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
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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.
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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)
---------------
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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