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Permit 725 Atlantic Blvd. #11CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH FL 32233 C B R T I F I CAT B O F O C C U P A N C Y P E R M A N E N T Issue Date Parcel Number . Property Address Subdivision Name Legal Description . Property Zoning . Owner Contractor Application number Description of Work . Construction type . Occupancy type Flood Zone Approved 8/05/03 177651-0000-11- 725 ATLANTIC BLVD UNIT 11,18,19 ATLANTIC BEACH FL 32233 TO BE UPDATED ATLANTIC PENMAN L.L.C. SCOTT MORRIS CONSTRUCTION 904 591-2816 03-00026436 000 000 COMMERCIAL INTERIOR BUILD OUT _ C- Building Official VOID UNLESS SIGNED BY BUILDING OFFICIAL CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026592 Date 8/13/03 Property Address 725 ATLANTIC BLVD UNIT 11 Tenant nbr, name 1.5' X 10'= 15 SQ TOTAL Application description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor NORTH BEACH CENTER AMERICAN DESIGN & DISPLAYS 725 ATLANTIC BLVD UNITS 1-21 6372-5 GREENLAND RD ATLANTIC~BEACH FL 32233 JACKSONVILLE FL 32258 (904) 288-8565 ---------------------------------------------------------------------------- Permit SIGN PERMIT Additional desc . Permit Fee 65.00 Plan Check Fee .00 Issue Date Valuation 0 ---------------------------------------------------------------------------- Special Notes and Comments NO EXPOSED RACEWAY PERMITTED. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65.00 65.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 65.00 65.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR $UILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH BUILDING /ZONING DEPARTMENT 800 Seminole Road Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # C>~~ - Z ~ ~~ Cc: L. Higgins ~' s. Property Address: ~ l~.S ~- ~r ~~ -t' r~' [~1 ~ ~~ Applicant: !~ n~ • J~ r. S ~ c, ~ -t ~ IS>)c~ ~ ; ~ - Project: 1 ~ ~5' X JO` - I S Sc~, ~~a fcz T~hpis permit application has been: Ll~ Annrnveri e 'wed and the followin items need attention: 1; :.. f..~+~yf S,fsF /~ 7 .~ r. -~.~, ~~ .. C L o "" o 3 l7 Z p-'T"t 1'~G ~fl Please re-submit your application when these items have been completed. Reviewed By: ~_ Date: ~- 3 ~ • ~ '~ ?S~ ~ `~~~ J ;a\ ~. J J .j ...u a~ CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION ~~~~-ta Sob Address ~. Date: '-3c~-c>3 ~`>s ~ r,; ~' Saoz-s TeX ~~ ~ ~ Owner's Name: 5~ ` _'~ddress: ,9nAU,~Pd +~-L-~- -~rt~' ~ Phone: 1 ~~- o~g ~ 7 5.~~ ~egal Description: Block Number: Lot Number: Zoning District: _ Awe ~~;~~ ~ Contractor: ~.d~ ~ ~ ~ ~ t~B//m,B ~c/ f ,.~ rs~ u H~ State License Number: ~"!' t~ ~ flFrl d' ~L Address: ~ ?!!p .~oc[Ti/S~t./~' /3/~c~ ~ /r0% Phone: _ Z & b''d!~"!o ~' __ .._ `~~ •31Z.t"- Fax:. ~,k'k'fli"(9~ City: `/,~c~~rv; %~l /CC __ State: I Zip' ~_ Electric Permit Required? [~Yes* ^ No ? *Electrical Contractor: % ~~~~,~t ~E~i. c Dimensions and total square footage of sign: /, ,5 ~ X /U ~ ~ t S S ~? • ~= P~ r rv r9 ~ Please provide two (2) copies of application and the following required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of--ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that all information provided with this application is correct. Signature of Owner: ~~~~' ~'1 / ~ ~ Date: ~ ~ 3 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of 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 provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. ~ ~ , ~, ------ Signature of Contractor: Date: J' ~~ ~ U j 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/30/03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: ~~ ~ ./i,vN ~iyld{il.A,t. /,mil/iN /JAS ~,ey ~,~~ . Mailing Address: C.37Z-,~' CJ'~~'f'PII//%~.~f~ ~~~f' ,/~X ~L ,3Z~S8 Phone: ZflJr-~!U s Fax: Z~~r ~ l%1P E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of ~"~1,1 ~~/ , 20 ~ ~. 7 State of Florida, County of Duval Notary's Signature: 4--s1,-v~-a. (~ Personally known "~`^~ ^ Produced identification +(~r~ Dt'~r~NA R. PAFJGETT Type of identification prod c ~ "" ~Oti;MlSSION~ DD 076816 OFf~O PIKES; December 12, 2005 AS TO CONTRACTOR: ~~aNO~.°:.~.~. "O~'&~~~. Sworn to and subscribed before me this ~_ day of ~~,/~ __ 20 ~ ~ . State of Florida, County of Duval ',~~N ~`'eey i;ANDALL COUTURIER Notary Public, State of Florida My Comm. Exp. Jul. 6, 21)03 Comm. No. CC 852654 Notary's Signature: Personally known ^ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/30/03 __ ~ - a, WIGGIAM ~{gS~ILTON I I I ~ 19QiAZ~+08965 :45 ~ .2,182 z Page 6 of 6 t?rder No: 101~5085CA Referauca Nat THE Ct3ALITSON Exhibit "A" Parcel 1: A pact of the Castro•Y-Ferrer Grant, Section 38, Township 2 South, Rangy 29 East, in the City of Atlantic Beach, Florida, and being more particularly described. as follows: Commencing at the intzrsactioa of the East line of said Suction. 38 with tl2o North R!W line of Atlantic Bbulavazd; the;nec South 89 degrees l3 avnutes 58 secoads'West, and slang the North line of said Atlantic Boulevard, 360,4 feet to the point of beginning; thence continuo South 89 degz'ees 13 minutes 5$ seconds West and along said R1W line, 125.09 feet; the72ca North 7 degrocs 16 mimites Q2 Seconds West, 133.35 feet; thence North 1 degree 45 minutes 30 seconds Nest, 484.55 fat to a point is the South line of Royal Pslmt Utut ?,A; thence South 85 dogrGCS 37 minutes 27 seconds East and along said South Iinc of Royal Palms Unit zA, 276.3b fcoi to a point is the West R/W line of Sailfish Drive East; thence South I degree OS minutas, 30 seconds East and along said R1W line, 457,71 felt; thence South 7 degrucs 16 nniautcs OZ Seconds East and along said RJ'W line, 5.36 fact; thence South 89 dQgreos 13 minutes S8 seco2lds'V~esr, 150.4 feet; thence South 7 degrees 1 b minutes 02 seconds East,150.0 feet to the poin! of beginning. Patcel2: ~ 2, ~.ttt i, BlocY I6, Royal palms Unit Two A,. according to plat thereof recorded in Plat ~ook 3 i, pag 2A through 1D of thti cuacac pubic records of Duval County, Florida. puxl3: ~~~ to lot thereof r~ordcd in Fiat Kook 31, pa8~ i, 4 ~~p~St1>vtz`~'a A, a~xordin8 P 1~lorida 1~~ jw~ ,~~~~ of puvel CowatY- ~r~~th~G~~~~ ~ ~~11ti~ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026682 Date 8/18/03 Property Address 725 ATLANTIC BLVD UNIT 11 Tenant nbr, name lOAMP,IPH,4W,120/208RACEW Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER DESTINY ELECTRIC 725 ATLANTIC BLVD UNITS 1-21 2850 CIRCLE RIDGE DRIVE ATLANTIC BEACH FL 32233 ~ ORANGE PARK FL 32065 (904) 703-9753 ----------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. N:.~ ~ '.. BUILDING OFFICIAL ry CITY OF ATLANTIC BEACH, FLORIDA -" ELECTRICAL PERMIT APPLICATION '~-r J i31>`' TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~ ~`' f Q- Zo p3 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND 1N ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CIT^^Y OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: dJ~ ~ 1 I.R1 Y ~ ~- ~ TR ~ MASTER ELECTRICIANS SIGNATURE: ?sue `) • ~tcai'"'~ OWNER OF PROPERTY: JOB ADDRESS: l~~~' ~ \ L,~,,V j~~ ~B L `f ~ • -#r ~ L RES.( ) APT.( ) COMM.(-'~ PUBLIC(.) INDUS.( ) .NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SERVICE: NEW( 1 INCREASE( ) REPAIR( 1 CONDUCTOR SIZE AMPS: COPPER( ) ALUM.. ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH 6f W ra~ao~ VOLT ~ ,~ a RACEWAY FEEDERS NO. SIZE N0. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN a TOTAL 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT & M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL. HEAT KW-HEAT MOTORS 0-1 H.P. VOLTAGE PHS NO. OVER I H.P. VOLTAGE PHS MISCELLANEOUS (2 = ~ ~ T2 / i G F 57772 ~' UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. EACH SIGN NO VA MA MOTOR SIZE SWITCH FLASHERS 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. Fax: (904) 247-5845. http://www.ci.atlantic-beach.fl.us Revised (11!17/(1"~ ~~6zTN /.~~.A~'/! ~'e~rt.2 120•• ___~ ao _~ ~ D Fr. v :. .. , ~ ~. _ ;t ~ . _ _ ~__.__ _ I2EY - - -- -.:~ ~ ~ ,~ 3 '. ~~twM~!'+rw~luwVt^`wv'+ vM`n+rir~unA~uA/lr~'Y+~ _ "'S x{ 'll ' ' ' ~~ w WrA'~w~.~r - - j Y ,. . T,~.r ~~~ ;~ Y ti' ,.~. ~J.. '. ~ ~'.. r ~*, ]~j .rte i~(. I` 4 ~~(((``~"' ~~ s/" ~ ~'`, ~ !~;~" *' h ';~ r ~ ~ .~ ~ ~ r ~~ .i 7 . Q ~? ~~~ ~ ~ w ~.: ~~~:- ^. ~: ~~a '~ rt { ..,` ~ n ~ .~1 ~~ ~~. ~~ 1 ~~ 1 ~, ~ .• `` 0 r ~~ ~~ 0 ~ ^- '4 ~~ .~ ,,,,...:.f"...,, y ,,ar r+' .:, it ~` ; ..„ ~ ~ ~ ~ t ~ ~. »q~1.~, 4. } ~ a~~,~' y N _ ~ r' .~ ....~-~ .».~.r'cca ~0C3~ . ~ ~' {~^ 1`~"'~ 1~ ,~ ~~ '~ 1,,,~ r 'a `~ 1~, ~ ~..,.- ,~ Q ~~ a ~~z ,~ 1 ~~n -~~ .99SS 88Z a06 . ~+ t ,, 1" ~. ;,. ,,, ~,. :, ,, ., '~ ~.---' _~8., ~A _~~.^~/ .., t ~ QNd N~ 153Q Nab I a3Wa ...~ ON X~~ 0 Shb'1`i5 c~: CITY OF ATLANTIC BEACH D. Ford BUILDING /ZONING DEPARTMENT s. Doerrs 800 Seminole Road `~-----" Atlantic Beach, Florida 32233 (904)247-5800 (904) 247-5845 Fay PLAN REVIEW COMMENTS Permit Application # 0~3 " ~ Zp ~Sq.~_ Property Address: !`fa S ,t~}~-1~ Ir.~,-~-~ re t~I d c~ ~~ Applicant: ~ m • ~~~. s ~J~ f ~~~ ~~, ~ Project: 1 ~~~' X )O` l5 s~, -~cfcc-~ - This permit application has been: ~~Approved -~f- ' ~, ~d ~ Reviewed and the following items need attention: ~ - c~.-,,, h~ m~ ~G+C~cu Please re-submit yo applicatio/n when these items have been complete~dy. Reviewed By: A i ~ Date: ~ (~ 3 ~'y~ Sec. 17-27. General provisions applying to all permitted Signs. All Signs shall be subject to the following general provisions. (1) No Sign shall be installed, erected or placed prior to issuance of a Sign Permit as required by Article VI of this Chapter, except for Exempt Signs as set forth in Section 17-26. Signs shall be located only on property where the Sign serves to provide an Advertising Message for that property. (2) All Signs shall be engineered and constructed as required by these regulations and the Florida Building Code. Signs shall be professionally designed, lettered and constructed. (3) Signs constructed for the purpose of displaying an Advertising Message shall be constructed of materials suitable to withstand weather related deterioration and shall not be constructed of plywood, cardboard, paper or other such materials, which deteriorate quickly when exposed to normal weather conditions. (4} No Sign shall create a traffic or fire hazard, or be dangerous to the general welfare or interfere with the free use of public streets or sidewalks. (5) No Sign shall be attached to or placed against a Building in any manner which impedes or blocks ingress or egress through any door or window of any Building, nor shall any Sign obstruct or be attached to a fire escape. (6) No Sign shall be erected near the intersection of any Street in such a manner so as to obstruct free and clear vision, or at any location where, by reason of position, shape or color, it may interfere with, obstruct the view of, or be confused with any authorized traffic Sign, Signal or device, or which makes use of any word or words commonly used on traffic-control Signs or Signals. (7) Where the rear of any Sign Structure is visible from any Street or from any adjoining residential Zoning District, all exposed structural and electrical components of any such Sign shall be concealed in a manner as approved by the City Manager. (8) Fascia or Wall Signs, shall be m ~ ctly upon the surface of the Building, and shall not be mounted upo exposed ceways, or other type of protrusions from the surface of the Buildin . Sec. 17-28. Signs permitted within Residential Zoning Districts. (a) Except for Exempt Signs as provided for in Section 17-26, Signs within Residential as amended through Ordinance 60-03-14, effective July 14, 2003 ~ ~1!r'U+J= jn sit J~ ..~ :- j +J' :. ,, U131 ~~ Job Address Owner's Name gTIACHPQ -4--~- CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION ~ ~ `' ~' `~ ~. ~ ~, ~ v~ -1~1 ~... ~ u ~-o Date: 7 = 3 D' - c~ 3 Z.Phone: I~~-oZ$~~ 7 ~.)~ 'Legal Description: Block Number: Lot Number: Zoning District: // q,.,ti ices ,s ~- r Contractor: ~/ ~~ ~. JyI ~C,B//m.Ba/J r.~;s /~_ State License Number: - y ~ ,y&/~ FC. Address: ~~ae .SouTi/S~~~ /3/icy. ~ yDG Phone: Z~fl'~~ (o ,' City: .%uc~~.,~%/~ F~ State: % ~ Zip:~1Z~ ~o Fax: Z~fr'k~'!v( Electric Permit Required? [~Yes* ^ No ? *Electrical Contractor: /.~r'yAi/ ~f~u c Dimensions and total square footage of sign: _/, 5 ~ X /d ~ _ /S s ~ . r Pe r ro: ~~ Please provide two (2) copies of application and the following required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of--ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that all information provided with this application is correct. Signature of Owner: '~~~~ .~~~~ Date: I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of 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 provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: ~' ~~ - U ?j 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/30/03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: ~~N ` J idN N/Y~dl/C.6,~ /.,~1i4./ /J~S~1-T ~.~n . Mailing Address: /,~7Z - a' G-~~r ~.~/~~v~ /~~f' ^/•~J~ ~~- 3Z ~ ~8 Phone: Zfllf-~!•~ Fax: ZX~-~~lGo E-Mai]: AS TO OWNER: Sworn to and subscribed before me this ~~~ day of ~'t~~ ~/ , 20 0 ~. State of Florida, County of Duval Notary's Signature: _. (~ Personally known 4~r ^ Produced identification ~''!~NA R, PADGETT Type of identification prod c ~'"`" ~~f'~,n~lssloN,~ aDm~sfe OFRO IK~: December 12.2005 f.90p.aNpTAH~ '~ AS TO CONTRACTOR: •-~^--~-w-~ B0"`~"~' "'~' Sworn to and subscribed before me this ~~ day of `~~JG , 20 ~ 3 . State of Florida, County of Duval Notary's Signature: =o~~ar ~~'•,^ RANDALL COUTURIER 4 Notary Public, State of Florid? ~P,ersonally known • My Comm. Exp. Jul. 6, 2003 ^ Produced identification ~,' Comm. No. CC 852654 Type of identification produced '~ « ~.•. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. • Fax: (904) 247-5845 http:/fwww.ci.atlantic-beach.fl.us Page 2 Revised 1/30!03 h1~.249 D07 .1102 11:45 ~-II-LIAM HAMILTON III ~ 19042800965 . Page 6 of b ~, Order No: 10165085CA Refereaca Na: THE COALYTION Exhibit "A" Parcel 1: Apart of the Castro-Y-Ferrer Grant, Section 38, Township 2 South, Raagc 29 East, in the City of Atlantic Beach, Florida, aad beiag more particularly described as follows: Commencing at the intersection of the East Line of said Section 38 with tha North R!W line of Atlantic Boulevard; thence South 89 degrees 13 minutes 5 8 seconds Walt, and along the North line of said Atlantic Boulevard, 360,4 feet to the point of beginning; thence continue South 89 degrees 13 minutes 5$ seconds West and alonY said R/W Iine, 125.09 feet; thence North 1 degrees 16 mizzutes 02 seconds ~Ves~, 153.35 feet; thenca North 1 deuce OS minutes 30 seconds West, 484.55 feet to a point in the Sou line of Royal Palms Unit ZA; thence South 8S degrees 37 minutes 27 seconds East and along said ~outh Iirre of Royal Padms Unit 2A, Z76.36 feet to a point in the West R/W line of Sailfish Drive East; thence South 1 dtgres OS minutes, 30 seconds East aad along said R/W line, 457,71 feet; thence South 7 de~rccs 16 minutes 02 seconds East and along said R/W line, 5.36 feet; thence South 89 degrees 13 minutes 58 scco~s West, IS0.0 feet; thence South 7 degrees lb minutes 02 seconds East, 150.0 feet to the point afboginuning. Parcel Z: Lot I. Block I6, Rnya1 Palms Unit Two A,. according to plat thereof recorded in Plat Baok 31, pages 1, lA through 1D of the current public records of Duval County, Florida. Parcel 3: Lot Z, 81ock 16, Royal Palms Unit Two A, according tv plat thereof recorded in Plat hook 31, pages 1, IA through 1D of the current public records of Duval County, Florida. Parcel #177561-x000 Parcel #1713b3-0004 Parcel #1713640000 /f/Ur?T~ /.~e,~G~ ~Pn rP~2 /~.s ~f~/~n/T/ L ~/VC/ . ~vrltTi~ ~,~P,ecf~ ~ enTP.E' 120•• ~nF~~ ,. 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CO~R_N_E,,'IX, s6F ~~'fINRK ~i~ G 4~ GE~~I~' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026282 Date 6/12/03 Property Address 725 ATLANTIC BLVD UNIT 11 Tenant nbr, name REPLACE EXISTING HVAC Application description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER OCEAN STATE HEAT & AIR 725 ATLANTIC BLVD UNITS 1-21 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit Fee 95.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 95.00 Plan Check Total .00 Grand Total 95.00 Paid Credited Due ---------- ---------- ---------- 95.00 .00 .00 .00 .00 .00 95.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 1 .°rny. ti BUILDING OFFICIAL CITY QF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Qwner of Property: ~~~~:~~ ~ ~~ car ~t~ ~C -c, Job Address: ~~ ;~`/,~T~ ~., ~`j ~s' - C~(e,,(,/~~ Contractor: ~n ~ LL-~o~Z~~S' In consideration of permit givca for doing the work as described in the above statement, we herctrv scree to perform said work in aa:ordance with the attached plans and ~tcciti~tions which ate a part hereof and in accordance with the City of Attantic Beach ordinances and staraiards of cad ice listed ttkrein. III. GENER:~L l~~iFflR:ti1:~T1fl~Y .~. Tape of heating fact: Elecxric t3, IS OTHER CON~STR(CTIC3N BEP~t '' DONE UN TH1S Gas: LY Natural _Ccatrs( L'titity SUILIat:V(i UR SITE'? '~ ~`~ Other- Spcc:if'y iF YES, EfIVE NUMBER OF CONSTFtL`CTIQN PERMIT ~ ' ~- (V, ~'~tECHA,~(IC aL ~QGiP~i~NT TO BE INST.~ILLED (Provide complete list uf~omponentRnjt ba~:k ot'this fixm} 1~ Hea[ _ Sparc _ Ret:essed `~etttra~ Fionr Air Conditioning; Room Grotto! Duct System: Material TAickness J~ ~ 4laxitnum cspacity~l. p~ ~ttt ' ^ Reftigeratian :VA'I'I4RF of woR~c ^ Rcssidentiat ar ~ Commercial © New F3uilding ~ Existing Builcfittn ~ t Rtpla~trnat of c~cisting sy~te:m (> New Installstian (Na system prev%uusly iastailed} © Extension of add-iu- to Misting sysuem ^ Other- S ify ~ w ^ C li t i C er: oo ng o apac ty tttart Fire sprinklers: Number of heads Elevator: Maall~ EsCalatcxr (Number) Gasoline pumps ._._ (Number? TIiIS 3F.kCE FOR OFFICE USE ONLY (RtCtivcd} ^ Tanks (Number} O LPG cwttainers (Number} Remarks ^ LTabted pressure vessd ^ E3oilers Permit rlpprovcd by Date ^ CMtcr -Specify Prrmit Fre LIST ALL E UIP.YIE~tT AIR CONDITIQN[NG AND R:EFRIC,ERATION EQ(1[PMENT Number Units Destaiptioa Model Number Ivtanutacturer Capacity Approving ("i'aas) A ncv /~~ '~ .. ~ ~st,l ~, ~ ~~. ~. jy HEATING - FUR:~iACES, Bt}ILERS, FIREPLACES Number l.`nits Description :'vtode! Number ;41anu1a~KUrer Capacity Approveng tBTU) A craw ~ ~ ,v A~)P T.arrlcs Elow Many Nominal Capacity Type Liquid Name of Scnal Approving Arai Dimensions Co+ttaincd Maautacturrr Na. A etxv avs ~emtoo~e tcosa • ~anaaae tseacd. ru>rtua szis3-Svcs Phone: {90.t} Z47-3800 • Fax: (984} 247-5845 • httn:.'twww.ci.stlsmclrl-each.tt.us 1/Iaf03 ~, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025463 Date 1/31/03 Property Address 725 11 ATLANTIC BLVD Tenant nbr, name 200AMPS,3PH,4W,208VOLT,2" Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER BRYAN ELECTRIC OF N. FLORIDA 11855 N. MAIN ST. #6 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32218 (904) 696-0475 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 123.60 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 123.60 Plan Check Total .00 Grand Total 123.60 Paid Credited Due ---------- ---------- ---------- 123.60 .00 .00 .00 .00 .00 123.60 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS ARE PART OF THIS PE T D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~-~,. BUILDING OFFICIAL t~1~`11 J~~ J .. ~./ r ' +'` r ~ CITY OF ATLANTIC BEACH, FLORIDA -~ ELECTRICAL PERMIT APPLICATION "~~J:tl~r TO THE CHIEF ELECTRICAL INSPECTOR: DATE: / /30 ,-a03 20_ IMPORTANT NOTICE: ITT IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,. CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL CONTRACTOR: ~-vr _ ~ [mac ~j~"lG ~ ~ NL~D/' 1LLi I-laUicJ~~ Z-t-jc. . MASTER ELECTRICIANS SIGNATURE: rC 6-Ct~c~ ~'~.--~z~ OWNER OF PROPERTY: f ~.C,!~yu~c_ 2_~-s-~ (~,~r~.~,~yno-i -1~~,~ JOB ADDRESS: ~~ ~ .art/ frc,~ ~/ RES.( ) APT.( ) COMM.(v~ PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT SERVICE: NEW(v'r INCREASE( 1 REPAIR( 1 CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER a O C) AMP5 ,3 PH W VOLT ,~ RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS '~ CONCEALED OPEN TOTAL RECEPTACLES ~ CONCEALED OPEN TOTAL 0.30AMPS 31.100 AMPS SWITCHES ~, INCANDESCENT FLOURESCENT & M.V. j FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL. HEAT KW-HEAT L 70 MOTORS 0-I H.P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. EACH SIGN NO VA MA MOTOR SIZE SWITCH FLASHERS 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlaatic-beach.fl.us uP~~~~t n~i»m~ CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026231 Date 6/04/03 Property Address 725 ATLANTIC BLVD UNIT 11 Tenant nbr, name INSTALL 2 FIXTURES Application description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER HOFFMAN PLUMBING INC 725 ATLANTIC BLVD UNITS 1-21 P.O. BOX 65070 ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 282-9433 Permit PLUMBING PERMIT Additional desc . Permit Fee 49.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 49.00 Plan Check Total .00 Grand Total 49.00 Paid Credited Due ---------- ---------- ---------- 49.00 .00 .00 .00 .00 .00 49.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~ F BUILDING OFFICIAL ,µ{y 'y~~1.~. !1/~/~_ff1. J~ ,. ~ > CITY OF ATLANTIC BEACH r ~ v ''~' ~~ ~~-~ ~~ PLUy1BING PERMIT APPLICATION ,~~..~ ~:~irt,~ Date: ~°- ~-'~' S . -~---~ Sob Address: ~~ S ,~TLA, <v %< ~ G yl~, ~,y; ~ // Owner of Property: Telephone: .Plumbing Contractor: _~,~.~~~/ ~r~~~ii~~~. Contractor's Address: ,~<V ~ ,u- ~ .t"070 ~ ~°.' ~L< ~o~ O~~ Telephone: ~~' ~ ~/- ~ ~~ l~'~/~ 3 Fas: ~/D ~G-~~~ ~- ~~~~- State License Number: (~f ~~(~ ~ ~ ~ ~~ I~ow many of the following fixtures (re-piped or new): Sinks ___~___Lavatory Bathtubs .Showers Water Heaters Dishwashers Water Hose Bib Sewer Urinals Disposals Other ~~Closets Washing Machine Shower Pans Floor Drains - Re-Pipe (List fixtures being re-piped) . Total Fixtures:~~ - x $?.00 +$35.00 = (Minimum Permit Fee: S3S.OO) Signature of Contractor: ~ -'~ -~ - Installation of plumbing and fi.~ctures' ust be in accordance with the most recent; edition of the Southern Standard Plumbing Cod . Call a day ahead to. schedule inspections: (904) 247-5326 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 06-00031947 Date 1/05/06 Property Address 725 ATLANTIC BLVD UNIT 11 Tenant nbr, name REWIRE WASHER/DRYER Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ SPORTSPLEX DESTINY ELECTRIC 725 ATLANTIC BLVD UNITS 1-21 2850 CIRCLE RIDGE ROAD ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 703-9753 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 70.00 Plan Check Total .00 Grand Total 70.00 Paid Credited Due ---------- ---------- ---------- 70.00 .00 .00 .00 .00 .00 70.00 .00 .00 PERMIT I5 APPROVED ONLY IN ACCORDANCE WITH ALL CTfY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH ,. ~~''' - = ELECTRICAL PERMIT APPLICATION ,, Property Address: ~Z 5- ~~ ~T'GA 1T'f~Q~ ~~ Owner: ~ ~ ~ SODR'TSpI 1 ~ Telephone #: D~ - Z S= ~TZ Contractor: S~(ANt_" n. SC~.(~y ~.~,Q nGST' nJ`/ ~~ Tele hone #: R'D~ 21 32~ I-~.S• p I- 2• /P Contractor Address: 2 $ $~ C i RC l C' R IOGi C DR • R P ~I 370->s-Faz #: 9~l/• 2~1 ~'• D 5/7 Contractor Si nature: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standazds of ood ractice listed therein. Building: ^ New ~ Old ^ Re-wire Building Type: ^ Trailer ^ Residence ^ Temp. ^''~Commercial ^ Signs ^ Addition Sq. Ft. Serviee: ^ New 0 Increase ^ Repair If other construction is being done on this building Or site, list the building Perrfi*. number: Conductor Size: AMPS: COPPER ALUMINUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS ZOO PH 3 W VOLT Z p RACE WAY ~~ Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed o.10o AMI~s OVER BELL A liances TRANSFER. Air Conditionin H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEILING HEAT KW-HEAT Motors 0-I H.P. VOLTAGE PH NO. OVER I H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous (Z '- 4=02 L~2 s 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • htta:i,''~~~=E ~~•.ci.atlantic-i?~aei;.:..us Revised I/04 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 04-00028957 Date 9/01/04 Property Address 725 ATLANTIC BLVD UNIT 11 Tenant nbr, name WIRE WATER HEATER Application description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER DESTINY ELECTRIC 725 ATLANTIC BLVD UNITS 1-21 2850 CIRCLE RIDGE DRIVE ATLANTIC BEACH FL 32233 ORANGE PARK FL 32065 (904) 703-9753 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation 0 k Fee summary Charged ----------------- ---------- Permit Fee Total 70.00 Plan Check Total .00 Grand Total 70.00 Paid Credited Due ---------- ---------- ---------- 70.00 .00 .00 .00 .00 .00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. "" BUILDING OFFICIAL J ~i~',J.a '~i s CITY OF ATLANTIC BEACH .~ ., ,~ ~' ELECTRICAL PERMIT APPLI(^'ATTnN LJii }a ilatP• Property Address: ~ a.5 - 11 ~ ~, g,~~-; ~ P,1 J~ Owner: ~~ar ~ 5~..,r.~o<~, Telephone #: Contractor: _~ ~~e S ~~ , u - '(~ ~ s ~- ,.~ , ~ 1 ~-.~ ;e., Telephone #: ~7 Z. - 3a ~~f Contractor Address: C:r ;~. .Q, Fax#: qpy- gg_Q~1-~ In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of ood ractice listed therein. Building: ^ New 6~ Old ^ Re-wire Building Type: ^ Trailer ^ Residence ^ Temp. L9~~Commercial ^ Signs ^ Addition Sq. Ft. Service: ^ New ^ Increase ^ Repair if other construction is being done on this building Or site, list the building Permit number: Conductor Size: AMPS: C OPPER ALUMINUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS PH W VOLT RACE WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Rece tacles CONCEALED ~ OPEN Switches Incandescent Fluorescent & M.V. Fixed o.loo AMPS ovER BELL A liances TRANSFER. Air Conditionin H.P.RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEILING HEAT KW-HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si n Miscellaneous ~~i~ c. ~~r r~ ~'7o•.~-e,r co..-~a-1 auu ~emmote xoan • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us ~. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL.., PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: Dla~r-w y LLL ~' MASTER ELECTRICIAN SIGNATURE ~ ~ ~ JOURNEYMAN NAME ~°'{~tl~ b-_~S ~<I1~2-~ ADDRESS:-; ~~`~~ ~ G%k~-C-~t`~ n ID~~Ls bl~ RFD BOX BLDG. SIZE / BETWEEN: RES. ( 1 APT. ( 1 COMM. (~) PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ADDITION 1 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SO. FT. SERVICE: NEW ( 1 INCREASE 1 1 REPAIR ( 1 f~AlUn11fLTAQ C17C AMPC CAPPER ( 1 OI IIM I 1 FEE __ SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. S12E AMPS PH W VOLT RACEWAY FEEDERS NO. S12E NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN ~ TOTAL 0.30 AMPS. 31 • 100 AMPS. SWITCH E3 INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANS F. AIR CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CELL HEAT: KW-HEAT MOTORS 0 H .1 .P. VOLTAGE PHS NO. OVER 1 N.P. VOLTAGE PHS MISCELLANEOUS l~l R ~ ~`t? A1-~ ~ 1~~~~R- 1`~`i"l~ .w ••.w~ww••~ww ••~.www wAA \I A\/!'P\AAA\/ } n PERMIT WORKSHEET JOB ADDRESS 7a25 (~~-(Cbnf-iL 1~I~fcl ~~ll TYPE WORK ('nmrv- ~Cra~ t~'n~c~~t PROPERTY OWNER ~1br~h 13er,,~G~ _,~n-~er TELEPHONE CONTRACTOR ~Co~f-f ~Ylb rrS C©ns~rucf TELEPHONE 5°ll d. ~C (~ PERMIT NUMBER ~ ~ "' v~r~ Ali .~~~ DATE ISSUED INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILINGlSHEATHING FRAMIN GICOVER U P (l ~ztc ° u ~ i '7 INSULATION FINAL BUILDING G CERTiF1CATE OF OCCUPANC J TREE. PERMIT ISSUED? P RM T NUMBER ELECTRICAL PERMIT NUMBER ~ ~ I ~3 DATE COPY SENT TO JEA TEMPORARY POLE PERMIT NUMBER """` DATE COPY SENT TO JEA TEMPORARY POWER LETTER RECEIVED? YES NO INSPECTIONS: ROUGH ELECTRICC~•L-t~•c~.~, ~ I~~ RELEASED TO JEA -TEMP. POWER RELEASED TO JEA TEMP. POLE RELEASED TO JEA 1 O .FINAL ''T ~ LO -13 ~ ~1~t ° ~' -MECHANICAL PERMIT NUMBER L~ 2 ~~ INSPECTIONS: ROUGH~7/_I ~ ° ~C - l~°Zt~•o 3 PLUMBING PERMIT NUMBER ~ ~ - . c ~ z.~ j INSPECTIONS: ROUGHIUNDERSLAB ln- `~ z?%",~7 f ICI WATER/SEWER DRAINAGE INSPECTION POOL PERMIT NUMBER INSPECTIONS: STEEL ROOFING PERMIT NUMBER INSPECTIONS: NAILINGlSHEATHING FAILED INSPECTIONS: FINAL TOPOUT !~, ° ~ ~ ~ ~' FINAL FINAL FINAL { CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026436 Date 7/11/03 Property Address 725 ATLANTIC BLVD UNIT 11 Tenant nbr, name COMM INTERIOR BUILDOUT Application description COMMERCIAL INTERIOR BUILD OUT Property Zoning TO BE UPDATED Application valuation 40000 Owner Contractor ------------------------ ------------------------ ATLANTIC PENMAN L.L.C. SCOTT MORRIS CONSTRUCTION 161 N. HWY AlA P. O. BOX 534 PONTE VEDRA BCH FL 32004 PONTE VEDRA BCH FL 32004 (904) 285-2533 (904) 591-2816 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 230.00 Plan Check Fee 115.00 Issue Date Valuation 40000 ---------------------------------------------------------------------------- Special Notes and Comments PENDING APPROVAL OF FIRE DEPT. JS ---------------------------------------------------------------------------- Other Fees WATER IMPACT FEE 50.00 WATER CROSS CONNECTION 35.00 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid 230.00 230.00 115.00 115.00 85.00 85.00 430.00 430.00 Credited Due .00 .00 .00 .00 .00 .00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~, `'°$'UILDING OFFICIAL r :~ sf s~ ,. , ~~ ~JF3 ~~ CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) Date: _~ - ~ ' 03 Job Address: Owner of Property: ~~glt~~~S---~c~vt vyl~a t,.~ (_. L, ~~ , Address: ~~I (~ , ~~ W ~/ ~ ~- U~,,,.,~U,rP~ ~r IBC, d~ Telephone: a~S - ~7 ~ ;3 3 Legal Description: Block Number: Lot Number: Zoning District: Contractor: Sc.o Ld !-L[~~fY't ~ ~ ~ u~c /~ ~, v+~ State License Number: _~,[~.[, ~(, f 3"]~ Contractor's Address: ~, d , ~b x ~-y,~(1 ~,,~c \ ~c~ /u ~~_(r( ~)..c~~1 y Telephone: ~`~ j - ~~' 1(~ Fax: 27~ - ~ ~`(~ Describe proposed use and work to be done: _,.~,~ ~vv ,r (,~ r t,~, ~~r Present use of land or building(s): ~~~,,.,,,,~,,,~..~,,~,~ ~,.C,,,.~~,j_ ~c`~cc,4~ Valuation of proposed construction: ~ y® ~'j New electrical or increase in service? __ yes New plumbing fixtures? _ yv~„o Si,n,(! New fireplace? l~,)o New heating/air conditioning? Is approval of Homeowner's Association or other private entity required? nlc~ If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247-5826 In addition to construction and engineering detail, plans must contain the following information. as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I hereby certify that all information provided with this application is correct. Signature of Property Owner: /`1~~/'~(r ~ /~~-v'~L-~- Date: ~- ~ '~ I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of 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 provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/15/03 governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required Signature of Contractor: day of ~J / _, 20 Off. Address and contact information of person to receive all correspondence regarding this application (please print). Name: ~Sc~~ t (~~(\ V'/'1 ~ Mailing Address: ~. ~ . i~ x ~~( t-d l Y~d,~. l C. ~ e~. veg. l~c L. /'~~ y? ~y~~l Telephone: ~`l; ~ ` oZ ~'' a' Fax: oL7 ~ - 6 ~ l ~ E-Mail: AS TO OWNER: Sworn to and subscribed before me this State of Florida, County of Duval AS TO CONTRACTOR: Sworn to and subscribed before me this ~ ~ State of Florida, County of Duval Notary's S ® Personally known Y V ~~~' ~, DONNA R. PADGETT ^ Produced identification ,~ MY COMMISSION # DD 076816 Type of identification produced ;~@ ; December Iz, zoos ?-/-03 t-H04&NOTAAY ' FL Notary Service & Bonding. Inc. day of ~y 1yl , 20~? ~ . Notary's Signature: ,~ Personally known ^ Produced identification ,p`~1YP~ DONNA R. PADGETT Type of identification produced MYc ~l"pf ~0 EXPIRES: December 12, 2005 1 804&NOTARY FL Notary Service & eorxfing, Inc. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http:!/www.ci.atlantic-beach.fl.us Page 2 Revised 1/15/03 CIT3~ OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE: (904) 247-5800 FAX: (904) 247-5805 SUNCOM: 852-5800 http: //ci. atlan tic-beach.fl. us ~_~~r ~. ~~ Al's ~~~'~' C~AI_~l_~El'+TTS ~er~~~ A~~licat~o~ # C~3 - 2~~1.3~ Applicant: ~JLo ~~ Address: C .ts Project: m v~ Your application is approved o Your permit application has been reviewed and the ioliowing items need attention: Please re-submit your application when these items have been completed. Reviewed by .,1_._.~b.~ f"O /L.fl Signed ~ `.~ C Date (' ~ " ~~ Contractor Notified Date r ~S!.rL`1r~J, ~~ '~ ~J ,J` '~ V `.+~ '~~;Ji3 ~fy Address ~ ~- ~ - r ~ ~ Heated Square Footage @ $ Garage /Shed @ $ Carport /Porch V @ $ r Deck JS~, @ $ Patio ~ @$ TOTAL VALUATION: Total Valuation 1 ~` $ Remaining Value CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET $ .per thousand or portion thereof Date: ~ - 9' - ® 3 ~CErrio2 13v~~,n0~7- per sq ft = $ per sq ft = $ per sq ft = $ per sq ft = $ per sq ft = $ $ oa CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: ~~ + ~/Z Filing Fee $ FLOOD ZONE: _~ ()Fireplaces @ $35.00 $ n IMPERVIOUS SURFACE: ~~ BUILDING PERMIT FEE $ _ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATERMETER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS .005 0 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ 3,f' ST( )SURCHARGE $ p OTHER $ GRAND TOTAL DUE: 1/13/03 > t WATER IMgPACT FEE WORKSHEET ADDRESS: ~`2-.~l_ ~ (~ ~ c~, ~ / ~ i /_ ~'~ T ~c ~~-- U.d FlXTURE TYPE DRAINAGE FlXTURE UNIT VALUE AS LEAD FlXTURES UNITS Automatic clothes washers, commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower g Bathtub (with or without overhead shower or whirlpool attachments 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashin machine, domestic 2 Drinking fountain/Icemaker /z ~ ~ ~ Floor drains 2 Hose bib 1 Kitchen sink, domestic 2 Kitchen sink, domestic with food waste grinder and/or dishwasher 2 Laundry tray (1 or 2 compartments) 2 Lavato 1 Shower com artment, domestic 2 Sink ~ 2 Z_ Urinal 4 :. Urinal, 1 allon r flush or less+~ 2 Wash sink circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or private 4 Water closet, private installation 4 Water closet, ubiic installation g ..• TOTAL NUMBER OF U NITS= MULT{Pl1ED X 20 TOTAL $ Se ,~ ~~~5 :;, PERMIT WORKSHEET Certificate of occupancy J . lw < ~ ra. ~ ~rc,-b ~ ~ a .a. ~-r Job Address: Property Owner: Contractor: Permit #: Building Inspections: S'ItJn1 +~~~n1i?' Tree Permit # '7Z5 ~TI~lG ~t2 - LSD- - -- r3 I ,( iJ~~R'r~-t ~~-cf! C~J"~E~_ a3- Z t9~ Footing Slab Tie Beam Lintel Nailing /Sheathing Framing /Cover Up Insulation Final Building Type Work: =u.t-r• CorY,r~n .~i~ Phone # Phone # S~ (- ZB l~ Date Issued: ~-[o- YES NO Electrical Permit # :'~'^~ Fem. Ztrf~3C7 Date /Copy to ZCo t ~~' JEA ~- 8'03 Temp, Pole Permit # Date /Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric -7 - 9 - p 3 Released to JEA '7 - 3 (- p~3 Temp. Power Released to JEA _ Temp. Pole Released to JEA Final Released to JEA l.-p ;J Mechanical Permit # 8 ~ ~ ~ Inspections: Rough ,Final -C•3e•o~ ~,aa-rErt ME TCf?j -~~t-7 ~ - ~'1N• o,?j Plumbing Permit # 03 - Z~Z Inspections: Rough / Underslab ~ - - p 3 Topout " , ~ . Water /Sewer Final Drainage Inspection: -~ Pool Permit # Inspections: Steel Final Grounding Final Roofing Permit # Inspections: Nailing /Sheathing Final Fire Inspece ~.on: Failed Inspe;;tions: Date Paid: Date Paid: __~ ~„ - t CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00001561 Date 3/02/09 Property Address 725 ATLANTIC BLVD UNIT 11 Application type description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc new sign ---------------------------------------------------------------------------- Owner ------------------------ NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 Contractor CNS SIGNS, INC. Q/A:BRINGLE, KENNETH 263 SOUTH EDGEWOOD AVE. JACKSONVILLE FL 32254 (904) 733-4806 ---------------------------------------------------------------------------- Permit SIGN PERMIT Additional desc . Permit Fee 65.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 8/29/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- Permit Fee Total 65.00 Plan Check Total .00 Grand Total 65.00 65.00 .00 .00 .00 .00 .00 65.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE R'ITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 08-00001561 Date 3/02/09 Property Address 725 ATLANTIC BLVD UNIT 11 Application type description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc new sign ---------------------------------------------------------------------------- Owner ------------------------ NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 Contractor CNS SIGNS, INC. Q/A:BRINGLE, KENNETH 263 SOUTH EDGEWOOD AVE. JACKSONVILLE FL 32254 (904) 733-4806 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 8/29/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total Plan Check Total Grand Total 70.00 70.00 .00 .00 .00 .00 .00 .00 70.00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. !~~ °~?~ CITY OF ATLANTIC BEACH Op ~ ~ I ~ I 1 I ~ I rF..r-:.:- . 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 v lG Irri OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 /.~ BUILDING-DEPT@COAB.US "`'`~::, ~-~~ BUILDING PERMIT APPLICATION DUVAL COUNTY t. JOB ADDRESS: 2. VALUATION OF WORK: 3. SO. FT. UNDER ROOF i7sa a. ~.uwa ur wueac: 6. USE OF STRUCTURE' ^ NEW BUILDING ^ DEMOLITION ^ RESIDENTIAL LOT _ BLOCK SUB DIVISION ^ ADDITION ^ CONVERTING USE ^ COMMERCIAL ~• oESCwPTwN of ~~ - ^ ALTERATION ^ ACCESSORY BLDG 8. FlRE SPRINKLER: I , ~~ + ~ c t ~ ~f t J RTY CONTR . ^ REPAIR ^ POOL /SPA ^ MOVE OTHER ACTOR: ^ YES ^ N/A ^ NO i EN(i1NEEt~ 9. NAME:~..~j~`,(~_r-~ ~~ ~Z~1 7 1 ,-i ~-.V.. 15. COMP/A1}NY NAME: '7` li ~J ~ i ~ j ,. L- ~ (~ - 23. COMPANY NAME: 16. NAME: K~ ~1 e~-~ ~1 ~i /l ~. 24. LICENSEE NAME: 10. ADDRESS: ~¢((, Sough 3 ra;~-r>? ` ~ 17. STATE OF FLORIDA LICENSE NO.: ~ S uC> ~_ 25. STATE OF FLORIDA LICENSE NO.: -+i ~ ~,Al ~s`v 18. ADDRESS:~~ry~ ~ ~ ~~~~~~ j~~~ '~a~-son,~l lf~ ~L ~aS 26. ADDRESS: ~, 11. OF SCE PHONE: 12. FAX NO.: 19. FFICE PHONE: 20. FAX NO.: 27. OFFICE PHONE: 28. FAX NO.: 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EM IL DRESS: ~ 30. EMAIL ADDRESS: n of ort+~ nuw owt~R) ~ 6 COMPANY: MORT(iJ-GE LENDER: 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. 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 will 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, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. *** WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMi ~~•~~C~ , ~ -~ ~~< PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER' ~ ,f ~ ~ ~ ~ ~ ~ ~ ~ laf r COMMENCEMENT MUST BE RECORDED AND POSTED 01 °~ FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCif~ `'Ja r ~- ~ ~' -~-1, , S' S ~ c~ r~ LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OWNER o- AGENT ~, p ~ j r LQ, •{- ~ U /~ , ~ h ~ r ~ r S (~ PowN d Atlorrny a Apnwy L+tper RpulrW) /' / Signed: Date: O B Signed: Before me is _~~•day of ~ , 200 n the county of Before me this /~ ~~ i s ar Duval, State of Florida, has personally appeare Duval, State of Florid herin_by himself /herself and affirms that a statements and declarations are herin by himself /her true and accurate. true and accurate. Notary Public at Large, State of r ~ ,County of _ Notary Public at Larg Personally Known ersonally Known ^ Produced Identification - Produced Idenlifceti~ Notary Signature: Notary Signature: r ;a,~,~.P. ,,,.y .,: COAB FORM BLDG01: REVISED: ~/ 20~ j~ I!. E CaPY ~~ _ _~ .Mn 9~I. ~",. {.,p",M..aaJ v k VA.'...+.04ar: P~ i~a M+'I.vt' Pti REVIEWED FOR CODE COMPLIANCE CITY OF ATLANTIC BEACH SEE PERMITS FOR A;pDITIONAL REQUIREME~,N~TS AND CONDITIONS. REVIEWEDBy:_I~! L% DATE: %7"~ //r'~`''' CITY OF ATLANTIC BEACH i~ J ~ - 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ~~~ OFFICE: (904)247-5826 ~ FAX NO.:(904)247-5845 ~ 1 BUILDING-DEPT@COAB.US ~~~~,=il~~' ELECTRICAL PERMIT APPLICATION 08- I I I I I DUVALCOUNTY 1. JOB ADDRE S S 2. IS THIS A SUB PERMIT: 3. DATE _~ •N ~ .f ~ 7 ~~ ~ [ IN.YIT I ~ ~ If`~ p ~ f ~ l~~C.c VI~ IL% I%UC%~i ~ YO PERMIT #: PROPERT Y OWNER: 4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADpRESS: ~lt~ ~~-~~c~~l 3 ~"~ ~~e~t', 5u i ,~ ~ I .~ ~ G ~s~~ ~ ~ 6. PHONE: ,~ £ ~~ r~~ aaa E LECTRICAL coNTRACTOR: 7. NAM~'E~ OF COMQQPANY: L. ~~ c/L ~ ~ ~~.1.~- 8. ADDRESS.: ~ (o ~~ ~ ~ ~ ~ ~(`,~ r ~1~~~~~ ~{i 9. STATE QF FLORIDA LICENSE NO: ~~ 10. CELL PHONE: 11 FA~X~~N) .: /~ (~( l!`T ~ ~-1 f 12. EMAIL AD RESS: 13. FICE HONE: 14. 15. Application is hereby made to obtain a permit to do the wo and installations as indicated. I certify that all work will 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) month t any time after work is comme CONTRACTORS SIGNATURE: -P 6. CLASS OF WORK: 17. SERVICE: 1E. METER NUMBER ^ MULTI FAMILY - # OF UNITS: ^ SINGLE FAMILY ^ TEMP SERVICE ^ RESIDENTIAL ^ COMMERCIAL ^ ADDITION ^ TRAIL OR 19. BU~DMIG: 19. CURRENT CODE: ^ ALTERATION SIGN ^ REPAIR POOL /SPA ^ OLD ^ NEW ^ REWIRE ^ '05 NATIONAL ELECTRICAL CODE ^ OTHER: LIS T ALi: ELECTRK.AL WORK: 20. TYPE OF SERVICE: ^ OVERHEAD ^ UNDERGROUND ^ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ^ POWER IS ON ^ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPACITY: ^COPPER ^ ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: # OF AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT & M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ^ YES ^ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: S2. AIR CONDfTIONIN6: # OF UNITS: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: COMP. MOTOR HP RATING: AMPS: HEAT KW: S3.' MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: H P: KVA: 34. TRAM ORMERS: UNDER 600V: NUMBER: OVER 600V: NUMBER: KVA: KVA: 3S. MISCELANEOUS REP : ; ; DESCRIBE IN DETAIL: COAB FORM BLDG02: REVISED: 1 /1 012 00 8 ,, r ',,; ~. i ~1 Date: Job Address: 7~S ~I~-Ia-vtt cG ~~~ . -~ ~ f /~~1G.vl ~tl~_ ! ~PQCbGI ~~... 3~,~ ~ Owner's Name: ~ ~~C~ vt-r-, n ~P t~ y~r'1 yl ~(~ Address: S ~I`}~-~-. ~ a r CSt`~vL)~~~~~ R.Pat~ ~ ~a~S b Phone: (_~~ ~`~3 _v~c~a o~ SK ~ ~ dt i Legal Descriptton: Block Number: Lot Number: Zoning District: Contractor: eyt ~~ ~~ n y~-(p (~ State License Number: ~ OQ~E~oZ~~ Address: "a21,. ~ ~ , ~.~a N ~ i );Sod ~hf)P.YI (.t ~ _ Phone: RD ~'~ ~~ S -3 J City:.~J a~~CSpY1 ~f i ~~•e 1 State: ~ Zip: Fax: _ ~ gQ!~~ ~~~ -~ ~C(~ ~, Electric Permit Required? ~] Yes* ^ No *Electrical Contractor: ~~ y~ yl ~~.~~ ~ rr ,~~l~ Dimensions and total square footage of sign: Please provide two (2) copies of application and the following required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of--ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that all infonna ' n rovided with this applica 'on is correct. Signature of Owner: Date: ~ 1 8 e I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of 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 provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall b~ Signature of Contractor: ~1 /o v 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION Page 1 Revised 1/30/03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: Mailing Phone: `f y~j ~~7j(p S Fax: ~~~j - ~~~p E-Mail: AS TO OWNER: '~~ Sworn to and subscribed before me this / O~ day of ~BGG~'' , 20 d~'$'. State of Florida, County of Duval w Notary's Signature: RIDA ""''~. Shari M. Fisher Personally known :Commission #DD775790 ]Produced identification `y~'it' F~pires; ApR. 06, 2012 T e of identification roduced " "~~, Yp P BONDED THRO ATLANTIC BONDING Co., INC. AS TO CONTRACTOR: Sworn to and subscribed before me this ~O>~ day of ~©1~~~~-- , 2064' . State of Florida, County of Duval , Notary's Signature: Personally known ^ Produced identification Type of identification produced NOTARY PUBLICSTATE OF FLORIDA '""'~- Shari M. Fisher `.Commission # DD775790 'y,,'`'~~ Expires: APR. 06, 2012 BONDED THRU ATLANTIC norm>rto CO., IPIG 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/30/03 LETTER OF AUTHORIZATION AFFIDAVIT To Whom It May Concern, This letter authorizes CNS SIGNS, INC. (or their Agents or Sub-Contractors) to act as Agent to secure permits or variances required by local governing body, and to perform sign and/or awning installations, removals, or maintenance at the property located at: NORTH BEACH PLAZA 725-11 ATLANTIC BLVD, ATLANTIC BEACH, FL 32223 Agent ~la~ ~~~K~ ~ sow Printed Name of Owner/Authorized Agent NOTARY State of Florida CounryofDuval 11th NOVEMBER 08 Sworn/°ro and subscribed bef r e this day of , 20 Signature of Notary * Sta of Florida ~ Print or Type Commissioned Name of Notary Public Personally Known: [ ~ Or Produced Identification: [ ] Type of Identification Produced: NOTARY pUBLIC~TATE OF FLORIDA =.' _ `:' Shari M Fisher :Commission #DD775790 ,. ~ Expires; APR. 06, 2012 BONDED THRU ATLANITC BONDING CO., ING Commission Expires: y 6 ~osEr` ~~ 4'X5'CONTOUR CAN store front = 20'-0" ~TAL SfGN AREA 20 SQ. FT. THIS DESIGN AND DRAWING SHOWN IS THE PROPERTY OF CNS SIGNS, INC. iTED BY NO TRANSMITTAL OR DISCLOSURE SHALL BE MADE TO ANY PERSON, FIRM, \TORIES OR CORPORATION WITHOUT PRIOR WRITTEN APPROVAL. IARK JCE WITH 263 South Edgewood Ave. (904) 425-3363 c co~E ~~~~~ ~~~ ~N~~ Jacksonville, FL fax (904) 425-4946 THE COMBUSTIBILITY TEST DATA FOR 1/8" THICK SHEET IS: SELF-IGNITION TEMPERATURE AS MEASURED BY ASTM D-1929 IS GREATER THAN 820 DEG.F, R CHES P IS NO M R MINUTE, AND THE SMOKE DENSITY AS MEASURED BY ASTM-2843 RE THAN 5%. f VARtES_____ _ __ l ~~' 2" 6" ~~--- M-1 M-2 , M-8 ~ _ - M-2 _, r. ;,L Irv_ i=i is -` ~. ~ M-10 - - ~ r <-, .: M-4 ~ - M-7 M-6 _ _. ', M-12 MATERIAL DESCRIPTION M1 .040 ALUMINUM RETURNS PAINTED BLACK EXTERIOR FINISH. M2 1/4"and 1/2"PVC PLASTIC LETTERS M4 15 MM WHITE NEON TUBING. DOUBLE BACK ELECTRODES WITH U.L. APPROVED ELECTRODE BOOTS AND 15,000 VOLT GTO WIRE. M6 STANDARD 1.75"GLASS NEON TUBE SUPPORTS. I M7 114" WEEP HOLES AS REQUIRED. ` M8 3/8"MOUNTING BOLTS (AS PER FBC 2004) M10 30ma TRANSFORMERS (SIZES TO BE DETERMINED WITH NEON FOOTAGE). I M 1 1 SERVICE DISCONNECT SWITCH. M 12 PRIMARY WIRE FEED SUPPLIED BY OTHERS. I L~2GFM- ATT1~t ELECTRIC)ANS ~ NEWUL2161 C.FP SICTITRANSFCRMER CIRCUITS REQUIRED . i REC~,1 RE THAT ALL CI RCU TS MJ5T HAVE TO B E ` CQ:I CATER Hl7F, f~EUTRAI, GROUND ® DETERMINE D I TERMNATINGATPAI~EL y (120 VOLT) I', REQUIRED ISIQVNIJSTBECi1CU~INCC7vPl1ANCENATHi ' 1 AEYIICI.E 600~F TFf fyATiCNAL ELECTRIC CCL E. I ---,_~ B: ANALYTICS PARTNERS COMPLIES WITH: FBC 2004 WIND SPEED =120 mph WIND EXPOSURE = C APPROVED AS SUBMITTED APPROVED AS NOTED RETURNED FOR CORRECTIONS SIGNED_~ _ __ ~j _ ___! DATED_li--~_IZ ~ {L-------- PLEASE INSPECT THIS DRAWING & CHECK APPROPRIATE BOXES, SIGN, & FAX BACK A COPY. CNS SIGNS WILL NOT RESPONSIBLE FOR ERRORS UNDETECTED BUT APPROVE BY THE CLIENT. PRODUCTION CAN NOT PROCEED UNTI DRAWING HAS BEEN SIGNED & RETURNED. DELAYS IN RETURNING PROOF WILL AFFECT SHIP DATES. Y~ LoC.: 11481 OLD ST.A000STINE RD. MALL: AUGUSTINE OAKS SPACE #: 303 SIGN = 12 sq. ft. DATE: BY; JMB SCALE: N.T.S. sQ FT.: BLDG = 300 sq_.ft. THIS PRODUCT IS Lli ETL TESTING LABOR AND BEARS THE' I INSTALL IN ACCORDA THE NATIONAL ELECiR LETTER OF AUTHORIZATION AFFIDAVIT To Whom It May Concern, This letter authorizes CNS SIGNS, INC. (or their Agents or Sub-Contractors) to. act as Agent to secure permits or variances required by local governing body, and to perform sign and/or awning installations, removals, or maintenance at the property located at: NORTH BEACH PLAZA Printed Name of 4wnerlAuthorized Agent NOTARY State of Florida County of Duval 11th NOVEMBER 08 Swo and subscribed bef r e is day of , 20 n Signature of Notary Sta of Florida ~~ r ~ ~t • ~sh..~a~ Print or Type Commissioned Name of Notary Public Personally Known: [ t~ Or Produced Identification: [ ] Type of Identification Produced: Commission Expires: AIOTARY PIIBLIC-STAT& OF FLORIDA ,.* •"'"•.. Sham NL FSsher j =Commission~DD775790 'sue',,.-' Expires: APR. 06, 2012 BONDED THRII ATLANTICBONDINGf:O.,INC: 725-11 ATLANTIC BLVD, ATLANTIC BEACH, FL 32223 Address and contact information of person to receive all correspondence regarding this application (please print). Name: ~ Mailing Address: '~ ~Zj ~..~.~ ~ ~~ ~-~ Phone: ~Z~"~'fj~p'%~ Fax: ~z.rj - yrg~ E-Mail: AS TO OWNER: Sworn to and subscribed before me this ! ~~ day of ~~ G~,~C~'' 20 GK'S 1--' State of Florida, County of Duval ,~ ~,• ,_, Notary's Signature:.lC'Lal_ - t 1 MJCAKT PITS RIDA ~.J ~ .....'', Shari M. kosher Personally known _Commission #DD775790 Produced identification 1' %.'~:.•: Expit~es: APR. 06, 2012 Type of identification produced ~ ~xn ~-'L•arricrsnxnn~tccanac AS TO CONTRACTOR: Sworn to and subscribed before me this /O.f.~ day of u~~~~-- 20ds' , State of Florida, County of Duval r Notary's Signature: °l Personally known ^ Produced identification Type of identification produced NOTARY P'UBLIC,STATS OF 1rLORIDA "~ . Shari M. Fisher ",. £Cotntnission~DD775790 Se,,rs F•xgires: APR. 06, 2012 sormau xttxv e~rTaxrtc soxouTa ca. trrc. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: {904) 247-5800 Fax: (904) 247-5845 http://www.ei.atlantic-beach.fl.us Page 2 Revised 1/30/03 .; '~ ~ -, Date: Jab Address: ~ ~,~i ~ ` j~-, Yt +~ t~C,. '~ i~if ~ ~ ~ ~ ~~~~-~ r '~t ~~~Q ~~G1~- ~t ~~b~ ~~~ Owner's Name: Address: ~~ r , S ~ l'~ CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION Phone: Legal Description:~Bltock Number: Lot Number: Zoning District: Contractor: ~, ~yif~~i--~'t ~, ~` rt ~, r ~' State License Number: ~-„~, fit; ~}u! % ~ 5 Address 'i~' I~, ~ ~ l-' ~c~ N 4 s , ~,~ ~'-ir'~ ~ t~ ~~ Phone: ~`~U`f? ~~ ~ :~ ~ ~_.3 City: -...~ t1~ t~~ ~i ,~~~=~ State: ,t..- J - Zip: , ~'~ Fax: ~ } ;~' ~:~~ Electric Permit Required? ~] Yes* ^ No *Electrical Contractor: ~~ ~~~p~~~ ~1-~r~~~~.. Dimensions and total square footage of sign: Please provide two (2) copies of application and the following required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of--ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront, or entire building, as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. 1 hereby certify that all infonna ~ n rovided with this applica ~on is correct. Signature of Owner: Date: ~ ~ O • I hereby certify that I have read and examined this application and know the same to be true and correct. Alt provisions of the laws and ordinances governing this type of work wilt be complied with, whether specified herein or not. The granting of a pernut does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall b Signature of Contractor: /O 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page i Revised 1130!03 .-i~'a'''r,~r City of Atlantic Beach r .. ~~~ Building Department i; ~-, ~ 800 Seminole Road 9 .~ ., ~r Atlantic Beach, Florida 32233-8445 Phone (904) 247-5826 Fax (904) 247-5845 n~i3>> E-mail: building-dept@coab.us City web-site: http://www.coab.us APPLICATION NUMBER fTo be assigned by the Building Department.) a~ ~~~ ~ Date routed: 7 APPLICATION REVIEW AND TRACKING FORM Property Address: /Z.S~ iY~ /; ~ ~ ~- ~~d~ ~ /~ Applicant: (_,,J~,s ~ /IS ~ !~ ~ .,Project ..... >~1,) ~" ~;,~r Gam` ..... ., .. .. ...,.,,.~,».,.., , ... , ..., © t review re wired Yes No u" ann' & Zarin U IC WOI'ItS ,t?ublic:Utilities :., • . ~. ,~..:,:., .:.: .. , Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt of Permit Verged B Pete 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: roved. ^Denied. (Circle one.) Comments: BUILDING CANNING & ZONI PUBLIC WO RKS Reviewed by: ~r~~.~,/~-- Date: D PUBLIC UTILITIES Second Review: QApproved as revised. ^Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ^Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH ~ 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 ~~~ ! ~ OFFICE: (904~4T-5826 ~ FAX NO.:(904j247-5645 "~~ BUtLDINGDEPT~COAB.US - BUILDING PERMIT APPLICATION 08- ~ ~ ~ ~ ~ DUVALCOUNTY 1..IOB ADDRESSi: 2. VALUATION OF WORK: 3. SQ F'r. IJ~ER rbDOF r s2 ~tC ~~t.c.= tx . ~ a.'t.Et3nI. oEBCwPT1oN: s. cuts of wows 6, use of sr~cTtlREc ^ NEW BUILDING ^ OEMOUTION ^ RESIDENTIAL LOT _ BLOCK _ SUB DIVISION ^ ADDITION ^ CONVERTING USE ^ COMMERCUU. T. QESCWPitON OF WORK: ^ ALTERATION ^ ACCESSORY BLDG. & Flf~ SPICIER: i • ~ ^ REPAIR ^ POD /SPA ^ YES ^ WA dd ~ t ~V '-~~ b ~ ~ ~ /~ ^ MOVE OTHER ^ NO PROPERTY f3WNER: CC)NFR IICT ARCHRECT ! 9. NAME: ~. ~,- , ~' ~ ~ ~ 15. COMPf}NY NAME: l 23. COMPANY NAME: ~ ,'t,. c L, 'Z ~ ,1- f~ itiy - ~ ~ 16. NAME: },. ~ j '' r' dam- ~' ii Y ~ ~ r Z `l t'1~ ~ 't 24. LICENSEE NAME: 10. ADDRESS: ~'-rl ` ,, t ^~ ~ ~ ly.. 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICENSE NO.: . ~ f 1 ~ ~ 18. ADDRESS .% `- ,~ . ~ 26. ADDRESS: -d„~,}='~l.Jf}i/: it~L eJti~:LY~t ~~,~ ~~ lVi i ~ 1. pFFIC E PHONE: ~ \ 12. FAX NO.: 19. OFFICE PHONE _. ( ~ _ ~.r,., 27. OFFICE PHONE: 28. FAX NO.: ~ I 't ~ ~ ~ , ~ ~ ~ ~ ~~_ 13.' CELL P HONE: 21. CELL PHONE: 29. CELL PHONE: 14. EMAIL ADDRESS: 22. EMAIL ggDRESS: 30. EMAIL ADDRESS: YI ' ~~.~ ~ I' ~ ~~ ~ j i E SIMPLE HOLD R: BOMD COMPANY: MORTGAGE LENDER: (~ ot~rt n+rw owr~l 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. 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 the issuance of a perrrlit and that all work will tie performed to meet the standards of ail laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (&) months, or if construction or work is suspended or abandoned for a period of sac (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbin ,Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - i certify that ail the foregoing information is accurate and that all work will be done in compliance with all appGcabie laws regulating construction and zoning. 1 will not occupy or use the referenced buikfing or any part therof, until ail inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ~ WARNING TO OWNER: ~ YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. OWNER or AGENT CONTRAC (K Agent, Power d Atidney or Agenq Letter Required] Signed: Date: O _~ Signed: Date: ~ i /' O y Before me is ~~day of ~ d~ ,200 n th Before me this /~y of . 200~fn the c~nty of Duval, State of Forida, has personally appea Duval, State of Florida, has personally i red ~ herir~by himself /herself and affirms that a statements and declarations are herin by himself / herseH and affirms at ail statements and dedaraGons are true and accurate. true and accurate. Notary Public at Large, State of ~~-~' ,County of ~ /~~ ~ ~ ~~ ~ Notary Publ'~c at Large, State of _~, County of L~"~ Personally Known ersonally Known ^ Produced IdenBfica6on - Produced Iden9ficaiion - Notary SignaWre: Notary Signature: COAB FORM BLDGOt: REVISED: 1/7 012 0 08 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 !~~ OFFICE: (904)247-5826 ~ FAX NO.:(904~47-5845 BUILDING-DEPT~COAB.US ELECTRICAL PERMIT APPLICATION 08- ( ~ ~. I I DUVAL COUNTY t. JOB: ADDRESS: 2. ISTIMS A'SUB PER1AfT: 3 DATE d uC.J .~~ ~C.d,,VT'F t ° ~ [ {J~ , ~ t ~.~ .' ~ YES PERMIT #: PROPERT Y OYMNER: 4. NAME: ~ T 5. ADDRESS iF DIFFERENT FROM JOB ADDRESS: ~1 t ~ ~ ..th 3 t-.T S-t-e~', ~u r '~ ~ -" / ~ 6. PHONE: ° ~ ~ -, ! t~ EL ECTRICAL COI!F[RACTOR: 7. NAME OF COMPANY: -,-- t~ ~, ~ ~ ~~ ~ 8. ADDRESS.: ^~ ,' '1 ~ ~C~~L{Jtl~' IJ Cls 0~~3~~w , 9. STATE OF FLORIDAtICENSE NO: `~,~y~j 10. CELL PHONE: 11 fFAX 'j t ~, / j ~i~}' D~ `~f 7 12. EMAIL AD RESS: + ~ 13. FIC,Ey ONE: L_ ~~ "7 ~~ J ~ ~ '~ 14. 15. Application is hereby made to obtain a permit to do thew and instapations as indicated. 1 certify that aN work will 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) month t any time after work is comma CONTRACTORS SIGNATURE: t6 CLASS OF WORK: 1T. 8ERVK~: 10. METER NUMBER D MULTI FAMILY - # OF UNITS: O SINGLE FAMILY O TEMP SERVICE O RESIDENTIAL ^ COMMERCIAL O ADDITION D TRAILOR 19. BUILDING: 19. CURRENT CODE: D ALTERATION SIGN Q REPAtR POOL /SPA ^ OLD ^ NEW ^ REWIRE O `05 NATIONAL ELECTRICAL CODE D OTHER: LIS T ALL ELC-CTRICAL WORtG 20. TYPE OF SERVICE: D OVERHEAD ^ UNDERGROUND ^ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ^ POWER IS ON ^ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPACITY: OCOPPER D ALUMINUM 23. SWITCH OR BRFAtCER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. FJ(tSTING SERVICE SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 25. FEEDERS: # or: AMPS: # OF AMPS: # OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT 8 M.V.: 27. FIXED APPLIANCES' 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ^ YES ^ NO 28-31 DO NOT APPLY TO NEW SINGLE FAMILY, MULTI-FAMN.Y AND ROOM ADDIflONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32. ANt # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: # OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33. NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 3r~. UNDER 600V: NUMBER: tCVA: OVER 600V: NUMBER: KVA: ss DESCRIBE IN DETAIL: COAB FORM BLDG02: REVISED: U10/2008 `' ~~y ~~ ~' :u~~ -• s~ ~,iil~• City of Atlantic Beach 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 NUMBER (To be assigned by the Building Department.) a~ ~~~ ~ Date routed: 7 APPLICATION REVIEW AND TRACKING FORM Property Address: /Z~ ~!'l/n~-~~- ~~/~ ~ `1 Applicant: l_./1~.5 ~GI'T /IS ~/~ C~ C ..,Project ~EW ~~ ~~ C h ~ . , . _.. . _ ,_a , _.~ _. D t review required Yes No uil tannin & Zonin u is Works Public Utilities .., , ,,. ,.. ... , Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt of Permit Verified B 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: Approved. ^Denied. (Circle one.) BUILDING Comments: PLANNING & ZONING Reviewed by: ~ Date: ~~'~~ 7 O PUBLIC WORKS PUBLIC UTILITIES Second Review: ^Approved as revised. ^Denied. Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ^Approved as revised. ^Denied. Comments: Reviewed by: Date: