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Permit 725 Atlantic Blvd. #12,13,14CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025466 Date 1/31/03 Property Address 725 14 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 [N 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. i ~ ~b ~ l BUILDING OFFICIAL . ~ ~ 'jr1~~Jrfv a= r `' '° S ~ CITY OF ATLANTIC BEACH, FLORIDA `' '~- v~ ELECTRICAL PERMIT APPLICATION "~~;tla~ TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 30 :1-x03 2O_ 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 CONTRACTOR: Bi^v Gv~ ~ j~c frlc ©~ ~1Q,~~G ~(pU1 c~i*- „~pi~ , MASTER ELECTRICIANS SIGNATURE: ~'(, fq-Cr~t-.J ~~.c-~/l OWNER OF PROPERTY: [~ ~~~ ".~r~v~ynQ~1~,C..~~ JOB ADDRESS: "~,~ 'S' G~i(~'~~ .1~.t~,,~ L~~ted ~ ~~ RES.( ) APT.( ) COMM.(vY PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) cFRVrrR• 1vRWfJr TN('RF.A~R( 1 RF.PAiRf 1 CONDUCTOR SIZE AMPS: COPPER( ALUM.( FEE5 SWITCH OR BREAKER ~ O D AMPS .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. (- FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. A1R CONDITIONING H.P. RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CEIL. HEAT KW-HEAT G 70 MOTORS 0-l H.P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: N0. KVA NO. KVA NO.NEON TRANSF. EACH SIGN NO VA MA MOTOR SIZE SWITCH FLASHERS SQ. FT. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us xP~~~~ niii~ina CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026194 Date 7/08/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name INTERIOR BUILDOUT 4 REST. Application description COMMERCIAL INTERIOR BUILD OUT Property Zoning TO BE UPDATED Application valuation 275000 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER SUNCOAST BUILDERS & MAINT.INC. 725 ATLANTIC BLVD UNITS 1-21 P.O. BOX 24156 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241 (904) 730-2500 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc 225AMP,3PH,4W,208/120VOLT,PUC Sub Contractor AMERICAN ELECTRICAL CTR Permit Fee 25.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/08/04 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 25.00 25.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 25.00 25.00 .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. BUILDING OFFICIAL W Building Department 904-247-5805 ~~~t~~~ CITY ~~ ATLANTIC BEACH, F~.4RlDA wPV.oV.a w APP#.tGATtON FOR Et.ECTRtCAI. PERMIT ~- r /~~-,J~ TO THE-GRIEF LLECTRlCAL INSPECTOR: ~ bATE; ~' ~/ ~^ `~"' ~.J ~_, IµpdRTANT NOTIC£; i1V C>ZNSlDERATION OF PERIVIlT GIVEN FOR Odl1VG TH£ WdRK AS I~E5CRlSED FN TIi1= FOLLOWIPIG° Wf HER1=8Y AGREE 70 1'ERFdRM SAID WORK 1N ACCORDANCE WITH THE A'TT'ACHED PLANS AND SPECIFiCAT}QNS, WIiiCH ARE A PART i-lER1rOF, AND iN~ACCORDAPfCE WITH THE arLECTRiCAL REGULATIQNS, CL1DE5 AND CRY OF ATLANTIC BEACH ORU{T(ANCES. I ~ ~ ~ ~~ A~ ELECTRICAL FiR11A: MASTER ELECTRIClAJV 51GNATU $ ~1~ NAME (~) ~-5 ~1 ~~___~_,_~ ADDA ESS: RFD 80~C BLDG. SIZE BETWEEN: ~f~'~ ~y~ y~,N 2~b AES ( } APT. t 1 COlMM. ~ PUBLIC t } tNOt1S, ( ) NEW OLD ( ) REYV. { } Al1DIT10N ( ) TRAlLEi2 t } T>cMP. ( } S1GN5 f } St1. FT. _-.rf 7 j S&RVlCE: NEW INCREASE ( I REPAIR ( } FEE ~,,, muni ~rrnnr ciic 7 _~i/i :n. r v~A C ~, eiuac 2 ZS rnaoarr 1 ~ s r ~ eru ~ ti SWITCH OR BREAKER ~ l5 AN{PS 3 PH W Z[9 q, G i VOLT UC, f~ACEwAY EXIST. SSRV. S1Z>r AMP5 PH W VOLT RACEWAY FEEDERS N4. S1Z8 [~Ifl. S12E Ntf. S12>r LlGHTlN;G OUTLETS ~ CONCEALED dPEN 7DTAL RECEPTACLES CONCEALED dPEN TDTAL SWlTCliF.S C.90 AMPS. Z 9f-160 AMPS. INCANDESCENT FLUORESCENT & M. Y. PiJIED 6.1C^ wars, ou£R APPL2ANCE5 BELL TAANSF. AIR CONDlTfON{NG H.P, FiAT1N1G CAMP. MOTt1A K.P. RATING tfTHEFZ MOTORS AMPS CEIL HEAT: KW.HEAT MOTORS 4~i I~I.P. VOLTAGE PHS NO. OVEA ! H.P. VOLTAGE PHS ' MISC>:LLARlEOUS TRAi11SFDRrifEF1& UNI~£R 6210 V. OVER 600 V. NO. KVA Nd. KVA Nb. NEON TRANSF, NO. 1/A. MA. Mc]TDR SIZE SVYITCH FLASI~tE ' EACH SiGiV . FDRWARD'ED S TDTAL FEi_5 p. i CITY OF ATLANTIC BEACH $00 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026194 Date 6/10/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name INTERIOR BUILDOUT 4 REST. Application description COMMERCIAL INTERIOR BUILD OUT Property Zoning TO BE UPDATED Application valuation 275000 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER SUNCOAST BUILDERS & MAINT.INC. 725 ATLANTIC BLVD UNITS 1-21 P.O. BOX 24156 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241 (904) 730-2500 ---------------------------------------------------------------------------- Permit BUILDING PERMIT Additional desc . Permit Fee 985.00 Plan Check Fee 492.50 Issue Date Valuation 275000 ---------------------------------------------------------------------------- Other Fees WATER IMPACT FEE 1620.00 WATER CROSS CONNECTION 35.00 >~AA ~ummarv Charged Paid Credited Due Cityy ~~o~f~ Atlantic Beach ee* ll~vTp~R RECEIPT ~ Dper: DS}IITH Type: OC Drawer: i Date: b/1®1B3 81 Receipt no: 64fi42 Description E6194 Qty Aaount 8P BUILDING PERMITS 1 :313P.50 Tender delsil CI{ CHEp(S 2138 t313P.58 Total tendered 1313E.50 Total pay~ertt (3132.58 Trans date: fi/18I83 Tire: 13:18:44 WHll;ti Axn rr,n. v. ..,~... ___.._ 'BUILDING OFFICIAL 985.00 985.00 492.50 492.50 1655.00 1655.00 3132.50 3132.50 .00 .00 .00 .00 .00 .00 .00 .00 )M THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED IR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN [CE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS ' TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. HP OfficeJet K Series K80 Personal Printer/Fax/Copier/Scanner Last Transaction Date Time Twe Identification Jun 3 3:49pm Fax Sent 96304203 Log for Information Systems 247-5845 Jun 03 2003 3:SOpm D r i n Pages Result 1:34 3 OK t ~i ..~1>> ~ r ~s J ~~ ~. %'' S) J =" Job Address: Owner of Property: ~ ~-.,A` f -/ ! "'f a CITY OF ATLANTIC BEACH BUILDING PERMIT APPLICATION (FOR NEW SINGLE FAMILY RESIDENCE .AND DUPLEX CONSTRUCTION) ,. ZG - ~. Date: -~~ Z ~~l l'~l ~? ~~ ~ ~ ~~ ~ ~~t ..i Address: lt~t ~l . ii W Y--~ l(~' ~cY~lc-- V~~~c~ 1(Sc~ ~L ~-~t~f ~-Telephone: Legal Description: Block Number: Lot Number: Zoning District: ZW~ Contractor: j~ (,~aSr ~ ~ ~ . cn ,~- do A-v~ni J n C. State License Number: ~i'~~- pS~ 9 ~- 6 Contractor's Address: ~•©~ ~ ©~ ~ `-~ 1 ~~ ~ ~ ~ X , -~' (, ~ j ~2 `-~ ~ Telephone: ~ 6 ~- ..7 3~ 2 S ~ ~ Fax: ~ () y - y, `~ ~' ~ ~ ~ U Describe proposed use and work to be done: ~~ S~d2 <~~r.~' ~}-/Cr / ~~, u v~ 3.,t ~ ~ ~~~k tL~ ~ a- Present use of land or building(s): c~ ~ 1`~_~ Valuation of proposed construction: ~ ~- ~ .S ~ C~ D D ,rc ~ ~-~ ~~~ Is approval of Homeowner's Association or other private entity required? ~ If yes, please submit with this application. Witl t is project involve changes in elevation, site grade or any use of fill material or the removal of any trees? O. Applicant certifies that no change in site grade or fill material will be used on this project. ^ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. '~A10. Applicant certifies that no trees will be removed for this project. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow ail steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Rea[ Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if apre-construction or post-construction topographical survey or grading plan is required (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) 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 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 1/14/03 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 cleaz and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, apre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify that all information provided 1 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 wnstruction 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: Address and contact information of person to receive all correspondence regarding this application (please print). Name: lT C ~ -` '~ Mailing Address: --~ ~C .c_.c S `~ / S ~ ~-~ .t~ ~Z2~1- Telephone: (~ ~ ` ~ ~~` 3/ ©_~ Fax: y'(} ~ - ~ 7r~ ~ ~ 7 ° E-Mail: ~„/_ ~3o Z.S'oo AS TO OWNER: (~ • ., Sworn to and subscribed before me this ~~~1_L-.~ day of ~ ~ ~ , 20 1~~-~ State of Florida, County of Duval ;•.,, V1CTOliIA ANN LLOYD ~' ~' = Notary Public. State of Florida :.: . . '' 22, 2006 ~: P• My comm. expires Aug. ''•?,;;o:';~'~' Comm. No. DD 122474 AS` TO CONTRACTOR: application is correct. ! i / ~} Notary's Signature: ~ (~ t~'~ Personally known ^ Produced identification Type of identification produced Sworn to and subscribed before me this f ~-) ~~ day of ~~~(,~ , 20~~ State of Florida, County of Duval r ~JyM,~~ "~~~~~~~ VICTORIA ANN LLOYD _•- :.: Notary Public, State of Florida gy'p` ~'~~, Nly c 008 e r ,~.,,, Comm No DD 122474 rr 9 Notary's Signature: V~~~ ~ ~ ~~ ~-Personally known ^ Produced identification Type of identification produced 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 1114/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE: (904) 247-5800 FAX: (904} 247-5805 SI7NCOM: 852-5800 http://ci.atlantic-beacS.A.us ~ L ~~i3/~/' ~~Y ~y ~ ~y ,^ f /y D'~~' --- ~'' 3-~ ~-~ ------ ~Q~ --~~----------------- { ------------------------- 1~f~-~" ~~ ~~l 11 ~~~~,~.~~ ~-- Cf~> !-~~. ~ ~ ~_~.: ~r,~-~- S __~ {~ „ T. J Ll' LCiG!'~ , CITY OFATLANT'IC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE: (904) 247-5800 FAX: (904) 247-5805 SUNCOM: 852-5800 http://ci.atlantic-beach.fl.us ~~~`, PI_,r~N ~E~IEW COMMENTS Permit Application # ~ ~. _ ~~ ~ ~1 ~-~ Applicant: Address:~ Project:- ~l.~l Y1 G~~(,~ S-t. o Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by. Signed Date Contractor Notified Date ., _~ ~ , HP OfficeJet K Series K80 Personal PrinterlFax/Copier/Scanner Last Transaction Date Time Twe Identification Jun 9 3:30pm Fax Sent 94481770 Log for Information Systems 247-5845 Jun 09 2003 3:30pm D r i n Pages Res 1 0:30 1 OK Jacksonville Fire and Rescue Department FIRE PREVENTION DIVIS/ON PROJECT NAME: ~~ .S ADDRESS: REVIEWED BY: DATE: Lt~ 7~~~/rc, (630-4789) After initial review, the following exceptions were noted in your construction plans submitted to this office as part of the building/mechanical permit process: ;~ l.) ~~ c/t ~ ~~ ,~.~/til' f L ~~%/n/~'/1 ~ cif ~~~ ~~ i 2.) 3.) 4.) 1931 EAST BEAVER STREET, JACKSONVILLE, FLORIDA 32202 PHONE; (904) 630-0969 FAX: (904) 630-0965 WATER IMPACT FEE WORKSHEET HUUKCJJ: FIXTURE TYPE DRAINAGE FIXTURE UNIT VALUE AS LOAD lXTURES NITS Automatic clothes washers, commerdal 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 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 fountainllcemaker '/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 ~ ~ f Shower com artment, domestic 2 Sink J 2 Urinal 4 -- - ,:, Urinal, l allon per flush or less 2 Wash sink circular or multiple) each set of faucets 2 Water closet, flushometer tank, public or rivate 4 Cj ~ Water closet, private installation 4 Water closet, public installation 6 TOTAL NUMBER OF U S= MULTIPLIED X 20 TOTAL $ / 6 2 a CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE: (904) 247-5800 FAX: (904) 247-5805 SUNCOM: 852-5800 ~~ ~ http://ci.atlantic-beach.fl.us P~~N 1lvI~ ~COIVIMENTS Permit Application # ' ~--~..~ (~ ~i Applicant: ~~ Y1 ~~ ~~.. j -t .- ~--~ 1(,~ ~' ~ . Address: ` ~ ~ /~ `~' ~L% .Y1.~ ~ j" . ' Pro ect: ~- ,~~4 "~- our application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by, Signed ~-;/t~t~;C/~~- Date a ~d~~~ ..-l-.. ~---. ____, J ~ _- _ r s _.. _ _ ~w,, CITY OF ATLANTIC BEACH ~' `'`3''~ BUILDING PERMIT APPLICAT~UN t ~~, '~ ~' ~ . (FOR NEW SINGLE FAMILY RESIDENCE AND DUPLEX CONSTRUCTION) __ . .._ Date t Job Address: ~ fi ~--•'~ ?- ~~~ ~ ~ l ~- ~~ ~ ~ Owner of Property: Address: ~~ ~ 1 i-t W~~ i ill- />c`~ni ~- it ~ ~c*. y~~~,. 6`~ ~3?.~y~-?.Telephone: -2~~~ Legal Description: Block Number: Lot Number: Zoning District: Contractor: ,~ .Rr~tr ~uti~.tr`~ ,F l~A~vYli ~. <1 ~.• State License Number: f!i~~- ~-~~ ~ 2- ~7 Contractor's Addreiss: ~~©~ ~ ©~ .',~ `-~ t ~~ ~ ~ X ~ ~ ~ • ~~ ~~-- `~ ~ Telephone: ~~ 6 ~t - ~7 ~ ~ 2- .S l~ ~ Fax: ~ (~ ~(- ~ `~ ~' ~ ~ ~ U Describe proposed use and work to be done: ~ ~ S-(-~, fz ~r-~..~' ,,~-/Cr / ~~ U yt~ ~r n ~r- ~~ ~~-~~ rte ~ A- Present use of land or building(s): . C~L9 ~ l~ ~- ~ S`~10 f ~ l I ;A-~-- ~~'`~-~ Valuation of proposed construction: ~- ~ .S ~ D ~' Is approval of Homeowner's Association or other private entity required? ~ If yes, please submit with this application. WiII t is project involve changes in elevation, site grade or any use of fill material or the removal of any trees? O. Applicant certifies that no change in site grade or fill material will be used on this project. ^ YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. '~A~10. Applicant certifies that no trees will be removed for this project. ~~~Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. 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. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. Tf you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if apre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane, Atlantic Beach, FL 32233 Telephone: (904) 247-5834 STEP 3. Submit Tree Removal Application if trces are to be removed or relocated STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) 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 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Pagel Revised 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026981 Date 9/26/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name WIRES, 50AMP CHARGER 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 ----------------- ---------- 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 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. BUILDING OFFICIAL i'S ~.-1Al rya J~ ~ ~~ ~~~ ~-'~~ -~ ~ ~ CITY OF ATLANTIC BEACH, FLORIDA j < . - ,5 ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~ ~~' 2O ©~ 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 CONTRACTOR: l=,s ~ ~/T/ ~ ~~~ 7 jIl C MASTER ELECTRICIANS SIGNATURE: ~ _~~~\ OWNER OF PROPERTY: JOB ADDRESS: 7~ 5~ /-~TL,A~t/ (~ C ~(.7L U~ ' UI ~! ~ ~( RES.( ) APT.( ) COMM.(/~ PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SERVICE: NEW( ) INCREASE( ) REPAIR( CONDUCTOR SIZE AMPS: COPPER ) ALU M. ) FEES SWITCH OR BREAKER AMPS 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. 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-I H.P. VOLTAGE PHS NO. OVER I H.P. VOLTAGE PHS MISCELLANEOUS . L C A UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. EACH SIGN NO VA MA MOTOR SIZE SWITCH FLASHERS SQ. FT. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904).247-5845 • http://www.ci.atlantic-beach.fl.us uP~;~~I ni ii ~in3 HP OfficeJet K Series K80 Personal Printer/Fax/Copier/Scanner Last Transaction Date Time Tvne Identification Log for Information Systems 247-5845 Jun 10 2003 8:06am Duration Pales Result Jun 10 8:OSam Received 9043967221 0:36 1 OK CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026593 Date 8/13/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name 1.5' X 10'= 15SQ 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 ----------------- ---------- Permit Fee Total 65.00 Plan Check Total .00 Grand Total 65.00 Paid Credited Due ---------- ---------- ---------- 65.00 .00 .00 .00 .00 .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 BUILDING 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 Cc: CITY OF ATLANTIC BEACH D. Ford BUILDING /ZONING DEPARTMENT iggins S 800 Seminole Road . oe Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax ~} i_;:- '_,t PLAN REVIEW COMMENTS ,~.,~~_~`~'~"~`~ ~~ Permit Application # ~~3-- zL~~~~,3 ~; ~~' rte; Property Address: `'Z~ ~ /-~ -t!-I~~., -{r r~ st~l /c~ ~ 1 ~., '~ ~. Applicant: _~a ri~tE rcCc,-,-~ ~~~~<s~ J;:~ ~ ~1~~5r~1~,~ S ~~ Project: c5~1 I ~ S ~ X I ~ ~ - ~ Sr, f=-f ~ ~~~ / •~`~~ This pe it application has .been: Approved Reviewed and the following items need attention: 1 ~-~ - ~~~' • ~ Qi~ Please re-submit your application when these items have been completed. Reviewed By: 1.,.~-~' Date: ~ • 3/.O ?~ 1'' , ~ , " ~`~ J =sY r ,`'. .> +• CITY OF ATLANTIC BEACH !._ ,3 ~' SIGN PERMIT APPLICATION C~-~ ~ ~ Date: 7' 3~ ° v Job Address: 7 ~ ~ ~- a v\~ ~-- ~~vec\~ ~ ~ a- (Nei Is ~ s n~,L_ Owner's Address: Stc ~~~ ~L,egal Description: Block Number: Lot Number: Gontng llistrict: Contractor: ,,/o ~ !~. /I~~~.o/~ir~,9.1 /~l`~rn t)+~Sjc n ~ (~j~'tate~,lcense Number Address: ~ 700 ~ un>S~c~ .~ ~v c~ • ~ y~G Phone: Z~~ kSG ~ City: ,J~~s~nu;'//t State: j Zip: Z~ ~ Fax: 2~~~&sl~~ Electric Permit Required? [~Yes* ^ No ? *Electrical Contractor: /~//~~/ ~,r cTiri L Dimensions and total square footage of sign: /. ~; ~ ~/Q = /5' s G? • F% 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: ~~~~ ./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 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: 7 ' y' ~ 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 I/30/03 Address and contact information of person to receive all correspondence regarding this application (please print). ,gi?N Name: ~ ~r,i>./ /Yll~l, ~.Bir/ ~r~s~ ~,u /J~1.~ ~~s ~~~J . Mailing Address: lid J2 -~" 1~.~'r~,ci/rsr~~ .~'~ /r9>l ~~ Phone: G'dr.~ ks(,~~ Fax: z1~x`k'a'CoG E-Mail: AS TO OWNER: Sworn to and subscribed before methis --~~~ day of ~ , 20 O 3 . State of Florida, County of Duval AS TO CONTRACTOR: Notary's Signature: Personally known Produced identification Type of identification p ~,~°~ DONNA R. PADGETT „~ ~p~ MY COMMISSION # DD 076816 ~'dite.nc9r EXPIRES: December 12, 2005 Sworn to and subscribed before me this ~ day of ~o y~vl , 20 V i . State of Florida, County of Duval ~`°'~~ ~°~r~ RAAIDAt_l COUTURIER x ^ tdotary Public, Stata of Florida My Comm. Exp. Jul. 6, 2003 '• ~' Gomm. Igo. CC 852654 a ~ k t\~~ Notary's Signature: r' Personally known Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 24?-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 2 Revised 1130103 ~ NQ.249 D07 .1102 11:45 WILLIRM HAMILTON III -~ 19042E08965 Page 6 of b ~~ Order No: lO1SSO85CA Refsrence Has THE COALYTION Exhibit "A" Parcel 1: A part of the Castro-Y-Ferrer Grant, Section 38, Township 2 South, Range 19 East, ~n the City of Atlantic Beach„ Florida, and being more particularly described as follows: Commenciag at the intersection of the East line of said Section 38 with the North R/W line of Atlantic Boulevard; thence South 89 degrees 13 minute' S 8 seconds West, aad along the North line of said Atlantic Boulevard, 360,4 feet to the point of beginning; thonce continue South 89 degrees 13 minutes Sg seconds West and along said R/W line, 1ZS.09 feat; thence North 7 degrees l6 minutes 02 seconds Wes~,153.35 feet; thence North 1 degree OS minutes 30 seconds West, 484.55 feet to a point in the Sou Line of Royal Palms Unit ?.A; thence South 8S degrees 37 minutes 2? seconds East and along said ~outh line of Royal Palms Unit 2A, 27b.3b feet to a point in the West RNV line of Sailfish Drive East; thence South 1 degree OS minutes, 30 seconds East and along said R/W line, 457.71 feet; thence South 7 de~cces 16 minutes 02 seconds East and along said R/W line, 5.36 feet; thence South 89 degrees 13 minutes 58 seconds Vest, 150.0 feet; thence South ~ degrees 1 b minutes 02 seconds East, l 50.0 feet to the point of beginning. Parcel Z: Lot ~, Block 16, Royal Palms Unit Two A.. according to plat thereof recorded in Plat Hook 31, pages 1, 1A through 1D of the current public records of Duval County, Florida. Parcel 3: Lot Z, Block 16, Royal Palms Unit'I~ro A, according to plat thereof recorded in Plat Zook 31, pages 1, LA through 1D of tha cuYracst public records of Duval County, Florida. Parcel #177561-0000 Pazcel #1713b3-0000 Parcel #171364-0000 /i/ve'ih~ 3~~ICi~ C"P/ITP2. 725" /3T~/dNTiL I3GVI~ ~r ,,~ ^r `, ~. o~ f .~ ~!' ~~ ~ ~~ ~' ~,U~ "'~ ~ O ~.1 t''i 'i ~~ r I'' 7 ti `~ 22 G ~ ~ Q' xo V ~~ ~~ _~,z '\.. 4 ~~ O .J CJ q `~ U U ~r °7 -~ '~n h ~/ `'~~ '~,~.I -CS /`~ 0• ~ o ~ u. o s C..7 ~ \.1 LQ G - ./ © y~ ~~ ~ ~.Y ?,, .~ ` Jk r ~ d ~a ~m,~, Z d z a' 7 G ,~ a ~,f .. ~~ .~~ {'..a ~ ~~ r ~~ '~ ~. . ,~ ~~ ~ ~ ~'~~ ~ ~ ~~ ~ Gv' ~~~cA Q ~~ ~~. ~' ~ 4+ ~~~ ~_ ~~ ~ 4 ~~~ v ~1 ~~. `,~~ ~. ~~~ 2 3 0 t]NV 9RNYd ~3TL13~`~ r-' ~1~ 3 ~~~'~~~~d1~~ ~ ~`" 9 3 ~ ~ ~ ~"~ ~ ~~~~ ~~~ ~1~~~~ ~~~`` ~~ 1 ~~ ~~1 ~~ i~~r1 ~~ ~~~~1~~~~ ~ ~t ~~~x~ ~~~~ ~~~~~' ~~~~~~r ~~~~~~~~ . ~~ r`.~rEB (Wbl .xc ~aM B~DN NO b~5t99~ t '9URxn6nd'~ yc7 55G2['d ~~{'~D d~ ~I ~,, ~,-~~. ~ ~ ~~ ~., ~ ~ U ~.. ~~ ~``~- ` ~ ~ ~ r, ~ ~ C M \ '~ .J ~ ~ I ~ ~ ~ ~~ ~ ~ ~ t k I r;~_~ -.m ! ~~ 14 a. ~ ,~ ~ `~ _^~~~~....~ :i __ ~ , _ ~~ ~~', , ~~,~ v~. ~~l~~t~~d Cc: CITY Off' ATLANTIC BEACH ~. Ford BUILDING /ZONING DEPARTMENT L. Hi gins 800 Seminole Road ~. Doe Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # p~ - ZZoSg 3 Property Address: '`(~. ~ ~1-E-1c~., ~c r~ ~I /c~ ~ 1 ~. Applicant: _~ rnerlC~c;n d~~~ ;~'n ~ 1 T 1 ,~ ~ Project: c.5-1~_ I ~S ~ X I[~ ~ - ~ C~ F-f '~~ / This per 't application has .been: Approved '~' ~ Reviewed and the following items need attention: Please re-submit yo applicatio when these items have been completed. Reviewed By: Date: Q 7~31~y~ ~~ ~S yLy~ ~~~ J`' " ' ial r ,S7 J x~ :; ~ ~y l3 ~a ~ CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION ':! r? Ce-L~ 1 'Date: 7 -. j~ . [/ ~ __ . Job Address: 7 cZ ~ ~- G'i v~~~~Jc~C #' ~ aL (~.ae, (S F S na,L_ Owner's Name: I~k-l a ,r~.~=t ~ - Address: n(n ~ . __f~c,.iv1 ~-~ ly" ~-~~('l, ..~ ~ , Phone: ~~k//QQ ~L,egal Description: Block Numbe : Lot Number: Zoning District: Contractor: ~/of~.n/ !~. /rI ~C®//.h.ar~~/-I-rvt4~~s~~ ~ y (~~~tate~License Number: Cyr - C03~rFr/tl fL Address: ~ 7D0 .SoecT/~S~~o .a ~v r.(' • ~ /`~OG Phone: z~~ KSG j City: - _ _/AtiCSrrnua /~ State: ~ Zip: Z.i G Fax: 2 ~'~' ~s GfB Electric Permit Required? ~Yes* ^ No ? *Electrical Contractor: /.~,t ~/A~/ ~1 cT/r/ L Dimensions and total square footage of sign: _~ 5 ' ~/p • = /,' $~. Fi 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 inform/a~tion 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: ~ l/ Date: ~ '" y~ (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 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 e it tly upon the surface of the Building, and shall not be mounted up exposed r eways, 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 Address and contact information of person to receive all correspondence regarding this application (please print). ~~~ Name: ~/oi>./ ~/Yl[~~c•B:~ /Jc~s~~,y /J%~/•svs~/ ~..~11. Mailing Address: G3 7Z "5' l~?r'~.r.~'~ie~n~°~ .~C /~~ F~ Phone: Zd~' d=SG~~ Fax: Z.~~"X~ !r~ E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of w l~ , 20 03. State of Florida, County of Duval Notary's Signature: Personally known Produced identification Type of identification p AS TO CONTRACTOR: ip'~-yr°~ DONNA R. PADGETT ~ ,~ MY COMMISSION # DD 076816 ~nr a0a~ EXPIRES: December 12, 2005 Sworn to and subscribed before me this '7 day of ~d~~ , 20 t~S State of Florida, County of Duval Notary's Signature: o`Par ~~~~ RANOALL COUTURIER Personall known Notary Public, StatEU of Florida y My Comm. Exp. Jul. 6, 2003 Produced identification '~,,« ~~~~•~0 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://www.ci.atlantic-beach.fl.us Page 2 Revised 1/30/03 .1 i02 11:45 w I LL I RM HAMILTON III -~ 19042E08965 ~ page 6 of b ~~ Order No: lO1bS085CA Reference Na: THE COALITION Exhibit "A" Parcel 1: Apart of the Castro-Y-Ferrer Grant, Section 38, Towns}sip 2 South, Range 29 East, in the City of Atlantic Beach, Florida, and being more particularly described as follows: Cammenciag at the intersoction of the East Iine of said Section 38 with the Narth RIW lino of Atlantic Boulevard; thence SOuth 89 degrees 13 nrinute~ 58 seconds West, and along the North ]ins of said Atlantic Boulevard, 360.4 feet w the point of beginning; thence continue SOuth 89 degrees 13 minutes 5$ seconds West and along said R/W line, 125.09 feat; thence North 7 degrees 16 mimrtes 02 seconds West, 153.35 feet; thence North 1 degree 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 tine of Royal Palms Unit 2A, 276.3b feet to a point in the West R!W line of Sailfish Drive East; thence South 1 degree OS minuses, 30 seconds East and along said R/W line, 457.71 feet; thence South 7 degrees 16 minutes 02 seconds East and along said R/W line, S.3b feet; thence South 89 degrees 13 minutes S8 seconds West, IS0.0 feet; thence South 7 degrees lb minutes 02 seconds East, 150.0 feet to the point ofbeginriing. Parcel 2: Lot 1, Block 15, Royal Palms Unit Two A,. according to plat thereof recorded in Plat Boak 31, pages 1, lA through 1D of the current public records of Duval County, Florida. Parcel 3: Lot 2, Black 16, Royal Palms Unit Two A, according to plat thereof recorded in Plat Zook 31, pages I, IA through 1D of the current public records of Duval County, Florida. Parcel #177561-0000 Parcel #1713b3-0000 Parcel #171364-0000 ~t/o~jy i3~Au~ Ce~trP2. J.2,5 /~TG/dNT/L /3GV/~ . N~~i~ !3c'~ cen~P,e 120•• ~ ~oM~ .wN~ ~a~1MNlnes ~ eantn~, twblirlslo~ ~ o~Mt it dev~eloplrNtlt aquMli~M.1~1t ,oIM M! wfloorl~ Cod~~Mi M . ~e tiN I~+trdN~1 nn~uNlily ~~ ~ - •~ ~ ~ ~ CLIENT 6372-5 Greenland Road ~,,.. Jacksonville, .Florida 32258 ~"°"°° a AMERICAN ~ 9o4^2ss~ss6s ~.a~ ,... w:r . ~o ~, -~ .. 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'.. ~ .)I r~~~~ ~^ $ ° ~ ~ ~ ~ I 1 ~ tl ~ ~~~~ s. n 'u ~~~ . ~ s, 111 x pp ~~~~ e g~;. ~,~ a F L 1\ 11 ~~n $ ~~; ,~. ~ ; lye ~ ^#~ 'g~ ~1~.- _ _ 11 _ P7" ~ K~.' ,L ~ ~'s ~ - ~i i S~ ~. ~~ N S~l:n ~ .__._ ._ r.~+ _.. __ - -' - - =-_ - ~~ ~ ~ , -_~; - _ A _ .,~a _ Lr_ _ '_ _ __ i _ p I -1= ' i C ~'1YY} G.L_ a !. 1. ,~ "y --- --- ~--~ k. .. ~i, e ~ s •~~~ ° ~- - .I - - ~ ~- 4- ~ lay~~~ _-i ~.~~ ~ . _ ? y N, _ _ .~.1 ~ ~~ ~ 8 ~' 1~I~•a1 ~~ a.. ve 'w .~ i~ r ~ 7 ~ +0. ~'~ ~' S'• _I_. _ _ W F .~.. __ _ ~ •, _ 1. _ _ _ ~ 1_ 1) - iYl =~ _ - _ ~'.p ~~e o ~~ W'a ,007 oavn~~,~1oe ayi~v~ly x ~ '~ ,d" qy L ~~1l~ ~~ wG'I`a _xY'd `~~ OMd ~Nyd'~t~ e~~ MN n8~t~8~~ypN 4 ~~~~~~g~s ~~ ~~s~~~~^y ~~ aa~~ ~~~~~~' !i~ a A 1~~ ~~1 t '~~~~'t ~ yt~~~'~r ti~lt~~~~a ~lY~,, ~ ~ 1~ ~~~ .~, ~ .. 1 ~ ~"'~ 1~~~~~~ ~`q, ~ ~tt~`i ~ e w~ ~~r~ 1~~~~'~~ ~4 L6otc~'` ,~w.aea4~. ~~ ~' ~ ~~~ ~~ i~ ~~ 1'~ f1 11 3.LL,CGS95 } ..,.. Eqm ___ __ ~_ to ~ltti a t y oq Q fir. ~ _,,._..-r~ / • _ }M ~ 1w E• ~ ~ Q'eLt ~ ~ a ~ a n g1 0 r qu G a a u 1 il '_~ t a a ~~; O 4 u x a ~ ~ ~ w ? ~~ ' ' = t r w '^. ~~~ ~ ~~~ ~ G'r v ~} K ~~; ~ ~ ~ ~ i w c~ . ,, 6 ~4~ ~~.~ a~~~~, ,,~. _ ~ ' ~~ . ,; ~ ~~ .. ~ , ~ ti ~n vy t ti~ ,~:. ~, ~,;~ ~; ~. ,~ ~~~$ ~;~! ~ t ~a ,{ 1. ~ 1~~~ u.. t ~~ "I~t ~ i~ ' ' ~l o" " ~. _ ~" ~ ~ ,~ ~, "s ~-~~ -~' _._ ~ ~ R ---- ~- ._..._... ~~i ., _ _ t~ ~'vl'., ,.; "_ ,,,,~._... . "'~ p 1 A- W r~ 1 ~~ S , 1 /~ ., i -_ = ' "fur ~: ~~^p1°!~° ~ ._ -, _.., _~ ,~~ ~, ~ _ , ~~ . , ~i ~ . ., ~.. ~r O j ~.~.,~ ~ ,,._--- `;,. , _ mow. ~ _ ~~~~ ~=~ /+V~~ \ .' 1 ~, ~~~ ^ = / ~' l ~ ~ ~ ~ .eye 1, `~J .,,,.~-,..~ '~ ~ J 06/10/2003 08:09 9043967221 ROBERT PATER ARCH PAGE 01 Reeser ~e~~ A~et*ser 1922 Fek;fi Avenue ^ JBCkaonville, Florida 32207 ^ Phone b ax 904.398.7221 June 10, 2003 To Whom tt May Corx~m; Atlantic Beach Building Department RE: WASA81 RESTAURANT, 725 ATLANTIC BLVD. To aaddress plan review comments from the Fire Marshall the following shall be adder! to the project: 1. Sheet A1, Door Schedule- Provide panic hardware for doors number 1, 2, 3 and 4. 2. Sheet A1, F1oor Pbn- Provide fire auppresaion ¢ystem es pert, of kitchen hood. Sin ly, Ro Porter AMERICAN ELECTRICAL Contra,eting, Inc. r Pn 5065 St. Augustine Road, Suite 3, Jacksonville, FL 32207 Office (904) 737-7770 • Fax (904) 737-1099 ER0015316 ~YL9 I August 15, 2003 To Whom it may concern: I am requesting early power for the address of 725 -12 (13-14) Atlantic Blvd. We American Electrical hold City of Atlantic Beach harmless ,and take full responsibility for early power . ~~ ~ ~r~ Sincerely, ~z~v~~ ` Earl W. Frick ~`' -al~~ ANNA MARU1 DAIY Q s:4MM19310N NUMBER CC996471 '~OF F~OQo MY COMMIti8K1N EXPIRE8 ~, ~.lAN. 22 200 ~~~~ A~F pTRj-p~,NTIC BEACH CI BUlLD1NG O~F1GE ti ~ S^e t ..~ ~~~ L CI L`~1.E.p ~~~ a..- ~.Q V "'O `~~ ~_ m 0 ~p OO ~~ ~~ ~i ~~ ~w ~ .. ~y ~' _~ 0 N r. ~,,,, 3 3 r~ ~ -c ~O C o Y C~ -a C7 ~ -o ~-. ~ 2~ 0 ~~ ~~rn f'1 ~ ~ m ~ 2 -~ i~ c-~ 0 0 H C1t O ~~ ~~ ~~ -~ Z `~ 0 °cn° m 0 M507.17 Performance test. A performance test shall be conducted upon completion and before final approval of the installation of a ventilation system serving commercial food heat-processing appliances. The test shall verify the rate of airflow and proper operation as specified in this chapter. The permit holder shall furnish the necessary test equipment and devices required to perform the tests. j ~' tT~.. ~ 4 ~ Wg J ~ a ~ ~ W Z U O c~ W z U z J Q W a ~ ~ z ~ ~ vz TWO ~ ~ z r Q w W U c>= o= ~ = ~~~ °WW W =a ~~ .~ Urolms ~p.oe iy{lin ~ jfflW * +u~s hpa e •pl+af ~1~ 3 ~ Isnadda ~luowdolanap ws~ A ~y f '_ 00 o ~ O $ '; ~~~ ~ ,-, ~ ~ o ~~_~. ~ _~..._.__ 1 , `O, ~ i ~ Q LL '. Q N W ~"" ° ~' a. Z a 4 ~ ~, '~ o ~ ~ ~ ~, .s- ~~ Z ~,,.. p Z u.. m ``, ~ o W ~ s: ~ ~ C11 <<~;> N i z o o° ~~~? ~ ~ ~ ~"' (~ U C~ U3 ~ c~ y~ C~ ,ter;. ' =C, m w Z Z ~ U o ~a ~Q ~-~1 Q`; ~ ~ g Q a ~ Q.~ C11 ~, w= ~~ ~~ ~~ " m `~°-~ ~ m w w Q w o g ~. W v ~~ i~ z~ '~ w 4 ~ --~ ~ ti Q J w ~~ N ~ 3 a a s ~ Q Q Z J ° ~m ¢ a ~ ~ Q. Z o ~ w o w Q Z ...----~ d wr~tMA ' O ~ d W ~ Q ~g~~ ~ QO V O m w~~;Q~ o~s.~~~ zZnw.~3n. ~ J ~a~ 23 u--l_r----~~ ~ ~"~1° , ~ ~ C~ ~ Q~ ~a ~IN~S ON`dH 4,,,_ p Q a~ ~~ ~~ ~ ~ ~~ 4 ~n~a ~ s)° app M osnl+ o~~uElyd inbw 6u~1t~+0d ~ siu0W5~. 8jQ~1~bd61aWo ~~: ~ ~ BSIlE-,s~~ ~ S~ 1~ Pus~l ~~~°~ r' Q 1n 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 ail required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, apre-constructian topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area caiculatious: i®clude driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Other information as may be appropriate for individual applications. I hereby certify thax all information provided Signature of owner: application is correct. 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 Address and contact information of person to receive all correspondence regarding this application (please print). Name: _(T C d 1• ~ Mailing Address: •-~• (rt •c-G ~ Telephone: (~ ~~S ' 3f ©9 Fax: ~.,r. ~3o ZSor? '3 Z 2. ~-1 - ? ~ ° E-Mail: As To owNER: ~~ . k~, ~~ Sworn to and subscribed before me this ~, _ day of-=~'~~I'--~ ~Y ('` _, 20_~. State of Florida, County of Duval ,,~ U1C70RiA ANN LLOYD ='~'' ~; Notary Pudlic, State of Florida ~r~ q-. '~' My cemrtt. expires Aug. 22, 20D6 ''~;~ ry~. Comm. No. DD 122474 A~ TO CONTRACTOR: '~ ~ ,~ / _, Notary's Signature: 1'c..-~ Personally known ^ Produced identification Type of identification produced Sworn to and subscribed before me this . ~ '~- `day of ~~; ~~ , 20•~ ~, State of Florida, County of Duval 1 ~~ J 1 i ,,,......a 1 n " '. VICTORIA ANNlLOYD Notary's Signature: '' `'L ' Notary Pu61ic, State of Fb-ida , •~ ,~. MY comm. expires Aug. 22, 2006 ~--Personally known ''Y`~~'~ Comm. No. DD 122474 ^ Produced identification Type of identification produced 800 Seminole Road • Atlantic Beach, Florida 32233-S44S Telephone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/14103 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address Tenant nbr, name Application description . Property Zoning . Application valuation . Owner ------------------------ NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 03-00026680 Date 9/24/03 725 ATLANTIC BLVD UNIT 12 60 SQ' SIGN PERMIT TO BE UPDATED 0 Contractor ------------------------ TAYLOR SIGN & DESTGN, INC. 4162 ST.AUGUSTINE ROAD JACKSONVILLE FL 32207 ---------------------------------------------------------------------------- Permit. ELECTRICAL PERMIT Additional desc 200AMP,4PH,3W,120VOLT,3"RACEWA 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. BUILDING OFFICIAL S' ~'~ rf ~~ i' r~~ Stl r ~ CITY OF ATLANTIC BEACH, FLORIDA - ELECTRICAL PERMIT APPLICATION '~~J,31,'" l TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~ " 20 0 3 IMPORTANT NOTICE: 1N CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED 1N 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: ~y ~ o~-~--7 S/(rte v~ ~~-S~6i/ J~/C . MASTER ELECTRICIANS SIGNATURE: /( Awe / ~ yc ~ 2 OWNER OF PROPERTY: ~ % L /,l /~J?i C ~~^Jy" ~~ ~`'~ L ~ C JOB ADDRESS: 7a.S~ /J7L.o~v7~G ~'s ~ y/, ~ !z, RES.( ) APT.( ) COMM.(~GS PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS, y ~ SQ. FT. / ~ S Q • ~` ?. o~nt~r~-+n. ~.r~'~x/!~ TAT('RFARF( 1 RRPATR( 1 x CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE OU AMPS PH 3 W lav VOLT ,f 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. 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-I H.P. VOLTAGE PHS N0. OVER I 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.atlantic-beach.fl.us uP~~~P~ mn~m3 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026941 Date 9/23/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name INSTALL 2" WATER METER Application description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner ------------------------ WASABIS RESTAURANT 725 ATLANTIC BLVD UNITS 12,13, 14 ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ----------------------- Permit -------------------------------- PLUMBING PERMIT ------- -------------- Additional desc . Permit Fee .00 Plan Check Fee .00 Issue Date 9/23/03 Valuation 0 ----------------------- Special Notes and -------------------------------- Comments ------- -------------- OWNER MUST HIRE PL UMBER TO INSTALL A BACKFLOW PREVENTER AND MAKE THE CONNECTION FROM TH E PRIVATE PROPERTY. ----------------------- Other Fees -------------------------------- WATER CONNECT/METER ------- ONLY -------------- 380.00 WATER CROSS CONNECTION 35.00 Fee summary ----------------- Charged Paid Credited ---------- - Due Permit Fee Total - -------- ------- .00 .00 --- -- .00 -------- .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 415.00 415.00 .00 .00 Grand Total 415.00 415.00 .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. BUILDING OFFICIAL PSC 2000 Series 2410 .~`ersonal Printer/Fax/CopierlScanner Log for City of Atlantic Beach Bui 904-247-5$45 Jan-00-00 OO:OOAM Last Transaction Time T~ Identification Jan 00 OO:OOAM Fax Sent 94254946 D r i n Pales Result 0:36 1 OK ~~ ~ ~~ ..rc~ •... vv vv. .aa ~ .~.~ t J, 'r r}`~ y ~ .. .w1.~~. .r Jiil~'~ Job Address: Owner's Nai CITY OF ATLANTIC BEACH SIGN PERMIT APPLIC~~101~' ~~~4~~. Address: r~~~ ~~~J~~~tC '~~V'C~~ a~ - ~~~ Phone: ~.~~~ ~ r~.j(' Legal Description: Block Number: Lot Number: Zoning District: Contractor: h.-~ %' ~~ 1 ~ r~~ ~~`~ ~r ~ ~`= State License Number ~~:. ~,' ! 't~.~ .: ~,t ~'1 s Address: ~lY,-~ *._,) ~t ~(`-t(- ~~.I t ~ r ,{. (~_ Phone: r/ ...> :~ `~ (..~~ '~~ city: yJL~ ~-`(~'t~ ~ I ~.~_ State: ~_ Zip:~_____-~;.x'~` 4 Fax: y ~~_. ~ C~ y(l; Electric Permit Required? ~ Yes' ^ No *Electrical Contractor: C NS S :~~+ ~ ~J C. 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 al( dimensions including height and distance from property lines or right-of--ways. Far Wa11, 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, lousiness or storefront, or entire building, as appropriate. .i. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as Wray he required by Chapter 17 of the Gity of Atlantic Beach Municipal Code. I hereby certify that all information provided with this application is correct. Signature of Owner: ~_~G''~- 5,~.~%~~l ~.5~~,: ~~ 1 c,;-'~ Date: f hereby certify that 1 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 authorit}• to violate or cancel the provisions of any federal, stale or local rules, regulations, ordinances, or laws in any manner, including the governing ofconstruction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being uue and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: ~_ Date: _ 300 Seminote Road • Atlantic Beach, Florida 32233-5445 Phone: (904) Z47-5800 Fax: (904) 247-5845 http:!/www.ci.at3antic-beach.fl.us ~~ Page i Revised 1/30103 ~- ~ v va va: -rya i nr ormaLi Oh systems c-r r -ao-T-, Address and contact information of parson to receive a!i correspondence regarding this application (please print). Name: -e..r/~ ~!'"~ Mailing Address: Phone: ~~S - 3 3 ~~ Fax: ~Z~ " ~C}~L E-Mail: L'1/1 S G~'CI~~~D!T_+ ~'~"Ma~~,c:o AS TO O','/NER: Sworn to and subscribed before me this day of , 20 State of Florida, County of Duval Notary's Signature: ^ Personally known ^ Produced identification Type of identification produced AS TO CONTRACTOR: C ~ ~ ('~ ~~.y~ Sworn to and subscribed before me this ~ day of `U~~"' "' ' '~~ 20 ~. -~-- State of Florida, County of Duval Notary's Signature: _ ~7~Y1~ t tN Tr ~h4 DONNA ~ ca~NOG ~ ~,~'~~ ~' MY CAMtrIISStON li DD 41262, ^ erson ai ly known ~~~a EXPIRES:Maroh3p,21)09 L! t'rodvicedidentification +!R„~;.~ aondean~n+HOmywoa~u~a.n~.ra Type ofidentification produced ~ L I~f'I yEr L)~~5~ ~CoS~~- sIS _ ~ D ~"~G~D-~ Page 2 804 Seminole Road • Atlantic Beach, Ftorida 32233-5445 Phone: (904) 247-5800 Fax: (9t)4) 247-5845 http;//www.ci.atiantic-beach.il.us Revised 1/30163 CITY OF ATLANTIC BEACH BUILDING /ZONING DEPARTMENT 800 Seminole Road Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ~~_`~ ~~~~ ~Q Property Address: Applicant: Project: ~ti~ ~ ~.o ^ Approved z~ ~~ ~ Reviewed and the following items need attention: c~: D. Ford i ~n oerr " ~Ji ~~m;~ ~ 1~ W ~~t9 ~ uV ~~ ~'_' 1 i µ~t t (tel. g~~c~ . o .=~ ~ ~ 2~ ~ ~ ~ Please re-submit your application when these items have been completed. n ..- Reviewed By: ~ Date: '7 (~3lOS ~~f~/' r ~~~ ~~~N., Date Contractor Notified: This permit application has been: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026635 Date 8/11/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name EXHAUST HOOD Application description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ NORTH BEACH CENTER QUALITY SHEET METAL SERVICES 725 ATLANTIC BLVD UNITS 1-21 1716 HARPER STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 354-5044 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit Fee 65.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged ----------------- ---------- Permit Fee Total 65.00 Plan Check Total .00 Grand Total 65.00 Paid Credited Due ---------- ---------- ---------- 65.00 .00 .00 .00 .00 .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 BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. x BUILDING OFFICIAL ~S'~l~!1 !'j s ~' `~ =~ a '~ '~ : ~r ..:~ ; ~~ CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION r.. Dates ~ -~~ ` ~ ~ Owner of Property: ~l~~~t~ ~e~~ ~~ ~~~'e ~ ~r t r~7 Job Address: ~ ~`~ 1-C-t' l~~-~~~ ~5'~~~. , ~n~ i `~ (~. -y SC4~{ Contractor: _ ~ ~A~ t~~ ~~~~~ ~--f' i~~e-{~'~~ 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 ordinances and standards of ood ractice listed therein. III. GENERAL INFORMATION A. Type of heating fuel B. ^ Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ^ Gas: LP -Natural Central Utility BUILDING OR SITE? (. PS ^ Oil ^ Other- Specify IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT i~ `~ IV. MECHANICAL EQUIPMENT TO BE INSTALLED (Provide complete list of components on back of this form) ^ Heat _ Space _ Recessed _ Central _ Fioor O Air Conditioning: Room Central ^ Duct System: Material Thickness Maximum capacity cfm ^ Refrigeration NATURE OF WORK ^ Residential or Commercial @ New Building ^ Existing Building ^ Replacement of existing system jy~ New Installation (No system previously installed) ^ Extension or add-on to existing system ^ Other- Specify ^ Coolin tower: Ca aci g p ty Qpm ^ Fire sprinklers: Number of heads ^ Elevator : _ Manlift Escalator (Number) ^ Gasoline pumps (Number) THIS SPACE FOR OFFICE USE ONLY (Received) ^ Tanks (Number} ^ LPG containers (Number) Remarks ^ Unfired pressure vessel ^ Boilers Permit A roved b Date PP Y ^ Other -Specify permit Fee LIST ALL E UIPMENT A?R CONDITIOi1ING ARID REFRIGERATION EQUIPMENT Number Units D scri lion Model Number Manufacture,{ Capacity Approving ~- o~~ Z 'C PSP( -i~l~e.J~~r (~eas)`~' A enc L '' y5z~ CPspF ,. .~ . , <L "' L-SZ~iNCasPf ~~ .. ~ c.z~., HEATING -FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT A enc -~c A ~' ~ N ~~ 2ti ~.c ' ~~ N i~ ly _-!~ ~ 3 i c~nl,-. TANKS How Many N~ity id SeFial Approving And.D-~t-sions ~d ~~ rer I~Ie. A enc Z- J1~ ~ .5 ~u ~ ~ ~~ ..~" 3v L auu ~emmu[e xoaa • auanac [seacu, N7ortda 32233-5445 Phone: (904) 247-5800 • Fax: (904} 247-5845 • httn://www.ciattantic-beach. Q.us 1/14/03 ~. c y g X w ra y /^ C O~ r -~ ~~ a o ~~ ~ ~a ~ ~ < ~ ' N 1 m f a ~ ~. ~ ~ y S to i 0 ~~ ~~ `~ Z M507.17 Performance test. A performance test shall be conducted upon completion and before final approval of the installation of a ventilation system serving commercial food heat-processing appliances. The test shall verify the rate of airflow and proper operation as specified in this chapter. The permit holder shall furnish the necessary test equipment and devices required to perform the tests. :,; ~~ ~~ n ~ ~ r ~~n ~~ ~'~ ~z n~ ~~ __---- ~~ ~~--- ~1 C~tC 3 ~~ ~~ ~g ~n ~, _.____ U~ t I ~ ~ ~ c- c7 . v coa b c~- ~-, o ~,-~ ~, n ci ~,o ~ ~ ~ ~ nm ~, ("~ ~ c"~ ~ ~ M 5 t 3 ~ ~ o ~~ ~~ '~ z ~ rn ~Z N ~~ .~ ~ O t'tt 3 N ~. ~ ~ ~ ~~ 3 -t ~ ~ 'a Ci`~ x ~ ~ O rya C z ~ ti ~ ~ ~ ~ 3 ~' ~ O ~ ~ n 8 M507.17 Performance test. A performance test shall be conducted upon • completion and before final approval of the installation of a ventilation system serving commercial food heat-processing appliances. The test shall verif the rate of airflow and y proper operation as specified in this chapter. The permit holder shall furnish the necessary test equipment and devices required to perform the tests. ~, X CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026654 Date 8/11/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name HVAC Application description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER QUALITY SHEET METAL SERVICES 725 ATLANTIC BLVD UNITS 1-21 1716 HARPER STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 354-5044 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit Fee 475.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary ----------------- Permit Fee Total Plan Check Total Grand Total Charged Paid ---------- ---------- 475.00 475.00 .00 .00 475.00 475.00 Credited Due ---------- ---------- .00 .00 .00 .00 .00 .00 ~. ~,:... j: 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. J,` y+ry ~k. ~:.. r BUII..I3ING OFFICIAL >r' '~~1;r~~, r ~~~ ;~ ~;- ~s ~ J\ CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION z~~s~ Owner of Property: ~~~ r`1' h i J@Ac~ ~~1'e~" Job Address: ~ ~ ~ /~t'r+s~-t~~- ~ ~v~ . l/I..i-t ~ 11,~~ ~-~ r`~e ~ ~ Contractor: ~ ~a /a' ~- ~ _ T 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 ordinances and standards of ood ractice listed therein. III. GENERAL INFORMATION A Type of heating fuel: B. Qa' Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ^ Gas: _LP -Natural -Central Utility BUILDING OR SITE? ~t'.S ^ Oil ^ Other- Specify IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT 3 - 2. ~ I `~''/ IV. MECHANICAL EQUIPMENT TO BE INSTALLED (Provide complete list of components n back of this form) Heat _ Space _ Recessed ~ Central _ Floor ^ Air Conditioning: Room Central G7~ Duct System: Material Di,.ceb~~f'd Thickness ~~~ ~Z Maximum capacity i'kO J,O cfm NATURE OF woRx J ^ Residential or Commercial ~ New Building ^ Existing Building ^ Replacement of existing system ~ New Installation (No system previously installed) ^ Extension or add-on to e~cisting system ^ Other• Specify ^ Refrigeration ^ Cooling tower: Capacity rpm ^ Fire sprinklers: Number of heads ^ Elevator : _ Manlift -Escalator (Number) ^ Gasoline pumps (Number) THIS SPACE FOR OFFICE USE ONLY (Received) ^ Tanks (Number) ^ LPG containers (Number) Remarks ^ Unfired pressure vessel ^ Boilers Permit Approved by Date ^ Other- Specify Permit Fee LIST ALL E UIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving 3 r ~ Tc o3Qn `C"rA^e (Tons)1Z_S A enc ~,~.L ,- -~5~~~1u, nfa ~~ _- ~ ~ (,~Il, HEATING -FURNACES, BOILERS, FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT A enc ~. TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. A enc 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • httn://www.ci.atlantic-beach.fl.us I/14/03 ~~. L ~Su I I~ Cir ~~ ~U, ~ ~1 -- ~f ~~ lL/ •~ ~ 20 ~~, Q~ ~. ~,.~ - ~ ;,..-a, ~ ,r 1~ J ~~ - ~} ~~ .__ 11~ _ =`', ~_~.' J ~1~1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number 05-00031204 Date 10/06/05 Property Address . 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name INSTALL 41 SQ. FT. SIGN Application description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER CNS SIGNS, INC. 725 ATLANTIC BLVD UNITS 1-21 263 SOUTH EDGEWOOD AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 733-4806 ---------------------------------------------------------------------------- Permit SIGN PERMIT Additional desc . Permit Fee 35.00 Plan Check Fee .00 Issue Date .Valuation 0 Fee summary Charged Permit Fee Total 35.00 Plan Check Total .00 Grand Total 35.00 Paid Credited Due 35.00 .00 .00 .00 .00 .00 35.00 .00 .00 P PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTTY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUI~.DII.'p~FICIAL s ~~- ~~ ~~ _ CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION yy yy ~.~ J' } TO THE CHTRF F.I .RCTRICAI. INSPECTOR: DATE: ~~~1~1 ~~~~ 11 ~ ZOV IMPORTANT NOTICE: J 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: ~~ ~ ~ i Q ~S _.IrIJG MASTER ELECTRICIANS 51C7NA OWNER OF PROPERTY: JOB ADDRESS: /±~~~ ~~~.,i„(11 {~~ ~~~f(`~~ ~~~~ RES.( ) APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) , TEMP.( ) SIGNS) ~___ SQ. FT. SF,RVICF,~ NEW( 1 INCREASE( 1 REPAIR( 1 CONDUCTOR SIZE AMPS: COPPER ALUM. FEES SWITCH OR BREAKER AMPS 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. 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-I H.P. VOLTAGE PHS NO. OVER I 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 S00 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Revised 01/17/03 r ~ ~'~' •. 1Z~ ~,~ Licensed Franchisee www.poboys.com T'ra~aBhlea ~a-. 4.~.E', ~~i-Es :~BEzRgfac tiEi'€fi. ~ f~t~.~~a~n~ e~c:~s. ~~ ~~~33 • "~P~-~.~-~~.~I~~ _ ~' ~(~-t.'~~,~St.~i°a~ To whom it may concern: On Feburary 25, 2006 PoBoys Creole Cafe in Atlantic Beach will be celebrating Mardi Gras. The restaurant hours will be from 2pm -tam. During this time there will be four live bands perfornning on a 24x16 stage. This stage will be located within the perimeters established by the Landlord and the Division of Alcoholic Beverages and Tobacco. The perimeters will also include four portable restrooms, a Red Bull tent (d:38ft c:120ft h:20), and beverage stations. We have made arrangements with the Atlantic Beach Police Department to have two officers on our staff, along with two bouncers, to keep the peace throughout the event. If there are any questions regarding this event please contact me at 904-553-0793. Thank you, ~~ Katie Kreamer Administrator PoBoys Creole Cafe 725-12 Atlantic Blvd. Atlantic Beach, FL 32233 OL- d ~ -o(~ ~~_ _~. _ _,~- ~ a .~ __ _ ---_ -- ~~~ ~ _ .. ._.._. ._ ~~ _ DBPR ABT-6029 -Division of Alcoholic Beverages and Tobacco Application for Extension of Licensed Premises or Amended Sketch of Licensed Premises ~ ~~~~~ STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION r ~ 1940 North Monroe Street '~~~', Tallahassee; FL 32399-0783 If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Please submit your completed application to your local district office. This application maybe submitted by mail, through appointment, or if can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's page of fhe DBPR web site at fhe link provided below. http://www.state.fl. us/d bpr/abt/contact/index.shtml r----- SE~T(.C7fV;1 - CI-iEGi~`,~~Rt~Ti~~4CT~-I,O1=R `~ .tI~STED _~` ' _ • ___ T~~tsaction Type: 0 Temporary Extension ^ Amended Sketch ~, ^ Permanent Extension - - - - - -- SECTION' 2 - LI'CEN5E~INF. MATION: - - - _ Full Name of Applicant -r-~'~-' r~ ~zb ~ o C~. L c~ Trade Name (D/B/A) ~~ ~~ s C y~~r-~ CGZ ~. Location Address (S C' .. (~ (~ ~. G.., ~1 V city C~vt-~ L' ~•rrt:~.L ~ Co J v Str~~ ~ ~°~e3 Be r ~Li~er~s~>~~er i ff UU~~ j~ ~` ^- Series ~ ~ ~ ~ Type ~ ~ X Co ct .,er on s us~r}ess Phone Number o e/Mobile Phone Number FOR TEMPORARY EXTENSIONS ONLY: Date(s) of Extension: ~~ a ~ SECTION 3 = 20NlNG A RO• AL " ~ •.TO BE.C~OMPLETED BY, THE~ZDNING AUTHOEZITY GOVERIVII~IG YOllR$UStNES~ ~OCATIOf~.`=; '- This section only_a lids tb a~ perrt~anent or temp,orary~eztension of Ir~~premtse~ ~_ Trade Name (D/B/A) Are there outside areas which are contiguous to the premises which are to be p the premises sought to be licensed?" C9'yes ^ No The above exte ri of the licensed premises as shown in the sketch ^ does comply or ^ does not comply. with zoning re irements fort ale of alcoholic beverage pursuant to this application. Signed: Title: ~N/I It Gate: ~ y3 O 1 SECTi~bN 4 -AFF1DAVl`f OF APPL• 1CANT: - NOTA_R_1ZA'TtON.REQUIRED. Trade Name (D/B/A) _ ~~ ~~ ~s Cw~ ~ tom. ~~-~-~. "1, the undersigned individually, or if a c rporation for itself, its officers and directors, hereby swear or affirm that I am duly authorized to make the above and foregoing application and, as such, I hereby swear or affirm that the attached sketch is a true and correct representation of the extended licensed premises and agree that the place of business may be inspected and searched during business hours or at any time business is being conducted on the premises without a search warrant by officers of the Division of Alcoholic Beverages and Tobacco, the sheriff, his deputies, and police officers for the purposes of determining compliance with the beverage and cigarette Jaws." I swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791, 562.45 and 837.06, Florida Statutes, that the foregoing information is true and correct." If agblying for a temporary extension, check the box to confirm the following statement: ~ I understand that the premises must be restored to its original form at the conclusion of the authorized temporary event." ~/ , STATE OF "'~ ~~`f ' 4 COUNTY OF =~"`~'- "~ ~{, F - _ ~< .-~ -•~..,..~~..-* APPLICANT SIGNATURE The foregoing was ( )Sworn to and Subscribed OR ( )Acknowledged Before me this _ c- Day n.- -,;, of___ .. ~ ---~ 20 ~,"' (..._ By ~ ,_%' ~- ~•.~ ~ .:. - `- , ~ ....~ +~: who is (r personally known to me OR ( )who produced v .: , ~ ~~ - - "~ -- Notary Public identification. Y _ Commission Expires: 'd7 ~ ' k_ t; ~„~~u~, ,..~pAY p~'.,Br~an M. Hal~wanger ?% ~~ ~ Commission ~ DD359665 .• :~: c~c Espires; OCT. 03, 2008 %9~' oe'.+' Bonded Thru ~''~ni~ii `~~ Atlantic Bonding Co., Inc. , 2 - - - _ . 5"ECTIUN 5 - DESCRIPTION.OF PR'EMISE:S•T0: 6E 1~'ICENSED ;' AB&T'AllTHORIZED' SIGNATUR]='REQUIRED -- f Sketches should be drawn in ink and include all walls, doors, counters, sales areas, storage areas, -1I restrooms, bar locations and any other specific areas which are part of the premises sought to be licensed. A multi-sto buildin where the entire buildin is to be licensed must show each floor. Trade Name (D/B/A~--~'T /~ l r ;~ -~. ~_~ .~ _, ~~ ,---~. i I ., __ ~y_I ~~.+- ~~ ~~- ~` !~ 4a~~Sbia K~ ~• - . ~ ~--a'~2.e.rk~tTaio „ - ~~~+~P Par~cslol~ ~ 6 5 ~~~ . ~~,~ ~q C~- ~/ ,~ ~~~ ;~`~ ~~ - . ~~ ~,~ Receipt Number Extension Fee AB&T Authorized Signature Date of Receipt _ Date ^ Approved ^ Disapproved 3 [ , i .,~ s . SECTION 5 - DESCRlPT1GN GF' PREM(SE5 TO EiE t~lCENBED AB&T AUTHQRIZED SIGNATURE REQUIRED _ , _ Trade Name (D/B/A) ~ _ _____ _ _ _ __ I ~ ' 1. _ is the proposed premises movable or able to be moved? Yes ~ ; fJo ^ ~ 2. I ` _ r _ _.. . _._.-_ Yes ^ ; I'Jo ^'~~ Is there any access through the premises to any area over which you do not have ~ ~ ~ dominion and control? _ ___ _ ___ 3 Neatly draw a floor plan of the preir~ises in ink, including sidewalks and other outside areas which are l '; contiguous to the premises, walls, doors, counters, sales areas, storage areas, restro oms, bar locations and any other specific areas which are part of the premises sought to be licensed. A multi-story building where the entire building is to be licensed must show each floor plan. No arcl-iitectur ai drawings are acce ted. ~ ~ ~4y .. ~ ~ ' " r ;; i ~ ___... _ j ~ l J _ ic.u i'~i ~~~ ' ~ ~ „i : c ! -~. i > ~ t .. v X~ ~ 1 -------- -- _~ ~ ~,~ ~, ~~~ z""- S i'~r~,tti~ 1-l~a ~~ - f; i ~ ~ '~:~ i `~`_i Lt.~r t ~, ~; . . ~ ~ .! . , ~,. '~ ~i?.f a RdF~rL.~.! Cpl ~ I z~xTt" F~r'tr'itc DBPR Authorized Signature Date ^ Approved ^ Disapproved Comments _.. 10 DBPR ABT-6029 -Division of Alcoholic Beverages and Tobacco Application for Extension of Licensed Premises or Amended Sketch of Licensed Premises ~¢~~, ~ STATE OF FLORIDA ~~~ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ~~ 1940 North Monroe Street ~`,~~`'• Tallahassee, FL 32399-0783 If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Please submit your completed application to your local district office. This application maybe submitted by mail, through appointment or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's page of the DBPR web site at the link provided below. http://www.state.fl. us/dbpriabt/contact/index.shtml SECTION 1 -CHECK TRANSACTION REQUESTED Tran tion Type: ' emporary Extension ^ Amended Sketch ^ Permanent Extension _- __ SECTION 2 =LtCENSE'tNFORMATION - _ - -- Full Name of Applicant--- ~a _ / J U ~ d C~,/(~ ( Trade Name (D/B/A) ~-~_ O Location Address (St r ~ A~~ ~`~'C (J . C'_ ~ ~' ' County ~ U State ~~~~ 3 Bever ge Lic ns~lyumber~ ~ s- jj Series C Q (~ t- ' Type S . Cot t~, P~.san «x.c ~~ ~~~ ~ u be~' din ~ ~e N - Hodge©M bjle~~one~ ~ tuber ! ~S FOR TEMPORARY EXTENSIONS ONLY: Date(s) of Extension: ~ I SECTION 3 -ZONING APPROVAL`` TO BE COMPLETED BY THE ZONING AUTHORITY GOVERNING.YOUR BUSINESS L©CA710N (This`section only aupties to a permanentor temporary extension of licensed premises) Trade Name (D/B/A) Are there outside areas which are contiguous to the premises which are to be part of the premises sought to be licensed?" [Yes ^ No The above exte ion of the licensed premises as shown in the sketch td does comply or ^ does not comply with zoning re ' ements for the of alcoholic beverage ursuant to thi pplication. Signed: ~~" Title: ~ 07 l~ ~~ ~~~ ~j ~.-1i'1 ~. r, ,~ ,, ~, ->, ~° ~''; %~ i ~~ ,v~ ~ ~~ _~ ~ ~~ City of Atlantic Beach 800 Seminole Road • Atlantic Beach,`Florida 32233-5445 Phone (904) 247-5800 Fax (904) 247-5845 http://www.coab.us REGISTRATION FORM FOR APPROVAL OF TEMPORARY SPECIAL EVENTS All information requested on this form must be fully addressed in order to receive approval from the City of Atlantic Beach to hold any special event by any commercial entity, non-profit, charitable, or for profit organization on private property, which involves activities exceeding normal day-to-day use of property or business operations, the use of outdoor tents, service or cooking facilities, or any expaisior~ of the business area to an outdoor area or any parking area. Use of tents requires an additional tent registration form. In no case shall any such temporary special event extend to utilize any public property, street, sidewalk or right-of--ways. Requests to receive approval for temporary special events should be submitted to the City not less than thirty (30) days prior to the proposed event. DATE ~ 01. ~ D ~ BUSINESS AND APPLICANT NAME: ~0 1~-~ ~j ~~el] ~-~ ~C~~-P~ MAILING ADDRESS: ADDRESS AND LOCATION WHERE EVENT WILL TAKE PLACE (If different from mailing address.) S 0.~~ REQUESTED DATE(S) FOR TEMPORARY EVENT a ~ ~ ~Q THE BELOW SIGNATURE ACKNOWI.EDGFS TI3.4T THE PROPERTY OWNER A_ND/OR THE COMPANY CONDUCTING SUCH TEMPORARY EVENT ASSUMES ALL LLABILITY AND RESPONSIBILITY FOR SUCH EVENT. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT. Signature of property owner or authorized agent. ~~~ , SIGNATURE ~.1 PRINT NAME I ~~.~, s ~ tl~~,C..I.~ CONTACT INFORMATION O,F P'ERS'ON SUBMITTING THIS REGISTRATION FORM (PLEASE PRINT) NAME ~~C- A 1 S W ~ ~ C~ ~ ~ C_. MAILING ADDRESS _ a a ~ ~ ~ ~ ~ ~ ~ ~ ~ 5'~- , J V e D~ ~ V~ `~ ~ ~ c7. ~~ i- L 3 as b ~ PHONE ~ ()'-r ' I `-1 `-i ~ FAX ~ ~ ~ - `-~ j a d E-MAIL ~--i e 5 . C a M i Please provide all information as requested on the attached pages. 1. What type of alcohol will be sperved and how? Beer? Wine? Other? Served i ide? Outside? 2. Provide approved copy of any required Alcoholic Beverage Permits from the Division of Alcohol Beverages and Tobacco? Additional permit required by DABT for any expansion of Licensed P emises.) 5~"~e". a.~t~-cam' -e_~ c~ ~~{ o ~F cep pl ~ e c~ c9-tn. ~ b~. ~c9~~u~.P t ~e-~---eo~ " ~,ovi o ~ 3. Identify the event sponsor and provide appropriate cont ct person in c e of any emergenc 4. Provide a site plan depicting the layout and location of all activities, including parking and traffic flow distribution points, any tents fences securit check points and location of planned event d activities. ,~,-G ~---~C~.C.1n-e C~ ~~ ~ -~ C~ V i ~ G~,t ~Qi(Il-~'V7~..V~.C25~ ~i`~~~-S 0 V~ 5. Has the business consulted with neighboring businesses to obtain their approvals? 6. Will there be outdoor music? Will there~~ plified outdoor music . What hours? `~`' ~ ;s ~; o 7. Will t~her~e be a live band? What h©our~~ ~ = S P ~~-.~.!~ $P ~- as 8. How many people are expected to attenis e~e t? ~ ~ a ~ ~P p~~c. 1 ~ doo 9. How will crowd control be managed if there is an overflow crowd? 0 ~` G~ P ~- ~' ' ~ S Y s~-4~ sc?O c ~'~ ~ . ~,-~-~cu•~.~ s v.~ e-~u ~~. b.e. ~CaSec.~ i -~ ~ ~U ~ -e ©V-2, ~ ~-lr=~~ ~- 10. What s eeific s eclat events are Tanned? such as bobbin fora les• rin toss• dunkin nooths• wet~~~U~~ p p p (... g pp ~ g g t-shirts; bikini contests; all male/female "review") ~,p,,~,,,-~~ ~:,rzg%~ d- 11. How will parking be located and managed? Include site. Tan showing arking areas to be used for this ~ event. V•} .~ ,~.-rte.-~ ,~v~.a.nrt ~ ~= ~ Jv~.a.,~r-e ~ c~ ' .,~ t o.n-e.o. ' ~ vie[ ~ cQ~~ c,~r.~. ' e.~.cQ-c?.~`~=-C ~.-c~~ czr- l~ c~.c~ o~.~~-~ c~ p ~?~-i ~ s i ~ ~ ~~ 12. How will security needs be provided; particularly with respect ~., .prohibiting minors from being served. (See following question.) Will off duty police or private security be used? Who is the contact person on- site if roblem~ arise? (Must be approved by City of Atlantic Beach Police Departr~ nt. 13. How are they going to assure at all peo le consuming alcohol are old enou h? Wrist ands~?~.,, D,~ o~~o~~ men?~ ~ ~- ~we~ ~s- ~v.~~st ~~ ~IJC~J~ ~--~2 14. Are any tents to be erected on the property? (Tent registration form required.) 15. Will there be any outdoor heating or cooking? If so, address how any by-products and refuse will be handled, including grease/oil/refuse. How will any extra trash collecti n d disposal needs, during and - „ter ~e event e a dyes se ~ ~/P.s f g'(I t'`'y ~r` ~ r' C ~ `-,'~' S ~ /~ a r 1 ~~/l ~.~ f ~, li~-~i w ~-~ (~ S ~`cl ~{'-y~y(yA p °rc~~,// Wc~S~ ",,. fit( (,~~ ~[~~`~ 1-, i~..,r-~(S~r--re'^ f-crf -~`r ~G~rs Pv`f~ti~ ~c~~~ y.~vh~1 „~ !`- Y GI "L4''l ~~l_l(~.-S /may '~ `'~ ~O.1T 7L`1'G_1/t• J 16. Will there be y extension o elec icrty intoSthe parking are outdoor areas or any yards? 17. Special temporary events cannot negatively impact traffic flows, particularl}' in any adjacent residential eas, or close or bloc any public street or right-of--way Ple se ad~lTess. ~~~y ~c%`l "~`~ S('°~ ' ~ ~ `"`'~ °~ ~.~~ c-.,."ll ~. "15~~ w Q~^'.~"ss,~-~ ~ f.~,~',~~( ~cL • ~Q~~S wr 1S S~ ~j4~G~ ~S w2jl S -, c ~ G .~ c ~.~ a i~ X1,2 ~. ~I~ 55~ ~-, ~ -~ ~ ~ ~, ~ ir~f ~~,,v~.t~S ~°''J; c~3~ 2 ~ 18. Ad~ress~ow ~'ir~code ~ gtiir`emer~t and access or emergency vehicle be moni~ore and mainfa' ed at all times during the Special event. ~~~ r ~--~- ` {~~ ~ r f ~" "` '`"~''~ ~ ~ t~'r ~(~ M ~ ~'^ ~' '' ~r (( 19. Are there going to be any fires or fireworks? 20.Other than service animals, are there going to be any animals allowed as part of this special event? ~( ~} 2 21. Is this a first time event or a continuation of an annual event? ~~,` ~ ~~`"' """" 22. Were they complaints or problems at prior events,of this nature?~- ~ _ ''-{ LS ~1~12~4-t v~~ W ~ g g ~`G U~~h ~?c~-l.t C~ ~c~S 11.2lc.~ -f-a C~-~~c.~ rzSS P~s+ i 55~ ~ ,Sivctl ~ tc~iyy~ ~ ~ s~U ~ 23. hat additional si na e will be used: (Such as for advertisin , restroq s, alc hol con ump o~ (Cit Sign regulations aPP1Y•) ~ hdov r- (j.~~ ,~- ~ ~,~,~ f,~ ~~e ~. S cmS'r~~~ a~~~ ~ ~~~ c~-~-•Ge'~ ; 24. How will the event be promoted and advertised (such as through the use of fliers, TV, Radio, etc.) ~- ~- 25. Acknowledge by signature below that this special event will comply with all City of Atlantic Beach laws and ordinances and that the event will be conducted and managed as represented within this application. Such acknowledgement extends to all those organizing, planning and staffing this event. t 1 ~ SIGNATURE ~"D~/~lLJJ • W ti ~ R PRINT NAME ~ C1~'y l S ~ 2 t c11 t ~- ~\ EVENT APPROVED: REQUEST DENIED: DATE ~ oG cI ~ SIGNED: DATE: ~ Department o Public Safety SIGNED: DATE: ~ l ~o ~ v ~ Manager 3 '4 p SI ~ •• ~ ~ •L:1ii City of Atlantic Beaeb •800 Seminole 8usd • Atlantic Beach, Florida 32233-5445 Phone (904) 7.1'7--5800 - Faa (904) 24'1=5845 • httpJl~vww~.ooabtis REGISTRATIOlY FORM FOR APPROVAL 4F TEMPORARY SPIE:CIA.L E VENTS All information requested om this form must be fully is order to receive approval fiom the City of Atlantic Beach to hold any special event by any commercial entity, non-profit, charitable, or for pmfit orgatuzation on pm~ate property, which involves activities exceeding normal day-today use of property or business operations, the use of outdoor terns, service ar cooking faailitiesy or any expansion of the business area to an ouuloor area or any parkin area Use of tents requires an additioa~al tcnt registration form. In rxa case shall any such temporary special event extend to utai~e any public property, street, sidewalk or right--of-ways. Requests to x+eceive approval far teaipaiary special events should be submitted to the City not less than thirty (30j days prior to fire propo~ event. DATE ~ ~S •~' , /~ /" BIISINESS AND APPLICANT NAME: (~ ~.~, ~~ti ~ S U.7~,rr; ?.~ (.~ . MAU~nvG ADDRESS: - - ~a s- ! A7l~.,v~ /~ L,.~t -- ~~ 1~.,,~ ~, ~`l. 3 22 33 ADDRESS AND LOCATION WHERE EVENT WII.L TAKE PLACE (I1Fdi6ereat i'~+utnt mailing address.) REQUESTED DATE(S) FUR TEMPORARY EVENT ~ S f~~ THE BELOW SIGNATURE ACKNOVYI~DGES THAT THC PROPERTY OWNER AND/9OR TSB COMPANY CONDUCTING SUCH TEMPORARY EVENT ASSUMES ALL LI,A,BILITY AND RESPONSIBILITY FOR SiJCH EVENT. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS C©RRECT. Sf~thre ot'property anvne~,~nc.asKhas~eaed agent. ~p SIGNATURE~J^- -cam ' V'im' PRINT NAME ~ t ~~ ~• J`~ ~ J'~ CONTACT INFORMATION OF PERSON SUB~MtTTING THIS REGISTRATION FORM tr~-sc rsen~rn NAME l!'~~~ )~~1~¢.- MAILiN~ ADDRESS ? 2 S - ! ~~ (~'~ c /i ~~• ~1 PHUNE ~~o~r)-Z~Z~~a3 ~( FAXrrotF) 2~r2- ~ Z 3 Please provide all information as requested on the attached pages. '`~ ~r ~e~ Z'd ~tr89-LbZ-~O6 swe1~S ~i ~ l0 90 SZ fit/ ~; X1!1 a ~c~ ..' J r) "~ ~ ;3 ~? City of Atlantic Beach 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone (904) 247-5826 • Fax (904) 247-5845 http://www.coab.us ~~ REGISTRATION FORM FOR TEMPORARY TENTS AND AWNING STRUCTURES Within residential and commercial Zoning Districts, temporary tents and awning structures may be used on private property within the City of Atlantic Beach following submittal of this completed form to the Building and Zoning Department. These may be used only for private temporary events, such as weddings and private parties and may be placed upon the property for a period not to exceed four (4) days or ninety-six (96) hours. DATE / ~ "j APPLICANT NAME: ~E~~'c/ ~~32 MAILING ADDRESS: '~ ~~ 3 ~CnCC.,r~d^~ ~~ . J~cc{~5~..~~~tC~~ ~ 3 ZZ 1' -7 ADDRESS WHERE TEMP RAR TENT OR A (](`'~ WILL BE PLACED (If different from mailing address.) 7ZS- l ~1--?{C,.~t~r,~. rQ~~~~f'L ~SL~+ ,~L. 322 33 DATES THAT THE TEMPORARY TENTS AND AWNING STRUCTURES WILL BE LOCATED ON THE PROPERTY: S js j 6 through S~SI~ TEMPORARY TENTS AND AWNING STRUCTURES SHALL BE FULLY SECURED, AND THE BELOW SIGNATURE ACKNOWLEDGES THAT THE PROPERTY OWNER AND/OR THE COMPANY INSTALLING ANY TENT OR AWNING ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT. Signature of property owner or authori agent. SIGNATURE ~r PRINT NAME {~`~ '~~~,/~ CONTACT INFORMATION OF PERSON SUBMITTING THIS REGISTRATION FORM (PLEASE PRINT) n NAME ICt~U~t U_l~ )..P MAILING ADDRESS ~~ ~l~(6 3 /~ ~C~-~/~.L ~-~': t.~.~~s~~,.~1(t F~ 3~z1'`7 PHONE ~~~2~" D~d2~( FAX_ ~~~ ~4 ~ `~2~~' E-MAIL Tj`'~,^y ~~G~S, ?-03~ a~~4 'Pn ~Ld:;3t 1. What of alcohol will be served and how? Beer? Wine? Other? Served inside? Outside? ~.~t t n5tae ~' g~~Sr~ 2. Provide approved copy of any required Alcoholic Beverage Parfaits from the pivisson of Alcohol r Beverages and Tobacco? (Additional permit required by DABT for any expansian'of Licensed Pre .) 3. Identify/4~~+.}e even/t~/sponsor and provide appropri/a~te contact person in case of any emergency. " ,, W(...y T ~4~`l ~WY.~L/1 ~O. ~ CMif 7l' ~f7t' 4. Provide a site plan depicting the layout and location of all activities, including parking and traffic flow distribution points, any tents, fences, security check points, and location of planned events and activities. 5. Has the business consulted with neighboring businesses to obtain their approvals?~,QS 6. Will there be outdoor music? Will there be amplified outdoor music? What hours? 1(~e 5 yQS -? -1 ~ 7. Will there be a live band? What hours? `•~4t 7 - 12 tl. How many people are expected W attend this event? It» - 2~0 9. How will crowd co 1 be managed if there is an overflow crowd? ~~~ ~k~`1 i 0. What specific spacial events are planned? (... bobbing for apples; ring toss; dunking booths; v~^et t shirts; bikini contests; all malelfeniate "rRwiew"}~~~~ ~.,~ 1 l 1. How will packing be located and managed? Inchxie site ptao showing parking areas to be used for this event. 12. How will security needs be provided; particularly with xespect to prohibiting micwrs from being served. (See following question.) Will off duty police or private security be used? Who is the contact person on- site if problems arise? {Masi be approved by City of Atlantic Beach Police ~ ,~j /~1tn~S~Y 5 Q' ~ ~f ?.~c4 f ~j y ~ f (cur Se•~ e. 13. How are they going to assure that all people consuming alcohol are old enough? Wrist bands? Boor men? t,~n••sz ~F~ s 14. Are any terns to be erected on the property? (Teri registration form requued.} ~~s 15. Will there be any outdoor heating or cooking? if so, address haw any by-products and refuse will be handled, including greaselod/refuse. How vain any extra trash collection and disposal needs, during and after the event, be addressed? ~, 1 b. Will there be any ex an of electri ' mto the parking areas, outdoor areas or any yards? . ~~S ~,uj tp~.ce ~! ~tiS~C 17. Special teamporary events cannot negatively impact traffic flows, particularly in any adjacent residential areas, or close or block any public street or right-of--way Please address. A~ o 18. Address haw fire code requiremeaats and aooess fcx emerg~cy vehicle be monihored and maintained at all fumes during the Special evert. 19. Are there gciuig to be any fires ar fireworks? ~a 2t). Other than searvice animals, are there going m be any acrimals allowed as part of this special event? 0 2 £'d ~t-8~-LtiZ-t~06 S ~1 dgZ.lO 90 9Z ~d 21. Is this a first tune event or a continuation of an annual event? ' 10..1•h,n5-1y~ .. 22. Were they complaints or problems at prior events of this nature? Ma 23. What additional signage will be used/?~ (Such as for advertising, restmoms, alcohol consumption? (City Sign regulations apply.) S,~ hs 'C~ ~ecr i~> S~ 24. How will the event be promoted and ~verhised (such as through the use of fliers, TV, Radia, ete.) ~i~~~ 25. Acknowledge by siggature below drat this special event w~l comply with all City of Atlantic Beach laws and ordinances and that the event will be conducted and managed as represented within this application. Such acknowledgen-emtexteuds to all those orgA~~?~ ~, pEanning end staflyn$ this event SIGNATURE -' ~ ~ DATE ~ Z S 6 r PRINT 1~iAME ~ (tvuJ J~. ~. ~SQ- EVENT APPRQVED: REQUEST DEI3Ik~: SIGNED: Department of Public Safety DATE- SIGNED: Tmn Hanson, City Manager 3 y'd 5tr89-L#~Z-ti06 DATE: swe1~S ~!t~1~1 dBZ~ l0 90 ~Z ~y ~r , ~ 1~1 ~, '~' ~~ T ; CITY OF ATLANTIC BEACH ~ _ \ -' ~ 800 SEMINOLE ROAD ~? ; ` ~ r~ ATLANTIC BEACH, FL 32233 ~ ~ ~ /"/~~` INSPECTION PHONE LINE 247-5826 J1~~-'~ Application Number 05-00031204 Date 10/06/05 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name INSTALL 41 SQ. FT. SIGN Application description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER CNS SIGNS, INC. 725 ATLANTIC BLVD UNITS 1-21 263 SOUTH EDGEWOOD AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254 (904) 733-4806 Permit . SIGN PERMIT Additional desc . Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -----_---- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUII~~'QFFICIAL . Yi~~~,,> CITY OF ATLANTIC BEACH ~'~ ~`~~' BUILDING /ZONING DEPARTMENT ;.. '~ " s~ 800 Seminole Road Atlantic Beach, Florida 32233 ~,.~~ ~,iy~r (904) 247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ~~ ~"~~~ Property Address: Applicant: Project: c_-~ This permi pplication has been: Approved CD. ~~ ea ~~~ ~ Reviewed and the following items need attention: Please re-submit yo a plication when these items have been completed. Reviewed B ~G~-~h~ Date: ~/ 3 - Y /~ V ~ Date Contractor Notified: CITY OF ATLANTIC BEACH cc: BUILDING /ZONING DEPARTMENT ° Hi ins 800 Seminole Road oerr Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ~~ ~ ~/ 2 o `~ Property Address: / Z ~ ~~~ ~ C ~~/d ~ l Z.. Applicant: C N~ ~'%9n/S ~5~ it ~~~n Project: This permit application has been: Approved ~ Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: ~ Date: 10~,~0 ~ Date Contractor Notified: 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: 2S Printed Name of Owner/Authorized Agent Date of NOTARY me this ~~~ day of , 20 ~ Jam. of-Notary * State of Florida C~-t Print or Type Commissioned Name of Notary Public Personally Known: [ ] OR Produced Identification: [~ ] Type of Identification Produced: Fl~ ~" ~ ~~' a "~S" lv~ ~2pS-,D Commission Expires: ~~` " ~ `~• (Notary Stamp or Seal Required) ~.,0 0,( .n.~,_~.,,,~__ ~ __._----- 'aY•p,, 1. CARTER _ ~"..••~ A`•°_ h1Y COMMISSION A DD 694529 ,• ;9>~'J4 ;::. " EXPIRES: Febroary 2h 2006 ") „C '' gendedTh~uNocaryPublicUndenv~ite~e ~.~.4Ri~~ •,,,,~•,.~,.~n* ~' "}s~ r' ..::,.... ~ .,, CITY OF ATLANTIC BEACH ~::»;. SIGN PERMIT APPLICATION ,r L ~ Date ~ ~.. ~ ` ~ ._. , _ ~ 1 a , r i, -- f i ~ ~ q ~ ;~ )ob Address: >' '~ ~, ~ ; "~i i"i.,_~ f i ~ ~ f ~ _'. ._ _ Y ~ r ~~ 1- ~J ~ ~ ~ ] l ~ t ~ -~i ~ 1 -~" ~ _r Owner's Name: ~jj~ ~ '~ ~ 1 ~ ~~~~ ; (~° ~- ~ ~_ ~~~ ~ ~. ~ . ~ ` Address: ~~~ ~ ~7 !'°~~ ~C~~ p ~ F ~ ~ ~ ~~ \~ t ~ .a ~ ~) .~ Phone: ~~_~` , ~: Legal Description: Block Number: _ Lot Number: Zoning District: _ Contractor. (~.}`--" ~ , y j ' f r State License Number: _ Address: ~~{~ ~`° .y. j ~ !'~~ t ~ ,. •. ~' ~ ~/`. '- ' Phone: ~ ' ", ~~ City .>.•I''~ ( -'~~ E ~° a ,,e State: r Ztp _ ~, ,~~~Fax: _ .l~'';: ~,~~: Electric Permit Required? (~ Yes' ^ No *Electrical Contractor: , ~,, OAS S ; v6 .n 5 C , Dimensions and total square footage of sign: i _____ _ _ 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 Wray be required by Chapter ] 7 of the City of Atlantic Beach Municipal Code. I hereby certify that all information provided with this application is correct. Signature of Qwner: T~~~~L~(_.lL ~! S_./ •f~l~"r' Date: _ I hereby certify that l 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 authorit}• 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. 1 understand that the issuance of this permit is contingent upon the above information bleing true and correct and that the plans and supporting ~` ~ data have been or shall be provided as required. _ ,,~`' Signature of Contractor: `~"- _ ~ .__~ ' Date: ~ ~~ 300 Seminole [toad -Atlantic Beach, Florida 32233-5445 Phone: (904) 247-58011 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 1 Revued !/30/03 ..~~ ~ .. .. .. .. ... ...a .... _. ....-.._...~ ..,,~..~...~ ~ ~ ..., ... ~-... Address and contact information of person Io receive ail correspondence regarding this application (please print). Name: -e.~~ ~ i`` Mailing Address: ~~' Phone: ~~ 5 •- 3 '3 [~,~~- Fax: _ `~~=~ ." ~~ ~~. E-Mail: /°~!1 f ~v-r~11~ ~ ,~ /~!~ ''!, ~a~ ~ .tea AS TO OWNER: Sworn to and subscribed before me this State of Florida, County of Duval day of Notary's Signature: ^ Personally known ^ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this State of Florida, County of Duval wow..,, .~w,~.i...r.r...i~rrrr.r~r ~. j+~`~„tq~ DONNA L BUS3EY s+; MY COMMISSION t DD 412624 ~?ia}r~'~ eo~a cPnlRuuErsiwr~yr,~,w~u Page 2 20 (~ ~ day of lJ~~~7L~"f~l~~,l'~ , 20 ~. Notary's Signature: ~~ ~. ^ ersonaily known l,/J Produced identification Type of identification produced •~ L ~jf 111?-~ ~..I Gt.~~ (~ 800 Seminole Road • Atlantic Beach, Ftorida 32233-5445 Phone: (904) 241-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.tl.us Revised 1/3Q/03 Date: 9/27/05 City, State: Jacksonville, FL SHEET: 1 OF 3 client: CNS Signs Inc. Overall Height: 20'-0" Sean M. McFarland, P.E. Sign: Po'Boys Creole Cafe Wind Speed 120 mph Project Description Table of Contents Height Varies, See Drawings Content: Page ME Job: 05-3811 Design Loads ................... 1 CNS Job: CNS 05-04 Connection Design ...............1-2 Overall Size: Varies, See Drawings Installation Details ............... 3 Mounting Height: 20'-0" Mounting Style: Flush Mounted Wall Signs Structural Variables and Code Loading Specifications Sign Type: 'Channel Letters /Wall Signs ~ Code: 2004 FBC ~ Existing Wall Material: ! other . Wind Speed: izo ~~ Sign Weight Per Foot: ~, 15 • Wind Exposure: c Wind Loads Per ASCE 7-02 Connection Design Min. 3/4" Plywood, 2x Wood Blocking, Masonry or Concrete Wall Using ASCE 7-02 (Simplified Procedure) Topography: Homogeneous I = Exposure: C lambda = Enclosure: Enclosed Zone = Structure: Components and Cladding Effective Wind Area = Building: Category III Net Wind Pressure = Total Load Pnet = (lambda)"I'`Pnet(30) Pnet= -51.48 PSF Effective Area Sign Loads Area * Pressure (Suction) "Po Boys" 25.00 FT^2 -51.48 PSF "Who's Your Daddy" 3.00 FT^2 -51.48 PSF Lobster 9.00 FT"2 -51.48 PSF Connection Design (Po Boys) Connections Masonry or Concrete Total 3/8" Dia. Lags w/ Lead Shields 12 2X Blockino 3/8" Dia. Lags 8 3/4" Plywood 3/8" Toggle Bolts 20 1.15 (Table 6-1) 1.29 (Figure 6-3, Exp. C, height=20 ft) 5 (End-Wall -Worst Cage) 10 Sq. Ft. -34.7 (Figure 6-3) SEP 2 7 2005 Force -1287 LBF -154 LBF -463 LBF Expires: 2/28/2007 Force Per 3/8" Lags 3/8" Lags 3/8" Connection w/Shields into Wood Toggles -107 LBF 125 LBF (O.K.) P -161 LBF ATLANT1C BEACH 195~~F (O.K.) BUILDING OFFICE -64 LBF ~C~S~~ 205 (O.K.) RRV LSD Total connectors required =See Schedule Above. Blocking must be secured with cofft~ a angers to Structure. Space all connectors evenly. Do NOT Overtighten Connectors. Sean M. McFarland, PE, 2530 Spring Cypress Rd. #B, Spring, TX 77388 (281) 813-7439 Date: 9/27/05 City, State: Jacksonville, FL SHEET: 2 OF 3 Client: CNS Signs Inc. Overall Height: 20'-0" Sean M. McFarland, P.E. Si n: Po'Bo s Creole Cafe Wind S eed 120 m h Connection Design (Who's...) Connections Force Per 3/8" Lags 3/8" Lags 3/8" Masonry or Concrete Total Connection w/Shields into Wood Toggles 3/8" Dia. Lags w/ Lead Shields 3 -51 LBF 125 LBF 2X Blocking 3/8" Dia. Lags 3 -51 LBF 195 LBS 3/4" Plywood 3/8" Toggle Bolts 3 -51 LBF 75 LBS Connection Design (Lobster) Connections Force Per 3/8" Lags 3/8" Lags 3/8" Masonry or Concrete Total Connection w/Shields into Wood Toggles 3!8" Dia. Lags w/ Lead Shields 4 -116 LBF 125 LBF 2X Blocking 3/8" Dia. Lags 4 -116 LBF 195 LBS 3/4" Plywood 3/8" Toggle Bolts 8 -58 LBF 75 LBS Total connectors required =See Schedule Above. Blocking must be secured with concealed Flange Hangers to Structure. Space all connectors evenly. Do NOT Overtighten Connectors. (O. K. ) (O.K.) (O.K.) (O.K.) (O.K.) (O.K.) Sean M. McFarland, PE, 2530 Spring Cypress Rd. #B, Spring, TX 77388 (281) 813-7439 A 1 ;=.l,Ir "ei ;,._ ~RP~_' t,1 .; % ~ r i~ - __ _ :- ~r, ,, ~ ~-,7 ~ :~.~_~ ~- , r~~ :~r1r`}~ERIN'_ CE`~t_~;?~T'I~v'tJ r«~~' !?:! r~4i..i:rR'1T~11._Ctri -tF'1 u~fir~~ ~'i"dll">1 i~!°=? Hl~.i ;=tiL, I ?ra`;1-±'If.' l.L ~!Ut: `(€ s. _+~,I It11`~i I~i`.1... ~:+(1".. ~, I i; 1~, 's~`[ ',i'M I'~: t,'~ 1 1,.11: 7f~1>.1-~=.~_t' f.`' ] ry ',r+:: ,~! ~_~l3'cw (-t'~: ~'i 4rrllrl R~i.'rL= ¢'ti,. {Yt'1:lilllY t"~~1i (- t' ~: 1 S >.1 ~~1 1- ~~ ~ C~~I v h1=F 'sy.'~'I~E `~JE "•. r.'~ _ rr~~L'~8=,~~h: ELF ' Fti+~~E-"r~?T-I ~~.L. yf~P~!_'+~.~ r~~~. ',1 ~,1 J-r~.-a1,;,~~'.r+.Nr~ ;1'tl-'I t~; ~ rift; : rd=.~.+,_:, : tJu•"I;u.arl~::,rv ~alr~ ~;~ 1I1:st~i:r1~_~1,u •~{t 1' ~! ~ f'.~ t ~! + .C ~ r~+F, ~1~L t~::''.krE F FKt_-i, P, -F.+,t,~~ {JI3'~`11? .'=F!:7ll~d.f~+,11 I-~:`i ...TfA;,'JI :'"f. !;L r.` ' ~ •~Ii5r1~.R`~ _`_E+.:Tf~,. ~+L '=Fem.(;:; t.¢ ` - ~ t4 ==;-1 "~r;f ~:'i ~.•'raUtlr" ~ ~ i l" €r',I,ti.l I',' rt' ' f `! ? I', L.E~~ 1' a N:` 1 fit f..L!_{~ i E- ~ r'~,'~t., '7'kS'il ~'i;it=r ,if'J1 .'r.,•.~~1t1-! `I-- I-) -., !' . RF':',~ I'r~~.rl I hl l,~l t I .11 till L ~ 1}Yr~ ~ 1: ~1f+ ~ "]I]if=. hit { JI 1 s,'! =,1`...117 L I ?.t;rdlI~ RE[~UIRED i..;a'~i41 ~ i1,,:1'r7 :+Ir1'.rrl.rra.r Cdr ~~~: MALL_ ~~~.: rH~ COta1f3USTIBI~.1~'Y `~ES'f tlA~`A ~aa >Ijl3.1`F1JCK ~ TEhAPER,4TURE AS MEASt)RED 8Y ASTt41 d-1929 IS ~ RATE 4F BURNING AS MEASURED 8Y ASTM D-63~ I REp M1NUT~, A~fC3 THE SMaK~ C7~NSf7Y AS M~.ASI! MARE THbh1 ~~. See Calculation Sheets for Connection Schedule I = 'r 117" 7~q~ ft. SI+~ hJ = ~" 7~" 3 sq, f~. __ . SPAG~ #. (Jlfi~rl': L1'r: vC!l11.F' '=3+R FT::. _..._ _. __ . _ ," TNi$ PRObl1GT 1$ LI$TEO BY E7L'1'~$T'iN~ LAB~?RA'fOR1~S ANQ BEAir1!'r T't4E frJMAFtK ~`~wT1~1.1<. If+1 AGCC7Rf]Af~l~''E ',9TH `ICE raatl~r~~ °~LECTzIC. ~~u Si~rts sh~ii bc~ ~~r~struct~d & irtst~lleti to comply ~~~ IS; S~t.~vlGNtriaty F B~ ~~~~ k~uiidin coc~e~. aEATER THAN ~2~ t3EG.F, LESS THAN 1.5 i1J'GHES 'k~ifltj S~l6r~C~ = 1 ~{~ fT1~3r1 ~Y ~as~rMY2~a~ is N~ Exp~asure - C ~ ~~ Cr:£i~LE Ct,FE t,. a! 1 :LSE iy°~" 4REA TT~L = ~ 1 s~. ft. =='I=~, s j,r~' ~ , ~ i Iv:'t1:' ! Lt_~' ' ~ ~ --~ ~ 1"'3 Ft'+.5~: It~Sa ~.CT THIS 17>i.A'~11NC~ ~ tmH~ lK A's"~PG~IiI~TF ~~ SCE `~, 3rt,N ~ i-Ar~ ~FtC~ R C"G1Z t +: . c I .: = I ~ C r.~= =' ~ ~'~.•`t'J._. t,. _._ _Y i..r i'~' `ti._ ~~ I't Li'L € c. ~. i _• i5 + - ~ t t~ ~~, _, , ~t_ ::_t_II_.a I F°t~~r~ucttr.~ra c~.ra ~r~~ ~I~r~i ~;ru ur,°t_ '~711.~'a+trsh!(~ Ii115 Li L.EPIr~~~LC}cG I+.L1l~4~N:.U.t,~Ls~1ti"f`_~if~t =ii1)R~dlt~!{ Pfir')~~.'ifiiA~1:4. A1=F-€"~..t. ~h.#I1' Clt\r L.S. 1 `-' ~ -~- ~ ~ !~ }~ !f ~ I ~ `~ ` ~~' Sheet 3 of 3 ME #05-3811 912712005 The etectronic seat appearing on this document was authorized by Sean M. McFarland, PE on September 27, 2005. T' iS';7,"~ ~A r+.'c~~ f~A°~'ts;1'a S?-C}lt}I '~ "~ ~t^,?+ .'Y r":- CM# S1GM5, f~C. '~'~ ,:f<t;5`,f!'TFL CR D ~`i,L:~~.~F~ SI1++LS. HE 'J.A~[ 'u f'1,Y F[~±°~;tJ, Ft?P.t ~. t F.``.:I7;~C} ~ ;H:"7tt 1S H`3t Flif::1?'lf`•i111-W fFFf7~Ya~ti. 2.63 south Edgewoc~d Ave. (90~) 425-363 ~~ ~ ~-' ,lacks~n~vili~, FL fax (904) 425-494~f`i SHEET IS: SELF-IGNITION Signs shall b@ constructed & installed to comply S GREATER THAN 82p DEG.F, 2O°`~ buttdfirYg` C©deS. S IS LESS THAN 1.5 INCHES ~(~}~ $~@~'''°= t~ mph iURED BY A$TM-2843 IS NO EXpOSWF@~-= OYS CAFE ~ay~ AREA TOTAL = 41 sq. ft. SIGNED DATED ~ ~ ' ~ 3 '0 S' PLEASE INSPECT THIS DRAWING & CHECK APPROPRIATE BOXES, SIGN, & FAX BACK A COPY. CNS SIGNS WILL NOT BE RESPONSIBLE FOR ERRORS UNDETECTED BUT APPROVED BY THE CLIENT. PRODUCTION CAN NOT PROCEED UNTIL DRAWING HAS BEEN SIGNED & RETURNED. DELAYS IN RETURNING PROOF WILL AFFECT SHIP DATES. SIGN = 35"x44" 11 sq. ft. !aY Esa rpE ~s~~~~ ~~~~ ~~~A~B THIS DESIGN AND DRAWING SHOWN iS THE PROPERLY OF CNS SIGNS. INC. NO TRANSMRTAL OR DISCLOSURE SHALL BE MADE TO ANY PERSON, FIRM, OR CORPORATION WRHOUT PRIOR WRPREN APPROVAL. 263 South ldgewood Ave. (9114) 425-3383 Jacksonville, FL fax (904) 425-4946 5.~~- BUILDING FRONT =175'-0" APPROVED AS SUBMITTED APPROVED AS NOTED RETURNED FOR CORRECTIONS THE COMBUSTIBILITY TEST DATA FOR 1/6° THICM TEMPERATURE AS MEASURED BY ASTM D-1929 I 2".~ V S RATE OF BURNING AS MEASURED BY ASTM D-63 PER MINUTE, AND THE SMOKE DENSITY AS MEA; MORE THAN 5%. Planning and Zoning DeparfnNnt ® ,~ This a proval verifies oaapHanoe wIM applbabla zonin subdivisiaa and other local had develo ment regulations, fiat does nM ap rov 1 for the i~anoe of pamdts. C~ F ida Buiidh-g Code and ail e-Ittsr apptioatda csi, tale and Federal psnnittterp raquksa~aatta ust vertfisd signaturs of the CNy oi/ltlarflto each uifdinq prior b tAa NM>1Mt t i ' MATERIAL DESCRIPTION M1 .060 ALUMINUM RETURNS WITH .063 BACKS. FINISHTO BE BLUE STUCCO FINISH INSIDEOFLETTER TO BE WHITE M2 1" BLUE TRIM-CAP. M3 3/16" YELLOW FACES WITH RED VINYL OVERLAY WHITE OUTLINE. M4 15 MM 7100 DESIGNER WHITENEON. MS DOUBLEBACK ELECTRODESWITH U.L. APPROVED ELECTRODEBOOTSAND 15000 VOIT GTOWIRE. M6 STANDARDTUBE SUPPORTS. M7 1 /~' W EEP HCLES AS REQUIREDl MS MCUNIING HARDWARE (TYPE DEFENCb ON WALL CgVSTRUCTION. MIN. 3/8"TFiRU BOLT or LAG BOLT. M10 30 M.A. (120 VC>LT) NORMAL POWER FACTOR 1RAN5- FORMERS (GROUI~DFAULTPROTECIEDAND2161 U.L. APPROV®). M11 20 AMP. DISCONNECT SWITCH. M12 PRIMARY ELECTRICAL LEADS. M13 TRANSFORMERS MOUNTED INTERNALLY TO LETTERS `""~~' - """ a'"''"""'~'' CIRCUITS REQUIRED NBNUL2161 GF.P. SI4JTRANSFCWVE}i REQURETHATAU.QR0.1T5 MIbTHgVE TO BE ® CII7CATEDH7T, NBJfRAI, CiiQ~D DETERMINED THIAANFNIPGIV'PAPEI.. (120 VOLT} REQUIRED ~c~N"usfeEatcx~DlNaavPUa~cEVUTH MALL: PO' 6 SIGN = 33"x 117" 27sq.ft. CREOLE "Wl®o'~ Your D~~ SIGN = 6"x 77" 3 sq.ft. SIGN COP LOC.: SPACE #: DATE: BY: SCALE: SQ FT.s THIS PRODYCT IS LISTED I:T~ TESTING uisoMTORI AND BEARS THE MARK INSTALL IN ACCORDANCE W THE NATIONAL ELECTRIC CO CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026680 Date 9/24/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name 60 SQ' Application description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation 0 Owner ------------------------ NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 Contractor ------------------------ TAYLOR SIGN & DESIGN, INC. 4162 ST.AUGUSTINE ROAD JACKSONVILLE FL 32207 ---------------------------------------------------------------------------- Permit SIGN PERMIT Additional desc . Permit Fee 345.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 345.00 345.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 345.00 345.00 .00 .00 BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MU5T 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 SU$JECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL Cy 1-t 7 ~,`7 `~ 3 , c~ 3 CITY OF ATLANTIC BEACH BUILDING /ZONING DEPARTMENT 300 Seminole Raad Rtiantic Beach, Florida 32233 (904)247-5800 (904) 247-5845 Fa~c PLAN REVIEW COMMENTS Permit Application # 0.3 - Z(rl(~ a~0 Property Address:. r7 d ~ ~ ~ (~z v-i -~-~ ~ !~ i V r~ ~ 1 ~ ~~~ ~/~ ~ ~~ ~~: ~ L. H~~ iggins ~Doetr'`'~ ct r ~ C%`~ Applicant: '~T' t ~ ~ c~ Project: ~Pf,y1 ~ ~,c.. h ~ P I ~P f~ ~' ~ ~ , This permit application has .been: ~~' U ~L~" Approved e a d the win ee ration: 1 ~ ~ '?~ wL~tO~cs• l ~c7 via. ~1. ~o ut.E (°2 C 11, I (o c t ~ ~ ~' - Please. re-submit your application when these items have been completed. (• ~' 3 ` ~ ~ Reviewed By: _ Date: "".~ `` • fi ~: ~ ~ ~~t~ `. ~ - ,, mx T+ . ;:r City of Atlantic Beach 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 FAX (904) 247-5805 http://www/ci.atlantic-beach.fl.us APPLICATION FOR SIGN PERMIT DATE O l 02 0 PROJECT LOCATION ~ ~ ~ ~~t Ctir~-h C ~\ V ~ • SUITE NUMBER I~ APPLICANT W Q.S Q b 1 J Q-CJ 0.11. @-SQ ~Qr~r'/'A l.,L~(-'C,~-~ ZONING DISTRICT ELECTRICAL PERMIT REQUIRED: (~YES* ^ NO * ELECTRICAL CONTRACTOR TYPE OF SIGN AND METHOD C DIMENSIONS AND TOTAL SQUARE FOOTAGE OF SIGN ~ 73 ' ~ / oC ' (,Q l./ L ,~,d Signs over fifty (50) square feet in area or of any size and height weighing more than one thousand (1000) pounds shall be submitted with drawings from a registered engineer. Signs with an area greater than thirty (30) square feet shall be constructed to withstand minimum wind loads of thirty-five (35) pounds per square foot. Drawings shall also demonstrate that the support structure of the sign is adequate to support the weight of the sign, as required by and in compliance with Section 3108, Florida Building Code. PLEASE PROVIDE TWO (2) COPIES OF APPLICATION AND THE FOLLOWING REQUIRED INFORMATION. 1. I'or 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 or authorized ag nt. ) SIGNATURE PRINT NAME~Q~ l ~~ © ~ ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILIN PHONE 09/17/02 08l04f2003 11:38 9043963?77 TAYLOR SIGN COMPANY PAGE 02 LETTER OF AUTT~O~„ ZA,~ N A#~idavit To whom It May Caaxrn: 'This letter mt;hor~izes T~ybc Sign 8c Dedgti Isc (or their aT Suctars) to act 8s Ag~at, to secaue permits or ~ required by the local govert~iug body, and to perform sign or awning lestaUatiaas, removals, or mai~enaa~ae at the praperiy looted at: k ~~~ ~7(,a~c/7iG CSC v/~ ~! a., -- - Tb~c stat+c frontage size is: ~ i HEIG~TI': ~ a„,,.,,.,.,_,- ~ WlD'f~i: ~P ~ ( SQZ3ARE 1?~FP) The sign is: I~YCrH?: x WIDTH: ( SQUARE FF,E7) is size Y Name: ~~~ G "~~~n-~. LC~~-. fie: C7 ~~" 7as~ ~ 1~'ame: ~° ~ a~° n ~ r S k 1 ~ ~o v~ _ Title: 1~ n a a p n ~n i~? rn ~1P~'' ~ Address: x UR+NERlLArTD1LORD ~'fATE OF 17LORYDA COIINTX OF ~ t~ ~d ~- $woxn to and subscribed before me this ~_. +datY of .S~ , 20~. n _ .pfl$~atYX't 0~ ~A~>9 r $t~C ~ ~ ag~'Y~ DONNA R. PAI?GETT MY COMM15SlON # DD 0768]6 prl~ Or ~ CQ®~~~ ~A~ ~ ~ C EXPIRES: December 12, 2005 1.80P&IVOTARY FL Na.Y Service 8 8ondk~9. lnc. PersOnallY KIIUNYn (~~ U~ I~rodtirced ldentlfiCBtlOII ~~ ~ Idicaaam ; CO2~U$5~.0~ ~ (NAY Stamp Or Seal R~1llICd}: i t~ /f ~ r~~ ,S/ 14~ x~ m uv~~t rs~ +a~p Japanese /Testau~ant ~_ -_- - 79R ___ _. Sheet 1 of 2 Job No. 0307 _~ 3` I 4' APPRC?VEU CTTYgOILD ~GNOfF C EACH s~~ ~ ~ Boa ~ /~ Title :Wall sign for Wasabi Japanese Restaurant Location 725 Atlantic Blvd. Atlantic Beach Florida ~. - Fd R ~A S Tc"NI/V ~ CO/y j D tJ{t'E ~] G'f//~ ~/ivE'L- "C~ NS To !~/~ t L USE 3~8 ~~ ST~'E t..,. L~C~ Se k~-1~/s _TNTt~ L.~r ~f~ 1~l DS) ,~ " /~ /N. 1M~3~D I~ t~~T //VTO /~Io~T~R .~o/N i s oR SovN,O CON C,e,~7"~. ~L.S~. _ USA, ~/B •~ r-D GG LF ,8o L,T s . Co ~~-S Tc N~,p.s ~Ert' tc)O ~ o s ~ ~i N -- - ~ FA-S.T~~/ER~ _ -Fo1~ - _._L,o 6Q ~~-~'~i-S-~F -fit-S. -_ Date: 9/19/03 Designed by Edward W. Cavin P.E. 8018 1400 Avondale Ave. Jacksonville, Fla. 32205 7e{. (904) 388-2021 ~~~~~. ~~ 2Z. ~'~3 Notes: 1. Structural design in accordance with Fla. Building Code 2. Design wind speed = 120 m.p.h. 3. Importance factor, I =1; Exposure factor = C. 4. Sign and sign cabinet design not included herein. They shall be designed andlor tested in accordance with FBC. Name: Wasabi wall sign Location: Atlantic Beach Job # : 0307 Date: 9/19/03 Designed by: Edward W. Cavin From ASCE 7 Enter following data: Basic wind speed, V = 120 mph Exposure category = C Vel. Press. Coef., Kz = 0.88 Importance Factor, I = 1 Sign, Force coef., Cf = 1.5 Gust Effect factor, G = 1 letter wall ~ h ~- .g. H Calculate Qz = 32.4 Calculate Sign, Q = 48.7 P(wind) = 892.1 D.L. = 110 Sheet: 2 of 2 Enter H = 22 inches Enter width of letter = 120 inches Enter h = 19 inches Enter a = 3.5 inches Enter DL= 6 psf psf psf (suction) lbs. (suction) lbs. Tension on top fasteners, T = 536.7 lbs. Enter number of top fasteners = 2 (effective) T per fastener = 268.4 lbs. Shear per fastener = 27.5 lbs. Safety Factor = 4 Design tension per fastener = 1,073 lbs. Design shear per fastener = 110 lbs. Use: 318" steel lag screws or toggle bolts N_ S a ~h ~~ a `^ h~ ~~ s ,~ ~„, = 1~ ~ ~~-~, ~ , ~~~ ~ ~ ~ ~w~ ~ ~~~~~ ~ G ..G~ ~ a r~ a _ C ~~~;~ y "'so~ z ~~c~gg~ Ci 3=~<~ v ~~~s ~~~~~ ~ A ~ ~~~~~ ~ J 07 i~ I` ~ ~ ~~ ~~ 1 ~-- 4 ft WASAI 1.-- 3 BLDG. 61 LINEAR FT SIGN 12 SQ FT NEON CHANNEL LETTERS - NO RACEWAY THE COMBUSTIBILITY TEST DATA FOR AN 1/8" THICK SHEET IS: SELF IGNITION TEMPERATURE AS MEASURED BY ASTM D-1929 IS GREATER THAN 820 DEG. F, RATE OF BURNING AS MEASURED BY ASTM D-6351S LESS THAN 1.51NCHES PER MINUTE, AND THE SMOKE DENSITY AS MEASURED BY ASTM-2843 IS NO MORE THAN 5%. STRUCTURAL CALCULATIONS IN ACCORDANCE WITH ASCE 7-98 -~ 't~hb MPS rMIR arl~iN zonir~, st~Nl-visio~ tM !~hM teoN Nl~t dew ~, INtt dsr~s tNt oenstitub approwi ~ fis N a# ps+~i1M. wkh Fb~ida C~ +M1d N1 etlssr iocN, BttM s psr~i~p must be w if Mte Adis t3ssah b the et s Ma~~ er 'gate: 1 ..i- Od N. _is ~D Z I, z OD'~;~ ~~~~ ~ ~ ~~~o ~ r ~, "r ~ 9 Z~~ O~..m C 3c~-~a'~ r~ O ~,r~e ~ ~7c S NQ~~ x ~~ N t0 07 y ~~ :'~ ~,+-o 20 ft 18 ft TO 'SOP OF $IGN ~4~~ WASADI 3 ft ~_ BLDG. 61 LINEAR FT SIGN 12 SQ FT NEON CHANNEL LETTERS - NO RACEWAY THE COMBUSTIBILITY TEST DATA FOR AN 1/8" THICK SHEET IS: SELF IGNITION TEMPERATURE AS MEASURED BY ASTM D-1929 IS GREATER THAN 820 DEG. F, RATE OF BURNING AS MEASURED BY ASTM D-635 IS LESS THAN 1.5 INCHES PER MINUTE, AND THE SMOKE DENSITY AS MEASURED BY ASTM-2843 IS NO MORE THAN 5%. STRUCTURAL CALCULATIONS IN ACCORDANCE WITH ASCE 7-98 ~~: Cc: CITY OF ATLANTIC BEACH ~~ BUILDING /ZONING DEPARTMENT ~~ `"s 800 Seminole Road S. oerr `; Atlantic Beach, Florida 32233 (904)247-5800 (404) 247-5845 Fa~c PLAN REVIEW COMMENTS Permit Application # f' 3 - ZCc[~ ~ C Property Address: `I ~2 ~ r"1 -f Icr d ~ ~-~ c~ /~ 1 V r~ ~ / ~.,~ Applicant:~~~ t ~ c~~~~~ Pro j ect: /J~ r: ~ ~ ('. ~ ~ c~ b, ~ F l l P f--l ,~- ~ ~ ~ /~L~ i~c~ rr t{?~e f T,~h..i~s permit application has .been: ~" Approved ~ Reviewed and the following items need attention: Please re-submit r applica ' when these items have been completed. Reviewed By: ~- Date: G~~l"~~"y.~ ~; ~,~~: "1 `~j ~,-r,~F . City of Atlantic Beach 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 FAX (904) 247-5805 http://www/ci.atlantic-beach.fl.us APPLICATION FOR SIGN PERMIT DATE ~ ~J a. / D ,} PROJECT LOCATION I ~ ~ ~~y C~Y~1~ C ~`V(~(• SUITE NUMBER l~ APPLICANT ~ ~~j 2 ~ y :~ o~.p (.z n 2~Sr2 ~~„~-~A ,,sand-' ZONING DISTRICT ELECTRICAL PERMIT REQUIRED: ~YES* ^ NO * ELECTRICAL CONTRACTOR TYPE OF SIGN AND METHOD C DIMENSIONS AND TOTAL SQUARE FOOTAGE OF SIGN _ ~- ~ ~ - { ~ i Signs over fifty (50) square feet in area or of any size and height weighing more than one thousand (1000) pounds shall be submitted with drawings from a registered engineer. Signs with an area greater than thirty (30) square feet shall be constructed to withstand minimum wind loads of thirty-five (3S) pounds per square foot. Drawings shall also demonstrate that the support structure of the sign is adequate to support the weight of the sign, as required by and in compliance with Section 3108, Florida Building Code. 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 or authorized ag nt. ) SIGNATURE PRINT NAME 1 1 ~ t f (C~.• C) (_ ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) 09/17/02 08104!2003 11:38 9043963777 TAYLOR SIGN COh~PANY RAGE 02 LATTER QF AU'I'~~~ZATTaN Af~>d~tvit x X To W~dm It May Conccrm: 'Lis letiter ma~cnizes Taylor 8i=n 8c p~iga, Ifa~ (or their Agdnta or Suibo~) to act as A~ to sewae emits or variaaCeS haired by the local governing body, attd to perform sign or awn~g . iastalhuciomaa removals, or mice at the pr+aperty located at: Tice stax+e franmge size is: ~ ' HEIGHT- ,~ ~ ~ WIDTH; ~ ~ ( SQUARE F,EFI? The sign is: I~EIGH'I': x WIDTH: ( SQUARE FF.h'~ ~ size i~4i~tT YAWNER X ~ l~~c 1 ~.~a~n~LC c~ 8,.5'- 7S 3 3 ~ Na~:~ n ,, r C ~,~ Y- Sa v~ Title: a~ a f n m ~.P r-~ . •ssssss~~A^^^^^^^^~^.^^^a^^r^^r^r^r^^^r^rr^^^rrr~srs sssssssssssssssssss~sssl STA'lCL ~ 1tI..OI~A coul~rx o~ ~ ~ ~~ L Sworn to and soled before me this ~ ~~ day of j~ ZO ~, Signatax~e ~ Hotyuy' St#e Or" gyp! CO>ato~du~d lv 0~ Personally Known { ~) o~ Pl'd~lllLbd DONNA R. PADGETT {Y COMMISSION B DD 076816 EXPIRES: December 12, 2005 / FL NMary Service 8 Bonding, Inc. ~~ Type VA ~RY7.Y~~ rlilYlWi~l. Counrpdssia~a{. Fxpir~cs (Notary Stamp or Seal Etegnined):~,~ a-/~Ex7.~ ~~®~~ n~i ~~~~ ~~~~~ <~~~~ 7w}yTy S~s~ ~25>W~ ~g~~~e '~ 05~ !N°°~~ ~ a~ ~~ ~m ~°4~ -r ~v z~ o °' Nr ~z ~a ~o o~ ..i ~~~ ~~y n N 0 ~~~ n z N N ~O '~ H n Z ~ `° OO ~ ~/f ~1 .~ 00 x }t M ~, ~~ C y ,~ ~W L~ N ... Z ~~ ~~C ~~ .~ O f 5 _ ~, V 0o V-~jv as t ~~ a~ a 0 no )~ ~ ~ ~~ ~ .d ~ w ~ w w ~ ~ ~ I ~~ ~~~~ ~ ~~ $~ ~ S ;~ ~ ~ NV7d `J~Q ON7Atld'OR113W03`J tl i0 TI3Nti~'MN y1H0 H51311tl5 ad~~ ~~ }{~yON ~~~ ~ y u ~, E ~ ~ s 9 e q ~~~g~~ ~ ~ ~ s"s Q. ~ a ~ ~- ~ ~~~~~ €i I~ SDE6-YZ8 (Y06) ~ aN~A adPR~ penp SZ90t 55pt£'1~' ~6 3W'06~~~ •3•d zzzzzz ~~-~ni ca3 ~3{{}}wdr A o^a~ _._--- y - She ~ ~ e ~ ~¢~ k ~ ~ ~~~~ ~~g ° ~1#~~k ~~~~~ ~ ~~~ ~~ ~ °~~~~~ x ~~ ~~ e~~~ ~~~b~~ ~~ ~;° sn ~ ~~~~~ ~~~i e6~ ~ ~¢3~~~~~~~~~~E ~~~~,~~~~~~~~~ p ~~~p ~'-~ s~~Y r ~~~ 1~~~~~~~~~~ ~€$~, ap~~ ~ q $ Beg ~ a p$ .e5 k a ~p 4 ~i~~a ~ ~ g @ R ~3t €t ~ ~ ~ £` y~~~i9 gy e#e~ ~E® l'am' ~d ~°~i7 ~~Y Y~ ~5~~~~p9E tO~~~R ~ptl ~4:~~~~~ g~~~~ pex~~~~~~~~~g~R4~Q ~¢ yy ~ £~ ~ - ~~ ~/ f S1e~/ ~1 'Z _t ~' CA °~ . !` 1 Q; L _ _.G ~~._~ ; r ~~~'~~ -.r _ R ~ s 4 ,s: ,~ ip ~~ n f~ ~i: 7j ~i i~~ .~g p~ s __ ~ f _ _ _. I_ i~ ~_.. ,~1~ 'd .+.`•= ~ - :Y • 3 :s a .r. ~~.. .o ~ ~~ ;i • ~~ ~~~~ UJd ,oo~) aadn'~.noa ~i1NV~ly R f ~n CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept~coab.us Application Number 07-00001529 Date 12/13/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation --------------------------------- 0 ------------------------- ----------- ------ Application desc new sign (elec) ----------------------- ---------------- ------------------------- ------------ Owner Contractor --------------------- --- ------------------ NORTH BEACH CENTER ------ CNS SIGNS, INC. 725 ATLANTIC BLVD UNITS 1-21 Q/A:BRINGLE, KENNETH ATLANTIC BEACH FL 32233 263 SOUTH EDGEWOOD AVE. JACKSONVILLE FL 32254 (904) ?33-4806 ------------- ------------ ----------------------- Permit ---------------------------- ELECTRICAL PERMIT Additional desc INSTALL SIGN Permit Fee . 70.00 Plan Check Fee .00 Issue Date Valuation D Expiration Date 6/10/08 ----------------- ------------ ----------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~~ ~ ~ CITY OF ATLANTIC BEACH St1 Is ELECTRICAL PERMIT APPLICATION Date: ~b ~~~~ `f~°7 - - Property Annddress• oZ t Owner: F~~~a~.~~ ~ ~p~vl tt2ctvt LLB Telephone #: ~(q~,.-~~?~~ ~- Contractor: CNS Sims, Inc. Telephone #: ~,_~ 33~"?, Contractor Address: 263 S. Ed~ewood Ave, Jax, FL 32254 Fax #: 4a~~-~9~f 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 standards of ood ractice listed therein. Building: ^ New ^ Old ^ Re-wire Building Type: ^ Trailer ^ Residence ^ Temp. Ga' 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: COPPER A LUMINUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS PH W VOLT RACE WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed o.ioo aiv>PS ovER BELL Appliances TRANSFER Air Conditioning 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 LJNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904} 247-5800. Fax: (904) 247-5845. http:!/www.ci.atlantic-beach.fl.us Revised 1/04 :tt.tjt~- r~' 'y ~~ .F! . City of Atlantic Beach Building Department Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the Florida. Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Date: October 19, 2007 Contractor: The Gregory Group Address: ?25At1antic B1vd.Unit 12, Atlantic Beach, Fl 32233 Construction Type: Commercial Occupancy Class: Group R-3 Permit Number: 07-1130 DAVID HUFSTETLER BUILDIATG OFFICIAL Graham Shirle From: Graham Shirley Sent: Tuesday, October 16, 2007 4:22 PM To: 'Fireprev~Coj. Net (fireprev(c~coj.net)' Subject: 725 Atlantic BNd Unit 12 Importance: High Contacts: Fireprev@Coj. Net Please Cal! Greg Birdsong 237 6655 he needs a reinspection for the hood. Thanks, Shirley V ~,J ~' . ~P~ ~ I'~h~~~~ ~5yw T_ " ~I~ ~~ Q' ~~ ~~dl~ ~~n~ ~ov ~~y, ~,v ~4 g6 t' a Graham Shirley __ From: Graham Shirley Sent: Monday, October 15, 200711:12 AM To: 'FireprevQCoj. Net (fireprev~coj.net)' Subject: 725 Atlantic Blvd unit 12 Atlantic Beach Contacts: FireprevQCaj. Net Dwayne Would you please send me same brief notes on The Fish Co. that failed inspection Friday 10/12107. Thanks Shirley Graham Shirley From: Graham Shirley Sent: Friday, October 12, 2007 8:18 AM To: 'Fireprev~Coj. Net (fireprev~coj.net)' Subject: Good Morning Guys !!!! Importance: High Contacts: Fireprev~Coj. Net 725 Atlantic Blvd Ste 12, The Fish Company needs a final Ca inspection Contact is Greg Birdsong 237 6655 Thank You Shirley Shirley L. Graham Building Permits Clerk Atlantic Beach, FL sgraham@coab. us building-dept~coab.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept(a,coab.us Application Number 07-00001128 Date 8/09/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description DEMOLTTION (ENTIRE BUILDING) Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc interior demo ---------------------------------------------------------------------------- Owner NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 Contractor ------------------------ THE GREGORY GROUP, INC. 1015 ATLANTIC BLVD ATLANTIC BEACH FL 32233 (904) 237-6655 ---------------------------------------------------------------------------- Permit DEMOLITION PERMIT Additional desc . Permit Fee 100.00 Plan Check Fee .00 Issue Date 8/08/07 Valuation 0 Expiration Date 2/04/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 08/07!2007 13:38 9042477010 MARINARESTAURANT s e of of FI a, h~0eal a1m3e !herself and ee` accurate. ~ CkTY QF ATLANTIC BEACH VT i 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 _ ~ ~..,.~,..~~.-,..,~. OFFICE: (944)247.rf82B ~ FAX NO•:(904)2i7-5846 _;ac4'+;~ ~ BUILDkNG-DEPT~CDAB.US BUILDING PERMIT APPLICATION bUVAt_ COUNTY I~ A~ru~ ~ dGSC~ ~~ x~ 1r .1 [] NEW BUILDING ~MOLITIQN ~ RE510ENYU4L :K _ sub DIVISION t~ ADDITION ^ CONVERTING U8E OMME U+L +~",. ,; „il .~' ~ ALTERATION ~ AQCEa30RY BLDG. D RGrAtR Q POOL / 5PA ^ YES ^ N!A Np,BE 15. COMPANY NAME: 23. COMPANY NAME: ~j ~n'~-1`C- P nn'`et n. L~. C -relfl~r 16. NAME; 24. LICENSEE NAME; f}~qn J~ic:k;nSQn, i'~+r~ rvlbr ~, 10. ADORE53: 17. STATE 4F FLORIDA UG=NSE NO.: 25. STATE OF FLORIDA LICflNSE NO.: I ~ ~ N ~ L,, ~w~~~ ~ 26. ADDRESS: 11.OFFICE PHONE: 2 FAx ND.: 1g, OFFICE PHONE: 20. FA%ND•: 27.OFFICE PHONE: 2B. FAX NO.: ~ o s- S 33 ~o a -fo~Fa ~ ~ ~ ~ 13. CELL F'HDNE: 27. CELL P}'IQNE: y 2A, DELL F1iONE: Q ~1 ~. EMAIL ADDRESS: 22.E IL ADDRESS: 30. EMAII ADDRE39: r1 ~ e ~ .CovN ~ ,. 31. NAME: 33 NAME: 35• NAME: 32. ADDREaa: 34. ADDRE~: 36. ADDRESS: Applicatbn is hereby made to cbtaln a permit to do the work and installations es irxticated. I certify that r1o wd'K or Installation has commenced prior to the issuance of a permit and that all work will be pertwmatl to meet the stendarcis of all laws regulating construction !n this jurisdictien. This peimlt becomes null end void if wgrk Is not commenced within six (8) months, ar if oonstruetipn or vaork IS suspended Or abandoned for a period of six (6) months at any time after work is commenced. I untlerstand that separate permits must be secured for Eleairktai Work, Plumbing, Si ns, Walls, Poak4, Furnaces, Boilers, Heaters, Tanks, Afr CondiH4ners etc. OWNER'S AFFIDAVIT - I Gertilfy that all the foregoing information is accurate and that all work will be done in oamplianae with all applicable Taws regulating construction and zoning. I will not occupy Dr use the referenced budding Or any part therof, until ail inspections are finaled and prior to obtaining a nartifiCete of occupancy or completion issued by the building official, a5 required bylaw. 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 08TAlN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. S; ned: ~-~----- ' ~ Date: ~ G7 0 ~7 e , ~„r Befpre me this ~ deY ~ ~' U 2007 In the wunty of ^ , art~naily pearetl ida, has p DUVaI, Stella of Floc / l \ m ~ Gi V~ ~V i C 1~~ Y1$O Y~ _ _ ~ hefln by himself! herself and affirms /fiat all statements and tlnclarxtlons are true and accurate- _ Notary Public 9t Large, State of Y ~R I \ /~ County vi UV V t'T' L ~(PersonalM Known Produced IderOiricaljAR+~, a «~ ~-,r Notary Signature: ~~arr~ DONNA R. PADGETT y ~~ MY COMMISSION ~ DD 488820 COAB FORM BLOG01: REVISE Boa EXPIRES: December 12, 2009 1003-NOTARY FL Notary DlxouM Assoc. Co_ PAGE 02!03 In the county oT thadall statements erttl tlCdgrpttona are Publ~ et Large, Staff of _, County of ^ Prodtx:ed Notary Sign Commission # OD 518533 Bonded By National Notary Assn. CITY OF ATLANTIC BEACH ' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dent ,coab.us Application Number 07-00001318 Date 9/24/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation 0 ----------------------------------------------------------------- Application desc 7 FIXTURES ---------------------------------------------------------------------- Owner ------------------------ NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 Contractor TDG PLUMBING 4426 LOYS DRIVE JACKSONVILLE FL 32246 (904) 545-7341 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . Permit Fee 84.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 3/22/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 84.00 84.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 84.00 84.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rj!.~L`Jj~,~a ,1 ~ . ~.~ CITY OF ATLANTIC BEACH ~ ~S _~ PLUMBING PERMIT APPLICATION Date: ~ ~a y ~ b 1 Property Address: ~ a ~ ~~ Z.A^~ ~c pled ~ l Z. Owner: CZpr-~L., (~e~,~. CP~~N Telephone#: Contractor: ~ ~ (o ~ ~ ~ M ~ , n a ~ vti c. Telephone #: ~ t'1 ~--7 ~ ~- / Contractor Address: ~~~. (,. ~ fl~s ~ R, Fax #: ~ ~ 4 -~ ~ t''~'8' Contractor Signature: ~~~~'`----' 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 good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type• • If other construction is being done on this building or site, ^ New list the building permit number: ^ Re-Pipe ~~ ~ ~ ~ ~ Number of Fixtures: Bath Tubs Showers ~ g,1 ~_ Closets Shower Pans n ./ Dishwashers ~ ~~-h' Sinks Disposals Urinals 2- H~t~ dr~-s.,s 2. Floor Drains ~ Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irri atian rocedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole f2oad m Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 o Fax: (904) 247-5845. http://~nawwr.ci.atlantic-beach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-582b INSPECTION EMAIL REQUEST: Building; dept(cz~,coab.us Application Number 07-00001130 Date 9/05/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning TO BE UPDATED Application valuation 75000 Application desc remodel restaurent ---------------------------------------------------------------------------- Owner NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 c/o BILL PINNER ATLANTIC BEACH FL 32233 Contractor THE GREGORY GROUP, INC. 1015 ATLANTIC BLVD ATLANTIC BEACH FL 32233 (904) 237-6655 ----------------------- --- Structure Information 000 000 ----------------- Construction Type TYP E 5-B Occupancy Type - - - BUS INESS - - ------------------ Permit -------------- ELECTRICAL ------------ PERMIT --------------------------- Additional desc . Permit Fee 70.00 Plan Check Fee .00 Issue Date Valu ation 0 Expiration Date - - - 3/03/08 - - ------------------ 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 PERMIT YS APPRQVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Sep 04 07 02;23p Kni6ht Electric 904 24'7 9843 p.l .,. ..tip ~;: ;. - ~: - .~ .ff j CITY OF ATLANTIC BEACH ELECTRICAL PERMIT APPLICATYO~1 Date: Q/~0 7 Property Address: 7~~ ~}?!,/yN1IG. lTttlc(• '~ ~,Z _ Owner: ~ Telephone #: Caatraetor. !thT ~Z-T~~- u-~- Telephone #: Q~ ~~- Contractor Address: jd ~w ~~ ~~. ~ . ;t L~ Fax #: T~" ` 2~ ~~? Contractor S' store: In consideration of permit given for doing the work as descn'bed in the abotiti statement, we heseby agroc to perform said work is aocotdance with the attached plans and specifications which are a part hereof and is accordance with the City of Atlantic Beach ordinance and standards of itx listed therein. Banding: O New a" Old O Re-wire BaiTding Type: o Trailer O Residence O Temp. e''CotniQercial ^ Signs ^ Addition Sq. Ft. Service: ^ New ^ increase D Repair If other ~- being done on this b¢iiding Or site. list the building l- (( JO Condwctor Size: AMPS: COPPER ALLfMINUM-• Switch or Brealc~r AMPS PH W VOLT RACB WAY Rxisting Service Size AMPS PH W VOLT gA,Cg WAY Meter Nnmber Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED ~ OPEN tacles CONGEALED 1 ~ OPEN Switches ~ / J Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER g1cj,L A lianccs 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 T~R600V O~F$~t~V Transformers NO. KVA NO. KVA No.Neon Transf. Ea. Si Miscellaneous 800 Semiaote Rosad • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-3800 • Fsx: (904) 247-5845 • httDJ/wwtr.ci.atlstntic-beac~.fi.us Revised l!t'34 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building~deptncoab.us Application Number 07-00001407 Date 10/09/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 ---------------------------------------------------------------------------- Application desc INSTALL HOOD Owner NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 Contractor ------------------------ OWNER ----------------------- Permit -------------- MECHANICAL ------------------ PERMIT --------------------- Additional desc . Permit Fee 65.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/06/08 ----------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. '`~ f, ~~ CITY CAF ATLANTIC BEACH ~'' , ,r ~ '`~"~i~-` ~'`~~~ ~ ~~'~' ~`~~~~~~'~~ MECHANICAL PERMIT APPLICATION .., _ __ 1_J~i ~~'il' ~ !~ ~ ~ ~f1~`~ Date: `~ ~ ~ 1 ~ c~ `7 Property Address: ` `tc~ ~J ~~(-~ICU'1 ~i C ~~ yc ~ (1 ~ i-(- I ~+ Owner: ~~Y"-~~ 1 ~~~ T 4~ ~~ i`l -~ ~ Telephone #: _ Contractor: ~L~ i!1 ~. ~' ~ ~ ( ~rVt~~---~' ~t;~a,Telephone #: ~j8~ ~5~t~ Contractor Address:J`~(..Q ~~ (?UVti'rYnU62t,crR7l`~~ ~. V~' Fax #: ~ ~ ~{ - ~(~ / L~ 2-z.s Contractor Signature: Tn 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 ordinances and standazds of ood ractice listed therein. Type of Heating Fuet: If other construction is being done on this building or site, list the building permit number; ^ Electric ^ Gas: LP Natural Central Utility ^ oil ~. .~ ®~ - ~~ 6V l 1 3Lfl ^ Other - S ec' MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ^ Heat _ Space _ Recessed _ Central _ Floor ^ Residential ^ Air Conditioning: Room _ Central ^ Duct System: Material Thickness O Commercial Maximum capacity cfm ^ Refrigeration ^ New Building ^ Cooling Tower: Capacity gpm Existing Building ^ Fire Sprinklers: Number of Heads ^ Elevator: _ _ Manlift Escalator (Number) ^ Replacement of Existing System ^ Gasoline Pumps (Number) ^ Tanks (Number) ^ New Installation ^ LPG Containers (Number) (No system previously installed) ^ Unfired Pressure Vessel ^ Extension or Add-on to Existing System ^ Boilers ^ as Piping / C ~~~ ~'~~ Other -Specify- /` Il DYl ~ ~(~~ ,~ ~ther -Specify L~/ LIST ALL E UIPMENT ' acksanviile (=;re Pr+' "' ~, ; AIR CONDI'T'IONING, REFRIGERATION EQUIPMENT & CONDENSOR'S ;A4, Approving ' ~ Number Units Description Model # s Agency Ton Manufa ~~ Ni} ~-~i::'i~~ FIGf~~ ~ ~ r~l~ SM~.L1~ lr~ HEATING -FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer BTU's Agency I TANKS Nominal Capacity Type Liquid Serial Approving How Man & Dimensions Contained Manufacturer No. A enc 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • httn:!/rvww.ci.atlantic-beach.fl.us Revised 1/04 ahirley .,m: Graham Shirley ,- Sent: Monday, October 01, 2007 9:46 AM To: 'Fireprev@Coj. Net (fireprev@coj.net)' Subject: Atlantic Beach Ptan Review Importance: High Contacts: Fireprev~Coj. Net We have another sets of plans to be review for 725 Atlantic Blvd (for a Hood) unit 12 Shirley L. Graham Building Permits Clerk Atlantic Beach, FL sgraham@coab.us building-dept~coab. us ~~~ .. - - BY OTf~RS ~Va~ Jackson ~~ii!le Fire Prev noon Div. i~ ~I~ _ N~ E..xGEPTIONS I .~ EXOEa•Tior~s AS NOTED N®'~ '~'® S'CAL,E - .~EN?~~ F'~r~xac~.~'~,r~ ~.fI~T~AIl~F.N'i' ~Al• , TITLE SII~TC~LE EXHAUST ;FRONT SUPPLY ~ • ~ .~ • ~ ~ ~ •~ . • .• ~ ~ . 5538 C®lYd1Li©laT`rV,~+AF:TH Ate.. D~",T p2 / Q ~ JA._~KSt3N'y~LL•E, ~1L®RIDA 32254 ~RAV/N BY 904-388-8542 / 904-384-6763: FAX CT3ECKED BY . .. _ ..FRONT SUPPLY PLENUM - - . - - 16 GAUGE WELDED STAII~TLESS STEEL HOOD ~. ~i ~ ..................................................................5``~ikfftF:FS3-1YA1ii:3`P'r.xs ?:•: }ii::~: r ~: i}::'r :~ •: i::~::i• .:c:} i-i}i?~: iei:•i}'r: r: ii•: }: }:}iiii}iiic:?i: Fi~i}i:•?: ~ f ~~ ~ 1~ =' ~ ti, 1 T ;a ~ ~ ~, .,~ 1 I r ,~ i t ~'~ ~ 1 ~, ~ ~'~ 1 r '~ Y {~ ~ ~ r ~t .Y M G '~ '~ + 2` ~ L td ~ 'r f/1 ~ ..+ 1 H -r1 ~' 1• Y Z~ ~ ~ Ci ~~ 4 ~~m 0 "~ O ~ ~ Y"~~ i` , ~ H ;7i ~~1~ "-~ ~ 4", ~~~ r_ :- .{ ~= ~t .,, ~ U ~ p '~ rs ~ 2' n, ~, w ~ w ,~ c ~ ,~ ~ u ~ s s ~ ° 4 = ~ = p z~ ~' 4'~ ~ g ~ ~ ~ ~ ~ µlJ ~ '.v ~., Y r„i x ,, r ~ ; r,s r~ r: ~,7 ~~'~., r} IJ f0 ~S r ~ { ~ 1 1 ' ` ~ ~ f ~ µ Yi .. . _ C 1 x ~ b ~~p` tV x .. ~ ~~ ~ 3 .+ m ,,., r ~ ~ ~ 7 ~ r ~~ s.. - r ~„ 7~4 +yl(" (n G (+~ m r ~ r ~ b ,cam'- U1 x t ~'~ tT1 ~ ~ ~ ~ iit~Z C Y ~r~' r~ ~f y~1 ( ~ ~i .~ ' 'r T~ 'rl + r 0 { ~ 6h .. r- (7 x 3 ~7;ay ,. w ~.n Z 4`J C1 1-1 ~ ~ Q 47 p -*1C "~ ' ~ '+'l ~ Z ~ 1'n °~~~~° Yr r7 S "l 3 to A W O Rt Dv~r~~~„ o n~ r ~ ~ ~m Hp ~a~m~f~ r n ~I ~mC ] ~ ~- ~ ~ ~ p ~ 77 to O ~ H " ~ s~~ , , b .~ fry .i' G ~ ~a ny~rtii ~~d ~D V ~ {~ ~ ~ ~ ~~yy..~~ 1', t~ U ~ ~' ~ 1 N ~ ~ ~ 1 ,~ ..1 i ~ M 4`' { 1 n ^ 1 p ~ ~ ~ ~~ S q ~. T.ky ~t~ ~^ fs 4 G ~ f 1 ~~ ~ ~~'k ~ GJ ~ ~ 4b ti. ~ ~ r a ~ ~~'' ~` N fl ~ ~ `ti 47 ,~~, Gy .,,1 A~~ t7'~~ .~r?~ ~ n ~, f ~ Z ~~ Exhatast ®nly t#ood c\Ilus • ETL Listed and E'fL Sanitation Listed Product • Superior Exhaust Flow Rates • Exceptional Capture and Containment of Cooking Vapors • Wall or Back-to-Back Island Configurations • Front Design Directs Air into Fitters • Stainless Steel Construction • Daub{e Wall, Insulated Front • Heavy Duty Grease Baffle Fitters • Grease Drain System • Pre•punched Hanging Angles • Factory Pre-wired Lighting • Face Mounted Controls Optional • Utility Cabinet • Fire Suppression System • Electrical Controls .. - ,. , ~. • ear a e-Up Air Plenum • Integral Clearance to Combustibles System • UL Listed Exhaust Fire Damper • Enclosure Panels to Ceiling • End Panels • Type 304 Stainless Steel Construction - Exposed Surfaces Only -100% Construction • Filters -High Velocity Cartridge Filters - Stainless Steel Baffle Type Fitters • Lighting - Recessed Incandescent -Recessed Fluorescent • Roof Top Package • Separete Exhaust andlor Make-Up Air Fans • Heated Make-Up Air Units -Direct Gas Fired Heated Make-Up Air Fans -Indirect Gas Fired Heated Make-Up Air Units. - Electric Heated Make-Up Air Units 450°r~~ Ovens, Steamers, Kettles, Single Wall Hood 150 Exhaust - ~ Open-Burner Ranges, Based on t Gnddles, Fryers 2 Wall Hoods Baclc-fo-Back 3D0 1500 FPM `-,,` _ ,,..~- ~ in an tsland Configuration 'tDD°F -Gas Charbroilers, Single Wall Haod 200 Electric Charbroilers ~ 2 Wa0 Hoods Back-to-Back 4D0 ` in an Island Configuration 7D0°F-Mesquite Grills, Charcoal . Single Walt Hood 250 Charbroilers, Gas Conveyor ~-. Charbroilers 2 Wall Hoods Sack-to-Back SOD in an Island Configuration Uffering A Fully Integrated Package, Pre-Eng6neered For ®pt6azrticn Perforrr;.ance -,~~~' ~~~ .. CaptiveAire's ETL Listed ND exhaust only hood efficiently meets the challenges of most cooking applications. ND Specifications Description The model ND is a Type 1, wall mounted or double island, exhaust canopy used for collection and removal of grease-laden vapors and smoke over all types of restaurant equipment. Application The hood shall provide flexibility in designing kitchen ventilation equipment and shall be tested and listed for use over 450°F light/medium duly cooking surfaces; 600°F heavy duty cooking sur- faces; and up to 700°F extra heavy duty cooking surfaces. Construction The hood shall be constructed of type sf30 stainless steel with #3 or #4 polish where exposed. All seams shall be welded or in conformance with UL 710 staridards. Unexposed surfaces shall be constructed of aluminized steel. Individual component construction shall be determined by manufacturer and ETL. Construction shall be dependent on the structural application to minimize dis- tortion and other defects. AA seams, joints and penetrations of the hood where grease-laden vapors and exhaust gases are present must be liquid-tight, continuous external weld in a~rdance with NFPA S6. The hood shall be constructed to include: • A double wall insulated front to eliminate condensation and increase rigidity. The insulation steal{ have.a flexural modulus of 475 EI, meet UL 181 requirements and be in accordance with NFPA 90A and 90B. • An integral front baffle to direct grease laden vapors toward the exhaust filter bank. • An integral grease drain system on the hood back with a minimum llti" per foot slope, to include an exposed, removable 1/2 pint grease cup to facilitate cleaning. • A built-in wiring chase for electrical controls on the front face of the hood designed to avoid penetration of the cap- ture area and eliminate the need for an external chaseway. • UL incandescent light fixtures and globes, allowing up to a 100 watt standard light bulb; installed and pre-wired to a junction box and installed with a maximum of 3'-6" spacing on center • Exhaust duct collar 4" high with 1"flange. • A minimum of four connections for hanger rods. Connectors shall have 9/16" holes pre-punched in 1 1/2" x 1 112" angle iron at the factory to allow for hanger rod connection by others. 70Dw Vaporproofhl~ Hanging Angle Hanging Angle 4" It Is The Responsibility ~-UL Classified Y Of The Architec! /Owner Bafli®. TyyVpe To Ensure That The Hood Grease Filers Clearance From Lirniltxl Combus8ble And Combustible Materiels Sloped Grease Drain l C Is In Compliance With With Removab e up Local Code Requirements x 33" min 48" max I 17B" Typ. 6yu herst ___Jll Ot 33" min 48" max 78" TYP A ~ r~..,_ _ _.-~ 112 1MFeeat©n ©r • Ycsungsvilie • NC • 27596 p 919,554.2410 p 800.334.9256 f 919.554.1227 w tcaptiveaire.com • UL Classified aluminum Baffle filters, with size and quantify determined by the hood's dimensional parameters, but extending She full length of the hood with filler panels not ~to exceed 6". Certifications The hood shall be ETL Listed, comply with UL 710 Standards and sha{I be built in accordance with NFPA96. Hood shall be tested for compli- ance with the ETL Sanitation Mark. Documentation Manufacturer shall furnish complete computer generated sub- mittal drawings including hood section view(s), plan view(s), duct sizing, and CFM and static pressure requirements. Static pressure, air velocity and air volume requirements indicated on drawings shall be precise and accurate and hood shall preform to said specifications. Drawings shall be available to the engineer, architect and owner for their use in construction, operation and maintenance. Exhaust Riser1\ //r Exhaust Riser l 4" 4" 1 UL Gassifiad _ UL Classified \ 8a81e -Type 9aHle -Type Graase Filters Greasy Filters Sloped Grease Drain I Sloped Grease [ With Removable Cup With Removable Ingrrdescent Light 700 W, Vapbrproot 33" mi 48" me T8" TYP lp7A°3 Captive-Aire Systems, tnp. All rights reserved. Captive-Aire reserves the dght to modify the design, materials and/or speci(wlions es a result of code requirements or product enhancements rasu{ting from the Company's ongoing research and tlevelopment Printed in the USA. Ngvember 2003 .1 IVFK~I:F\ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 0' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY HGL0016340 07/01/2007 07/01/2008 EACH OCCURRENCE $ 1 000 00 ' X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ SO , OO CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 1, OOO A PERSONAL & ADV INJURY $ 1, OOO OO GENERAL AGGREGATE , $ 2,000 00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG , $ 2 , OOO , OO POLICY X PRO LOC JECT AUT OMOBILE LIABILITY ADJ018151100 O7/O 1/2007 O7/O1/2008 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY B SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-0WNED AUTOS (Per accident) $ PROPERTY DAMAGE j (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN ~ ACC $ AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY XSUO71O34 O7/Ol/2007 O7/Ol/2008 EACH OCCURRENCE $ 5 , 000 ~ 00 X OCCUR ~ CLAIMS MADE AGGREGATE $ 5 , 000 ~ 00 C $ DEDUCTIBLE $ X RETENTION $ lO + OO $ WORKERS COMPENSATION AND 58061 07/01/2007 07/01/2008 X WC sraru- oTH- EMPLOYERS' LIABILITY T R XE TIVE E.L. EACH ACCIDENT $ SOO, OOO D /E ANY PROPRIETOR/PAR NE CU OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ 5OO , OO If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ SOO, OOO E OTHR mp~loyee Dishonesty 104326846 07/01/2005 07/01/2008 $250,000 Coverage $1,000 Deductible 3rd Party Coverage Included DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES !EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS '10 days notice for nonpayment of premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O~^ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, c, ty of Atlantic Beach BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 800 Seminole Road OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Atlantic Beach, FL 32233 AUTHORIZED REPRESENTATIVE Faye G. Coleman CIC/1-LC ~ ~G"~'~ ACORD 25 (2001/08) FAX: 247-5845 ©ACORD CORPORATfON 1988 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dep~coab.us Application Number 07-00001412 Date 10/09/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Application desc FIRE SUPPRESSION ---------------------------------------------------------------------------- Owner ------------------------ NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 ATLANTIC BEACH FL 32233 Contractor ------------------------ JENKINS ENTERPRISES PO BOX 60189 JACKSONVILLE FL 32236 (904) 388-8542 .Permit MECHANICAL PERMIT Additional desc . Permit Fee 35.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 4/06/08 ----------------------- Fee summary ----------------- ------------- Charged ---------- ---------------------------------------- Paid Credited Due ---------- ---------- -- - - - Permit Fee Total 35.00 35.00 - - - -- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 PERMIT LS APPROVED ONLY IN ACCORDANCE WTfH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ~fi s // ;~~ ~~~~ . '~-Ji31)~' ,- CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 9/.~~~i~- - Property Address: 7.Z5"- /Z ~rcQ,~J~ic '~~v~ ,,, , ,, , Owner: ~t,c~,•c~~»' ~~~~ i~C. Telephoi>~e #: ~~~`~ c.TfdLSt/~ ~ Contractor c.~~ -~ 3 ,~~G- ~-~5~z Telephone #: 9a ' Contractor Address:cSC.~'e~ ~..~+ ~ • / Fax-'~~9QY 3b~G7G ~ 6 ,, . . C~antractor S~ginsrtu>cez. In consideration of permit given for doing o d cribed in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which a p hereof and in accordance with the City of Atlantic Beach ordinances and standards of ood raetice listed therein. Type of Heating Fuel: If other construction is being done on this building or site, list the building permit number: ^ Electric ^ Gas: _LP -Natural -Central Utility ~A ~7 ~'i'/ ^ oil , ^ Other - S eci MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ^ Heat _ Space _ Recessed _ Central _ Floor ^ sidential ^ Air Conditioning: Room _ Central ^ Duct System: Material Thickness Commercial Maximum capacity cfm ^ Refrigeration ^ New Building ^ Cooling Tower: Capacity gpm E i i B ildi ^ Fire Sprinklers: Number of Heads x st ng u ng ^ Elevator: _ _ Manlift Escalator (Number) ^ Replacement of Existing System ^ Gasoline Pumps (Number) ^ Tanks (Number) ^ New Installation ^ LPG Containers (Number) (No system previously installed) ^ Unfired Pressure Vessel ^ Extension or Add-on to Exist' g System ^ Boilers ^ as Piping ~~ ~ ~ ~ ^ Other - Specifi~ - e~.~'..st'~ cSis®,~P.etss~~ ~ Other - Specify . G~ ~ LIST ALL E UIPMENT AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving Number Units Description Model # Manufacturer Ton's Agency erg HEATING -FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving Number Units Description Model # Manufacturer N G~~GsE" ~-1 f p r,~ ~ Agency EXCEFTIrJN5 RS N©TE~ SMEE'C TANKS Nominal Capacity Type Liquid Serial Approving How Man & Dimensions Contained Manufacturer No. A enc 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Revised 1/04 a ~. ~ r FIRE F1GHTfRS EQUIPMENT CQ. P.O. BOX 60189 32236-0189 5638 COMMONWEALTH AVE. JACKSONVILLE, FLORIDA 32254 904-388-8542 /FAX 904-384-2610 A WET CHEMICAL RANGE HOOD SUPPRESSION SYSTEM FOR THE FISH COMPANY 725-12 ATLANTIC BLVD. ATLANTIC BEACH, FLORIDA 32233 FILE COPY Eq,~ COPY ~. .., ~-~ ~ ~~ t ~~~~~ ~r P.O. BOX 60189 32236-0189 3038 LENOX AVE. JACKSONVILLE, FLORIDA 32254 TALE ~F C~NTLNTS PIPING AND DETECTION DRAWING SECTION 1 INTRODUCTION SECTION 2 COMPONENTS SECTION 3 SYSTEM DESIGN AD2-3 KGS DETECTOR AD 10 NOZZLE COVERAGE AND PLACEMENT 3-22 8 CYLINDER SIZING 3-33 DETECTOR PLACEMENT 3-35 DESIGNING CYLINDER LOCATION, REMOTE MANUAL, ANDACCESSORIES 3-39 DESIGN SUMMARY 4-29 INSTALLATION CHECKLIST 4-30 ACCEPTANCE TESTING 'T \ '~ A ~ p ~ N ~ ~ ~ ~ n ~ i ~ ~ r py ~ ~ '~ '~'1 Z ~' ~ ~=• ~ ~ W (D . 7 71 ~ ~' ~ .~ n `b CD s C~ ~ o M ~~,~rn ~ ~ ~ s~;~~ ~~~ g a . ~ ~ ,~•• o _ ~ , ~ ~ ~.. ~ ~ 00 ti N W `'Y ~ ~ ~ ~ W ~ ~ G. ~ N ~ rD .. ~ -+ ,~.~ rte.. C^v .,,,~ 00 Q~ W D • ~ ~ ~"~' ~ • ~ G ~ n ~ W ~Lr~..r' ('~ .~ ro r; tD ~ ~. ~ w O 0. ,.r.. . ~~ _ , t b ro 0 x H ~~~~~b b• ~ ~ ~ c ~ ~. ~ m' w C. C y R. n 00 i.. y ~ ~ O '.~S G t3. `^S ~ ~ 'n `L7 y -ti At 'C aw y~. ~, ~ ~ ~ ~ '~ ~ o c ~ R~ r. ~ o. m ~ ~ y t~" o0 ~ ~ ~ ~ C ^~ -ti '+ ~s ~ ~ ~' ~ ~ ~ 'o ~_ ~ ~~' a ~ y o ~~~ s ~ a ~ ~ ~ .:. o ~. ~ ~ ~ o. :~ ~ r b ~~ ~~ H ~ 'n N ~--~ ~. i O ~ 0 a ~ b ~ ~ CD ~~' G O ~-h ~ rn vo o n~z~ x m ~ I 0 W ~ ~ o ; o ,, ~~~ ~ ;~ W r~ o ~~ to m ~ ~. -= ~ n ~ u ~ ~ r, O ~' ~»~ z ,~ _ ?? i ~ U ~' ~~ ~, 7 d U O 8*1 L7 ~ _ } ~: ~~~ ~~~ •! ? N Qr ~ C ~ J z ~ d~ ~• ~ =° ~ ~ ~ ~ Y '~ ` x ~ o 3 V 0 ~ c~ { ~d r ~~ ~~ ~~ 1 H T I '~ 2®~ ~~~~>r~~~~°s Cyiinders KIDDE systems have available five diffierent cylinder sizes: WHDR-125 [1.25 gallon (4.7L}j ,WHDR-200 [2.6 galion (9.5L)], WHDR-400L [4 galion {15 L)j, WHDR-400S [4 gallon short (15L)] and WHDR-600 [6 galion (22.7L}j. I~-~-1 ~l~ ~, Each cylinder is pressurized with nitrogen or air to 175 psi (1205 kPa), at 70°F (21°C}. Note: It is recommended that cylinders be stored upright, ,n, f~~~~r f~„ J f,~V)rnlyj if1A I 6 Gallon 4 Gallon (22.7L~ Short (95L} Figure 2-'!. Cylinder Table 2.9. Cyiirtder Spec6~ioa~i®s~ -~ •~i ~, r' ~~_` - ~. 2.6 Gallon (9.5L} '1.25 Gallon (4.7L) Charged Eieight to Center Dverali ®ueral8 Height With Overall Height Cytinder Part Weight Diameter of Discharge Port Height Mech, Elec or Tandem With Pressure C?p Size Nm. Lbs Inches Inches inches Control bead Control Mead inches inches WHDR•i25 7.120001-ODt 28.5 7.518 14 15.316 21 16.3/4 1.25 Gallon 4.7L 9 Kg~ X1 2 j19A cm _ _ _ _535.6 cm)_ _ _ 39 cm) ` X3_3 cm 42.5 cm WHDR-260 _ 7.120002.001 _ . 53 _- 9 - 19-516 21 26-518 22.318 2.6 Gallon 9.5L 24 K s 23 cm {4g.8 cm~_ (53.5 cm~ /67.6 cm 61.3 cm) WHDR-4005 7-120003-001 BO 12 17-518 19 24-518 20.316 4 Galion i5L 36.3 K s 30.5 cm _ _-_____(44.8 ~m]______ ~{A8y3 cm (62.5 cm} 151.7 cm1 WHDR-400L 7-120004-001 88 9 33-3/4 35-119 40-3/4 36.112 4 Gallon i5L (40 Kas 23 cm (65.7 cm (89.2 cml 103.5 cm 92.7 cm WHDR-60D 7-120005-001 110 i D 33-718 35.114 40.7/8 36.5/6 6 Gallon (22.7L}. (50 Kgs) (25.4 cm} (86 cm} (89.5 cm} (104 cm} (93 cm} U.L.I. Ex 3559 2-1 Manual Part No.87-122000-OD1 (2197}, Change - 4 Gallon (15L) WET CI•iEfyttG~.t, INSTRUCT(®N fViANElA! ~~Fi.d p W ~~ 6 V~~o Eli AD6-1 INTRODUCTION This document isRddendum 6 of Design,lnstallation and Maintenance Manual, P/N 67-122DOD-DD1 for Kidde Wf-{DR Wet Chemical Systems for Commer- cial Kitchen Applications. This document does not re- place any information in the current manual, dated February, 1997. The XV Contro{ System, PIN &7-120099-001, is used for actuating the Kidde WHDR agent storage cylin- ders, the KRS-100 releasing system and the KRS- 700 releasing system. The controller can be attached to the System Valve Actuator, 87-120042-001 far di- rect cylinder mounting, or to a wail fior remote mount- ing. Knockout holes are provided to accommodate e')ther type of mounting. The controller can be oper- atedwith automatic mechanical detection (fusible links and therrno-bulb links}, remote and local manual op- eration, and an option for automatic electrical opera- tion. For description of the System Valve Actuator, see Paragraph AD6-2.6. For description of the Electric Actuation Kit, P/N 83-100034-00'1, see Paragraph AD6-2.3. For Parameters on using the Control Sys- tem, see Design, Paragraph AD6-3. The separation of a mechanical detector assembly allows the beam of the control system to swing, push- ing on the actuation latch. This latch releases the cam, which pushes the puncture pin into the cartridge. The gas in the cartridge flows through the tubing, operat- ing the actuators on the cylinder(s}. See Paragraph AD6-3 for design details and Paragraph AD6-4 for in- stallation details. There are two cables-under-tension. Soth can be used for mechanical detection and/orpull-to-release manual actuation. Both lines are listed with 200 feet of cable, 5D corner pulleys and 40 mechanical detectors. See Manual, P!N $7-122000-001 for description of detec- tors and remote manual releases. _(t .r:_ D :- _:_:...~ C 8 A 1 I i ~ I ...~..~..<._. 1 i Figure AD6-1. Dimensions of Cylinders with New XV Control System Table AD6-1. Cylinder Dimensions pimension Dimenaion "L?" {to pimenaion Dimension "A" oentsr of "C" (to top "p" PAodel (to fop of Syatem o4 System (to top of cylinder Valve Vm)ve Control valve) Actuatof Actuator) Syatem) outlet) 15.3/8 in. 16-5!8 in 17.1116 in 26-518 in WHDR-125 (39D mm) (422 mml (433 mm) (676 trun) WHDR-26o 21 in 22-i!A in. 22.11/16 in 32-1l4 in (534 mm) (565 mm) (576 mm) (820 mm) 19 m 20-1M in 2D•11/16 in 30.1/41n WHDR-4005 (463 mm) (514 mm) t525 mm) (768 mm) WHDR-4o0L 35-1!6 in 36.383 In 36.13/161rt d6.3/8 in (693 rrvn) (924 mm} (935 mm) (1178 non) WHDRfioO 35-114 in 36-12 fn 36.15116 in 46.12 in (896 mm) (929 mm) (938 mm) (1181 mm) Pull-to-release remote manual releases are used on the tensioned (detection} lines. See Chapters 3 and 4 of this manual and Paragraph AD6-3 for design and installation details. A pull-to-trip manual release, is another means of manually tripping the system. See Chapters 3 and 4 this manual and ParagraphAD6-3 fordescriptionscnd installation details. September 2002 kD6-3 U.L.{. Ez 3555 2~~ ® ~~~~~~s Nozzles There are essentially fiive types of nozzles in the KIDDE system with offerings in a one-piece and two-piece body configuration. An Appliance /Duct / Plenum Nozzle or ADP nozzle; a Fryer Nozzle or F Nozzle; a Duct /Mesquite Nozzle or DM nozzle; a Range Nozzle or R nozzle; a Gas Radiant / Wok Nozzle or GRIN nozzle. Each nozzle is provided with a special foil seal over the discharge orifice to prevent grease from depositing in the orifice and plugging the nozzle. Each one-piece nozzle has a 318" (1.0 cm) NPT female connection 'white each two-piece nozzle has a 3/8° (1.0 cm) NPT male connection. Afl nozzles are equipped with a stainless steel internal strainer and incorporate chrome plated brass bodies, Each nozzle is identified by the nozzle type stamped on the body. Each nozzle has a flow number which is a measure of its discharge or flow rate. The nozzle types, code number and flow numbers are given in Table 2-3. In addition swivel adapter, PIN 87-120021-001 may be used conjunction with any one-piece nozzle. The ADP-S swivel nozzle may be used interchangeably only with the two- piece ADP nozzle. FOIL DISK ~ ~ DISK CAP - NOZZLE DESIGNATION ~~`x STi~A1NER ~~- ~ 3/8" NPT Figure 2-i 2. Section View for ©ne-Piece Naz:zle FOIt SE1d. (fN~SBiER TOIMIB,RDS PdOZZLE BODY) ,--- D15K CAP vataT P xr~c t1PPER 8ClDY r~ozzte pasl~~~no~ LOYd':R $ODY ~.B° (S.Q rm) PdFT PA,QLE STr"if.tFdER Figure 2-12a. Section View for Two-Piece Nozzle Tab&e 2-3, Nozzle Ficavtr Pmints One-Piece Two-Piece Nozzle T}ape Nazzte, Code No. Nozzle, Code Flow No. Edo. ADP Nozzle 87-120011-001 96981 1 GRW Nozzle 87.120013-001 96506 1 R NouJe 87-120014-001 96508 1 F Nozzle (or Plenum) 87-120012-001 96982. 2 Nozzle' DM Nozzle B7-120015-001 96960 3 ADP-S Nozzle NlA 96979 i ' Note: The "F" Nozzle in the one-piece configuration is identified as a "Plenum" nozzle in the two-piece configuration. 2.060 --~°~ .375 NPT .375 NPT ITERNAL THREAD) ,875 HEX .000 HEX Figure 2-i 3, Gne-Piece Nozz6e Swivel Adapter Figure Z-13a. Section View of a ADP-S Swivel Nozzle L.t. Ex 3559 2-1U Manua( Para No. 87•i2200n-nni porn" ^~ ~. ~_ '-~ ~, ~~r~~~6 C~~~s~~6s IVTiecftattic~at, dLetttote Msztuai ttelcusc, t'/Id 875572 The mechanical, remote manual release is provided as a means of manua{ly actuating the system from a remote location. The mechanical, remote manual release is used on{y with the Mechanical or Electric Control Heads and cannot be used with the KRS-50 Control Box. The mechani- cal, remote manual release is attached to the primary control head with 1/16" cab{e, To actuate the system at the mechani- cal, remote manual release, pull out the ring pin and pull hard on the hand{e, Each manual release is supplied with a separate namept~ This nameplate must be attached to the mounting surface above or below the pull station. NOTE: This Remote Manual Release is only for use wi the Mechanical or Electric Control Head. This Fderrto Manual release cannot be used with the KRS-50 Conte BOX. Refer to the installation section of this manual for installation limitations. Figure 2-'i9. Manual Pra4t Station, e-/i~4 137x572 ~. U.L.I. Ex 3559 2-~3 Manual Part No.87-12200b-001 (2/97), Change - ilhechanical eras Valve The Listed valve has a spring, normally urging it into the closed position, and a control stem with which the valve may be held open against the fiorce of the spring. Only fVlechanical Gas Valves that are specifically UL fisted and identified by part number in this manual maybe used with the KIDDE system. Mechanical Gas Valves must be operated using either a Pneumatic Release, directly off the discharge lever on the KRS-50 Control Box or directlly off the actuating cam on the Mechanica~t, Electric or Tandem Control Head. There is na other method for closing Mechanical Gas Valves. When using a Pneumatic Release or KRS-50 Control Box a maximum of 6V-echaraical Gas Valves are available in the following sizes: Size 1"(2.5 crn) 2"(5.1 cm) 3"(7.6 cm) Ii~LET Part Numbei 87-100001-001 87-100001-002 87-100001-003 87-100001-004 87-100001-005 a7-100001-oos - 8.7-100001-007 F6gi.~re 2-28. E~echanical Gas Valve 16 corner pulleys and 50 feet (15.2 m) of cable are to be used with Mechanical Gas Valves. When using Mechanical, Elec- tric or Tandem Control Head a maximum of 30 corner pulleys and i 00 feet (30.4 m) of cable are to be used with Mechanical Gas Valves. When using a lViechanical, Electric or Tandem Control Head a cable block (included vvlth valve) is required. Refer to page installation section of this manual for installation limitations. CAUTIOf~: TEE PULLEYS CAN PdOT 8E USED TO OPERATE DUAL GAS VALVES. ,. „~: ~' ~ . ,.@::~ ,:,,Fwcgj ~,,,xi. n r.aerre,n~ ~ ~ 0138L~c L.l. Ex 3559 2-18 Manual Part No. 87-122000-OOi (2/97), Change - Wet r/hemical Instruction M ~~m~ ~ ~~~~~e ~e~~~c°~ ' ~Ji ',r,, a Table AD-1. E~azzle Sr~mmary ADP 11 Four-Burner Range 26 X 26 (71 x 71} 2D to 42 (52 toi07} within 9 (23) rad. {.~I C~ p '~pj~/J~~ ~(~4F of mid point. R / 1 ~ix'.. . ~ ri ~ "" -~h'x.YkA~15~M~5'~ti3't; . ~~- !'5 .7 y.. v 5~~~ ~?, . t +' ~ ~~ .. .. Single Vat Deep Fat Fryer (Drip Boards i to 6 [2.5 to16J) 18 X .18 (46 x 46) 27 to 45 (69 toi 14) 45° to 90° F/2 Split Vat Deep Fat Fryer 14 x 15 (36 x 3B) 27 (69) to 45 (117) 45° io 90° F/2 Woks 14 to 28 (36 to 71) Dia. within 2 (5) 3 to 8 {$ to 20) Deep 35 to 56 (89 to 142} of mid point. GRW i 1 Closed Top Chain Broilers 28 X 29 (71 x 74} See 3-12 See 3-12 ADP / 1 .:o, Pumice Rock (Lava, Ceramic) Charbroiler 22 X 23 (56 x 58) 24 (61) to 46 {122) 45° to 90°; 2 Layers of rock F/2 Electric Charbroiler (Open Grid) 24 X 21 {6i x 53}:. 24 (61) to 46 (122} 45° to 90° GRW! i i .. Mesquite Charbroiler (Chips, Wood, Logs) 30 X 24 (?6 x 61 j 24 (61) to 48 (122) 45° to 90°; 10 {25) Fue{ depth DM ! 3 Tilt Skillet and Braising Pan 24 x 24 (61 x 61) 27.5 in (70 cm) to 46 in (117 cm) within perimeter F / 2 ADP (Appliance-Duct-Plenum} 87 120011-0~~0y1 1 ~~~~ a.t° - "~l 1~°~++'~`.t.° ~~ +~~a+6"~.~"t'ehW. ~ ~~~i~~G~,.:~~~ ,:%.Y.H~».~~+s+. x c~ 'h. ".'~-+ au&• z2"~~ ~ '. " s;~~ GRi+V (f~as Radiant-Wok) 87-120013-001 1 w~= ~E .t 'y ~ -~ ~ a~ "R ,,rr '3i' .3 '3.~~,,~'y ;,. y .~~ -i~' ~ ,FC7.`".~ s`T~+. ~X.r.%$ '£,'i'$r -~w;~.~ ~~,wn~E~ E~.„~`.i Ncm.iou~'~ u~i~,.<:..x'~.'r d}w,.:.. ~~,,..C.srf~ ~rrxP~"~'a:"~.,o-.- .;'d~l~~:N~',~~~ tl~-'t}ra ~ cr-~sw~ .~.ar >.. ~a~a.~ u::~+~. 13f16 (IViesquite) 87-120t~15-001 S U.L.I. Ex 359 AD1-13 50" (165.1 crn} "V" Sank or Single December, 1997 3p~ ~~s€~~E~~ f~~ ~~~~~~~~~ ~r~s~ec~~~~ Designing far Appliance Protection ~i~~~`~6~W Fr~~~ ~~~~ff®~ ~~eW To determine the number and size of cylinders required for each system, the term "flow number" is used. A flow number is assigned to each type of nozzle used in the KIDDE system and is a relative indicator of the discharge rats of each nozzle. ADP (app-iancelducftplenum) nozzles have a flow number of one. The ADP nozzle is used to protect a variety of cooking appliances. These appliances are solid fuel charbroilers, upright broilers, low proximity Split Vat Dsep Fat Fryers, griddles and chain broilers. Additionally, the ADP nozzle is used to protect the duct and plenum areas of the hood. F (fryer) nozzles have a flow number of two and are used to protect deep fat fryers, split vat fryers, donut fryers, lava rock broilers and can also be used for specific plenum appli- cations (See Figure 3-16). The' R' (Range) nozzle has a flow number of one and is used to protect a 1 to 4 burner range. The GRW (Gas Radiant/Wok) nozzle has a flow number of one and is used to protect a radiant charbroiler or a wok. After completing your design for {acating nozzles over the cooking appliances to be protected, determine the total of the flow numbers required, including those for the plenum and exhaust ducts}. This will render the required cylinder size for the total number of flow points. N®'6E: Protection of combination appliances requires a seperate nozzle for each appliance. ~- Appliance ~~ 1tVidth Hazard Area ~ii'idth '~ Appliance Area Ths appliance area is the size of the appiiancs that includes the cooking area (fry pot or vat) and the Integra! drip board area. ~OZZf_E HEIGEBT MEASE9i~Ed FR~Ytiri T6~P ®F APPL6AS~CE ~- Appliance _~ Length Hazard Area ~ Length ~>Drip O@ CJO Board ~_._l ~.1 i _I IL'ozzle Height Measurement of the nozzle heights are to bs from the tip of the nozzle to the top of the appliance. When using the grid style nozzle location the nozzle height is measured from the nozzle tip to the aiming paint. When using perimeter style nozzle location the nozzle height is measured from the nozzle tip straight down to the appliance surface. EXCEPTIOf~: Woks are measured to the inside bottom of the wok. Nozzle Aim Correct aiming of the appliance nozzles is extremely impor- tant to the performance of the system. Care should be taken to insure accurate aiming and that the conical spray from the nozzle is not obstructed. Aiming must comply with the param- eters outlined in the design section of this manual. Hazard Area Ths hazard area is the actual size of the portion of the appliance which can be used for cooking, The physical width of an appliance does not represent the width of the hazard area. Ths thickness to the appliance wall must be deducted to arrive at the hazard area width. ~~~ ~~~~ Figure 3-6. Examples of Hazard Areas for Typical Appliances. Nozzle Height Measured from Top of Cooking Surface Appliance ~`WidthtLength Hazard Brea ~' VVidthRength Appliance WidthlLength Hazard Area. t 'Width/Length Nozzle Height Measured from Top of Cooking Surface ~~~~~~~~f5 ~~ a...~s U.t_.t. Ex 3559 3-4 Manua( Part No. 67-122000-001 (2/97), ChanaP - >~ ~~~~ ~~~~~~~r~g ~~~~c~~~s° ~.~~a~~c~~~s~, ~e~~~~ ~~~~~I C~~~~~~{~) ~~~ ~~~ess®~c~s 0 ~, ~, ~~. ~,~,; The exfinguishing system shall be installed indoors only but maybe remote from the kitchen provided the following limitations are met: (1) the equivalent feet and discharge line volume do not exceed limitations, (2) the temperature limita- tions otthe system (0-120° F) (-t 8 to 49° C) are not exceeded and (3) the cylinder(s) era accessible far periodic inspection, maintenance, and recharging. If cylinders are located below the hazard (for example, in the basement). The highest point in the system may not exceed 12 feet (3.7 m) of elevation above the cylinder discharge outlet. A maximum of 23 fit. (7.1 m} of 1/4" (.6 cm) O.D. copper tubing maybe used to connect the KRS-50 Gontrol Box to the Pressure Operated Actuator on the cylinder. The Mechanical or Electric Control Head may be used as a local manual release provided it is installed no more than 5 ft. (1.5 m) above the finished floor and along the path of egress. All 1/16" (.2 cm} diamefer stainless steel detection line cable is run inside ill" {1.3 cm) EMT. The maximum length of the detection line including a remo#e manual control, if in- line or end-of-fine era used, is 200 feet (61 m), for systems using the KRS-50 Control Box only. The maximum length of the detection fine, including the mechanical remote manual release, is 100 feet (30 m) for systems using the mechanical, electrical or tandem control heads only. KIDDE corner pu{lays are used for each change in direc- tion. No bends or ofifsets are permitted: Corner pulleys era the high temperature type and may be used both inside and outside the hood. The maximum number of corner pulleys that can be used on any individual cable line for the mechanical, electric or tandem control head is 30. The maximum number of corner pulleys on the detection line is 40 when using the KRS-50 control box. NQTE: ©ne tee pulley equaEs two corner pulleys. Where additional remote manual control(s) are required, or where control headlbox cannot be mounted for this purpose, remote manual control(s) can be used, Note: The remote controls and/or the mechanical or electric control heads when used as remote ananuat c©ratrols mus# be installed no more than 5 tt. (1.5 m) above the finished floor, along the path(s) of egress, and not exposed to a probable source of fire. t1.L.l. Ex 3589 3-35 Manual Part No.87-722000-001 (2197), Change - t. Cylinder(s) installed securely using proper bracket - charged with wet chemical -pressurized to i75 psig (1205 kPa). 2. Mechanical, Electric or Tandem Control Heads installed -properly tensioned -tensioning tool(s) removed -control bores sealed -labeled. OR 3. KRS-50 Control Box installed -properly tensioned - n~w COQ cartridge properly installed -copper tubing blown out - all fifitings connected and tight - oontrol bor. cover installed and labeled properly affixed. 4, KiDDE fusible finks of a load rating of 3 to 45 lbs. (1.4 kg to 20.4 kg) and of the correct temperature rating installed at the hood-duct opening and over al{ re gaited appliances -links positioned in bracket with minimum required travel distance toward control box. 5. KiDDE corner pulleys used for all changes in direction -no offsets or bends in conduit -cable in groove of each pulley bearing -detection system tested for operation. 6. ADP, F, R, GRW, and DM nozzles installed where required -tightened -Burst disk seals intact. 7. Pipe of required size -equivalent feet -discharge line volume -blown out with air ar nitrogen - all fittings tight -supported. _ 8. Pneumatic release -test operation (depress plunger manually). 9. Mechanical gas valve completely open -test aperat6 through pneumatic release or Mechanical Control He OR 10, Electric gas valve -must have manual reset relay - tE operation simulating system discharge -power failure DR 11, Magnetic contactor shuts off power to appliances whs. pressure switches ar control box switches operates. t 2. Mechanical Remote, Erid-of-linern-line remotes - alan5 path of egress -cable anchored in block or around puile5 - pull pin sealed with lead seal and wire. 13. Install fan warning sign in conspicuous place. 14. Disconnect control headlbox from cylinders} and test system by cutting an "S" Hook. Doss everything w o r k properly? -Restore system and reconnect control box(es) to cylinders. 15. Take pictures or make drawing of "as is" installation far your files. 16. Using owners manual, revises with customer how system operates. U.L.(. Ex 3559 4-29 Manual Part No.87.122D00.ODi (2/97), Change - .r~ ~z ~~ - :;; ,,s , :.1 ~,;~ ~s 4- ~~, .~a>I City of Atlantic Beach Building Department Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 210.2 of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: Date: October I9, 2007 Contractor: The Gregory Group Address: 725Atlantic B1vd.Unit I2, Atlantic Beaeh, Fl 32233 Construction Type: Commercial Occupancy Class: Group R-3 Permit Number: 07-~ 130 DAVID HUFSTETL.ER aun~n~a o~~c~, Page 1 of 1 Graham Shirley From: Ratliff, Bob [BRatliff~coj.ne#] Sent: Thursday, October 18, 2007 4:15 PM To: Graham Shirtey Subject: 725-12 Atlantic Blvd The above !ovation has been Finated and is good to go as far as Fire Safety is concerned. Have a Great Friday & Weekend! .fit. /`3ccl~ .I'i~rtsDi~ Jacksonville Fire ~ Rescue Department Fire Prevention Division Plans Review Office (904) 255-8562 "Fire Prevention is Cood Business" 10/18/2007 BP501U02 CITY OF ATLANTIC BEACB 10/18/07 ~' Inspection Results Entry 16:19:05 Application number, type 07 00001130 COMMERCIAL INTERIOR BUILD-OUT Structure, permit 000 000 BLDG 00 Inspection type, sequence 97 0001 BD CERTIFICATE OF OCCUPANCY Property address ?25 ATLANTIC BLVD UNIT 12 Request date, time, by 10/12/07 17:00 KB Type information, press Enter. Inspector ID (F4) DH Results date ~~ Results status (F4} AP Final insp - flag (F4) N Edit comments Y Y=Yes Display inspection penalties _ Y=Yes Point value 1 F3=Exit F4=Prompt F7=Request comments F9=Standard c~eats F12=Canc®1 Charlie Crist, Governor Holy Benson, Secretary Busines~- Professional Reguiatio ~~~' SEPTEMBER 17, 2007 WILLIAM PINNER INC 1809 KINGS WAY NEPTUNE BEACH, FL 32266 Re: Division of Hotels and Restaurants Plan Review License Type: 2010 PERMANENT FOOD SERVICE Application No. 330943 File No. 214354 Log No. P5-08-078 To Whom {t May Concern: BOO P~7 f~~f COp~ Please be advised that based vn the information you provided, the public food service establishment plans submitted on AUGUST 8, 2007, for THE FISH COMPANY, 725 ATLANTIC BLVD STE 12, ATLANTIC BEACH, FL 32233, have beer approved as meeting minimum standards, as of September 17, 2007, with the following prov/so(s): 1. MUSt COMPLY WITH ALL COMMENTS AND PROVISOS NOTED ON THE SPECIFICATION WORKSHEET. 2. IF SEAFOOD, STEAKS, OR OTHER ANIMAL FOODS ARE OFFERED RAW OR UNDERCOOKED, A CONSUMER ADVISORY IS REQUIRED. Please have the above information or proof of compliance ready for the inspector at your opening inspection. An opening inspection cannot be satisfactorily completed without the required information ar proofi of compliance. Please be sure to include the file number listed above on any document submitted. Your plans are only approved as shown. If any changes occur in menu, equipment or operation, please notify the district office immediately. Changes in praposed operational procedures may require additional equipment and certain changes may require a new plan review. If you have already submitted your completed Application for Public Food Service License along with the correct fees, you will be contacted within 7-10 business days by an inspector to schedule an opening inspection. If you have not yet applied for your food service license, you may wish to submit your application now. Please download the license application online at ~rww.MYFlorida.com/dbpr/hr. There you win find a license fee calculator online to assist you in calculating the cost of your food service license. Please attach a copy of this letter to the top of your completed license application along with a check or money order for the appropriate license fee and submit the packet to: Department of Business and Professional Regulation, Central Intake Unit, 1940 N. Monroe Street, Tallahassee, FL 32399-0783. Prior to mailing, please verify that you have completed the license application, submitted the appropriate license fee and attached a copy of this letter to the top of your licensing packet. Failure to submit a complete and accurate licensing packet may result in processing delays. ~ ACT ~ ` 2~~~ t'"~ ,., . , . ~; ~ ._. C'~ ~_ - Phone: 850.487.1395 7960 ARLINGTON EXPR'l = ~ ITE 610 www.MyFlor~ia.comldbpr Fax: X4.727.5558 JACKSONVILLE, FLT '~fDA 467 _ - ~~_- Busines CharlteCrlst,Governor Professional Re ulati Hotly t3enson, Secretary If this proposed establishment does not become licensed within one (1) year of the date the plans are approved, the approval becomes void and you may have to resubmit for review with the appropriate fee. if you are no longer the responsible party for this establishment, please forward this letter to the appropriate party. Sincerely, Michele i3 ne/~ Y Plan Reviewer ENCLOSURE(S) Phone: 850.487.1395 7960 ARLINGTON EXPRESSWAY, SUITE 610 www.MyFlorida.com/dbpr Fax: 904.727.5556 JACKSONVit_l.E, FLORIDA 32211-7467 State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants ' ~~ www.hospitalityeducation.org SPECIFtCATiON W~JRKSHEET ® Establishment Name: ~ Q;' REVtEf~`TYf~E .' ^ New t~rtstn~ction ^ Cornersion ~ Remodeled ~-~ p ^ Closed at least one year License Number: rf aPP1) .2CD • _I-~3 Page 1 of 2 'CONSTRt1 CTt01V:FlMSNES SHAM.1S E~i1SILYCLEANABIE:4ND ~11l~Mr~BS~RBENT Floor"' W al l Ceilin Food Nation ~ i ~ r Food Sto i t `; ~'::~ .~ i r~ •Wash Area R j' ~ l~ ~. e '~ ~~~ w $ - Satisf8dory V - Unsatisfactory NA - Not Applicable E - Exisfiing C - Caution: Information inadequate orpotentialoperational violatior-, wl~be checked t~lur~lg fnspecawl. ® Accoustica! "office" type ceiling tiles witfiout Com-nerlts'~ cleanable, non-absorttertt facing arc NOT an acceptable ceiling Finish in food preparation, warewashing or bar areas. . A11 floors, walls and ceilings in ~ areas must be smooth,. non-aosorheni, seatrd and easily cleanable. ® Portable extingu~hers provided as required by NFPA 10 ® ~ Hood automatic fire suppression system roasts NFPA ; no mesa filters allowed __.__ .Exit doors open outward (if require3) for occupancy greater than 49 m ~ PuWic access M exit does not go through kitchen, © itizing fadUfles provided ~ ~ storage rooms, or reshooms 'Three k+bmpartment oink Y` Dishmachine G 1'hrce compartment sink(s) must ® Wash sin drainboards stave t~~~o (?) drainboarJs or ~ ' equivalent. Number of car~tmerNs shown: ^ 4 Q 3 ~ 2 0 ~ One~ro ontpartment food prep sinks Ntmibersbowrl:~,.~ All three (3) compartment and prep sink(s) must have an indirect wasteline. Q ,Hand sink(s) in food prep and food dispensing area(s) Numbershown:~ ® Hand sink in dishwash area ® Tot) number of handwash sinks shown m otko{ star supplied to aq sinks where r~uired ® Dishmachkte sanitizer type: ~ ^ I~t Final Rinse ® Comment' Chemically sanitized dishwashers must ha~~e ' visual /audio alarms installed. !-Teat sanitized dishwashers must have visible gauges that read final wash and rinse temperatures. t)BPR Form HR 5021-011 Number of exits: Pubfic 3 Empbry~~rase,_,~.'_\Total_~ Square footage of establishment: '7~'~J (2V C. Ail gas appliances shag have a national recognized testing laboratory seal such as GA or #14 2A-IOBC extinguisher required. If ~: foods cooked that produce grease laden vapors, a class K extinguisher will also be required. °~VENT/LATIOIV . .: ~ ® ,Approved local exhaust ventilation instleled at or over alt tooldrtg units sut:h as ranges, griddles, deep• fat frying units, and outer units of equipment which rele~e appreciable quantifies of steam, odors, grease laden vapors, or smoke ® ~' Restrooms ventilated or provided with windows MyFlor~de.com :LDG 11ItiMBER • 5 ~ er~$ ~a.e'.~t~~~5j 2001 November 14 `BU/L~J-/NIh~~RM/K"PROQF - m ~ Outer wings protected ® Doors to exterior self-closing unless emergency exit ® ~ Ice machine irmtaUed in protected area and properly drain~[ce machine must have an indirect waste line. ® Displayed food protected Proper sneeze guards required 'over all displayed foods. Inspector to verify. ®~ Running water dipper wail for bulk ice cream service ® Equipment to maintain proper food temperatures ~Reftigeration ~Hotlfwiding units ® .,.~,_ !.sundry faciNties properly proPtsected ® ,.~ Designated area(s) for empbyees' personal articles ® ~ Designated storage area for maintmtance and desning equipment ® .~ Adequste dry storage PLUMB/NGIRESTROOMS ® Moplaervice sink fad~ty hot and running water drained to sanitary sewer Location: Yi~II'' t f(~>«-y-, ~ G~rnn Sink ® ~F~~~ fittings and hose bibs pr~ected by BadatiphonagetbadtNow~if no air gaplbreak ®Refrigeration waste piping distdlarg indi into floor drain or other approved receptor ,Adequate number of employee andtor public re~rooms provkied. Public resbooms acc~essibie to customers without going through ~d preparation, food storage, or w~rewashing areas U . C. H to all lavatories uBlized by mnployees ® ~Doo r~ottatructed to ensure privacy ® Comments: #39 Hot water must reach 100 degrees F at employee hand sinks. . .~ SOUD`Wi4STE ® Waste trontainer, grease recept~le, compactor, recycle bins On nOnabaOrb@nt Surfaces ® ~ Compactor area drained to sanitary sewer lhtmpster and/or grease drum are required Comments: to be on an impervious surface. - ~ _.- .., ~U~HT-irNG _. t.ighE f~cdaes requMed tiD be afdeided, coated, or covered where food is stored, prSparrd, dispM~yed, or where food is open or exposed. s0 toot candla~s: 20 foot candles: i0 foot candles: food prepauador- aeK~aenice mss, traide reeds-in or walk-in tebigeialors• drr arms urxler~oounler nefrigerataa, hand- tool slaage areas. etc. waahirg areas, wareweshinp anras. ~~ roans DSPR Fam HR 5021-011 MvF Pale 2 of 2 `INATI~iRSLyPPL ® T of suppy: ~M~~ DLO-r-site weu D tithe-r ~PPliar Name:. [~T U.~s.£ C_~'~ L. ~7cQ.C~"j ® Written ~ ~~ ~~ ~ t 't1U ~ PubNc weN permit number: '- =1+1~4STE~ATERrD/SPOS~L ® T of system: Mur#r~gaatlUt-~ttY ^ Padrage Plat ^ Septic Tank System ® System~name: ~l'~ ~~ ~`f `~ . ~'4 ® Written approval for use issued t t C ® Septic Tank System permit number: Tank si>Eee: oafions Drainfield: square teat t'LAN RESULTS' ® Seating c~acity as indicated by plan: ~~'~ i ® ^ Plans approved without pravisas Plans approved with noted provisos denied / Plan /~~~~1 ~,~ D~~'r"T ® PrOri~StG0lnmertts~employees are observed usinc poor hvaeni~ practices, additional hand sink(s) will be required. #29 Re6igetation at 41 degrees F or below. Hot holding units at 135 degrees F or above. ~pproval of yow food establishment plan was based upon the information supplied with your original request. Should your plan change, a revised plan for approval will be requested. ~tuds, jo'~sts and rafters may not be exposed in areas subject to moisture to include food preparation, food storage, warewashing or bar areas. Must comply with all state and local regulatory agencies. Ifip~ ~ for other j ~ °~0" animal foods aze offered raw or _ undercooked, a Consumer Advisory Date is required. _ Iorfda.cx~m •1M1 Ww..r....b... ~ State of Florida ~.~~"""'~ Department of Business and Professional Regulation $ Division of Hotels and Restaurants ~,~c www.hospitalityeducation.org ~~: REQUIREMENTS FOR OPENING AND LICENSING INSPECTION When plans are approved and returned, review the Plan Review Spec cation Worksheet (attached to the plans). You must complete any provisos written in the sections labeled "Comments" or "Provisos" prior to requesting the opening inspection. Any changes made to submitted and approved plans during construction must immediately be brought to the plan reviewer's attention. is received from the local municipality (if At the time of inspection, you are responsible to provide the following and any other documents specified: 1. Approved and stamped food service floor plans. • All equipment--including worktables, racks, plumbing fixtures, dining room tables and chairs, coolers, freezers, dish machines, etc. -must be in place and in proper working order. • Refrigerators and freezers must be supplied with thermometers and be at proper temperature. • Walls, floors, and ceilings must be finished throughout the establishment. `~.`, Hot and cold water under pressure must be available at all handwash, warewashing, and moplcan wash sinks. • Portable fire extinguishers and hood fire suppression systems must have current, valid inspection tags and be property sized. A hood system report from the fire safety company indicating system compliance must also be available for review. 2. ~ Plan Review Specification Worksheet that was attached to the approved plans. 3. Certificate of Occupancy from the local building and fire departments if applicable. For newly constructed or remodeled facilities, ail municipal final approvals must be accessible for review. 4. Completed Application for license {DBPR Form HR 5021-020). Complete the app{ication in its entirety. Do not omit the social security number of the owner (if a corporation, use the social security number of the president), the Federal Employers identification Number or the sales tax registration number. incomplete applicatsons may delay iicensing.~~R 5. Completed application from the Division' of Alcoholic Beverages acid Tobacco for the inspector to sign if you are applying for a beverage license. 6. License fee.~~ Please have a check or mbr Opening inspection can not be requested until all license fees have been processed. Please allow up to 30 days for processing. Request inspection with the Customer Contact Center at (850) 487-1395. ley order for the proper amount of IicensE j Fce calculator available online at www.MyFlorida.com. Mali application for license and license fee + processing fee to Tallahassee. Include file number on application (located on approval letter) ~ fee Divison of Hotels and Restaurants Department of Business and Professional Regulations 1940 North Monroe Street Tallahassee. Fi. 3~3AO_mAz Review log Number when the request is made. If alcohol beverage papers must also be signed, please advise the person taking the request. Please allow severe/working days response time for an inspector to call you to set up an appointment. Do not call to schedule an opening inspection unless you are absolutely ready as outlined above. A fat{ed inspection will delay the licensing process. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ~a~.n ` Food Service Checklist DBPR R~~~ The following is a partial list of items that must be complied Jeb Bush with prior to your opening inspection. All provisions listed on your ~°''°"'°` drawings/blueprints and on the provisos/comments section of the attached ~, specification worksheet must also be conformed to before calling for an opening inspection. Division of Hotels ~ 1. Dempster and grease barrel located on impervious surface drain holes RestaurarHe , plugged. J~~onvO1e Disatct Once 2. Weather-stripping (as necessary) around exterior doors Opening Inspection can not be reyueste 79so Arlington Expressway 3. Exterior doors self-closing. until all license fees have been processc suite sio 4. Restroom doors self-Closing, Please allow up to 30 days for processi~ Jecksonviile, Florida 5. Backflow devices located on all threaded faucets. Request inspection with the Customer 32211-7487 6. Desi Hated stora a area for mo s/brOOmS. Contact Center at (850) 487-1395. g g p 7. Designated area for personal belongings. 8. All trash containers in female restrooms must have tight fitting lids. volcE 850.487.1395 9. Soa and towels at all hand washin sinks. p 9 10. Hot and cold running water provided to a!1 sinks. FAx 904 727 555 11. Light shields provided for all lights in food prep/storage areas $ dishwashing . . 8 areas. eMi-a 12. All raw wood painted/sealed. c""•~"~r~~'r••"•c$ 13. Fire extinguishers proper classification, properly mounted, currently tagged. INTERNET 14. Fire Suppression System (if required) properly installed and currently tagged. www.MyFlotida.GOm/dbpr 15. Sink stoppers provided at alt three compartment sinks and prep sinks (when required) 16. Drain boards (ar equivalent) provided where required. 17. Dish sanitization Chemical test kit provided (not pool kit). 18. Thermometers in alt refrigeration and freezer units. 19. All floors, walls, and ceilings smooth, easily cleanable and non-absorbent. 20. C02 and Helium tanks properly secured. 21. No extension cords used in facility. 22. Probe type thermometer provided (0-220F). 23. No utility lines on floor. 24. Proper ventilation in restrooms. 25. Alf plumbing wastewater connections properly installed (airgap/airbreak). 26. Chemically sanitized mechanical dishwashers have visual/audible low sanitizes supply alarm. 27. Water filter cartridges for ice machines insta{led properly and dated. 28. All food service equipment must be properly installed and operating. 29. Application for License must be completely filled out.~~~~ Fee calculator available online at ---~ Divison of Hotels and Restaurants www.MyFiorida.com. Mail application Department of Business and Professional far license and license fee + processing Regulations fee to Tallahassee. Include file number on 1940 North Monroe Street application (located on approval letter) Tallahassee, FL 32399-0783 DBPR HR•7005 - Division of Hotels and Restaurants Application for Plan Review f~'f••• STATE OF FLORIDA DBPR/,~~~ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ~.~r~~r. 850.487.1395 y"" callcenterCc~dbpr.state.fl.us www.MyFlorida.com/dbpr For Oftice Use Only Log Number ~ ~,.~ File Number NOTE -This form must be submitted as part of an appiication packet. Submit completed applications with plans. SECTION 1 -OFFICE USE ONLY Ogle Receives Mitials 5150 Plan Revrew Fee Mo h Da Y Check # ~ ~,J Money Order # / SECTION 2 -FOOD S1;RVICE L ICENSE TYPE Please check the appropriate box. Q~ Seating (20101SEA7') ^ Non-seating (2010/NOSY) ^ Catering (2013) SECTION 3 -PLAN REVIEW TYPE Please check the a ro riate box. ^ New ^ Reopen Food Service Establishment Extensive Remodeling of Existing Establishment Closed At Least 1 Year" Food Service Establishment' If you have recently acquired or intend to acquire the estabtishrnent from a previous owner, check here '. If the estabgshment has been licensed b the division before, lease ovide the folbwi information'. 'Name of Existin Public Food ice Es blish ntE".t t C ; (p ..•- ' License N mbar O USE ONL - SACTION CODES 1030 - Initial Plan Review: Seating or Catering 1031- Inllial Plan Review: Nonseating 3020 -Change of Owner. Seating 3021- Change of Owner: Nonseating or Catering 3027 -Same Owner-Request Plan Review SECTION 4 -CONTACT MAILING INFORMATION Note: This address wAl be 'Hated as the "address of record" for of official communication from the d rtment. Owner Name r Contac (if drffere than the owner, usually a person submitting the plans, e.g., the architect or contractor) Street Address or Post O Ice Box ri/ City Staff - Zip C e (+4 optional) Florida Cou ty (if applica le) `, V Country ~ f~ l l Phone Numbe Extension f",t. ss E-Mail Add re Fax Number (Alt mate) SECTION 5 -ESTABLISHMENT LOCATION 1NFORMA ON Establishment Name (DBA) Street Address i/ ~ .,sf !/' City Zip Code (+4 optional) Florida County Phone Number D .~ Extension it A re SECTION 6 -TYPE OF SERVICE Please check the appropriate box. Seating/Dine In ^ Take-out Only ^ Caterer ABS~T SRX License 2004 January 6 This form replaces DBPR Form HR 5021-010 Page 4 of 6 DBPR HR•7005 -Division of Hotels and Restaurants Application for Plan Review SECTION 7 -SUPPORTING DOCUMENTS Please enclose the following documents: • A minimum of three (3) sets of scaled plans showing equipment, • Proposed Menu (list of specific foods) plumbing, electrical, and mechanical ventilation. This office will Proof of Approved Water and Sewer retain two sets for our records. You may submit additional sets if • E ui ment S ecifications if available required by local buikiing or other local authorities. SECTION 8 -GENERAL INFORMATION Number of Seats / 7 Maximum Number of ~O Total Square Footage of the "7,'7Q D Number f E Staff er Shift Establishment v o xits Projected Start Date of Construction ~!' ~j Projected Completion Date of Construction ~ d Approved Plans are va/id for one (9) year. SECTION 9 -FINISH SCHEDULE Must indicate what t e of material will be used in the followin areas i,e., ua tile, stainless steel, eic. . Construction finishes must be easil cleanable and non-absorbent. Floor * Wall Ceilin Food Preparation ~ Dining Area T r[~ ~ Food Storage ~~, r- Dishwashing Area ~ V ~ -S Restroom9 ~ ' 'Establishments are required to have curved and seated cove base at the floor/wall juncture except in the dining area. SECTION 10 -DISHWASHING FACILITIES -SHOW ON PLANS Manual (3-compartment sink with drainboards or equivalent) Mechanical (Dishmachine) Type of Sanitization: ®" Chemical ^ Heat (High Temperature Final Rinse) A warewashing machine that chemically sanitizes and was installed after January 1, 1998, must be equipped with a device that indicates audib or visual) when more chemical sanitizer news to be added to the machine. SECTION 11-OTHER FACILITIES -SHOW ON PLANS Number of bathrooms Male ` Female ~ Unisex Employee Bathrooms Only one (1) bathroom is required if the facility has 0-10 seats. Access to public bathrooms may not be through food re oration stora a or warewashin areas. Number of handwash sinks Number of prep sinks Mop sink location k SECTION 12 -FIRES ETY EQUIPMENT Show location of fire extin uishers on ans. Types and number of Minimum 2A106C K Class each fire exti wisher Automatic Suppression System to [~YE5 ^ NO Required when grease-laden vapors or be Installed smoke are roduced. S rinkler S stem to be Installed YES O R wired if ocdu an is 300 or more. SECTION 13 -WATER AND WASTEWATER APPROVAL If using a muniapal water and sewer system, a copy of your bill will suffice; otherwise, DBPR HR-7011-Water and Wastewater Approval, must be completed and submitted with plans. Grease traps must meet all local plumbing odes and be located in east) accessible areas for Geani u oses. SECTION 14 -SIGNATURE I hereby certify that the above information is correct, 1 understand that failure to complete the application or submit r wired documents 'on will dela rocessin of this a lication. Print Name ~ ~ Signature Date Q'7 Approval of these plans and specifications by the division does not indicate compliance with any other codes, caws or regulativhs that may apply. Further, approval does not constitute endorsement or acceptance of the completed establishment (structure and/or equipment). An inspection of the establishment and equi ment is re wired rior to licensing. 2004 January 6 This form replaces DBPR Form HR 5021-010 Page 5 of 6 P_3/14/2097 12:16 :itv of Atlantic Beach ~o~ niiraole R ate` uamac e4+acn, t=L 32235 :fophone: 904) Za7-s$1 s uc: ~soa~ z~7-s877- 9042477010 MARIhIARESTAURAhlT Accoum Number: ~"" Customer Name: Service Address: . r,~. 81t1 bate: ''"' Carrant Charges Dae Data: :_:• PAGE 02/02 li7 52457-1834 WILLIAM PINNER iNC, 725 ATLANTIC BIND UNR i~ Oii/2slbf '3eri-iesi~ariod.4•..: ..' ,•~'• ~:MvtN'Ni~~ttber'•.~::• > . •t?ur ReadMg Prevbus:~leedinQ , Us~in.1000 Galbna 119107 TQ 08/OBJb7 58008624 ~ 2587.00 ~ 2585.00 2.00 • . Gantke';;~'~' .. ~ Totel.' .. Service ~ . ~ To+tai,. WER BASE SEWER BASE•21NCH WER VOLUitAE RANGE 1 TO 9,000 -TER VOLUME RAMtiE 1 TO 2,000 ~ TER BASE WATER BASE 50.56 0.94 ~ 0.46 3212 GAR8At3E i)YO OUMPSTER (2DAW) STORM WATER UTILRY STORM WATER DRAINAGE ~ ' 10A1.29 67.47 • . . . ' ; ' cuRAENT:81t1~ ` ;'. • •' ' 14Si.a4 . ~ <:. .~ `PAEV~.•BALAN~E~ • : ,:.::.~: 0.00 .. ~ t t t251.s4 . ' ~~ AATER W1E OATS PA~f' : ~ ~ 1377.02 . PON 1~CCRPT~Il3 1sA&TBRGRD 6 YISl1 Pl-YffE>87,'S 'IN PaRS~i' DR HY p8C»8L Ni !EP OCT NOY OEC JAN • PN MAR A-R MAY HNI JUl AU6 ~ . PEiiWp OAl x'1000 ~ GAILY AYG. • ~ ' • CuRREN7 AMY PlrAOD--' . 2. .. Q" ' .. ' 0.105 U,OW PLEASE BRINQ ENTIRE BILL IF PAYING IN PERSON. PLEASE OETAGH AND RETURN 80TTOM P'dRTfON IF PAYING 8Y MAIL. G7y otAd,vttk Beach s0o Setninolsa Road ~-- /Nlarbic 8esc11, FL aZ293-S4a4 Ret~n Service itequestad [] Check Box Ito. Chayte of Addrosa er aaa+k Oran Sign up I.,{1,.,1.1„I,I„Ili,.{I;,,n,I,I,,.I,il,ll„.„11 „I, I, rl,ll "'AUTO UTO"'SCH 5-DIGIT 3?227 WILLIAM PINNPR INC., . 725 ATLANTIC 6LVD UNIT 1.2 ATLANTIC BEACH F!. 82233.3946 'M4 ACGQI,i~IT.lt .: •:. BILLING DATE • _ 0811 M07 li2457--18344 ..: •.,CUARENT'BiU° 1251.84! .. DUE DATE .':, .: ' : PR~11p H ... . M~~ ~~ Oi/Z8/07 ' 1 ~ Q.00 1251.84 • ': ~ : : ASR SUE DA'i~E: PAV ~ t 3TT.tl2 ... • ... • . '~ • ~ ~PIEASE, ENTER_AMOUNT P'AN'S. _ Cry of Atlanfxc Beach ~~ Q3-24 800 Seminole Road ~ • Atlantic Beach, FL 32233-5444 1,.1i„rfr{r,1.{,,{{.,,II,.{t{+,1,.{~{„!,I„I11,,,11,~,11.,~1 ~°` - r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5$2b INSPECTION EMAIL REQUEST: Building-dept(a)coab.us Application Number 07-00001529 Date 12/13/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description SIGN PERMIT Property Zoning TO BE UPDATED Application valuation 0 Application desc new sign (elec) Owner Contractor NORTH BEACH CENTER CNS SIGNS, INC. 725 ATLANTIC BLVD UNITS 1-21 Q/A:BRINGLE, KENNETH ATLANTIC BEACH FL 32233 263 SOUTH EDGEWOOD AVE. JACKSONVILLE FL 32254 (904) 733-4806 Permit SIGN PERMIT Additional desc . Permit Fee 75.00 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 6/10/08 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDIIVANCES AND THE FLORIDA BUILDING CODES. l~~T~~'C~ / ~®Id~ ~lE~'~'l~'I' S00 Seminole Road Atlantic Beach, Florida 32233 (904) 247-500 (904}247-SS45 Fax www. coab.us ~A~~~D~~~I~~ ~~~~~ ~~~e~ PAP®~Dt~~°~' ~S~aliY°e~J~e ~Ol~ ~ a~77 Ci /J/V~ ~/ G ~~ ~A~D~~&C~fi)I~e /N~ ~/Q1~ ~J ~Il°®~~'3r1~a ~TiW ~~/~/ PERhV91l- APPLICAT90~9 0 ~' /~z ~ RE ED DEPT: Y N PLANNING ~ Z BUILDING _ I" PUBLIC WORKS O PUBLIC UTILITIES FIRE DEPT. Y PUf3LlC SAFETY N w ~ APPROVAL U o REQUIRED AGENCY: RECEIVED 8Y: INITIAL: DATE: w ~ 7 Y N D.E.P HUFSTETLER C ~ ~ Y N S.J.R.W.M. CARPER w _ ~ Y 6d ARMY CORPS of ENG CA6'.PER t- a Y I~ HOTELS ~ RESAURANTS HUFSTEfLER APPLICATIOG~ STATUS • CIRCLE CNE: SITE BUILDING DA AP REVI~,WED BY: INITIAL: DATE: ® ® 1ST REV ® ~~/~-- ~~~~?~ 7 . PLANNING BUILDING ® ® 2ND REV PUBLIG WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY I ® ® 3RD REV ~~$9IlIl'Ilfi $BIlA3 ~®9 $~ $B3~v ~fiIl&~H~AF@~ D~$9~1'$iffi~H~$ ®}~~~ ~~db Il'S~~i'~ ~fl;~$~~°~~ ~®~)~ ~aiD~flffit~ffi$3 gld)~$® $~(~ A,~~~~, ~ r•S 1rx 1 '~'~ -~ ~;~ ~-, ,:~ ,`.~.3,~ Job Address: Owner's Nar CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION Date: ~ e;~--, ~ ~/ r~ ea7 Address:~(~ ~ ~ d c~~ ~~ i ~ ~ , <Ta9S~ ~~'tLt-r ~,~~~~1) Phone: q q ~i ~-~ e~~~ Legal Description: Block Number: Lot Number: Zoning District: State ~~;~State License Number: ~ ~~(')©('1~~~ ~~ ~~~~- t~ Phone: ~~~ .~- 33 b~ ~_ Zip: ~:1~-Z Fax: ~f}~-~ ;~~~~~ Contractor: Address: City: ] 0.C~pVl C)G ~~~' Electric Permit Required? [~Yes* ^ No Dimensions and total square footage of sign: *Electrical Contractor: Please provide two (2) copies of application and the following required niformation: 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 provid app i dti'61~s correct. l Signature of Owner: Date: ~ I ~ I / ~ 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: ~~~ tl_~t bPr'-, ~~ ~ D(~ ~~ . f.,E! ~ ~ r .~ i, , ~~ ~ ~ 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 1 Revised 1/30/03 Address and `contact information of person to receive alI correspondence regarding this application (please print). Name: (S P.i1 I~ ~ i rr; ~~ Mailing Address: ~'. ~ a Phone: l d~ -~~5 `, ~~_ ax: Cf D~ f ~ ~~~ `~~~ - E-Mail: ~ Y- ~Cz-~S'1'~ S S i~~ f'lrl AS TO OWNER: Sworn to and subscribed before me this day of , 20 State of Florida, County of Duval Notary's Signature: ^ Personally known ^ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this ~ 5 fi day of ~~~~ (~bt~~ (~ , 20~. State of Florida, County of Duval Notary's Signature: ~ . NOTARY PU11L1C=STATE ®F FL()RIbA [Personally known ~~~~ ~, Marino ^ Produced identification ~ ~®si1At1 ~~~O~gI4 Type of identification produced ~~.,,,,~~` Expires; ®CT, 23, 2010 I39HB68 r}I~tI ~1VT1C ~ONDINe 6e~, INe, Page 2 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Revised 1/30/03 Monday, October 22, 2007 2:16 PM CNS SIGNS INC 904-425-4946 p.02 .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 andlor awning installations, removals, or maintenance at the property located at: n~ rt 5 n ~. ©;~r, as ~-fly-~~'u !3 i Signature of Owner/Authorized Agent ''nn Y-t~ Q. vim. ~ C ~ ~,5 O ~-- ~c:.V~.G, ~ ~ n ~ ~y1n~21C"~ Printed Name of Owner/Authorized Agent ~r^^^^^rrrrr^rrrrrrr^rrrr^^^r^^^^^^^^^^.^^^^^^^.^^^^^^^^^^.^^^^^^.^^^..^^^^^ NOTARY State of Florida County of Duval Sworn to and subscribed before me this o~ a day of ~~~~.. , 20 ~'~. 4~ Signature of Notary * State of F da Print or Type Commissioned Nam f Notary Public Personally Known: ~ ] Or Produoad Identibcation: [ ] Type of Identification Produced: Commission Expires:~r?UO J; _, t: g'^~ ~~. ~ 800 Seminole Road ~ ~'~'~ "' l ~ ~ Ailantic Beach, Florida 32233 ~.,,`;~ D?;,,r (904) 247-5800 (904}247-5845 Fax www. coab.us ~~~~~~~~~~~ ~~~I~~ ~~~a~ ~~,, rr ((''~~ ~~B~~IlC~lE1i$e ~jN~ d'~Q/I s //''..`` ~/ ~E~~I~ APPLBCAT&~P~ # d? - 1~2~9 RE ED DEPT: Y N PLANNING ~ Z BUILDING ~ PUBLIC WORKS ~riti PUBLIC UTILITIES FIRE DEPT. Y PUBLIC SAFF=TY N APPROVAL w v o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w ~ Y ~- D.E.P 1-9UFSTETLER O~ ~ O Y S.J.R.W.M. CARPER _ ~ N ARMY CORPS of ENG CAPPER O Y N HOTELS ~ RESAURANTS FIUFSTETLER APPLICATIOGV STOATUS CIRCLE CNE: SITE BUILDING DA AP REVIEWED BY: INITIA ' AT ® ® 1ST REV ® `( ~/~ . PLANNING / BUILDING( ® ® 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. PUBLIC SAFETY ® ® 3RD REV ~c~$~IlIl°II~ $hi~ ~~ $Q~ $h® B@~HAd~Affi~ ~~~8~~°$ffidiHl$ ®IIII~~ ~T~HIl ~@~RT(~ ~H~$~Il°~~ ~®Ilfl~° ~®3~4f~~~$Q gIlfl$® $h~ A~4~~e ,~ r •t~~,~'r~;r CITY OF ATLANTIC BEACH ~. ~} SIGN PERMIT APPLICATION '": ~ 1 n ,~ w Date: 6C~ Job Address: y~ f , I ~ Owner's Name:_L~_"~-'~_~./I t--t C ~ ~ ~ ~~ C~~ ~~~l~i ~r r~.f.~ ~e°;~--~~1'1'1I4~°-fX~ f~ Address: ~~~ S ~i°~ ~. ~ iy~v r..TS~r~t~~rr~t~~; mil) Phone: Q_~~a~~~ Legal Description: Block Number: Lot Number: Contractc Address: City: ~~ CtC,~Sp~ U4 ~,~+2 State Electric Permit Required? [~Yes* ^ No Zoning District: Number: ~ ~ (~(~(~('j~,~~ Phone: 9t)t-i/ ~`01_~-~~jb_~ /~ -gyp -~-~_ Zip: "" a~ Fax: 6 ~~~~~j *Electrical Contractor: Dimensions and total square footage of sign: Please provide two (2) copies of application. and the following required information: 1. For ail 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 provid itlrthi~pp-1'i~ correct. Signature of Owner: Date: ~ ~ ~ j 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 con•ect and that the plans and supporting data have been or shall be provided as required. Signature of Contractor: Date: , ~~ p ~j p r. f~a (j/~ -7 I`v~ ~ ~ O ~~ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atiantic-beach.tl,us Page 1 Revised !/30/03 Address and contact information of person to receive all correspondence regarding this application (please print). Name: ~C~,Yi I~,_ Mailing Address: 'a~~ ~~~~-``,(/__,~~ p Phone: I C~~`~~~ ~ ~3 AS TO OWNER: Sworn to and subscribed before me this State of Florida, County of Duval day of Notary's Signature: ^ Personally known ^ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this State of Florida, County of Duval NOTARY PUBLIC=STATE OF FLORIDA ,~,,,,,",,,,. Mar ®E, Marino ~ Cot io~l # ~~E07914 ,.,,,,,,~~ Expires; ocT, 23, 2010 ~9NB~ rliHU A7'tl~tVTlC ItONalNG C9,, lN6, ~~~C.~a~-~{~Lf(/~--E-Mail: iH~r,~ '~'I~jS~W ~~VYt 20 5fi day of~~~h~~ G~t~ 1tI (' , 20~ Notary's Signature: ~1 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 STt~y1,~r'~'~ CITY OF ATLANTIC BEACH t,, 1 a?,'~` ~s ~ ELECTRICAL PERMIT APPLICATION `.r~, Ji319~' Date: L ~ r j~7 Property Address: ~a ~ ~~ G in ~ ~` C ~ (fit ~~~-.~'~ile3,vri~i r~ e ~c?.r~~_ ~,~~ Owner: anY-~ ` f e v~ WlQ.vt ~-~- ~ _ Telephone #: y q ~ ~- ~?2 Contractor: CNS Suns Inc. Telephone #: ~, - 3 ~%~~ Contractor Address: 263 S. Edgewood Ave, Jax, FL 32254 Fax #:-~ `~qL1- (~~_ Contractor Si nature: 1n 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 ^ Old ^ Re-wire Building Type: ^ Trailer ^ ReslderiCe ^ Temp. Gd' Commercial C~ 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: COPPER A LUMINUM Switch or Breaker AMPS PH W VOLT RACE WAY Existing Service Size AMPS PH W VOLT RACE WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 ~s ovER BELL Appliances TRANSFER. Air Conditioning 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._Sign Miscellaneous 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. Fax: (904) 247-5845. httn://www.ci.atlantic-beach.fl.us Revised I/04 Monday, October 22, 2007 2:16 PM CNS SIGNS INC 904-425-4946 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: ~- htsh l.~~tp 's ~-ff~-~, c~ (3 Signature of OwnedAuthorized Agent ~Y-~~ Q v~ ~,r C y~,s 4 r.~ - y~-~, t Printed Name of Owner/Authorized Agent ~^^^^^••~rr^^^^r^^^^rr^^^^^^^^^^^^^^^^^^^^^^^^r.•^^^^^^^^^^^^^^^^^^^^.^^^^^^ NOTARY State of Florida County of Duval Sworn to and subscribed before me this o~ a day of ~~' , 20 (Z"~. Signature of Notary * State of El~e~ida ~ov~Y~q ~ v/ 2.~ Print or Tvoe Commissioned Nam f Notary Public Personally Known: ~ ] Or Produced Identification: [ ] Type of Identification Produced: p.02 Commission Expires:~oZ00 THE COMBUSTIBILITY TEST DATA FOR 1/8" THICM TEMPERATURE AS MEASURED BY ASTM D-1929 I RATE OF BURNING AS MEASURED BY ASTM D-63 PER MINUTE, AND THE SMOKE DENSITY AS MEA; MORE THAN 5%. ^ H!'1'KUVtU H5 ~UtSMI I I tU ^ APPROVED AS NOTED ^ RETURNED FOR CORRECTIONS SIGNED MATERIAL DESCRIPTION M1 .060 ALUMINUM RETURNS WITH .063 BACKS. FINISH TO BE BLUE STUCCO FINISH INSIDEOFLETTERTO BE WHITE M2 1" BLUE TRIM-CAP. M3 3/16" WHITE FACES WITH BLACK VINYL OVERLAY. M4 15 MM 7100 DESIGNER WHITENEON. MS DOUBLEBACK ELECTRODESWITH U.L. APPROVED ELECTRODEBOOTSAND 15000 VOIT GTOWIRE. M6 STANDARDfUBE SUPPORTS. M7 1/4' WEEPHCLESAS REQUIRED 8 M H D NC6 ON WA L CCNSTRUCTIOIy. MIN.3/8"THRU BOLT or LAG BOLT. M10 30 M.A. (120 VCLT) NORMAL POWER FACTOR 1RANS- FORMERS (GROUND FAULTPROTECIEDAND2161 U.L. A PPROV®). M11 20 AMP. DISCONNECT SWITCH. M12 PRIMARY ELECTRICAL LEADS. M13 TRANSFORMERS MOUNTED INTERNALLY TO LETTERS unvw~ -MI ~~~ o..n.lrvurvv~ CIRCUITS REQUIRED NEW UL21b1 C;F.P. SICTITRAWSf~(iW62 REC~.IRETHATAILCIRCUTSMlSTHAVE TO BE ® CEgCATE[7H3f, NEUTRAL, CflCt~D DETERMINED TERMNATINGATPANEL (120 VOLT) REQUIREQ sICNMbTBECftCi~IFDINCGuPUAN~VIITH B: MALL: LOC.: SPACE #: DATE: BY. SCALE: SQ FT.: DATED PLEASE INSPECTTHISDRAWING & CHECK APPROPRIATE BOXES, SIGN, & FAX BACK A COPY. CNS SIGNS WILL NOT BE RESPONSIBLE FOR ERRORS UNDETECTED BUT APPROVED BY THE CLIENT. PRODUCTION CAN NOT PROCEED UNTIL DRAWING HAS BEEN SIGNED & RETURNED. DELAYS IN RETURNING PROOF WILL AFFECT SHIP DATES. THE ~~ ~~,Ne} THIS PRODUCT IS LISTED B ETL TESTING LABORATORII AND BEARS THE MARK INSTALL IN ACCORDANCE WI THE NATIONAL ELECTRIC CO[ SHEET IS: SELF-IGNITION Signs shall be constructed & installed to comply GREATER THAN 820 DEG.F, F BC 2004 building codes. IS LESS THAN 1.5 INCHES Wind speed = 120 mph 1RED BY ASTM-2843 IS NO Exposure - C ~~ =15H COMPANY = 2'-6" x 15'-O" 37.5 sq. ft. emu- ~ ~ ~rT ~ ~H~ ~ ~) 3~g `~ (.~. ~-y,r,,~ $o I ~5 THIS DESIGN AND DRAWING SHOWN IS THE PROPERTY OF CNS SIGNS. INC. NO TRANSMRTAL OR DISCLOSURE SHALL BE MADE TO ANY PERSON, FIRM, OR CORPORATION WITHOUT PRIOR WRITTEN APPROVAL, 263 South Edgewood Ave. (904) 425-3363 ~~~~~ ~~ ~ro~~ Jacksonville, FL fax (904) 425-4946 BUILDING FRONT=175'-O" ,~,,,,. CITY OF ATLANTIC BEACH J4 rs r~,'f~ PERMIT CALCULATION SHEET ,s~ ;-. .. f r, J ~" Date: Address _ ~~b G ~~~ Q ~ ~~~ ll ~) . , SPECIAL NOTES ~~ ~~ WATER IMPACT FEE $ o~ `<'~~ ~~„~ ~ ~~~~ SEWER IMPACT FEE $ ~ " 'tT~` -~ WATER METER/TAP $ CAPITAL IMPROVEMENT $ ~~ ~ ~~ ~-,~~- SEWER TAP SECTION H PAVING ( ) $ CROSS CONNECTION $ OTHER GRAND TOTAL $ 0. gQ ~,,, CITY OF ATLANTIC BEACH rs ~rl~;. ~• ~ ;, PERMIT CALCULATION SHEET ,ss r ~~ :, ,, Date: Address a, 7~~ JG ~~~ Q'7 /,,~~" f SPECIAL NOTES ~~~cv~Pii, .~r~~ r WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TAP $ at/~ $ / ~ -o ~ $ CAPITAL IMPROVEMENT $ SEWER TAP SECTION H PAVING $ )$ CROSS CONNECTION $ OTHER $ GRAND TOTAL $--~g~ PREPARED 8/24/07, 14:16:30 PAYMENTS DUE RECEIPT CITY OF ATLANTIC BEACH PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 07-00001130 725 ATLANTIC BLVD UNIT 12 FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES BUILDING PERMIT SEWER IMPACT FEES WATER IMPACT FEE 180.00 360.00 'Z 10240 . 00 ~"'-' v 240.00 TOTAL DUE 11020.00 Please present this receipt to the cashier with full payment. I k"'. -: .. ~~.. ter' '. ,,~r~ F, ,~ ~~ ~~~~~ x ~_ ,, ~:. -~ ;~ ,~ a~ti~~ ~, ,~ -~.. ~~1 a- ~ a:~ 3 ~ ~ DO Y I really think I'd that 'd ti~ t° ~ give You h abt d° sOmet } J'self... 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 LOCAL BUSINESS T.AX APPLICATION Section 1 --~-~ APPLICATION FOR -Please circle one: New Business ____Transfer of Ownership (If Transferring to new location, what w~ your previous business location?) BUSINESS NAME LOCATION ADDRESS MAILING ADDRESS BUSINESS PHONE NATURE OF THE BUSINESS (Please Be Specific) Transfer to New Location SQUARE FOOTAGE OF BUSINESS PREMISES l C~G`L~ (Include both buildings and outside azeas used in conjunction with the business, but not patron parking azeas) NUMBER & TYPE OF VENDING MACHINES (if any) //~~ **s**s********************************************************s**************$*****x****x************ Section 2 ~ ~,) APPLICANT/ LOCAL M`,ANAGER/ PRINCIPAL OFFICER ~~q~ ' ~ ~~~~~; ~. ~ • `' 1"Y~11 A'' HOME ADDRESS ~T~/.`t Gf ~1 ~!'~ .S i'vG'~ ~~ %~,~~ (~^ 7`; ,j/~~i' .YiG' Tip 5 ~l HOME PHONE ~G" ` `-i' `~ ~~ SS# or Fed Employer ID # ~ l~ ~ ~ ~~ ~~ DATE OF BIRTH ~ 1 ~ DRIVER'S LICENSE # ~~ ~=G' ~ ~~`-`~ lLl U' `,~ ~ (Attach copy) STATE LICENSE/CERTIFICATION/REGISTRATION # (if applicable, attach copy) *****************************************************$*****************************x*s*s************* Section 3 I, the undersigned, swear that the above statements are true and con-ect and I agree to notify the City Clerk if there is any change in the above information. I further unders nd that issuance of a Local Business Tax Receipt by the City Clerk in no way relieves me of the responsibility of compli c 11 pr e Code of Ordinances pertaining to conduct}ng a business ip~e City o Atlantic Beach. Signatulei ,~ i` Title 1 Date No person, fum or corporation shall engage in or manage any trade, business, profession, or occupation in Atlantic Beach without first obtaining a Local Business Tax Receipt. Application and/or payment does not constitute approval or issuance of a receipt. *************s*x*****************************$********************************************x*********** Section 4 (For Office Use Only CODE # & CLASSIFICATION FICTITIOUS NAME REG HEALTH CERT CORPORATION REG OTHER FEE PAID /- RECEIPT # STATE REG./CERT FULL/HALF YR REQUIRES COMMISSION ROVAL? Yes / No DATE APPROVED/DENIED BY COMMISSION -ZONING APPROVED BY ~ ~.- DATE D 7~~5'"O 7 BUILDING DEPT APPROVED BY FIRE DEPT APPROVED BY CITY CLERK APPROVED BY DATE DATE DATE _ ~+, ti ~.ie r .~hyr . .. ~ t,ru~. F P<'~~C1f ru ~~tio .~ " WATER 1MFAC7 FEE WORKSHEET FIXTURE TYPE DRAltyAGE F~XTURE UNIT VALUE AS t_OAD FDCTt1R1rS - - UN{TS .u , Automatlc dothes washers corrvnerdal~ 3 Automatic•dbtheswash~rs, residential 2 Bathroom group consisting of water doset, lavatory, 8idet,~and bathtub or shower " ~ 6 f3athrUb (with or without overhead shower or whirlpool attachments ~ 2 Bidet ~ ~ 2 . . Combination sink and tr 2 Denla! lavalo •. t Dishwashin madtine, domestic 2 Orink'm founiaiMcemaker ~ h Floor dta ins 2 . Hose bb . i _.. Kitchen sink, domestic - 2 ~. Kitchen.sink, danestlcwith food waste grinder and/or dishwasher ~' 2 l_aund U 1 or 2 co artrnents 2 ~Laral ~ Shower com artment; domestic 2 Sink ~ . ' 2 3 Urinal ~ 7T t.. Urinal, 1 ation r Rush or less ~ ' i { 1 ., ,z , , . Wash sink dreufar or multJ a each set of faucets 2 ~ ~ . Water doset, Aushometer tank, ~ bfic or rMaie 4 Water doset, rivate installation ~ . Water dosel, bRc installation ~ g TOTAL NUMBER OF U1~iTS5 r ~. `~7' 1~7~ y MUlT1PLlED /~ 2t) TOTAL $ p . MATERIAL DESCRIPTION M1 .060 ALUMINUM RETURNS WITH.0636ACKS. FINISHTO BE BLUESTIKCOFlNISH INSIDEOFLETTERTO BE WHITE M2 1" BLUE TRIM-CAP. M3 3/16" YELLOW FACES WffH RED VINYL OVERLAY WHITE OUTLINE. M4 15 MM 7100 DESIGNER WHITENEON. M5 DOUBLEBACK ELECTRODESWITH U.L. APPROVED ELECTRODEBOOTSAND 15000 VOLT GTOWIRE. M6 STANDARDTUBE SUPPORTS. M7 1 /~' W EEP HCLES AS REQUIRE^ M8 MOUNTING HARDWARE (TYPE DEFENCE ON WALL CCNSTTtUCTION. MNV. 3/8"THRU BOLT or LAG BOLT. M10 30 M.A. (120 VCLT) NORMAL POWER FACTORTRANS- FOPMERS (GROUND FAULTPROTECT:DAND2161 U.L. A PPROV®). M11 20 AMP. DISCONVECTSWITCH. M12 PRIMARY ELECTRICAL LEADS. M13 TRAN5FORMERS MOUNTED INTERNALLY TO LETTERS un~vi - ru n~ an.~rv~nv CIRCUITS REQUIRED NEW UL 2161 GEP. SIGNTRM5R~i1vBi RECd.1RETH0.TAt1QRCUTS MIbT HAVE TO BE ® CEL7CATEDH7f, NEUTRAL, C~flG..ND DETERMINED TERMNA111~W PANEL (120 VOLT) REQUIRED SItiVM5T8ECiLQI~CEDINCC1VPlLAN~w ER11nFHY1lXT4FNIQ1(7Jd RFC7AI[(Tlf. THE COMBUSTIBILITY TEST DATA FOR,1/8N THICM TEMPERATURE AS MEASURED BY ASTM D-19291 RATE OF BURNING AS MEASURED BY ASTM D-63 PER MINUTE, AND THE SMOKE DENSITY A5 MEA; MORE THAN 5%. SIGN = 33"x 117" 27sq.ft. CREOLE PO~ "~ho'~1 Your: D~~ SIGN = 6" x 77" 3 sq. ft. SIGN C4P OB: LOC.: THIS PRODUCT id I.ISTEII En TESTIN~i udoRATON AND BEARS THE MARK MALL: SPACE #: DATE: BY: SCALE: SQ IsT.a INSTALL IN ACCORDANCE V THE NATIONAL ELECTRIC CC SHEET IS:, SELF-IQNITION Signs shall be constructed & installed to comply ~ RREATER THAN 820 DEd.F, ~~'C~2©~~l building codes. i IS LESS THAN 1.5 INCHES Wind sp$r~..~ t2t}` mph CURED BY ASTM-2643 IS NO ExpOSUre - C OYS CAFE ,~ tdy~" AREA TQTAL = 41 sq. ft. SIGNED DATED PLEASE INSPECT THIS DRAWING & CHECK APPROPRIATE BOXES, SIGN,& FAX BACKA COPY. CNS SIGNS WILL NOT BE RESPONSIBLE FOR ERRORS UNDETECTED BUT APPROVED BY THE CLIENT. PRODUCTION CAN NOT PROCEED UNTIL DRAWING HAS BEEN SIGNED & RETURNED. DELAYS IN RETURNING PROOF WILL AFFECT SHIP DATES. SIGN = 35"x44" 11 sq. ft. Y THIS DESIGN AND DRAWING SHOWN IS THE PROPERLY OF CNS SIGNS. INC. f ~ ~~OR CAORPORATION~WTTHOUT PPRIOR WRITTEN APPROVAL. N' FIRM, rH 263 South ldgswood Ave. (904} 425-3363 ~E ~~~~® ~E®~ ~~~~~ Jacksonville, FL fax (904} 425-4846 BUILDING FRQNT =175'-0" APPROVED AS SUBMITTED APPROVED AS NOTED RETURNED FOR CORRECTIONS 1 t~ +~ia ran v.li i , ~' WATER IMP/ACT FEE WORKSHEET' ,~/ ADDRESS' /a~=~ /,~.Zi!.~.GL,~tG ~/~- O7~ ~~.Z ~ Xl~y~~ FIXTURE 7YP. E D RA1 NAG E FIXTURE UNIT VALUE AS LOAD FIXTURES Ut~iTS Automatlc dollies washers commerdal' 3 Automatib•dbll,esw~shers, residential 2 bathroom group e>,n~sting of water closet, lavatory, 8idet,Aand bathtub or shower ' 6 Bathtub (v~tith or without overhead shower or whirlpool a~,achments 2 Bidet ~ 2 I. Combination sink and tr 2 Denial lavalo ' 1 Dishwasnin machine, domestic 2 Orinkin fountalrJlcamaker 'r4 ~, y.. F10of dr.airl5 2 . Hose bib ~ I ,. Kitchen sink, domestic 2 ~. I Kilchen.sink, domestic with food waste grinder and/or dishwasher 2 ~ Laund b' 1 or 2 co artrnents 2 •l.avato 1 ~ Shower ~m artrnent; domestic 2 Sink 2 3 Urinal ~ ~ 4 ~~ ~•• ~ Urinal, 1 anon r flush or 4~ss ' , i , ~2 , Wash sink dreular or multi le each set of faucets 2 Water closet, flusnometer lank, bllc a rfvais 4 Water closet, rivals Installation 4 . Water closet, bloc installation g - TOTALNUMBER OF UMTS3 ~~~` MULTIPLIED X zo TOTAL $ ~ _ CITY OF ATLANTIC BEACH soo sE~a~roLE RaAn A77:.ANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 5826 INSPECTION EMAIL REQUEST: Building-dept(?a,coab.us Application Number 07-00001230 Date 8/29/07 Property Address 725 ATLANTIC BLVD UNIT 12 Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning TO BE UPDATED Application valuation 75000 Applicat~.on desc remodel restaurent Owner NORTH BEACH CENTER 725 ATLANTIC BLVD UNITS 1-21 c/o BILL PINNER ATLANTIC BEACH FL 32233 Contractor ------------------------ THE GREGORY GROUP, INC. 1015 ATLANTIC BLVD ATLANTIC BEACH FL 32233 (904) 237-6655 ----------------------- --- Structure Information 000 000 ---- ------------- Construction Type TYPE 5-B Occupancy Type . ----------------------- BUSINESS ---------------------------------------- ------------- Permit BUILDING PBRMIT Additional desc . Permit Fee . 360.00 Plan Check Fee 180.00 Issue Date Valuation 75000 Expiration Date 2/25/08 ------ - - - - ------------- ----------------------- Other Fees - - - - -------------------------- . CITY RADON SURCHARGE .00 ST CONSTRUCTION SURCHARGE .00 AB CONSTRUCTION SURCHARGE .00 STATE RADON SURCHI~RGE .00 WATER IMPACT FEE 240.00 ----------------------- Fee summary ----------------- --------------------------------------- Charged Paid Credited ---------- ---------- ---------- -- -------------- Due -------- Permit Fee Total 360.00 360.00 .00 .00 Plan Check Total 180.00 180.00 .00 .00 Other Fee Total 240.04 240.00 .00 .00 Grand Total 780.00 ?80.00 .00 .00 PERMTI';'~S _APYROY$D ONLY IN AQCORDANC~ W17N ALL CITY OF ATLANl'[C ~EAt~ ORDIIWINC.SS AND 4'HE FL~tiDA BUILDI~iG CODES. f ~-$~-'~-~''~'%~ CITY OF ATLANTIC BEACH J ~~ ~ f`' BUILDING /ZONING DEPAR "~°~^w~ ~ 800 Seminole Road ~~~ ~ ~ Atlantic Beach, Florida 32233 ,:_~ J~~~ (904) 247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM TMENT Property Address: ? 23 '' ~Z ~n~'~~C ~~~b Applicant: ~~~ ~r~4e~~ grn~.D //I~G Project: / mT~,C~O~ ~Ll~~~c~ QWT~ ' ~/1t PERMIT APPLICATION # d ~.-r1_ //~ R IRED DEPT: ~ Z Y N BUILDING Y N PUBLIC WORKS ~ Y N PUBLIC UTILITIES N FIRE DEPT. Y N PUBLIC SAFETY APPROVAL . ~ REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w WU Y N D.E.P HUFSTETLER 0 ~ Y N S.J.R.W.M.D. CARPER Y N ARMY CORPS of ENG CARPER Y N HOTELS & RESAURANTS HUFSTETLER ~~ APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INITIAL: DATE: 1ST REV PLANNING BUILDING ~ ~ 2ND REV PUBLIC WORKS PUBLIC UTILITIES FIRE DEPT. 3RD REV PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. 08/07f2007 13:38 9042477010 MARINARESTAURANT PAGE 03103 CITY CIF A7lANTIC 6EACH R44 SEMINOLE ROAD. ATt-AMfIC BEACH, FL 32233 OFFICE: (8x4)247-5826 ~ rAX NO,:(9o4~247-5845 BuILDIN4DEPT~2coAB.Us BUILDING PERMIT APPLICATION 07- ;ywTT~~I 2 ~~I auvA~. couni~r ~: r 4' ~ N6w BUILDING d DEM(7LIT14N ^ RESIDENTIAL LC1Y _ BLOCK _ SUB DNVSION C.I ADDITION ^ CONVERTING USE AAMERCIAI '"" ' ~ :;;s ~,Tt„RATIDN ^ ACCES50RY BLDG. Q ` ~1~~ r1A'v~~1 d REPAIR ^ MDV£ ^ PDOL !SPA ^ OTHI= CI YE$ C Cl N y.: , 9. NAME' ~9t(a-,~ic.P-r%~t~, c~c t 3, COMPANY NAME: 2 . COMPANY NAME: t~ ~aee~ r'wgn.~~k+nSoY~~ rhancig"rr YNYn1~P(' ia. ~, yL.UCENSEEttAME: 10. A©DRE^s3: IT. STATE OF FLORIDA uCEN3E NO,: 25. B'rATE OF FLORIDA UCEN3F• NO.; / ~ I-~C~[G ~~ ~ /1 UE r~~ ~~ ..~JO Z id ADDRESS1~ ~1 , ( ~ ~q~, U..,pr GW 28. ADDRESS: .. 1f5ts r~ ~+E ~• 3~- 3 it. FICE PHDNE: 12• F NO. : 79. QFFICE PHONE: 20, FJiX ND.: 27, OFFICE PHONE: 28. FAX ND.: a8s- S q -~ ~ v ~otiP 13. CELL PHONE: 21. CELL~P/HONE: ~ / ~y,~ `f ~r '~ ~ ~itp~JS Z9. CELL FIiDNE: 14. EMAIL ADDRESS: C G ~ C ZZ. EMAIL REB$: ~ ~ r M Ia ~ L} 30. ENU,IL ADt]REBS: .So CO Pf • r + . 31. NAIIAE: 31. NAME: 35. NAME; 32. ADDRESS: 3f. ApDI~E33: 38. AODRF35: N!A Application is hereby rnsde fo obtain a permit to do the work and Installations as indicated. I certify met no work ar tnstallatian has commenCBq prior to the issuance of a permit and that all work will be performed to meet the standards of all IawB regulating CAttStruction in this lUrisdiction. This pertit becom®s null and void if work Is nDk commenced within six (6) months, or if construc#ion or work is suspended tx abandoned for a period of six (6) months at any tim+g after work ig oommenc+3lt, I understand that separate permits must be aacur+ad far Electrical Work, Ptumbirfg, $Igne, w~lrs, Pi-ols, Furnaces, Boilers, Flouters, 7ilnks, Air Cgndltloners, 2tC- OWNER`S AFFIDAVIT - I certify that all the foregoing information Is accurate and that all work will be done in compilanCe with sill applicable IEIWS regulating construction and zoning. I wiU not occupy or use the ref~enceG twliding ar any part therof, urltit all Inspections are finsfod end prior to obtaining a certificate Df occupancy Dr completion issued by the buildipg official, as required by law. ~ WARNING TO OWNER: YOUR t~AILURE 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 t~R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OP COMMENCEMENT. ~ o~ slylea:,: ~ ~.~: -~ Date: D a ~ Before me this ~ day of ~'tJc{ (.) S'7L ,, 2pD7 in thA County Of Duval, State of Florida, has peraonall~pptered ~}- (a ~ t1. ~ ck ; rt .~ Y, hgrin try himself /herself and affirms that an ststemerlts and dedareiioris are true and accurate. Npt~iry Public et Large, state of ~~Of 1 ~ County of ~ ~/c~ ~'" Personally Known ^ Produced I~Ml14Ca Notary Signature: estate y or 7 to the wanly ar PuVa State f Ian a. spa a11Y pPear heri y m !herself and affirms t 11 statements and deCkarations are trug and ratEr ussb r~ ,k~~JE- ~8 PaPuoB ~.,,, Npta ublic at Lq e, S u~ICCUIi t'dy d ••'~ ~ ersonanYKn OiOl'btQajsandx3uolsslwwo~6yy-• n . Nq#a,y Signature: ,p`a'r °~'~ DONNA R. PADGETf y 8~ MY COMMISSION ~ DD 4$13820 COAB FORM BLDC,Oi: R It~00u7 EXPIRES: December t2, 2008 1.gpp.3.NOTAflY FL Notary Discount Assoc _Co. . rj~~1`~sir ~, . ')~ Si1 J ~ 14x,1 yr ,, ~~ J; CITY OF ATLANTIC BEACI3 BUILDING /ZONING 800 Seminole Road Atlantic Beach, Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us DEPARTMENT k ~ ., `~~ ~~~ . C~;, ,,~ ~. ~' APPLICATION TRACKING FORM Property Address: ~Z~l''_ ~Z ~n"~J7~c ~J~b Applicant: Tlffi ~r~.T~?.T grD~.d ~NC- Project: l ~Tf~CiO ~. ~jui 1 d Q G~-7- ' ~G/-t PERMIT APPLICATION # /~ // ~ R IRE D DEPT: _ N PLANNING ~ Z Y N BUILDING Y N PUBLIC WORKS ~ Y N PUBLIC UTILITIES N FIRE DEPT. Y N PUBLIC SAFETY APPROVAL ~ REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: w v Y N D.E.P HUFSTETLER o ~ Y N S.J.R.W.M.D, CARPER Q Y N ARMY CORPS of ENG CARPER Y N HOTELS & RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: .SITE BUILDING DA AP TIAL: DATE: 1ST REV c~r cJ~s ~,e.S PLANNING BUILDING I-1 L1 ~ 2ND REV PUBLIC WO KS P)t! IC TIE FIRE DEPT. 3RD REV PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. 08107/2007 13:313 9042477010 MARINARESTAURANT CITY OF A7'IANTIC BEACH 8P0 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 OFFICE; (804)247-5828 ~ rAX NO,:{$x4)247-56x5 ti;v1••.+'.v'•~ BUtLOINO-DEP•F~iCOAB.US . BIIILDINC PERMIT APPLICATION ~~ PAGE 03103 07- ~yw~ I T ~ ~8~l~"I DUVAI_ • ©NEW BUILAING ^ DEMOLITION D RE9~DENTIAL Ld7 _ [3LOCk _ SU6 DivlsloN Q ADDITION ^ CONVERTING USE MMERCtAL " -t ~;S ~4LTERATiON O ACCESSORY BLDG. - ~.. 1'] REPAaR ` (~~~ ^ POOL! SPA Q YE3 ^ N!A ~1 ~ ~,y n ^ Mave 1'+~Y ^ OTHE CJ N ,,; , . ~. 9. NAME' 15, COMPANY NAME: P~hrr~n ~ ' ( c~c ~9 r 2 . COMPANY N/~ME: ~ c. t i a - , ~ ,ac.e+~s )~ ~" / _ i ~ '41G11 y~fC f 1~$OYI~ /1'jctnclg f h rn?k'113Pr 18. ~ yl. LIGEitiREE NAMIE: 1D. ADDRESS: tT. STATE OF FLORIDA uCEN3E NO,: 25, 8'rgTE OF FL6aiDA L1CEN3~ NO,; I b6 lv. Hwy ~~ A ~'~ ~ /7 ~ f Pd •'l ~e t!~ rc•~ ~piC. h, ~~ ~'i$2 taADDRESS• 1413' '°"~'~` i~. ~K~ Yr'r+RI' ~: ~. 11. FILE PHONE: 1Z. F NO.: 19. QFFICE PHONE: 2t), FAX NO : ZT, OFFICE PHONE: 28• FA%NO.: axe- S q~ -~ < ~ So~P 13. CELL PHONE: 21, GELL•P'HONE: ~~f ~~~ 29. GEL4 PHONE: 14. EMAIL AD6RE55: rr l 'r' G C C 22. EMaL RE95: ~ ~ G t 30. EMAIL ADORE35: , ~ o Pr ~ - -vv 2i. NAME: 33. NAME: 35. NAME; 32. ADDRESS: 3'}, gpoFtE33: 38. AODRE$S: Application is hereby made to obtain a permit ro dd the work and installations as indicated- I certify that no we)rK ar InstaAativn has commenced prttx to the issuance of a permit and that all work wlll be pQtfcrmed to meet the stand8rds of all laws regulating Construction in this jurisdiction. This permit berom®s nub and void if work is not commenced within slx (fi) months, or if aonstruckion or work is suspended a abandoned for a period of six (6) months at any time 8fter work Ig commenced, I understand that separate permits must be 69oured for Electrical Work, Plumbing, $l ns, Wrat16, Peals, Funtiacss, B~pilers, li0aters. 'Tanks, Air Cgndltloners, etc- OWNER`S AFFIDAVIT - i certify that Elf the faregaing informatit~t is accurate and that all Work wil! be d4Pe in txlmpltange with all applicab4e laws regulating Construction and zoning. I wilt ntit occupy or use ~Ie referencep building 4r any part therof, urtfii all In9pectians are finglsd and prior ro obtaining a certificate of occupancy or completion iggty$d by the building official, as t^equired by law_ ~r WARNING TO OWNEfI: ##~r YOUR t:AILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR iNIPROVEMENTS TO YOUR PRt]PERTY. A NOTICE aF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOIJ INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTO~INEY BEFORE RECO~tDiNC YOUR NOTICE OF COMMENCEMENT. Stgned:.~~ ~~c..~.~.=- -bete: ©8~U? O "7 SePare me this ~~ day of J S _ , 2go7 in the county of Duval, State of Florida, nas peracneN pptared ~ ~ k - ( c a w ~ ~ n >,-, h~in by himself (herself and affimts th8t all statements and decarations are true and accurdtv~, Notary PuWia at Large, St>3te of 'F~O/'t~ ti Countyof.W L'~ L ~$ Pensanally Kmwl ^ Produced tdexttNtca Notary 3lgnature:._ Q of i'$y FiTms / hersgit and affirms 11 Statem6nts and declarations are and rate. "''"~"' °°`~`" ussy i~elor~ ~e; ~ R8 papuog ~ ublic at Lq e, $t~(~[~,•,~® to iin~ccit~+tlupynly Of; IlyKnown Olgl'blQajsandx~uolsslwulo~6w=.;~ Signature: In the courrty pf ~`~'y P~, DQNNA R. PADGETT y ~~~e~' MY COMMISSION ~ DD 498820 COAB FdRM BLDGat: R 5[~1DPJt1rl'dDg7 EXPIRES: December 12, 2009 1.600-3-NOTARY FL Notary DlscouM Asaoc• Co. "S"'''r%~~ CITY OF ATLANTIC BEACH f ; ,~, ~ .BUILDING /ZONING DEPARTMENT . - ;~,. 800 Seminole Road / Atlantic Beach, Florida 32233 r ~ J~~. (904) 247-5800 (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM Property Address: ~ Z ~ '" ~Z An~~~n~c ~ ~~~ Applicant: ~1f¢i ~rfcgaC y ~l~-D ~/1(~ Project: /mT~CiD~ ~/,~~ld OG~T ^ +~ ~ PERMIT APPLICATION # 4'1 ~~ //~ R IRED DEPT: N _ PLANNING ~ Z Y N BUILDING Y N PUBLIC WORKS ~ Y N PUBLIC UTILITIES N FIRE DEPT. Y N PUBLIC SAFETY APPROVAL REO I AGENCY: RECEIVED BY: INITIAL: DATE: ~ w v N D.E.P HUFSTETLER Y N S.J.R.W.M.D. CARPER Y N ARMY CORPS of ENG CARPER Y N HOTELS & RESAURANTS HUFSTETLER u APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP INIT L: D TE: 1ST REV PLANNING DING ~ ~ 2ND REV PUBLIC WORKS PUBLIC UTILITIES ~~~~~ V ~ 1'~ FIRE DEPT. 3RD REV PUBLIC SAFETY Return this form to the Building Department once you have entered your comments into the AS400. 08/07/2007 13:38 9042477010 MARINARESTAURANT CITY ~UF AYllUYTIC BEACH 8~ SEMINOl.E ROAD. ATLANTIC BEA04l, FL 32233 OFFICE: (904}247-5826 • rAX NCaiSO4)247-56aS ;~~•..:,;:t; 9UlLDINC3-DEPT~COAB•UB • "•• `~`• ~ BUILC~ING PERMIT ApP61CATIQhI • ._,h.- _ ~1. ~~, PAGE 03103 ~. 07 ~W~ T~ ~~81 i. auvA~ cQUN-rY © NEw BUILDING Cl oEM4llTIQN ^ RE9toENTIAL olvl&ION Q ADDITION ^ CONVERTING USE AAM&RCUU. _ 'ZK ,:~t ~TiWRATiON ^ ACGE350RY BLDG. Q ~ . `~ ~ ^ REPAIR ^ POOL !SPA ^ YE$ ^ N(A .-, . ~... y,:, 9, NAME' 15. COMPANY NAME: - - - 2 . COMPANY NAME: ~9tc~r-,~~~ .P~h ter r-, cc.c >~ ~,ar~~ 18. : ~ 24. LICENSEE NAME: ktn.Dl~kihso~n, /'~a~~g7ri YN~~t~er , 10. ADDRESS: 17. STATE OF FLORIDA uCENSE NO,: 23. $rATE OF FLORIDA LICENSE NO.: 1 bG N. NLV ~J-~A ~- A~ aoc~+~v /~ ~ C p. i8 ADDRESS ~~- •~, t,~ ~~y, 28. ADDRESS: Pd /t'f '2 ~~ t~C1 JJf RC ~, r ~. ~{j0 Z. ~ai'u~ "°"."~_' i2'. Q~ '~' G IV ti. FICE PHONE: 1¢. F NO.: 19.OFFICE PHONE: 28, Fp,~( ND : 27, aFFICE PHONE: 28. FAX No.: a~.s-- S g~ -~ < a 9o~P 13. CELL PHONE: 21. CELL PHONE: 29. CELL PHONE: `3a~1 2 ~7 ~ 14. EMAIL AODRE$S: 2Z. EMAIL RE35: --- 3d. %MAIL ADDRESS: la~~,~k,n~orcor»rnPfr;c.~,c .~ c~ ~„w,,~,,~--' __ •.._ - .. at, NAB: 31. NAt~: Ise. NAME; 32. ADF3RESS: 3+, ArJDftE33: 38. ADORF9S Application is hereby made to obtain a permit tD do the .work and lnatallations as indicated. I certify mat no warK or Installation has commenced prior tD the issuance of a petmk and that all work wllt be perttirrmed to meet the standards of all Paws regulating construction in this Jurisdiction. This permit beeomes null and voki if work Is not commenced within slx (6) months, or h corl5truckion or work is suspended ix abandoned for a period of six (f) r1•ranths at any time after work is commences, I understand that separate permits must be secured far Eles~cal Work P4umbingr S~Igns Walls Pools FurrtacAS boilers Floaters, '~81nks, Air Candltloners, eta. _ _ OWNER`S AFFIDAVIT - I certify that alt Ilia faregalf-g information Is accurate and that all work will be done in compliance with all applicable {AWS regulating construction and ~oning. l wilt not occupy Dr use the referenceG twllding ar any part therof, until ell Inapectians are finslod and prior to obtaining a certiticete of occupancy or completion issued by the building official, 85 required bylaw. ~ WARNING TO OWNER: ~-k* YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE QF COMMENCEMENT MUST BE RECORDED ANa POSTED 4N THE JOS SITE BEFORE THE FIRST INSPECTION. iF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOl~NEY BEFOFIE RECORDING Yt~UR NOTICE OF COMMENCEMENT. --~ slgned:.~: -s._ ~.~-l~__~_._ Dgte• o~o~ o Seftre r>1e this ~ dsy of S 2p07 in the county of Duval, $tete of Florida, has peraonall pptared ~}- (a h ~ ; ck ; n .sue,-~ hQifn try himS6K J herself and affirms ihat ail statemertts and daclereiions are flue 8nd accuratts. Noiary Pubiic 8i Large, state of ~47r^ (" 0. , County of ~ y~cZ ~Parsanally i(nown ^ PrOdusad i~ht{HCH Notary 8lgnatuie: aF i~~ 1 herself and affirms II Statem6rtts and declarations ors end rate. ussy i,,etoN ie, ~ R8 papuag ~,,,,, v ~o ~., t ublic at L e, 5t~gg[~„gg tt i,rnccntuG7o~nly pfr`~° IIV ~~ pIOZ'til qa~ sandx~ uoisslwwo~ r(yy=. ~ ~ N4>ary KIT In the wanly M ~4*"rP~'°~, DQNNAR.PADGE'1T ,~, ~~ MY COMMISSION #I DD 488920 COAB FORM i3LDGi)i: RE ~Oltulyd007 EXPIRES: December 12, 2009 1.8pp-3-NOTApY FL Notary Dlsoo~rH Assx• Co. 1~ ~~ ~~ _ ~,,,,. CITY OF ATLANTIC BEACH , ~ 'r S rJn PERMIT CALCULATION SHEET a ~ ~,• J' '~ r ~ tiff T1 ~~ w Dater, Address ~,__._ ~.~ . ~ ~ ~~~ ~ ~ '` ll SPECIAL NOTES GtAPit. •~'!~~ r~~ ~~x1 WATER IlVIPACT FEE SEWER IMPACT FEE WATER METER/TAP $ ~~/t~ $ ~,~a r ~ a~ CAPITAL IMPROVEMENT $ SEWER TAP SECTION H PAVING CROSS CONNECTION $ ~$ OTHER GRAND TOTAL $ f0,~•~SD ..SECTION 4 '-AFFIDAVIT OF APPLICANT NOTARIZATiON,REQUIRED !;~ DBPR ABT-6029 -Division of Alcoholic Beverages and Tobacco App 'catio Licensed Premises or Amended Sketch of Licensed Premises f~aj.~~~~ pfN=~ STATE OF FLORIDA ~~~ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ~s~~~~ 1940 North Monroe Street '~° ~,~Jc~t~~`' Tallahassee, FL 32399-0783 If you have any questions or need assistance in completing this application, please contact the Department of Business and Professional Regulation or your local district office. Please submit your completed application to your local district office. This application maybe submitted by mail, through appointment, or it can be dropped off. A District Office Address and Contact Information Sheet can be found on AB&T's page of the DBPR web site at the link provided below. httg://www.state.fl. us/dbpr/abt/contact/index. shtml .SECTION 1 - CHECK TRANSACTION REQUESTED _ _ _ _ _ _= T~ra~n~ction Type: i~`emporary Extension ^ Amended Sketch ^ Permanent Extension _ SECTION 2 - LIGENSE.INFQRMATION Full Name of Applica^± -~ ~~ ~~ / ~ ~ ~ t ) t ~ --- -- Trade Name (D/B/A) ~ ~ ~~ ~~ ~'C{ ` "1° Location Address (Street) _^ ~ ,q~~~~ C ~ J C' ~~ ~~ ~ ~ County T ~ ~ State Z~~~d~ 3 Bever ge~L.ic ns~fyumber~ ~ Jam.- (pp tvJ Series C ~ ~ Type Co't t P on yr ~ ~~--~ r/ ~ sin ss one Nu ber ~ l ~- I Ho e/M b~ hone Number ~' a 5~~3 ~- a 7 FOR TEMPORARY EXTENSIONS ONLY: Date(s) of Extension: ~ I [~ SECTION 3 -ZONING APPROVAL. Tq BE COMPLETED BY THE'ZONINGAUTMORITY GOVERNING YOUR'BUSINESS LOCATION (This section only applies to a permanent or temporary extension of icensed premises) Trade Name (D/B/A) Are there outside areas which are contiguous to the premises which are to be part of the premises sought to be licensed?" ^ Yes ^ No .j,-1~`lr ~ 'r f' ~~, ~ , ~,.i ~ r, % ,~~~i ~~ City of Atlantic Beach 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone (904) 247-5800 Fax (904) 247-5845 http://www.coab.us REGISTRATION FORM FOR APPROVAL OF TEMPORARY SPECIAL EVENTS All information requested on this form must be fully addressed in order to receive approval from the City of Atlantic Beach to hold any special event by any commercial entity, non-profit, charitable, or for profit organization on private property, which involves activities exceeding normal day-to-day use of property or business operations, the use of outdoor tents, service or cooking facilities, or any expansion of the business area to an outdoor area or any parking area. Use of tents requires an additional tent registration form. In no case shall any such temporary special event extend to utilize any public property, street, sidewalk or right-of--ways. Requests to receive approval for temporary special events should be submitted to the City not less than thirty (30) days prior to the proposed event. DATE ~ a~ 1 Cv BUSINESS AND APPLICANT NAME: 0 ~-~' ~j ~~~ ~-~.., ,C~ -P,,. MAILING ADDRESS: ~~] ~ ~j ~ \ ~~,. ~ ~~ L of ADDRESS AND LOCATION WHERE EVENT WILL TAKE PLACE (If different from mailing address.) ~ G~~_ REQUESTED DATE(S) FOR TEMPORARY EVENT ~ - I p~ oQ Cp THE BELOW SIGNATURE ACKNOWLEDGES THAT THE PROPERTY OWNER AND/OR THE COMPANY CONDUCTING SUCH TEMPORARY EVENT ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH EVENT. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IS CORRECT. Signature of property owner or authorized agent. ` ,, 1 SIGNATURE PRINT NAME ~C-U ~l t S V\1 ~ l ~~ ~ C- I^ CONTACT,~IN(F~ORMATION OF PERSION SUBMITTING THIS REGISTRATION FORM (PLEASE PRINT) NAME 1~ A y 1 S ~~ t C~. ~ i C. In MAILING ADDRESS a a ~ O ~ ~ ~ ~ c~ ~ s s'~ : ~ e o'~ c,. v~ ~e. ~ ~ o, ~~ ~- ~• 3 as b ~ PHONE 1©y - I ~ y ~ FAX_~ ~ ~ ~- '~{) oZ a, E-MAIL ~~ e 5 . C d ~ Please provide all information as requested on the attached pages. 1. What type of alcohol will be served and how? Beer? Wine? Other? Served inside? Outside? 2. Provide approved copy of any req fired Alcoholic Beverage Permits from the Division of Alcohol Beverages and Tobacco . Additional permit re uired by DABT for any expansion of Licensed P emises.) .~~. ~.+~r~-c~~e. ~ c~ p~ ®~ c~.~ P t ~ c c~ c~-en. -to b-e. CegvuLP t .~ t-ec ~ ~Z:or~ ~ ~ 3. Identify the event sponsor and provide appropriate cont ct person in c e of any emergenc ./U-~~c ~ c~..tA-a~ 0~-~-t~ C~..e.. ~'(re-c.,~-~C.. `~ ~u:~-h `~8~,i`C~ . 4. Provide a site pla'h depicting the layout and location of all activities, including parking and traffic flow distribution points, any tents, fences, securit check points, and location of planned went , d activities. ,S~-c- c~-~-Gc.C,t~-e cQ ~ S ~e C~ v' ~ ~ ~,t ~U~~vr.A,c~ ce s~ ~c o i~ c~ ~, 5. Has the business consulted with neighboring businesses to obtain their approvals? 6. Will there be outdoor music? Will there be amplified outdoor m~ What hours? ~ ~ :~ ~; o r 7. Will there be a live band? What h~~~o''ur~~ ~ ` aP~ ~~n~-L 2~P ~` oZo. 8. How many people are expected to attend't11is e~ ven? ~~ pro~C, i ~ o00 9. Ho will crowd control be managed if there is an overflow crowd? 0 ~ C~ P~~ ~-- enS~r~c ' ~/S ,~,prL s~~~ Sc?tr~ri_' _ ~e~-~ ~o~ui-~ 1o-er c~iasecQ i~ ~eu~~-e ©c;-e~ O.~i~~~- 10. What s ecific s~ eclat events are lanned? such as bobbin fora les; rin toss; dunking booths; wet~~~~ ~~~~~ p p p (... g pp g t-shirts; bikini contests; all male/female "review") ~~,o.,,,,,.~~ 9v~.. ~. 11. How will parking~be located and managed? Include site plan showing arking areas to be used for this , event. t.ti} .~2 wz.}.~ .~v~anri u ~w..~Arc~ ~ ~na~, ~%~a~v.~.~ c,~ o.p~.2,o. `r V~~~ l~cQ-~ ~ ~ C:+-G~G~,c`~1~C~.c~ Q-t` (~ ~ av1-Q cQ o ~ s~-t.~ ~ i ~ Ov~~- Ss~,v- 12. How will security needs be provided; particularly with respect w prohibiting minors from being served. (See following question.) Will off duty police or private security be used? Who is the contact person on- site if roblem~ arise? (Must be apflroved by{ City of Atlantic Beach Police Departrn nt. 13. How are they going to assure at all peo le consuming alcohol are old enou h? Wrist ands~?~~ D~~ o~~o~~ men? ~ ~ ~{-- L~1@~9~ /1'v~t1~` c#- ~ ~ ~1JC~.J"~ 14. Are any tents to be erected on the property? (Tent registration form required.) 15. Will there be any outdoor heating or cooking? If so, address how any by-products and refuse will be handled, including grease/oil/refuse. ow will an extra trash collecti n d disposal needs, during and w ~ after the event, e a dr s se ~ ~ ~PS~ - ~"(~ J"fy ~Cr' .~ r` ~'z` `^r~'s ~ ~ ~ r ~ Y"'~~~~ ~,~ f -`r li"~ ~ 4 ~'~ ~t~~C. ~-y( o~ ~/c,S~ ,r..`~t b.~ ~tgcQ_d( -, v~,~<s~( r` re'^ f-~CL -~<~' j~r3 C'~~,~. ~~~~ ~ ~~~~ ~'~^S irc'Gl ~. ~A~c~ ~ tC:S /~~ ~'~j/"p'.+ loaf ~r~,.. 16. Will there be a~y extension o~ electficrty into~the parking are~~outdoor areas or any yards? 17. Special temporary events cannot negatively impact traffic flows, particularl in any adjacent residential bas, or close or bloc1~ any public street or right-of--way Ple e a ress. o~~y Pw ``~`~ s~°~ ' ~ ~ `y`'^ `'~ ~.~~ ~..,,'i( lie. ~se~t ~„r er,-,~ ss,~-, ~ Lw~~ls ~~. ~~~5 ~,,, rc se ~f~~ec-l ~,~ melt 18. Ad~ess how ~ir~code ~eq~reme~t ~ and access or emergency vehiclen'be~-ym' om~ore and mainfa./Typ~ed at a~lyl, 4 l (~ ~ ,c.Q,Tf ~- ~~'1"t~"'1..~ l ~/1 /~ pN'~GIt ~~/~. r•~ vl ~~ times during the Special event. P f ~~ 19. Are there going to be any fires or fireworks? 20. Other than service animals, are there going to be any animals allowed as part of this special event? N t7 2 21. Is this a first time vent or a continuation of an annual event? C.. Jt.~.t-~nn~ ~~ i.~~ ~-L1 O~.It ~~ cat c~vv~.nnM.a~,~ - ~ 22. Were they complaints or problems at prior events pf this nature? - ~ ~ e5 .~.te~-t~~ w) ~~-~~ Qr~ ~~~~usas h~L -j-a c~-G~r~ss Pas+ iss;;cs ~~~a~`~~ - b ~w~c~~ 23. ~at additional signage will be used. (Such a`s for advertisin , restro `m-\~s~ alc of con ump o (C~ ~ r''$Q' + ~ •J 1 `~ Sign regulations apply.) { ~t dov r' (~ -e2r" ~- ~ r 1 ~ ~('~. ~` ~ ~~ jam` ~~`~` may` c~-rt-e~"T S~~~S ~ ~:JAa"~ S~" tiS W~~N~ ~ ~OS•~eC~. 24. How will the event be promoted and advertised (such as through the use of fliers, TV, Radio, etc.) 25. Acknowledge by signature below~s special event will comply with all City of Atlantic Beach laws and ordinances and that the event will be conducted and managed as represented within this application. Such acknowledgement extends to all those organizing, planning and staffing this event. ~ 1 a SIGNATURE /\.,Q/~i'~-~ w PRINT NAME ~ CA 1.~ ~ S ~ 2 ~ ~~~t ~-~ EVENT APPROVED: REQUEST DENIED: SIGNED: Department of Public Safety SIGNED: DATE ~ ~ cI ~ (a DATE: DATE: Jim Hanson, City Manager PCB' ~C~YS t .~ CREOLE CAFE -. www.poboys.com _ _ _ . .. .. ~ . _..... T~atpeai~rl® ~®. LLC • 72~-Y2 E~Ei~nnn~ne Ltl~~uL tr~Q}'~am~tic ~I eana•A~, ~~~. 3~~2~~ ~8F1o24~r.~~:~°1 • ~? ~QF<1.24~.~~~~2 To whom it may concern: O~~ April 29, ?006 PoBoys Creole Cate ii1 Atlantic Beach will be celebrating our First Annual Crawfish Festival The restaurant will have regular hours from 1 lane-?am. DLU•ing this time there ~~~i!_1 be four live bands. The first two bands will play outside fi°ou1 ?pin-Spm. The retilaini_~~g two bands will perform inside the restaurant from 8pm-tam. The attached sketch illustrates the perimeters established by the Landlord, Alan Dickinson, and the Division of Alcoholic Beverages and Tobacco. The perimeters will include a 2X16 toot stage, three portable restrooms, a Red Bull tent (d:38ft c:120it h:20ft), a crawfish boil station, tables, two beverage stations, and a draft trailer. We have made arrangements with the Atlantic Beach Police Department to have two officers on our staff, along with our own staff secLn•ity, to keep the peace throughout the event. If there are any questions re~~ardi-lg this event please contact me at 904-70~-I447. 1'l~ank vou. Tr~r~~is Weidlich ~'i~-~lwner PoL'oys Cr,~ole Cafz 7?5-12 Atlantic Blvd. .4tl~antic Beach, FL ~?23 ,~ ` F ~ ; ; ~~, _ _ ~~~ ' r T s: n F ~ . Y'~ :.'x,14 ` ~ )~ t t_ i , I x ' t ~< •~' • ` ~ _-.1 ~ SRwr tog ~5~ ~ ~} . ' L :v , Y~(` i yC d C ' ! ,~ ~ ~ ~° ~ ~, ~~~ n-~ I ---. __ _____-_- ~ I`? ,- ?- ~; w ~~ ,- ~tc~~t~~~~ " i ~ ' ~~.~ ~ ~,r y1 ~~} 4 ...~...~. w -~~~, i~ ~. ~ ~{1y~p~y V 1~.i ~'~C,~~i. `VV~~. d' 7 ~ , ~1 4 G~"s4r ... ~~ ~t t s;~' ;,~ ~~~~ ~ ~~~ p~. '~~ ~ ~ ~~ fi~fi ~ Ll e-' ~ ~ ~~ s ~~ ~~~$ ~s , .# , r P ,f ; ~ ~~ ~,{ _._ ,~ ~~''---------1 ~ Imo, I'a~~S C.Y".QC~ ~r ~u a 5a b } S~a> V i 1 u'~„G..++~y n~. ~__ _._-1_.... -L=x~J._ _. _- - -----...~ L ~~ ~ Ti , ~ I~ M ~ ^~' _r -~~. _ __ :. _~ '' ~'- ' ~ ~4~ ! I ~ l ~' . --- 1' r 9 ti__ ~ .. t ~ 1 ?' 2 t- ~~ ~ 4 g s 5 _._-_ __.~ ;~ f' ~o ~a -~_-_ --_~_ ~ _ F~ ~ .- __ ____-_-~--... -- ~k~'C. ~_ r ,~ lY [ V O r~ n ' ~_ .~ .` LL CA ~ ~ ~ ~ ~ ~~{ I llD ii r.. ~~i~ \ j a '* I; " ' ~ ,~ # ~'~ i, ~' -- ~~ ~ ~~, I~ ,. 4 ~, _- _ s =~ ~~ (- .~ I, ,'~~~4 _ _ __. .__ ~ _ .._ .- - ._ __ _. ," D ~ .. i:~iyF^w~. _~. .',1 l- _. _. ,?.fir-]~ __._.., - --.. ~ ~ _ ~ 1 ~'~~~~ \~~ ~ ~ - •r .~~~ i till( F/ sy i. ~-'~ ~ ~ ' ~ ~~- / 4. ~ .- \ ITT{.. r. .~ , i ..f t ~ ~: ~ ~, ~ M+ ^ '. i Crawfish Festival 4/29/06 Band Line up: OUTSIDE Aerial Tribe 2pm-Spm The Legendary JC's Spm-8pm INSIDE Big Meat 8pm-11 pm Full Black Out 11 pm-tam ~r 4^` ', 1 ,{ `, ~~ i SECTION 5 -DESCRIPTION OF PREMISES TO BE` LICENSED ` A4&T AUTHQRIZEp SIGNATURE REQUIRED _ Sketches should be drawn in ink and include all walls, doors, counters, sales areas, storage areas, restrooms, bar locations and any other specific areas which are part of the premises sought to be licensed. A multi-sto buildin where the entire buildin is to be licensed must show each floor. Trade Name (D/B/A) -~-- ~ ~t?- ~i`I ! ;i ~r ~ ~ i _ `~- ~; _ , ,_."~~_.~~ ~ ~ ~ f I ~ ~ I ~ I ~ ~ ~-se-t ~II~i- ,- o ~~ T h ~ `t ~ _ - ~~ ', Ike ; .~5~-i-. Errl ~a~ti~e. ~ crca 0 Cr w~isK o Y-~-ab !Yi '? 1~ ~ i( &{- s ~ K ~ , k ,. J '~ F '~'~ 3kK^~ ~ 4~, / ~ ~~v ~ ~i JY'T' t Qt i6 t/ "i~ ~ ~ . ~ `` r q _S. _ 0 v // ~" ~~-, ~urn~IS~'~V ~ / ~•' ~` /~ i0( Yx ~ pi ~~ ~5 ~" ~. ~T~~ G ` ,~~, Receipt Number Date of Receipt Extension Fee Date AB&T Authorized Signature ^ Approved ^ Disapproved Mar 30 06 08:52a Information Systems 904-247-5845 p~ ~ ~,~ J' ' ~ ,..;1. isi .: w~ , ~~ ~, `.,;: City of Atlantic Beach ~ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax (904) 24 i-5845 • htt~alwww.coab.us REGISTRATION ~'OR1VI FOJ~2. TEMPORARY ~~~"~ Banners may be displayed only to promote special seasonal, civic ar community events that occur on a temporary basis. A Sign Permit is not required for Banners; however, all Banners must be registered with the City of Atlantic Beach. No Banner Sign shall be hung, placed or erected prior to registration of the banner w1tb. the City of Atlantic Beach Planning and Zoning Department. Banners naay be approved subject to the following provisions: (1} Display of banners is limited to 30 consecutive or cumulative days within one calendar year. (2} Banners shall be limited in size to a maximum of b0 square feet in size. (3) Banners shall not contain any form of Advertising lvlessage. (4) Banners shall not hang over or extend into Right-of-Ways. (5) Banners shall be securely anchored to buildings, poles or suitable structural supports and shall not be attached to trees, public buildi~ags or structures, utility poles ar any type of utility structure or equipment, including lift stations, fire hydrants and the like. (6} Property Owner's authorizatifln to install and display any Banner must be provided. DATE / ~ ~ ~ f 0 -r- r-- N OF GROSTALLING .BANNER: ! t~ CLc~.i MAILING ADDRESS: 5r'J ~~oYt ~G~- ~At h ti ~7l ;~ 6~vaC.. ~o~~ ~c~eKSo~~f ~l~e,~ 3a~-5 ~ ---T bv~.~s ~~ PxoNE 75q -CQ~~ tv FAx ~21~ ~- ~q~ 3 E-~ ;-t'~Ia._vt~c~C cG~~~~ , DATES THAT THE TEMPORARY ~C~~~ WZLL BE DISPLAYED: ~ o`q, OCOthrough ~ ~J~ 'D CO SIZE OF ~: ~~'.? '• 3~6 ~-ee~- ~Cttv~~~ •`zD ~~zt' C ~+rc° v t~ . I Z.2~ -~•e ~-f- LOCAT)[ON WHERE TEMPORARY P~~~ Wf'C,L BE PLACED ~ ~`~-~a-~ ~~ ~ ~- `~ rR~,t ~ ~'~" `1'U o V~Cf~ _V~CLUt~" ~ Sew. ~~(~~~ DESCRIBE HOW T~ ~ W]~.L BE DISPLAYED AND SECURED: ~I ~C `~ S av Q~ir i 1 ~~' ~ ~-~ ~S c~. ~ f-- a- I ~~~ `~k c S ~~ rv ;~-, I ,-~ < ~-o (,?,fJl (`.~n ~ v -P,v~ . ~- hS-f-Q((~ec~C. b ti.1 _~~ ~t~ I 1 . THE BELOW SIGNATURE ACKNO~VZEDGES THAT THE ~DRGANIZATION INSTALLING ANY BANNER ASSN-1V.IES ALL LL~BILITY AND RESFONSiBII,ITY FOR SUCH. SIG~1 TURF RQPERTY OtiVYER AUTTiflRiZIrFG DISPLAY OF THE BANNER 4S DESCRIBED d GIS IO F RM. Print Name: ~1 ~ ~`~ ~~~` -' l~~?~ BP200P16 CITY OF ATLANTIC $EACH Application Master Maintenance Position to 9/28/U/ 11:59:29 Number Pre Qua Dir Street name Sfx Pst Pst Apt Dir Qual Type options, press Enter. 2~eneral info 4=Delete 5 Viem 6=Names 7=Fees B=Subcontractors 9~Lisc info 1 0=Structures 11=Permits... Opt Number Property Address Type Status ~ ~t~2~~ 725 ATLANTIC BLVD UNIT 11 ELEC PI _ 03 00026592 725 ATLANTIC BLVD UNIT 11 SIGN PI _ 03 00026506 725 ATLANTIC BLVD UNIT 11 OCC(T AP _ 03 00026436 725 ATLANTIC BLVD UNIT 11 CINT CO 03 00026282 725 ATLANTIC BLVD UNIT Il MECH CL 03 ~ 00026231 725 ATLANTIC BLVD UNTT 11 PLBG CL _ 03 00025463 725 ATLANTIC BLVD UNIT 11 ELEC CL _ 07 00001318 725 ATLANTIC BLVD UNIT 12 PLBG PI _ 07 00001130 725 ATLANTIC BLVD UNIT 12 CINT PI More... F3=Exit F5=Refresh F6=Add F8=SMitch nie~- F11=Toggle viex F17=Subset F18=Set maint path F23~iore options This is a subsetted list. BP200P16 CITY OF ATLANTIC BEAC$ Application Master Maintenance 9/z~~u~ 11:59:29 Position to Num er Pre Qua~~ Dlr Street name ~x Pst Pst Apt Dir Qual Type options, press Enter. 2~eneral info 4 Delete 5 Viea 6=Names 7=Fees 8=Subcontractors 9=~Si.sc info 10=Structures 11=Permits... Opt Number Property AdcU ~_ ~ b~~~$ 725 ATLANTIC _ 05 00031364 725 ATLANTIC _ 05 00031204 725 ATLANTIC 03 00026981 725 ATLANTIC r` 03 OOQ26941 725 ATLANTIC -_ 03 00026796 725 ATLANTIC _ 03 00026680 725 ATLANTIC 03 00026655 725 ATLANTIC _ 03 00026654 725 ATLANTIC F3=Exit F5=Refresh F6=Add F18=Set maint path F23~1ore This is a subsetted list. teas BLVD UNIT 12 BLVD UNIT 12 BLVD UNIT 12 BLVD UNIT 12 BLVD UNIT 12 BLVD UNIT 12 BLVD UNIT 12 BLVD UNIT 12 BLVD UNIT 12 F8=SNitch visa options F11=Toggle vieM Type Status DEMO PI ELEC PI SIGN PI ELEC CL PLBG CL CAAR PR SIGN PI MECH PI MECH PI Mo re... F17=Subset BP200P16 CITY OF ATLANTIC SEACg 9/28/07 Application Master Maintenance 11:59:29 Position to Nu~r Pre QuaT Dlr Street name S~ Pst Pst Apt Dir Qual Type options, press Enter. 2~eneral info 4=Delete 5 Vi,ev~r 6=Names 7=Fees 8=Subcontractors 9~Iisc info 1 0=Structures 11=Permits... Opt Number Property Address Type Status ~ ~6616~3~ 725 ATLANTIC BLVD UNIT 12 MECH PI 03 00026593 725 ATLANTIC BLVD UNIT 12 SIGN PI 03 ' 00026297 725 ATLANTIC BLVD UNIT 12 PLBG CL _ 03 00026194 725 ATLANTIC BLVD UNIT 12 CINT PI ~ 03 00025464 725 ATLANTIC BLVD UNIT 12 ELEC CL _ 03 00025465 725 ATLANTIC BLVD UNIT 13 ELEC CL 03 00026080 725 ATLANTIC BLVD UNIT 14 PLBG CL ~ 03 00025466 725 ATLANTIC BLVD UNIT 14 ELEC CL _ 03 00026819 725 ATLANTIC BLVD UNIT 15 ELEC CL _ More... F3=Exit F5=Refresh F6--Add F8=S~ritch viex F11=Toggle visa F17=Subset F18=Set maint path F23~Sore options This is a subsetted list. ~i"''~'`1~~ CITY OF ATLANTIC BEACH J`s '' ~~~ `'' PERMIT CALCULATION SHEET ~~' ~'`; ,~ Date: Co - 3 - 0 3 Address ~ 2 J~ / 2 A r~ ~N r~ t Heated Square Footage ~ ~ 6 @ $ ~ per sq ft = $ 3 8 9' ~' ~ d Garage /Shed Carport /Porch Deck Patio @$ persgft= $ @$ @$ @$ TOTAL VALUATION: Total Valuation I St $ Remaining Value $ .per thousand or portion thereof $ 38 v 8 CONSTRUCTION TYPE: ~_ TOTAL BUILDING FEE $ ZONING: ~- +'/2 Filing Fee $ FLOOD ZONE: _ L'- ()Fireplaces @ $35.00 $ ~ r- IMPERVIOUS SURFACE: S'o , ~( fr~r7'c~ ~ ~ S BUILDING PERMIT FEE $ K f~ o_n ° ~^ =-~9 WATER IMPACT FEE $ / G 3. SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ C ( )RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ 3 .3`"- ST( )SURCHARGE $ ~ OTHER $ C~ GRAND TOTAL DUE: per sq ft = $ persgft= $ per sq ft = $ 1/13/03 AT~ANTiC~EOU~EVARD w h ~. ~ _ ~^~_ `t__ - Z _ .+ .I / __' _ /_-? p ~ ~ O` a_gl C 66 1 ~`~585'3T27"E 23.95 /~ -`T. Lk° RUHU _ ~_a/wI ~~~~~~~~ ~~ ~ 11 a~ `~ ~ ~t~ D' p l 1.1 t _ ~~a fix, !al ', . ~~3 ~~Ile1iW ~~t ~Q q'h V:V ~y ~ -~ rv < p ; 1'.1~ ~ iT1 N I Lif II 11; p ; Ih; pl It p , 1! pit L `~~ .1 at ~ l ° 1 o_ I ~~I l ~r~~~o t "~~~m 1 ~y~}Iz X_ I °$~ ~ Ti I n I{ Z1 ~ V 'Z - ~`d~, ~ ~ j R _ _ R 11 4 ~ ~ t4 E ~ 8~g `It. _ ~ _ ~~~ 4; ~~~fi .lr~~ µ, 32095 10623 Quail ~pgn6371~', yr'; G~'_~~~-- ~~~... ~~ rc 5 n 9~ ~ r~ ` a ~n 1 f~ 9 ~~i4iE1 ^ r 4 qRi ~ g KOR'~ 9FR~'I xn~'K ~`~ ~ppNER ~ ~~~,~ry NW U~u-"'per 6~~~`e~~ x~~~o~- ~~ ~ ~~~$~~ !!~~~~51 ~ ~~ ~~ ~~4 g y 6P:+3€~%d~RSa~4~tl~ :' ,.~.: ~• ~ ~.: `;'.rte-sti :'t.': . ~+' ~: 1~' ~ J ~`: Opt ysea' ~S` . . 1 O• ~ t. ~ _ ~N' H'.M _ ~, .~< ` _ ,w~r• sra»: ~ twe me weu. ~ ~ . 7. ~ ` ~~ ` N ` ~l ~ _ r ~ 1~ - ~~ I ~ 1 ,H ~ k' vo n ~ , _ _ ~~ ; 1 ` I .r ~ i ~ ~ -- - - --- ` _" m i ~ Ig -- - _ ~ w I --- Yy ~ 1 9 Q ~ N - ~ I ~ I I gT 1 1~ ~ 1 1 0 ti 1~ . - - _-...._. 4 I~ (~ O 1 ~ Z` I 1 --i-- ~ ~ ® ~ ~ `~ o ~ = ~I _ 1 m I ~ ° cc ~ 1 yy 4 _ -- V ~4 ~ ~ _~ 1 ~M ~~1l ~f 1 - \ ~ to ~ i r ~ ~}r - P~ tO ~ ~ 1 o t p ` "~' ' 1Z ! ~ > ' I _ '~ 1 ~ 11 ~ ~ E 3 5 ~ 1 I _ W ~ ~( P Q s ~ ~= ~ ~ - f _ a o ~~ I l: ~ _ .v y ---- - o -~ ~ ; f ~ ~ is _ ~~~ - .~.LLI 1C1C'~~ r[ l € 1 J~~ m 1 I ~ ~ e<e t "_ r~ y `` ~ IL~ ~ ~ d r $, ~ ~ r 1 ~'po ~ Tr ~`~ ~ ~. {lIL~{I.`")~rJ- Al 1\` O 1 Fry z 7 y NGW fyry~lt-W ~ 1 ~- C` c > u 61-0 ~A't~ a~a7ceeJ _~ '°w eo^io Fri aT ~i ~ e ~1Y ~ :Y '. ~ 1 ~fi ~n~F f ~~ ~ ` FF 4 s ~ ~ ~3 i a ~iFao ~ ~~ ' ~ ~ a f ~ i j r ~4~~ -t'tyyl ~!U ~ Z r {~j ~ ~ ~p e1 ~ ~al Z 8 I I ~-- ~ M1~ ~ i ~I ~~ ~ ~ ~ o~ ~ (~ ~ E ~ r 1{ as '' ~j I ~ 1 a D ~ i~ ~ 1 y~ M~- r ,Sa a 4 ,- ~ ~~ ` R~ 5n~ja~i~ " ~ y ~~ar F~ ¢ ado s ~~ ~ m ~ ~i da ~a ~ g ° r l `S a R F p y ~ f~ ~ r 1 ~` _ .. r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00026655 Date 8/11/03 Property Address 725 ATLANTIC BLVD UNIT 12 Tenant nbr, name CONDENSER Application description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ NORTH BEACH CENTER QUALITY SHEET METAL SERVICES 725 ATLANTIC BLVD UNITS 1-21 1716 HARPER STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204 (904) 354-5044 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit Fee 115.00 Plan Check Fee .00 Issue Date Valuation 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .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. ~;~, L.. . .. BUILDING OFFICIAL ~r1;.1.r`l;/jy~ .. s ~ ~, S~ ~' CITY OF ATLANTIC BEACH ~ ( S) `' ~ ^^11 1 ~" MECHANICAL PERMIT APPLICATION f,V la ,~ Date: ~ -C~ , ~~ Owner of Property: ~, ~ r`~ ~. ~~C'~ c_ ~~ ~~.,nT Job Address: ~ Z5 ~ tI /~-~~ c ~~~ v ~ ~~rt I Z_ Contractor: ~t ~~I t t'~l J~~ ~~" ~~~ ~ 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 speciScations which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of Good practice listed therein. III. GENERAL INFORMATION A. Type of heating fuel: B. ^ Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ^ Gas: _LP -Natural -Central Utility BUILDING OR SITE? C-1 P S ^ Oil ^ Other- Specify IF YES, GIVE NUMBER OF CONSTRUCTION IV. MECHANICAL EQUIPMENT TO BE INSTALLED (Provide complete list ofcomponents on back ofthis form) ^ Heat _ Space _ Recessed _ Central _ Floor ^ Air Conditioning: Room Central ^ Duct System: Material Thickness Maximum capacity cfm Refrigeration Cooling tower: Capacity apm ^ Fire sprinklers: Number of heads ^ Elevator : Manlift -Escalator (Number) ^ Gasoline pumps (Number) ^ Tanks (Number) ^ LPG containers (Number) ^ Unfired pressure vessel ^ Boilers O Other -Specify NATURE OF WORK ^ Residential or ~ Commercial ® New Building ^ Existing Building ^ Replacement of existing system ® New Installation (No system previously installed) ^ Extension or add-on to existing system ^ Other- Specify ~~ 3 5. .. THIS SPACE FOR OFFICE USE ONLY ~S U In C, (Received) J Remarks Permit Approved by Date Permit Fee LIST ALL E UIPMENT AIR CONDITIONING AND REFI<IGERATION EQUIPMENT Number Units Description Model Number Manufacturer `~ r Capacity Tons) Approving A enc c~..~~~s~~ ~ ~, ~~%x -re sue, ~so~ ~. C V A ~-~tp'~ Z`6 - V~ S e I I ~ ~ C.-t l.. ~ ~- n e~S~ ~,-taA,2H) 2,~( ~2c r~se~-~- S.°.s ~.~~. ~ ~~ -~A Ar1/a~bl' I TC 2_ -754 ~n)JCI Z. L ~ HEATING -FURNACES, BOIL RS, FIREPLACES Number Units Descriptio Model Number Manufacturer O~e+r ~'I` cZc 11' '' X 2.1'L~ "x 7' ,~ Capacity B Approving A enc ~ ~~ ~ ~'-~ TANKS How Many Nominal Capacity Type Liquid Name of And Dimensions Contained Manufacturer Serial No. Approving A enc ~ 1 / _ v l..J ~---.~„_ 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 • httu://www.ci.atlantic-beach.fl.us 1/14/03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025464 Date 1/31/03 Property Address 725 12 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 Paid Credited Due Permit Fee Total 123.60 123.60 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 123.60 123.60 .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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. D BUILDING OFFICIAL ~~ ~ ~r~s,~,;/~, '~ "` ~ CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ~ s~0 -3-a03 20_ 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 CONTRACTOR:~1,~~,vr ~ f~~ f,^~G ~ ~' ~>pr+ ~~ /=~pU/C>6~- 1-~L , MASTER ELECTRICIANS SIGNATURE: /C B-~y-fit_ll ~~~G.,c/J OWNER OF PROPERTY: ~..C~'~2•r_-n~~ !?~ ,o-h„~~, p~ ~i~,. JOB ADDRESS: _"~~ ~ Cc~G.G~,/~L-~ ~~~ C,vC..2~,/J #/Z RES.( ) APT.( ) COMM.(vY PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SF.RVTC R• NRWI,.Y IN('RF4cF! ~ u>~veror ~ CONDUCTOR SIZE AMPS: COPPER( ) ALU M.( ) FEES SWITCH OR BREAKER ~ ©(~ AMPS ,3 PH W VOLT n RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS N0. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS ~ CONCEALED OPEN TOTAL RECEPTACLES O CONCEALED OPEN 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 ~- 7 D MOTORS 0-1 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 vvv ocwu,mc nuau • rs~~anuc ueacn, r Io1'IOa 31L33-J44, Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us uP„~~ nin~m~ ~' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number 03-00025465 Date 1/31/03 Property Address 725 13 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 Paid Credited Due Permit Fee Total 123.60 123.60 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 123.60 123.60 .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 WHICH ARE PART OF THIS PERMIT D SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~~ ~.>•~, BUILDING OFFICIAL i?f ~r1'y i' n "' _ '`' '' CITY OF ATLANTIC BEACH, FLORIDA ,~, - S~ J'3_u - ELECTRICAL PERMIT APPLICATION ~'~~:i~% TO THE CHIEF ELECTRICAL INSPECTOR: DATE: .3'O .:~-ao3 20 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 CONTRACTOR: By~v Gc~ ~ lC'G ~~ ~G Q ~ h~p~ l~li_ )-(p~/' i c~ ~- .Z~,~ , MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY:.%~..l.~~Z(,,r•~~ ~-1 [.C~ ~i~ JOB ADDRESS: ~~ j ~ t~ ~,~~~,~# f.3 RES.( ) APT.( ) COMM.(v~ PUBLIC( ) INDUS.O NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT. SF.RViC'.R• NRW(~Y iTVCRRARFI \ RFUATR( 1 CONDUCTOR SIZE AMPS: COPPER( ) ALU M. ) FEES SWITCH OR BREAKER a ©D AMPS ,3 PH W VOLT ~~ RACEWAY EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE N0. SIZE NO. SIZE LIGHTING OUTLETS '~ CONCEALED OPEN TOTAL RECEPTACLES O CONCEALED OPEN 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 L 70 MOTORS 0-1 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 avv ~emTnoie xoaa • Atlantic beach, IN7orida 32233-5445 Phone: (904) 247-5800. Fax: (904) 247-5845 • http://www.ci.atlantic-beach.fl.us Revisrrl n i n vn3