65-Awning Permit 501 Atlantic 7-18-11 (00651597xBA9D6)14j
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A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002347PropertyAddress Date 7/18/11501ATLANTICBLVDApplicationtypedescriptionCOMMERCIALOTHERPropertyZoningTOBEUPDATEDApplicationvaluation2000
Application desc
EXTEND AWNING
Owner
Contractor
GRFA PALMS LLC ADVANCED AWNING & DESIGN501ATLANTICBLVD,2155 CORPORATE SQUARE BLVDATLANTICBEACHFL32233BLDG100
JACKSONVILLE FL 32216
904) 724 -5567
Permit COMMERCIAL ALTERATION /OTHERAdditionaldesc
Permit Fee 60.00 Plan Check FeeIssueDate 30.00
Expiration Date Valuation 20001/14/12
Special Notes and Comments
2007 FLORIDA BUILDING CODE W/2009 REVISIONSFLORIDAFIREPREVENTIONCODE
NATIONAL ELECTRIC CODE
Other Fees STATE DCA SURCHARGE
STATE DBPR SURCHARGE
2.00
2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 60.00 60.00 00PlanCheckTotal30.00 00
Other Fee Total
30.00 00 004.00 4.00 00 00GrandTotal94.00 94.00 00 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 5c, \ P..1/4 ,—>v..._ fL\ 4 i Permit Number: i 9- 3 if/
Legal Description Parcel #
Floor Area of Sq.Ft.Sq.F'tValuationofWork $ 2- o 00 , oc Proposed Work heated /cooled non- heated /cooled t Z 0
Class of Work (circle one): New Additio Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one):Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: i k Q A, c f h s k. „ Pk c A-i, 2
t
Property Owner Information:
Gem (ZA a,tc
Name: cz ,,,c_1 -. 1)', ,, Qc Address: SS c”)6, a \C,., L,_ V- A
City lk r„ k C‘ c-State F_1Zip 322-3 1 Phone 3 2 S - G i
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: fk- civh, Le 3, N,,,,, c : ,, Is, '(yes;3r) . LI Qualifying Agent: "'Toe\ f'N - S V
Address: 7.4 Ss (c., c )., c.Ast- S 'Ci\..d City ''State cA Zip 3 ZZ-\ ( -
Office Phone 7 2 - 4 - SS (...'"I Job Site/ Contact Number S u 49 - ( 4.- 4,Fax # 2_4- t Z 2,3
State Certification/Registration # k c... S
Architect Name & Phone #
Engineer's Name & Phone # L r--t \k S' t - "-VI 1 Sr 4 S°1 S,IFeeSimpleTitleHolderNameandAddress
iBondingCompanyNameandAddress F ILE COPY /.. l[
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to theissuanceofapermitandthatallworkwillbeperformedtomeetthestandardsofalllawsregulatingconstructioninthisjurisdiction. This permit becomes nullandvoidifworkisnotcommencedwithinsix (6) months, or if construction or work is suspended or abandonedfor aperiod of six (6) months at any time afterworkiscommenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Bo 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.
1 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 thistypeofworkwillbecompliedwithwhetherspeciTedhereinornot. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name VR v j Print Name ec. e9 t,
Sworn to and subscribed before me Swor i to and subscribed before me
this Day of `k 20 11 this t Day f 20
t. s , 4 .4 t 1,WW I
orf Do, Notary Public State of Florida o
4 " , Ub i Iic State of Honda
Alanna Latham r a nu t atham
4 tMy Commission DD730405 03. L.t v; Gorrirr D0730405 evised 01.26.10
4. 0, 0, 94* Ex ices 10 /30/2011 15ta cti3` i .xpir es 0/30/2011
s!.- 1!1rj City of Atlantic Beach APPLICATION NUMBER
j A Building Department To be assigned by the Building Department.)
800 Seminole Road
ry . " `' r7 Atlantic Beach, Florida 32233 -5445
r
Phone (904) 247 -5826 • Fax (904) 247 -5845 fjT ,E-mail: building - dept @coab.us Date routed: 6Cityweb - site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6l / 1 75 frel s - . xj.LILent review re • uired Yes No
v BuirindinApplicant:rJf F)79 Planning & Zoning
e
Tree Administrator
Project:XT b 7-, ,7) b, "Public Works
Public Utilities
Public Safety
Fire Services
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fie i ,,,,w,--- ee$ t - 4 ; k to a Sac re . i N =j "
Other Agency Review or Permit Required Review or Receipt DateofPermitVerifiedBy
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: Bcpproved.Denied.
Circle one.)Comments:
BUILDI
PLANNING & ZONING Reviewed by:Date: 7
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. nDenied.
Comments:
Reviewed by:Date:
Revised 07/27/10