1085 Atlantic Blvd monument sign permit & receipt . ,, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ra INSPECTION PHONE LINE 247-5814
SIGN — FREE STANDING
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: SIGN17-0014
Description: MONUMENT SIGN (48 SF)
Estimated Value: 2375
Issue Date: 8/14/2017
Expiration Date: 2/10/2018
PROPERTY ADDRESS:
Address: 1085 ATLANTIC BLVD 1-12
RE Number: 177391 0000
PROPERTY OWNER:
Name: 1085 ATLANTIC LLC
Address: 5118 N 56TH ST
TAMPA, FL 33610
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SIGN EFFEX
Address: 512 6TH ST NW
WINTER HAVEN, FL 33881
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Is
Cash Register Receipt • • •
City of Atlantic Beach R2288
DESCRIPTION
PermitTRAK $329.00
SIGN17-0014 Address: 1085 ATLANTIC BLVD 1-12 APN: 1773910000 $329.00
PUBLIC WORKS PLAN REVIEW $25.00
PW REVIEW BUILDING MOD OR ROW 001-0000.329-1004 1 0 $25.00
STATESURCHARGES $4.00
STATE DBPR SURCHARGE 4550000-20&0600 1 0 $2.00
STATE DCA SURCHARGE 4550W02080700 1 0 $2.00
ZONING PLAN REWEW $300.00
ZONING REVIEW COMMERCIAL AND 001-0000.329-1003 0 $300.00
INDUSTRIAL USES
TOTAL • • 11
Date Paid: Monday,August 14, 2017
Paid By:SIGN EFFEX
Cashier: BA
Pay Method: CREDIT CARD 8
Printed:Monday,August 14,2017 3:53 PM 1 of 1
CIT ATLANTIC BEACH
800
800 SEH4NOIE RD
ATIAMIC BEAC,R 37233
08/142017 15:44:00
CREDIT CARD
VISA SALE
Card# MQX=3389
SEQ#: B
W#: 425
INVOICE 8
fy Yal Code: 02017G
En"VdW: Maud
Mode: Ordk
Tax proud: $0.00
Card Cody, M
SAVE AMOUNT $329.00
CUSTOMER COPY