PRecorded 06%18r20f2 at 10:24 AM, 0; , Rotary Public-JIM FULLER CLERK CIRCUIT COURT DUVAL "MY Comm. Expir3COUNTY ;9, «°; Commission Bonded Through Nan. RECORDENG X10.00 """" 6 QJ City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 �Z Z Phone(904)247-5826 • Fax(904)247-5845 ft c E-mail: building-dept@coab.us Date routed: �Z City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM khir W_; Property Address: ��Z *4--4A-e' 11yJ Department review required Yes No Applicant: ZLQ+ Planning &Zoning inis for Project: S-) _?7 - Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: APP!NATION STATUS Reviewing Department First Review: pproved. ❑Denied. (Circle one.1 Comments: BUILDING PLANNING&ZONING Reviewed by: Date: 6 tt-1z, TREE ADMIN. Second Review: ❑Approved as revised. ❑ enied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27110 City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned y the Building Departmern.) 800 Seminole Road �z - Z Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 H E-mail: building-dept@coab.us Date routed: 2LI 2 City web-site: http:!lwww.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: ��Z 4-4 C, i "( Dqpartrnent review required Yes No Applicant: &,Z Y, Planning&Zoning �) ift—Adifiirn§trator Project: 'Tj - Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B 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: pproved. ❑Denied. (Circle one.) Comments: BUILDING CANN=ZONING Reviewed by: eVlUd Date: _,")611i 1&1 TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: [-]Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127110 / 2 \ ° \ \ � ® I # p p 9 « % . IP + + & & + � � ■ ¢ + ^ ¥ $ a ƒ < « � . + # + $ & > « . + 2 §\ � � * ( \ � � B \■`» . . R|§