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725 Atlantic Blvd #9 Sign 2014 CITY OF ATLANTIC BEACH S 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000303 Date 3/14/14 Property Address . . . . . . 725 ATLANTIC BLVD Tenant nbr, name . . . . . . # 9 NOODLE HOUSE Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------- Application desc NEW SIGN ---------------------------------- Owner Contractor -------------- -------------------- ---------- ATLANTIC PENMAN LLC TAYLOR SIGN & DESIGN, INC. TS 3RD ST 4162 ST.AUGUSTINE ROAD 500 JACKSONVILLE BEACH FL 32250 (904)0 96NVI-3777 FL 32207 ---------- ----------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Plan Check Fee . 00 Permit Fee . . . . 75 . 00 0 Issue Date Valuation Expiration Date . . 9/10/14 -------------------------------- - ------------------------------------------ Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE -------------------------------- ---------- Other-Fees STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 _ ________ ---- Fee summary Charged Paid Credited ----Due--- -- - -------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00. 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION ZCITY OF ATLANTIC BEACH D 800 Seminole Road, Atlantic Beach, FL 32233 U Office (904) 247-5826 Fax (904) 247-5845 M AR 05 201 Job Address: 725 Atlantic Blvd. #;Atlantic Beach Fl. 32233 Permit Number: By Legal Description 31-1 38-2S-29E 3.95 ROYAL PALMS UNIT 2 A Parcel# 171363-0000 Floor Area o q. t. SFt Valuation of Work$ 2300.00 Proposed Work heated/cooled yes non-heated/cooled yes Class of Work(circle one): New Addition Alteration Repair Move Demolition pooUspa window/door Use of existing/proposed structure(s)(circle one) Commercial Residential If an existing structure,is a fire sprinkler system ��Cir�l ne): Yes N/A Florida Product Approval # For multiple products use product approva orm Describe in detail the type of work to be performed: Installation of internally illuminated NOODLE HOUSE contour can& installation of flush mount channel letters displaying VIETNAMESE NOODLE SOUP Property Owner Information: Name: Atlantic—Penman LLC—Farzin Darabi Addess: 500 3dsr"' FILE COPY City AB State FL Zip 32250 Phone 904-260-3080 E-Mail or Fax#(Optional) �- - ° Contractor Information: Company Name: Taylor Sign&Design, Inc. Qualifying Agent: Randall Taylor/Stephanie Murphy Address: 4162 St.Augustine Road City Jacksonville State FL Zip 32207 Office Phone 904-396-4652_Job Site/Contact Number_Ken May 904-874-5588 Fax#904-396-3777 State Certification/Registration# 12000117 Architect Name&Phone# Engineer's Name&Phone# 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 as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work wz11 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 period of six(6)months at any time after work is commenced. I 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 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type o work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the nrovzszons of any other federal,state, or loc law regulatin onstruction or the performance of construction. signature of Owner Signature of Contractor ?rint Name (�� Print Name p/ • {EN rH y iwo Yt4 and sub r.b,.,." or KENN MAY Swo to and SCr - Lary P fbil tate his `11 Day of _ tar P bii F Q this D of y com x i My Comm. .es Nov 19.2017 mission ;f Com n N FF 0716 88 FE 071688 Jotary Public J NotaX Publ' OL100I01 City of Atlantic Beach 3/05/14 Business Master Inquiry 10:01 :07 Business : 6714 NOODLES HOUSE Business address Mailing address 725 ATLANTIC BLVD UNIT 09 12342 CARRIANN COVE TRAIL S ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 Location ID . . . : 18338 Contractor flag Date opened : Type of ownership : CP Federal tax ID : 464842718 Secondary phone/type: Business phone : 904 874-3990 Type of business Status/date . . . : A 2/21/14 Email renewals Email address : vn4today@yahoo. com Total amount due : .00 IL!2 FILE COPYr � - Press Enter to continu F3=Exit FS=Display officers F7=Miscellaneous information F9=Display licenses F12=Cancel F24--More keys 1 LETTER OF AUTHORIZATION FILE COPY Affidavit To Whom It May Concern: This letter authorizes Taylor Sign &Design,Inc.(or their Agents or Subcontractors)to act as Agent, to secure permits or variances required by the local governing body, and to perform sign or awning installations,removals, or maintenance at the property located at: Property Address: 7V5 Company Name: -A(,, t(G7� ftj _phone Number: g0 j Q�Q Name: Am Al �rz� ( Title: Address: eFaw 46ak � SIG URE OF PROPERTY OWNER/AGENT STATE OF T W A* COUNTY OF .AUV" Sworn to and subscribed before me t4is day of '20 At Signatureof N Sta a of " � � age &tvcK- Print or Type Commissioned Name of Notary Public ;a.Py°ks. Notary PutNic State of Florida Personally Known Ex OR Produced Identification( ) ,'� Brittany Faye Driver �Nv Commission 182533 of EW' Expires 04/281201616 Type of Identification Produced: Commission Expires -( (Notary Stamp or Seal Required) City of Atlantic Beach APPLICATION NUMBER s� Building Department (To be assigned by the Building Department.) 800 Seminole Road z' Atlantic Beach, Florida 32233-5445 �4Q Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM #9 Property Address: �2 �Aan 11 6 /rd Tent review required Ye§r No Buadipe Applicant: lanni g &Zoning Tree Adminis ra or Project: /✓d Public Works 600, Public Utilities Public Safety /��S► �� 0.� �� 2/, dire Services Review fee $ Dept Signature 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: [�pproved. [—]Denied. (Circle one.) Comments: QBUILDIN PLANNING &ZONING Reviewed by: �'I7 - Date: 7' or TREE ADMIN. Second Review: ❑Approved as revised. ❑ nied. 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 S_a,y;J City of Atlantic Beach APPLICATION NUMBER r c (To be assigned by the Building Department.) �> Building Department �dd 800 Seminole Road �— �r Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 Date routed: 1141 E-mail: building-dept@coab.us City web-site: http://vmw.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 12n zw_ ep ment review required Yes No p YBu. . Applicant: Planni g &Zoning Tree Adminis ra or ^/d Public Works Project: Public Utilities Public Safety dire Services Review fee $ Dept Signature Review or Receipt Date Other Agency Review or Permit Required 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: APPLICATI STATUS Reviewing Department First Review: proved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed b 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 05114/09