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725 Atlantic Blvd #9 new sign 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 C Application Number . . . . . 13-00002874 Date 6/19/13 Property Address . . . . . . 725 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT 9 Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2010 ---------------------------------------------------------------------------- Application desc NEW SIGN -------- - ------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ATLANTIC PENMAN LLC AD AMERICA 500 S 3RD ST 8679 W. BEAVER ST. JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32220 (904) 781-S900 ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/16/13 ---------------------------------------------------------------------------- Special Notes and Comments ELEC WILL PULL PERMIT FOR SIGN AFTER LETTERS INSTALLED 6/17/13 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 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 6S . 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. .=jFILE COPY BUILDING PERMIT APPLICATION �?04? CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,Fl,322333 Office(904)247-5826 Fax(904)247-5845 WjqN44r_ 4A4,a�-ic. &A,R_ PermitNumber: /_3 —0?(f 7 JobAddress: / - - Parcel# Legal Description P"Z"K$ Floor Area of Sq Ft. Sq no Valuation of Work%LQ 19.Q) Proposed Work heated/cooled n�heated/cooled Class of Work(circle one): .0� Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s ircle one): Residential If an existing structure,is a fire sp=Cer system installed?(G—rcTe one): Yes No N/A Florida Product Approval# For multiple products use product approva form Describe in detail the type of work to be performed---rnS/& tvelleuz .2-9,4 ' AeJeAV- Z4,ere_ QAaMt5_,/ ,Le44-er�" t3LPU -i- lrrP�Llj 9-Z,0"' S*MA-UGk)&jinjd '0('0 XrXSA� -1-7.64r Ae�SA-4 4.tr, 4'A'!)4 LAA1(-ky:rht ,2,( q so"a - 44 M_�� X en , -, 4*�r - A - -I,r�f'-7,VQ Property Owner Information: V1 AJO..'OLtp 50,Lp -'�) Name: 4MA44Ttr_—Fe-NMA1N L-LC, Address: 500 city iA�hyk' tA+ State&zip—30-n-6UPlione 404 0 E-Mail or Fax#(Optional) Contractor information: Quaffying Agent: ra III&I I i X- Company Name:A b A fn (C-A Address: 9479 LA), fSe.&J ez 15f- city�TACX5Q11qW-P_ State i-?— Zip 3ZZ'?� Office Phone Job Site/Contact Number Fax# ?vle�7VI-31,V3 State Certification/Registration Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address �pplicafion is hereby made to obtain a permit to do the work and installations as indicated /cerjiA-that no uvrk or installation has cormnencedprior to the pice ofa permit wid tholall Work will beperformedto vieei the standards ofalflaws regidating-ronstruclion in zhisjurisdiction. 77iispermitbicomesnull pended or abandoned for a period ofsix(6)months at an i,time after and id ff work-is not commenced within six(6j months or if construction or work is sus work is commenced. I understand that separate periviis must be secured.for Electricaf Work,Plumbing,Sijils, Wells,Nols,Fztruaces�Boileis,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 YUR NOTICE OF COMMENCEMENT. 1here certih�that I have read and examined this gpplicalion wid know the same to be true and correct. All provisions of laws wid ordinances go nuggthis O'�e tipe 711worfis,ill be complied with whether specyled herein or not. The gr9ming of a permit does riot presume to give authority to Wolate I the provisions ofaitt,otherjedera4 state,a)-local la)i,regultzling consiniction or the peifio)mance ofconsiruclion. Signature of Owner Signature of Contractor /--l' ...................... Print Name b4xA* Print Name Sworn cribed befo m Sworn to and _jo and subs re e subscribed before me this 2-)( Day of 20 13 this 21 Day of A&C" Am�� �A� A-ff� - Notary Public Notary Public Revised 0 1.26.10 t4,tM publir 9020% ,State of FlorWa Brmany Faye Dfiver ,jn EE 182533 DEBOR�H J WILLIAMS M,co-T=-12VV'6 or My COMMISSION#FF002532 EXPIRES March 27,2017 FlorldallotaryService.com qp, FILE COPY ij FILE COPY , AAW LETTER OF AUTHORIZATION This letter authorizes AD AMERICA to act as Agent to secure permits or variances required by the local government body, and to perform sign installation, removals or maintenance of the property located at: Tenant: Name of Tenant: 7-Wa III Property Name: Property Address: AW4,%4(- divaq Owner: Name: A-RIAW,(2,—FIENAIAT4 UA-- Address: W6) 24'-d 0gr+' ;6. a4/1 0 Y- Phone: a C) '3 0 Signature: Date: Print Name: / Notary: State of-. County of: DLWAL, Swom to and subscribed before me this Z? day of 20 /3 . Personally known Vb"'r produced identification Signature of Notary: Notgry publir State of Florida BrMany Faye Ddver Commission expires: my Commission EE 182533 otary Stamp) --------------- cL> -2 uj E c 0 z —0:u U) C: :3 C) ox: Uj 5 CO 0 CL m cr OR n cn W, ui 0 a- C-3 Q=:' 0, 0 C) W w LLJ z _j < t — L. cw a. 8 cu LL_ 0 0 0 o a: G 4- z IL 0 z z co ia 5 co UJ < uj .. wo w 0 w() 3 m w Ir— cr LU .2� z — 0 0 w z 0 U< J) 00 tj LU w zr L) 0 U. LU LL Z2 ::) 39 C� zi� =) cr L Z 0 M Vs a, Z) :01 w w U_ z (1)LLI X Q Z Z F i LU E cc _j — 0 cn 0 T (32 z 0 QLL Cl)— U3 LIJ 0 LL co (D L) z UL cr U) (D CO to cc cz) 0 - ID La z a) co C 'Et < 130 With, < cm LA_ a CL 51 0 CO 0 m to- 10 cu > C) 0— C:L CY) 0 co cr Of Lh L: CL C%4 4) w E TP C:) 05 w NOW uj C.2 Cf) ic w 4t ch T G 41 JL LA. -- AILANIIG bvjU Lk-1v AkO ILI k Ye Ala lit --n lit lit n Ito ILE ------- lip 41. too- Alreoil I q 61-7—� ft oil It 0 all. el q i;, oil not -3727-E 23.95 a n ills City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax.(904)247-5845 Date routed: E-mail: building-dept@coab.us City web-site: http://Www.coab.us AP PLICATION REVIEW AND TRACKING FORM Property Address: 7;?s &,Tq De artme�nt review required Yes No Buil ' g &Z Applicant: anning & onin 9!W--Ad.rinsTrator Project: Al' � Public Works Public Utilities Public Safety Fire Services Rdvi6 `1 fee $ W 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 Distric t Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: EfApproved. E]Denied. (Circle one.) Comments: PLANNING &ZONING Reviewed by: Date: 7-1 TREE ADMIN. Second Review: FlApproved as revised. F�Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. OlDenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach APPLICATION NUMBER (To be assigned by the Building Department.) Q Building Department 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 725 &zrl Deoartment review require Yes No Buil * Applicant: anning &Zonin Project: Public Works Public Utilities Public Safety Fire Services Review fee Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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: dApproved. [:]Denied. (Circle one.) Comments: PLANNING &ZONI� Reviewed by: Date: TREE AU-MIN. Second Review: FlApproved as revised. nDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date7 FIRE SERVICES Third Review: FlApproved as revised. OlDenied. Comments: Reviewed by-- Date: Revised 05/14109 C ITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 f Application Number . . . . . 13-00003165 Date 7/30/13 Property Address . . . . . . 725 ATLANTIC BLVD Tenant nbr, name . . . . . . #9 BOWL OF PHO Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------ ---------------------------------------------------------------------- Application desc NEW CIRCUIT FOR EXHAUST FAN ------ ---------------------------------------------------------------------- Owner Contractor ------------------------ -------- ------ --- ATLANTIC PENMAN LLC IDEAL CONDITIONS HEATING & 500 S 3RD ST AIR CONDITIONING INC JACKSONVILLE BEACH FL 32250 6400 DIANE RD JACKSONVILLE FL 32277 (904) 545-0403 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . - . 00 Permit Fee . . . . 60 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/26/14 --------------- ---------------------------------------------------- -------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 - -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 60 . 00 60 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 64 . 00 64 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,Fl, 32233 Ph(904) 247-5826 Fax (904)247-5845 JoBADDRESS: WV6 unk 9 — PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2.Ve VOLTS 3 0( PHASE t:_'_ VAL UE OF WORK S 3�V 0 NEW SERVICE F-1 Overhead Underground D Underground up Pole EIResidential(Main) Service # of Meters -100 amps 1101-150amps 0 151-200amps amps 00 "'i Commercial(Main)Service FICT Service amps F, -1 151-200amps amps !0-100 amps 10 1-1 50amps Conductor Type Size FiMulti-Family(Main)Service E10-100 amps 111101-150amps El 151-200amps amps #of Unit Meters --]Temporary Pole E amps SERVICE UPGRADE LI-11—amps El CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) CT Service amps [1100amps It-j'150amps 1_1200amps [1—amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps Appliances: I 0-30amps 3 1-1 00amps 10 1-200amps A/C Circuits: 0-60amps 61-1 00amps Heat Circuits: # circuits @______kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS 0 Swimming Pool �-1 Sign [I Smoke Detectors_Qty i!Transformers KVA i]Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S Qty_volts/amps REPAIRS/MISCELLANEOUS Lj Replace Burnt/Damaged Meter Can t- Safety Inspection �,_j Panel Change [j OH to UG Other: or abandoned for six months. I hereby ccrtif�that I have Permit becomes void if workdocs not commence within a six month period or work is suspended 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. APhone Number Property Owners Name_/A Office Phone 3qC1—9969?-Fax 73739 (/0 Electrical Company City ��,, nujle_ State zip 3207 Co. Address: Sct-7(—G 6AXC� �R 13C) I q-77(o License Holder(Print): State CertificatiorvRegistration Notarized Signature of License Holder CK TINA M MINSHALL Sworn and subscribed be Voreh�iis=(O — day of 2013 MY COMMISSION#EE122679 EXPIRES August 16,2015 Signature of Notary Publi 3 FWddM4ukvV3wvice.c= CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Hit Application Number . . . . . 13-00002874 Date 7/30/13 Property Address . . . . . . 725 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT 9 Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2010 ---------------------------------------------------------------------------- Application desc NEW SIGN ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ATLANTIC PENMAN LLC AD AMERICA 500 S 3RD ST 8679 W. BEAVER ST. JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32220 (904) 781-5900 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc BOWL OF PHO SIGN ELEC Sub Contractor RIVER CITY ELECTRIC Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date - - 1/26/14 ---------------------------------------------------------------------------- Special Notes and Comments ELEC WILL PULL PERMIT FOR SIGN AFTER LETTERS INSTALLED 6/17/13 per donna/dayna bowl of pho has applied for btr 6/14/13 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 00 . 00 . 00 PERMIT IS APPROVED ONLt' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BtTILDING CODES. uwm� ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JOBADDRESS: 14V-�OA)IJC /3 1 Vel, 14-140A PC 13CA,IC-f PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 2-0 AMPS 12-6 VOLTS PHASE VALUE OF WORK$ NEWSERVICE El Overhead Fj Underground Underground up Pole Residential(Main) Service — MP #of Meters 0-100 amps - 101-150amps 151-200amps a s XCommercial(Main)Service 0-100 amps 101-150amps KI 51-200amps —amps CT Service amps Conductor Type Size Multi-Family(Main)Service 1 0-100 amps 101-150amps 151-200amps ______,amps #of Unit Meters Temporary Pole __amps SERVICE UPGRADE ____,amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 200amps mps -�CT Service amps 100 amps 150amps a ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 3 1-1 00amps —10 1-200amps Appliances: 0-30amps _31-100amps 10 1-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @-------kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Transformers KVA Motors hp SwimmingPool )(Sign -Smoke Detectors_Qty il FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty_volts/amps REPAIRSIMISCELLANEOUS --Replace Burnt/Damaged Meter Can Safety Inspection -Panel Change OH to UG - Other: 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 pelformance of construction. L Lr_ Phone Number Property Owners Name 14-4 Electrical Company P, iL 4-Lf ed-tU C Office Phone?49_V-11 I_j2W Fax— Citya& Co. Address: State og Zip3 L-02 3 C 00 00:517C 9 icense Holder (Print) state Certification/Registration# E Notarized Signature of License Holder i — 1 20 orn a4subscribed efor:e%is day of Lk KRISTINE R JE ER ON 41; of Wotary ut My COMMISSION ft EVMJ; gnature of Notary ublic -to EXPIRES isnuwy 26.20J16