Permit Tent LA Fitness 983 Atlantic Blvd 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 12-00000838 Date 7/03/12
Property Address . . . . . . 1021 ATLANTIC BLVD
Tenant nbr, name . . . . . . 983 LA FITNESS TEMP OFFICE
Application type description TENT PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
TEMPORARY TENT - 7-3-12 TO 7-11-12 ONLY
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
EQUITY ONE ATLANTIC VILLAGE, OWNER
16 NE MIAMI GARDENS DR
ATTN: TREASURY DEPT
MIAMI BEACH FL 33179
----------------------------------------------------------------------------
Permit * * * * * * TENT PERMIT
Additional desc . . TENT 7-3-12 TO 7-11-12 ONLY
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/30/12
----------------------------------------------------------------------------
Special Notes and Comments
TEMPORARY CANOPY TENT ONLY FROM 7-3-12
TO 7-11-12 TENT MUST BE REMOVED ON OR
BEFORE 7-12-12
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 39 . 00 39 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach - 800 Seminole Road -Atlantic Beach, Florida 32233-5445
Phone (904)247-5800 - Fax (904)247-5845 - http://www.coab.us
REGISTRATION FORM
FOR TEMPORARY TENTS AND AWNING STRUCTURES
Within residential and commercial Zoning Districts, temporary tents and awning structures may be used
on private property within the City of Atlantic Beach following submittal of this completed form to the
Building and Zoning Department. These may be used only for private temporary events, such as
weddings and private parties and may be placed upon the property for a period not to exceed four (4) days
or ninety-six (96) hours.
DATE /Z
APPLICANTNAME: Z4
MAILINGADDRESS: _q'63
ADDRESS WHERE TEMPORARY TENT OR AWNING WILL BE PLACED (If different from mailing
address.) - ��e, /,A
DATES THAT THE TEMPOR
&RY TENTS AND AWNING STRUCTURES WILL BE LOCATED ON
A.
THE PROPERTY: VS - I through :2
'7—
TEMPORARY TENTS AND AWNING STRUCTURES SHALL BE FULLY SECURED, AND THE
BELOW SIGNATURE ACKNOWLEDGES THAT THE PROPERTY OWNER AND/OR THE COMPANY
INSTALLING ANY TENT OR AWNING ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR
SUCH.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT.
Signature of proper er or t ize agent.
SIGNATURE_ :7 :z— PRINT NAME
CONTACT INFORMATION OF PERSON SUBMITTING THIS REGISTRATION FORM (PLEASE PRINT)
NAME jLoS� 5'0111f�
MAILING ADDRESS 1222-0
PHONE -Z��(D-2,!2_f&A FAX E-MAIL M5,-)'\
3
City of Atlantic Beach - 80OSeminoleRoad -Atlantic Beach, Florida 32233-5445
Phone(904)247-5800- Fax (904)247-5845 - http://www.coab.us
REGISTRATION FORM
FOR APPROVAL OF TEMPORARY SPECIAL EVENTS
All information requested on this form must be fully addressed in order to receive approval from the City
of Atlantic Beach to hold any special event by any commercial entity, non-profit, charitable, or for profit
organization on private property, which involves activities exceeding normal day-to-day use of property or
business operations, the use of outdoor tents, service or cooking facilities, or any expansion of the
business area to an outdoor area or any parking area. Use of tents requires an additional tent registration
form. In no case shall any such temporary special event extend to utilize any public property, street,
sidewalk or right-of-ways. Requests to receive approval for temporary special events should be
submitted to the City not less than thirty (30) days prior to the proposed event.
DATE � - -zoo
BUSINESS AND APPLICANT NAME: -Oahe'
_74'AJ Z1 C
MAILING ADDRESS: <78 4 1%C_ OVJ
ADDAESS AND LOCATION WHERE EVENT WILL TAKE PLACE (If different from mailing address.)
S4.4
REQUESTED DATE(S)FOR TEMPORARY EVENT (7-
THE BELOW SIGNATURE ACKNOWLEDGES THAT THE PROPERTY OWNER AND/OR THE
COMPANY CONDUCTING SUCH TEMPORARY EVENT ASSUMES ALL LIABILITY AND
RESPONSIBILITY FOR SUCH EVENT.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT.
Signature of properti owner r authorized agent.
SIGNATURE- 7E: 7 PRINT NAME
CONTACT INFORMATION OF PERSON SUBMITTING THIS REGISTRATION FORM (PLEASE PRINT)
NAME KoA S�('�_L
MAILING ADDRESS Z 22 Z 0 AA14nWc-
PHONE -330 FAX 00 E-MAIL flf; )ek-0
Please provide all information as requested on the attached pages.
1. What type of alcohol will be served and how? Beer? Wine? Other? Served inside? Outside?
N 0
2. Provide approved copy of any required Alcoholic Beverage Permits from the Division of Alcohol
Beverages and Tobacco? (Additional permit required by DABT for any expansion of Licensed Premises.)
�Ik
3. Identify the event sponsor and provide appropriate contact person in case of any emergency.
M-/_4 41411dek
4. Provide a site plan depicting the layout and location of all activities, including parking and traffic flow
distribution points, any tents, fences, security check points, and location of planned events and activities.
Oy ecs, �, 4 0�",)r " Le, Cz',�V " _T",�0
5. Has the b ess consulted with neighboring businesses to obtain their approvals?
7e S
us
6. Will there be outdoor music? Will there be amplified outdoor music? What hours?
V C)
7. Will there be a live band? What hours?
AJ 01
8. How many people are exp
,�cted to attend this event?
-o there is an overflow crowd9
9. How will crowa c )nitrol be managed 1
be�-),J
10. What specific special events are planned? (...such as bobbing for apples; ring toss; dunking booths; wet
t-shirts; bikini cont ts; all male/female "review").
P6&-o, reserl-kfilw-5
11. How will parking be located and managed? Include site plan showing parking areas to be used for this
event. 4 .0 If' 6, 44,
12. How will security needs be provided; particularly with respect to prohibiting minors from being served.
(See following question.) Will off duty police or private security be used? Who is the contact person on-
site if problems arise? (Must be approved by City of Atlantic Beach Police Department.
L19,1 4,-4- A�I- T-h�c_ 196ae-� Pol,�C-C
13. How are they going to assure that all people consuming alcohol are old enough? Wrist bands? Door
men? IUIA
14. Are any tents to bi Frected on the 1ropArty? (Tent registration form required.)
yt!5 4�C- 6
15. Will there be any outdoor heating or cooking? If so, address how any by-products and refuse will be
handled, including grease/oil/refuse. How will any extra trash collection and disposal needs, during and
after the event, be addressed? A)
16. Will there be any extension of electricity into the parking areas, outdoor areas or any yards?
J I -,
AJO
17. Special temporary events cannot negatively impact traffic flows, particularly in any adjacent residential
areas, or close or block any public street or right-of-way Please address.
RXCL /oc> 4t �?a ,-, I-e>-d
18. Address how fire code requirements and access for emergency vehicle be monitored and maintained at all
times during the Special event. C,4- 1( _�C2 Cie
19. Are there going to be any fires or fireworks? A)
20. Other than service animals, are there going to be any animals allowed as part of this special event?
2 � 0
21. Is this a first time event or a continuation of an a nual event?
7 1- �0-�-
22. Were they complaints or problems at prior events of this nature?
23. What additional signage will be used? (Suck for advertising, restrooms, alcohol consumption? (City
Sign regulations apply.)
.�R Nr 0 �0
24. How will the event be promoted and advertised (such as through the use of fliers, TV, Radio, etc.)
25. Acknowledge by signature below that this special event will comply with all City of Atlantic Beach laws
and ordinances and that the event will be conducted and managed as represented within this application.
Such acknowledgement extends to all those organizing, planning and staffing this event.
SIGNATURE__,� DATE
PRINT NAME
EVENT APPROVED:
REQUEST DENIED:
SIGNED: DATE:
Department of Public S#ety
SIGNED: DATE: -713 Z47
�—Im ans CityManager I
CXk� 2-01 Z at
Seud tv
3
-0/0/1 P7 Cj )qC4 r 7L-)-e
-7S
City of Atlantic Beach - 800 Seminole oad Athintic Beach, Florida 32233-5445
Phone (904)247-5800 - Fax (904)247-58 5 - http://www.coab.us
REGISTRATION FORM
FOR TEMPORARY TENTS AND AWNING STRUCTURES
Within residential and commercial Zoning Districts, tempc rary tents and awning structures may be used
on private property within the City of Atlantic Beach following submittal of this completed form to the
Building and Zoning Department. These may be used only for private temporary events, such as
weddings and private parties and may be placed upon the pi-operty for a period not to exceed four (4) days
or ninety-six (96) hours. DA E ZC8 -lz
APPLICANT NAME: LA T-ITKC55
MAILING ADDRESS: T3 3 4-�1 4-,% 4,�� C\\./8
ADDRESS WHERE TEMPORARY TENT OR AWNING I ILL BE PLACED (If different from mailing
address.)
DATES THAT THE TEMPORARY TENTS AND AWNING STRUCTURES WILL BE LOCATED ON
THE PROPERTY: 12 throul Fh
TEMPORARY TENTS AND AWNING STRUCTURES iHALL BE FULLY SECURED, AND THE
BELOW SIGNATURE ACKNOWLEDGES THAT THE PRDPERTY OWNER AND/OR THE COMPANY
INSTALLING ANY TENT OR AWNING ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR
SUCH.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT.
Signature of property own r or authorize agent.
SIGNATURE Aen = PI ZINT NAME
(.,t (t #� 5 3 0 --t a,,- -*� 69
CONTACT INFORMATION OF PERSON SUBMITTING T71S REGISTRATION FORM (PLEASE PRINT)
NAMEK,..�- �, S,Oe k-
MAILINGADDRESS 6-sc lt)� ;+ 5 ,
PHONE 4%�()Lk -, 253-2-?,10 FAX E-MAIL
City of Atlantic Beach - 800 Seminole Road -At antic Beach, Florida 32233-5445
Phone (904)247-5800 - Fax (904)247-5145 - http://www.coab.us
REGISTRATION FORM
FOR TEMPORARY TENTS ANDAWNING STRUCTURES
Within residential and commercial Zoning Districts, temr:)rary tents and awning structures may be used
on private property within the City of Atlantic Beach fol.owing submittal of this completed forrn to the
Building and Zoning Department. These may be used only for private temporary events, such as
weddings and private parties and may be placed upon the 111roperty for a period not to exceed four (4) days
or ninety-six (96)hours.
DA TE /Z
APPLICANTNAME: zd
MAILINGADDRESS: q63 ��
ADDRESS WHERE TEMPORARY TENT OR AWNING ��ILL BE PLACED (If different from mailing
address.) e
r�,
DATES THAT THE TEMPORARY TENTS AND AWN114G STRUCTURES WILL BE LOCATED ON
I->
THE PROPERTY: f L— —through 2 67-
7— S—/-2—
TEMPORARY TENTS AND AWNING STRUCTURES SHALL BE FULLY SECURED, AND THE
BELOW SIGNATURE ACKNOWLEDGES THAT THE PROPERTY OWNER AND/OR THE COMPANY
INSTALLING ANY TENT OR AWNING ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR
SUCH.
I HEREBY CERTIFY THAT ALL INFORMATION PROV DED IS CORRECT.
Signature of proper er or t ze agent.
SIGNATURE_ 7 vuw_ 51&1(:E
=:._I RINT NAME
CONTACT INFORMATION OF PERSON SUBMITTING' HIS REGISTRATION FORM (PLEASE PRINT)
NAME
MAILING ADDRESS Z At"R,,— kf—)rMAe� A\1A
PHONE-���-I:R-fW FAX E-MAIL M5-i'l'V—L 0 n cj rW)
� 39
City of Atlantic Beach - 800 Seminole Road -At antic Beach, Florida 32233-5445
Phone(904)247-5800- Fax (904)247-5815 - http://www.coab.us
REGISTRATION FORM
FOR APPROVAL OF TEMPORARY SPECIAL EVENTS
All information requested on this form must be fully addri ssed in order to receive approval from the City
of Atlantic Beach to hold any special event by any comm !rcial entity, non-profit, charitable, or for profit
organization on private property, which involves activities�1 mceeding normal day-to-day use of property or
business operations, the use of outdoor tents, service o- cooking facilities, or any expansion of the
business area to an outdoor area or any parking area. Use of tents requires an additional tent registration
form. In no case shall any such temporary special even', extend to utilize any public property, street,
sidewalk or right-of-ways. Requests to receive approval for temporary special events should be
submitted to the City not less than thirty (3 0)days prior to I he proposed event.
DA TE ze - 12
BUSINESS AND APPLICANT NAME: 44 t_1 7We 551
MAILING ADDRESS: 78 3 4414-4t%c OVJ
ADD ESS AND LOCATION WHERE EVENT WILL TAK PLACE (If different from mailing address.)
REQUESTED DATE(S)FOR TEMPORARY EVENT 7—
THE BELOW SIGNATURE ACKNOWLEDGES THAT THE PROPERTY OWNER AND/OR THE
COMPANY CONDUCTING SUCH TEMPORARY EVENT ASSUMES ALL LIABILITY AND
RESPONSIBILITY FOR SUCH EVENT.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT.
Signature of propefty owner r authorized agent.
SIGNATURE PRINT NAME
CONTACT INFORMATION OF PERSON SUBMITTING 771S REGISTRATION FORM (PLEASE PRINT)
NAME KoA Sa-,('ttL
MAILING ADDRESS /2? 20 ;�tlk,7jWc_ Z?vel.
PHONE-33 0-2M — 1-4%-1 FAX NIA E-MAIL fl4q
Please provide all information as requested on the attached r ages.
I- What type of alcohol will be served and how? Beer? Wini�? Other? Served inside? Outside?
2. Provide approved copy of any required Alcoholic Beverag(i Permits from the Division of Alcohol
Beverages and Tobacco? (Additional permit required by E ABT for any expansion of Licensed Premises.)
�Ik
3. Identify the event sponsor and provide appropriate contact �erson in case of any emergency.
��4 401-109k
4. Provide a site plan depicting the layout and location of all activities, including parking and traffic flow
distribution points, any tents, fences, security check points, and location of planned events and activities.
r/Y ers) �Ujv&+ -k Lpcdx'q�vn 14'kv
5. Has the b ess consulted with neighboring businesses to i�btain their approvals?
7fe S
us
6. Will there be outdoor music? Will there be amplified ot tdoor music? What hours9
7. Will there be a live band? What hours?
/'J 01
8. How many people are expected to attend this event?
,?,- 41 fev#t
9. How will crowSt control be managed if there is an overflow c owd?
10. What specific special events are planned? (...such as bobl ing for apples; ring toss; dunking booths; wet
t-shirts; bikini cont ts; all male/female "review'D,
POCIV or
11. How will parking be located and managed? Include site plan showing parking areas to be used for this
event.
+aK 4
12.How will security needs be provided; particularly with respect to pro " 10
hibiting minors from being served.
(See following question.) Will off duty police or private security be used? Who is the contact person on-
site if problems arise? (Must be approved by City of Atiant c Beach Police Department.
13. How are they going to assure that all people consuming a1cc hol are old enough? Wrist bands? Door
men? flilA
14. Are any tents to bqprected on the )ropArty? (Tent registrati )n form required.)
yt!5 '9�C_ 16
15. Will there be any outdoor heating or cooking? If so, addres, how any by-products and refuse will be
handled, including grease/oil/refuse. How will any extra trash collection and disposal needs, during and
after the event, be addressed? NO
16. Will there be any extension of electri�iLv into the parking ar(as, outdoor areas or any yards?
Vd
17. Special temporary events cannot negatively impact traffic flaws, particularly in any adjacent residential
areas, or close or block any public street or right-of-way Pie,Lse addre
&ck- /00 4* Ohm ry'
18. Address how fire code requirements and a9cess far emergenipy vehicle be monitored and maintained at all
times during the Special event. 61 It _;C2 do
19. Are there going to be any fires or fireworks? k
20. Other than service animals, are there going to be any animah allowed as part of this special event?
2 0
2 1. Is this a first time event or a continuation of an a�nual ever t?
�i- �(2�- A0
22. Were they complaints or problems at prior events of this nz ture?
23. What additional signage will be used? (Suck for advert sing, restrooms, alcohol consumption? (City
Sign regulations apply.) t
-�07 1 r, Y1 0 �0 jt' f
24. How will the event be promoted and advertised (such as thi ough the use of fliers, TV, Radio, etc.)
25. Acknowledge by signature below that this special event w 11 comply with all City of Atlantic Beach laws
and ordinances and that the event will be conducted and managed as represented within this application.
Such acknowledgement extends to all those organizing, pla ining and staffing this event.
SIGNATURE_) DATE 61; Z
I --
C6-I
PRINT NAME
EVENT APPROVED: 7J -Z,
REQUEST DENIED: VIA�V�
te-
SIGNED: DATE:--�
D erit of Publi S ty e7'
W 16 -,-A
SIGNED- DATE:— -7 13
I ans , City Manag"----*,)-/-
Zo 1-7Z_-
r-1
e4 af pqbVa.� 1 Z at 3
sevd -tv
3
60.00,
71=
S82-43'58"E
26 8'
2.4
LA FITNESS
40�072 S.F.
FFE=10.10
............
..........
SEE ARCH,PLANS
0
IMPROVEME TS TO=21SLEDING
INTERIOR,FACADE,AND SIDEWALK
..........
JZ
&
13 3
R 0'
0,
Rl R10 RIO- RIO'
Is
10
----------
1 t I t I t
RW
30.18'
R46
=,Tip
or)
RIZ
Rl'
RIO' R 11
IL
R5'
S89*1 8'38"W
001.42'
-j
KEYNOTES LEGEND
5.
(D PROPOSED SWSL 14- (Soccl
14- 24'
NEATLY SAW CUT AND CONSTRUCT SMOOTH TRANSITION
TO EXISTING CURB AND PAVEMENT
PROPOSED'O'CURB PER FOOT INDEX NO,
di.
PROPOSED 24-WIDE WHITE PAIN
T STOP BAR ON 4 t
PAVEMENT PER FOOT INDEX NO,17340 1 :4 t
t
PROPOSED DYSL/6- R15' RI RIO
4S'RADJUS TYPICAL UNLESS OTHERWISE NOTED R25- 10
KD PROPOSED HANDICAP STRIPING ISEE DETAIL SHEET3
NEATLY SAW CUT AN
D CONSTRUCT SMOOTH TRANSITION ....... --------
TO EXISTING CURB AND PAVEMENT
(D PROPOSED TRANSIT 4
ION CURB PER FDOT INDEX NO.300 S89*18'
PROPOSED HANDICAP RAMP 112 MAX SLOPE PER FOOT
INDEX#304,TRUNCATED DOMES TO BE OVERLAY PAD,3' 569.18'
DEPTH AND WIDTH OF RAMP
PROPOSED SIDEWALK,5%MAX.LONGITUDINAL SLOPE,2%
MAX CROSS SLOPE ATIL"TIC BIOUtEVARD
PROP.NOSE DOWN CURB PER FOOT INDEX NO.SOO
PROPOSED CROSSWALK STRIPPING PER FDOT
INDEX NO.17M6