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1021 ATLANTIC BLVD # 1003 ELECTRIC CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-800 Job Type: ELECTRIC ONLY Description: ELEC FOR SIGN UNIT 1003 Estimated Value: Issue Date: 4/16/2015 Expiration Date: 10/13/2015 PROPERTY ADDRESS: Address: 1021 ATLANTIC BLVD RE Number: 177602-0040 PROPERTY OWNER: Name: EQUITY ONE ATLANTIC VILLAGE, Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT GENERAL CONTRACTOR INFORMATION: Name: ALLBRIGHT MANAGEMENT PROFESSIONALS INC Address: 7818 Professional PL Phone: - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Electrical Sign $35.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ; i 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 SIGN PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 TOB INFORMATION: Job ID: 15-SIGN-772 Job Type: SIGN PERMIT Description: SIGN-ELEC 47 SQ FT UNIT 1003 Estimated Value: $1,895.00 Issue Date: 4/16/2015 Expiration Date: 10/13/2015 PROPERTY ADDRESS: Address: 1021 ATLANTIC BLVD RE Number: 177602-0040 PROPERTY OWNER: Name: EQUITY ONE ATLANTIC VILLAGE, Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT GENERAL CONTRACTOR INFORMATION: Name: ALLBRIGHT MANAGEMENT PROFESSIONALS INC Address: 7818 Professional PL Phone: - - PERMIT INFORMATION: FEES: STATE DCA SURCHARGE $2.00 STATE DBPR SURCHARGE $2.00 Sign Erection $65.00 Total Payments: $69.00 PERMIT IS APPROVED ONLY HI ACCORDANCE WITH ALL CIT' OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDDHG CODES. City of Atlantic Beach APPLICATION IVUMBER < \) Building Department (rn be a fined br t 9uirding Depanment) 800 Seminole RRoad _ 7z Atlantic Beach, Florida 32233-5945 Phone(904)247-5829 Fax(9M)247 584fi Nyy., •:. E-mail: building-dept@coab.us Date routed: Z Cityweb-site htd//N'K'N'-coab.uS 1 01403 1_z_ A� ez [�t- Fire - Property Address: 4 / 7� /Vnt review required Yes No ,� Applicant: /dray.hT__An� do / istrator Project: __ _� �� /J L_�__ ks ties ty es Review fee $ Dept Signature Other Agency Review orPermit Required Review or Receipt Of Permit Verified B Date Flonda Dept of Environmental Protection Flonda Dept.of Transportation J St. Johns River Water ManaganenI District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. r APPLICATION STATUS Reviewing Depadment First Review: Approved r]Oenied. (Circle one.) Comments: BUILDING PLANNING&ZONING Reviewed by: ./�_� _ Date: y 2 TREE ADMIN. Second Review: QApproved as revised. QDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: _—_ _ Date: FIRE SERVICES Third Review: QApproved as revised. []Denied.Comments: i - Reviewed by: Date: II Msed 07/27/10 City of Atlantic®each APPLICATION IVUMBER ,:. /` Building DepartmenF (ic be asci netl b II 300 tics Beat Road /� yt gtclding Depa b e�; J�� Atlantic Beach, Florida 32233-5945 S/bbn 7 4 Phone(904)247.5626 Fax(904)24'7684.5 - — E-mail: building-dept@coab.us Defer routetl: t Cityweb-site: http://w. ..b.us Property Addreps: d _ZRnfit ikj De men& review required Ye No Applicant: uildin g o __ Administrator - -- Project: Public Works ---`--"" Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt tmB Date Flontla Dept.of Environmental Protection of Peit Verified Florida Dept.of Than tion St.Johns River Water Management Distnct Any Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other APPLICATION STATUS R —�,-J�7—pproved - - - eviewing Deparcmen¢ First Rent . (Circle one.) Oomments: LJAs: Denied. UILDIN PLANNING$ZONING TREE ADMINReviewed by:_ I " . _-- _ JD Second Review: QApproved as revised. QDe ed PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: --- -- _ FIRE SERVICES i hind Review: - Approved as revised. QDenied. Comments: Reviewed by: Date: •ised 07/27110 -------------- FILE COPY BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: 1003 Atlantic Boulevard,Atlantic Beach FL 32233 Permit Number: 6 I 72 Legal Description 38-2S-29E14.040 CAS TRO Y FEARER GRANT Parcel# 177602-0040 oe oor o q, t, q, i Valuation of Work$ 189S-M Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): ew Addition Alteration Repair Move Demolition poolispa window/door Use of existlng/pr=powd structure(s)((circle one): Commercial Residential Han existing struMure,is a fire sprm er system costa a one): Yes o NIA Florida ProductApproval#N/A For multiple proodducts use product approval form Describe in detail the type of work to be performed: 1 N SWILATI04 pF �BUILVI.J& $1� 'Chlstn►r+Et_ L.el'f?EZ_StGnIe.JZ titex,ls LED iL4LLtFAixwna4 Property Owner Information: No E UITY ONE ATLANTIC VILLAGE INC Address 1600 NE MIAMI GARDENS DR city North Miami Beach State FL •p p( e 33179 E- 1r Contractor Information: Company Name:Allbright Management Professionals Inc Qualifying Agent:Francis Leo Mmmv N Address:7818 Professional Place City Tampa State F—Zip 33637 Office Phone 813-980-0300 x 110 Job Site/Contact Number 813-476-9278 Fax#813-980-0321 State Certification/Registration# 12000680 Architect Name&Phone#N/A Engineer's Name&Phone#NIA / Fee Simple Title Holder Name and Address A Bonding Company Name and Address Mortgage Lender Name and Address M1,6t App/(ration is hereby made m obtain a permit w do the work and insudbehioms as ladicoled /certify(hat no work or instn/lnRon has co„oomrced prior m rhe usnnnceo npermit nndthalu/l work will Aeper nrnred ro mrsl thestnndnrds ofall/mw regx(nhug mutructlan in rhisJurlsdictlon. Thsparmltbecomesnu// android, rmrk i, ratmmnwwe dwNhmn ix(6 months.orlJconstruetien or urork/s susyemfed or nbnndonMfornP% od ofsb/6)monthr nt any rima nQer work is oanmrencad. l understand that separate permiis must be seured for Etworkv work,Plumbing Slgns, Wells,Pena, Pomacrs,Bailers,Heaferx, Tanks and Ab Condidoners,eta 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 YOU NOTICE OF COMMENCEMENT. /bereb ccrt�lhat/ltawmaelandexaminedtbls licationarrdkrwwrkasanretobetmeandeormet. A(lpmWslom oflawsandordinnnmipwrniogthis Type of work will be complied wish whether s ci ad herein nr tud. The gmming ofa permit floes rro!presume(o give authority to Woja or em,cel t/re provisions ofanyotherfe&ml,state,orlo lalvregu/a Ragconsftaionortdaperformanceofmm(mction. FILE COPY SignmumofOwna SiSn.iun ofCmtncwr ��" Print Name nt Name Swom to and subsaib be re nii, S1.m m and this _b,DayoF 20 this yof Notary Public Z ///�� � aG• luu k, " LISSE7}EG.&lM TY4Revised0116.10 MVCOMMIs G#I hilae UO �e _ #1}MY Fydh JOIN AUIIIXA ?` a` EXPIRES:Febms 24,W16 MY P/kM.115510Rl FFOM19S ~ .ah ' 6utleaibp Molary PWtr Mremayea ♦,. EXPIRES:August 11,2017 .��� PottltslM6ug1M0M76mkea ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904)247-5826 Fax (904) 247-5845 JoB ADDRESS: IMS rATbA k1`=, VWP. A?ZAnX A&W .5 233 PERMIT#/S.4/G -?7 JEA INFORMATION REQUIRED ON ALL PERMITS AMPS�h VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole !_iResidential(Main)Service I-0-100 amps i 101-150amps :151-200anrps ❑ amps #of Meters ❑Commercial(Main) Service C0-100 amps 101-150amps 1;151-200amps amps CCT Service amps Conductor Type Size ❑Multi-Family(Main) Service L0-100 amps _'.101-150amps ❑151-200amps C amps #of Unit Meters _]Temporary Pole ,J amps SERVICE UPGRADE n amps 'i;' CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) L 100 amps '150amps 11200amps ❑ amps CCT Service amps ADDITIONS,REMODELS,REPAIRS,BUH.D-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 ELECTRICALPI;OJECTS ❑Swimming Pool JySign L:Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS C Replace Burnt/Darnaged Meter Can ❑SafetyInspection ❑Panel Change C'-0H to UG Other: 'emit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I M1ereby certify that I have and this application and know the same to be true and cored. All provisions of laws and ordinances governing this work will be complied with whether peci fled or not The permit does not give authority to violate the provisions ofany other state or local law regulation construction or the performance of momaetlon. r 'roperty Owners Name EmurMQJE ArLAmrc V 4wi1 (L_wc. phone Number :lectdcalCompany QMFfzO Office PhoncA5-9AO.63WFaxArs-I C1-O31l 'o.Address: lab1 �FErfi1G.Nr!_�j'ZpG� 1 City-MAGA Stater Zip icense Holder (Print): M Ill State Certification/Registration# fill CDD& 0 fotarized Signature of License Holder Sworn and subscribed before a day of /11AWeve 201/ OIA SignatureofNotarPublic I H EXPIPES:AYpa111,Pa17 imarrok"Nftim" FILE COPY F-i Fee] EQUITYONEINC February 26,2015 Owner: Equity One (Florida Portfolio) Inc., a Florida corporation 1600 NE Miami Gardens Drive N. Miami Beach, FL 33179 RE: BusblaInsurance Agency 1003 Atlantic Blvd. Atlantic Beach, FL 32233 To Whom It May Concern: This letter serves as confirmation that Equity One (Florida Portfolio) Inc., a Florida corporation hereby authorizes: Ampro &their authorized agents to secure permits for installation of a facade sign, provided said work meets all building code requirements. Please be advised the property owner(s)approve sign offset. Should you have any questions, please contact Property Manager, Kevin Hollenbeck, of our Jacksonville o4oueft 29 2222. T X K , Vice President of Construction AAgent for: Equity One(Florida Portfolio) Inc., a Florida corporation STATE OF FL IDA COUNTY OF Individual Before me, this day of.4,15, Ken Choquette, personally appeared and executed the foregoing instrumen and acknowledged be ore me the same was executed for the purposes therein expressed. NOTARYSTAMP: Signature bf Notary ZAn, C I la �5� _ I�y � �•r� My commission expires: /�"` Print Notary ame C�c� Identification Method: personally known _Produced I.D.—Type: v'yj�y U11E17E11WRA EXPIRES: x IRES:FSION YE24,2016 MThwNdgNbI¢UM 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 vvvnv.equityone.net ! ; | � ( § , FILE COPY ))� r@ � �. � 7 ( , � ■�'| ,| � )❑ ;,I' §[!)R ( � )81 ` 44VI !�`| HEI § | ()BIN I ■m@f�q% | | | � �� | 22 | ' INDliI !O J � 0 P+en3/IOB allueptl E ❑ wvilno = ■ ■ oie� MbtlJ �� — hl O S Q Bt 84 LL Ml 1 NNYQ 553x[1 i�tll '.ai.9n♦106 9 8�d1 N Awnwuo-41-1-1L24�X11-141 a»!;;01--1-P3 StOZRLR SNOI M'dISNl N0IiV1lViSNI SN3N%ovjNNtlW HIM 30MR1000V NI 030VId ONV N390HO 38 llVHS SHOHONV TV 1143rv09RA3 Lt 03N$3HWUZ-AWM Wtl UH 111H x0M3'313tl onos'nN0 f1NW38M Lt'Z I80HONtl3' 31310NW0110S 4N3rvG3gW3 LL-LI tlON0NV3A331S MM'AOO1931MON00 MOlpH 38335 UAM lice MHl HO lice 310001 A mn OOOMAld A9 tl3A0530 ONNMM HOWtlw 4N3rv03gY3.fI1lO8OVl 9N le 3d XoHJNV 3tl afflSlly 3A W1HVH09H1NI031ON38V03HIno3u H39WONONV3MS'NOLL03l3SHOHONV31MHdONd"HOtl M01381HVH033S'OOH 03aV3 H13Sn 01318ISSOd ION 51 L A 'S30NV1SNIllVNIO3HH333Hd SIl1VMHOnONH10OU030V NH1 o8w 18048 'NO L> 1,9'o PUB uolsual u08eu1gwo0 ZSC O'ZLL (qj)laualse;jed ewoj uolsual o8Z 9'9Z ql j—auejsv;jad awoj lea4S 9 8 wauale9110 legwnu wnwluN4 WE 9/E IEUIUION 92slauelsej g2Lmwd paimbeH (ql) 4£'969 = aolo j uolsual lelol SLOZI£L/£ (gl) LS'ZLZ = aoloj lea4S lel01 :O3NDIS 31VO (q0 ooZ u6IS;o 14619M (gd9Z'LL ew0jlea4SPuM IVNO/SS u oe of 01 ape aouelsla OJ. 8 00'L ssou'I41 31V1S 4�y 9 8S"ZL lqp.m 4 SZ'Z 144010H uolleuuo;ul u !S 6b6Z5# 3N301 ,� Osd) 9'ZS wnssald pulM 1e0j 09> H'4 auoZ VL Id00-c0O gN�0319 'aa� (4dw) 09L A 960 nI LZSZZ#so '9£5090#0901j 98'0 PN ZEE0096L 3d#3d NI 0 lopej wnsodx3 £94Z#d 'WZOZ# 3d AN L LZA C691,0#00'99LO9 3d HO II A+o6ele0)9iH 46£6 831j '666ZS#3d lj suolleol;loedS a lsap '3'd '40equ8pa18 uweV M9'0+a:sse0 Peol '0l-L 30SV peol Pu!M% uolpaS'apo0 6ulpling epPolj OLOZ lad uB!sa0 4L969999L9 j Aamsoeu uo signal 19UUB4'J.LZ ELEE999-E18 lj 'Lpeas o8ueI1V MCC lj 'lanoa 'PAIS 01lue11V COOL peon uopnur ZLZZ 9081018301 o01a0 aul 'S801MOS uo0u3 :A8 038Vd3Hd uogduose0 qoE suogelnole0 u6!saa u61S 'Oui '5301A,aaS u00u3