Sign Permit #1 725 Atl. Boom Shaka Laka 2011 r
CITY OF ATLANTIC BEACH
r ) 800 SEMINOLE ROAD
::> ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002376 Date 9/07/11
Property Address 725 ATLANTIC BLVD UNIT 01
Tenant nbr, name BOOM SHAKA LAKA
Application type description SIGN PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
INSTALL WALL SIGN 44 SF
Owner Contractor
NORTH BEACH CENTER CNS SIGNS, INC.
725 ATLANTIC BLVD UNITS 1 -21 263 EDGEWOOD AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254
(904) 733 -4806
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/05/12
Special Notes and Comments
CAN NOT ISSUE SIGN PERMIT UNTIL
BUSINESS TAX RECEIPT ISSUED 8/3/11
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,'t,` > CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ,` -- 1 m „ Y = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002376 Date 9/07/11
Property Address 725 ATLANTIC BLVD UNIT 01
Tenant nbr, name BOOM SHAKA LAKA
Application type description SIGN PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
INSTALL WALL SIGN 44 SF
Owner Contractor
NORTH BEACH CENTER CNS SIGNS, INC.
725 ATLANTIC BLVD UNITS 1 -21 263 EDGEWOOD AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32254
(904) 733 -4806
Permit SIGN PERMIT
Additional desc .
Permit Fee . . . 185.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/05/12
Special Notes and Comments
CAN NOT ISSUE SIGN PERMIT UNTIL
BUSINESS TAX RECEIPT ISSUED 8/3/11
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
Other Fees STATE DCA SURCHARGE 2.78
STATE DBPR SURCHARGE 2.78
Fee summary Charged Paid Credited Due
Permit Fee Total 185.00 185.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5.56 5.56 .00 .00
Grand Total 190.56 190.56 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
fi t`- % City of Atlantic Beach APPLICATION NUMBER
3 Alkji Building Department (To be assigned by the Building Department.)
=� ° ,, - 800 Seminole Road
Atlantic Beach, Florida 32233 -5445 11- 00002376
Phone (904) 247 -5826 • Fax (904) 247 -5845
7/21/2011
�J !r E -mail: building- dept @coab.us Date routed:
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 725 -1 ATLANTIC BOULEVARD Department review required Yes No
CNS SIGN Building
Applicant: Planning & Zoning X
Tree Administrator
Project: WALL SIGN FOR "BOOM SHAKA LAKA" Public Works
Public Utilities
Public Safety
Fire Services
Revie*fee 0 Dept Signature .
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: E3 Approved. ❑ Denied.
(Circle one.) Comments: APPROVAL CONDITIONED UPON ATTAINMENT OF LOCAL BUSINESS TAX RECEIPT; PLEASE SEE CITY
CLERK TO APPLY.
BUILDING
PLANNING & ZONING Reviewed by: Er' f' Date: 7/27/2011
TREE ADMIN. Second Review:
Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
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:
BOOM SHAKA LAKA'S FOOD SHACK
725 Atlantic Blvd., Unit #1, Atlantic Beach, Florida 32233
t
Signature of Owner /Authorized Agent
Alan Dickinson, Managing Member, Atlantic - Penman, LLC
Printed Name of Owner /Authorized Agent
NOTARY
State of Florida
County of Duval
Sworn to and subscribed before me this 5` day of July , 20 11 .
Signature of Notary State of Florida
Print or Type Commissioned Name Notary Public
Personally Known: [ /] Or Produced Identification: [ ]
Type of identification Produced: Commission Expires:
o 0 V 4 e , DO*IA R. PADGETT
* * MY COMMISSION t DD 915979
EXPIRES: December 12, 2013
� o Bonded Nu Budget NoUrySenders
f „-0..:-Ag' t City of Atlantic Beach APPLICATION NUMBER
J Building Department (To be assigned by the Building Department.)
r ,. 800 Seminole Road 11 ^ .� 2/1(0
v ' f .. Atlantic Beach, Florida 32233 -5445
\' !j'7
Phone (904) 247 -5826 • Fax (904) 247 -5845 7-- (/
r n >r E -mail: building- dept @coab.us Date routed: `'7
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 72S ` De. -_ t review re. uired Ye- No
:uil•in:
Applicant: e-w - anning & Zon'•- .••--/
aldie.-- - inist rator
Project: Public Works
Public Utilities
Public Safety
Fire Services
Jn :: : :? : ® .:ill ' ,...... `. y .._. e }: Z' 1 ,illi z v E ,tr.' �22'i.:
Other Agency Review or Permit Required Review or Receipt Date i
of Permit Verifi � W ed By
Florida Dept. of Environmental Protection ,IfL
Florida Dept. of Transportation 0 er
St. Johns River Water Management District 5 L 5 S 4,4,L.4,4f
Army Corps of Engineers ',/
Division of Hotels and Restaurants IN
Division of Alcoholic Beverages and Tobacco A.(P4A....-- 2'‘i
Other:
APPLICATION STATUS �// ���"� �j, � ,C;411--
Reviewing Department First Review: proved. ❑Denied. " o 5 `"Z
Ge ''''" "''�
(Circle one.) Comments: NA-e. '. 7)
/ Y c- " l�
UILDINt; y pos J e le.,t�Y7 -e f s X-0 I d'J �d 009/1'1 Cg '
PLANNING & ZONING /
Reviewed by: ni Date: 7 1
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
'ire
CITY OF ATLANTIC BEACH
' �' -:-.,111:;,, SIGN PERMIT APPLICATION
r.: {, ON
1 /.: 7
Date: 'V 2-0l/ i
Job Address: - 7,/5—/ 4y' , )-f L 8
Owner's Name: 4`7.' I,2,....„.4- t ' C „..,.., _ L- ..G_
Address: '//b -__.3. jA ti A H f re_ Phone: % 4-ii — z //— 2.6 >4,3
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: e i3S s i ei et S .1=NG • State License Number: . 5 49. -2',. A - S` •
Address: 4 42,4,2 j L Phone:
City: .... 37,,ie 14e "r`,I t State: 'RL Zip: 3z:2 I Fax: ifyiZS'4, q 5
Electric Permit Required? ( Yes* ❑ No *Electrical Contractor: ("'/OS 5 ;, f-t S _ .
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 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: n � ,�. `
�+1 _ . __ Date: 6 .1 c"" 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 correct and that the plans and supporting
data have been or shall be provide :s re
Signature of Contractor: A i I■de _ / Date: ?„
S'`
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
Rcviscd 1/30/03
Address and contact information of ` person to receive all correspondence regarding this application (please print).
Name: ) 6 /t, L - '3 €
Mai ling Address: 63 5e0-6 1, p��A,cf j . �— rL ? 22 5 y
Phone: /Of-- 1ez. --- ; Fax: q f 926 L r /p t,
/ — J / •— E -Mail: � ;� s a ��
i
AS TO OWNER:
Sworn to and subscribed before me this 2('`-� �
day of �. �,j f Y : 20 1
State of Florida, County of Duval
.
Notary's Signature: �J._,,-r i :� ,f ‹ r --a� ; ' `y ,,
, ,: C.f�
Personally known
Produced identification .' DONNA R. Naar
Type of identification produced * * MYCOMPAISSON 11DO915979
AS TO CONTRACTOR: `544. 0,npo ' Bendedihu �
Sworn to and subscribed before me this < C� �� day of J I,/ i y , 20 f / .
State of Florida, County of Duval
Notary's Signature: A. 4 / 7
rY g tt _�._ r v c
gl
Personally known
Produced identification tsr.u4 DONNA RPADGEtT
Type of identification produced r ° : " *•• b MyOOu6NSSlDpl;p0915179
* 14;'
� • EXPIRES: December 12,2013
? i` Boded Dm Budget NOM Sykes
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.tl.us
Page 2
Revised 1/30/03
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: - 1 h5 -1 0 7 0 i-ir, ') Vd PERMIT #
V . l l l - )
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead n Underground nl Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Meters
Commercial (Main) Service
0 -100 amps 101- 150amps ;151- 200amps amps CT Service amps
Conductor Type Size
Multi- Family (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $ 2-COa
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection ,Panel Change OH to UG
N Other: d ( ' . /� 6
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. L
1 ftfl(TlcLfl ) ? Property Owners Name t 1iL n It C. LC. Phone Number ctD/ . q q ?. 2100N
33..
Electrical Company L- iy H5 .- A,e.- -• Office Phone I-P-5 " ". ; L/2/.;•- u
Co. Address: ` <9444 f D 14tfe. City j State 11=x Zip 3 Z .9(
License Holder (Print): ii � i 1 State Certification/Registration # E,S90 OO
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
1 ? - 5 ' ( Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: d 'I I a PERMIT #
l*t cVThr. 19P ► l V° WA A - : 2 7)
Notarized Signature of License Holder
Sworn and subscribed before me this C ik day of NJ c,.;1* 20 i /
Signature of Notary Public !� - ,�
,, -., t .�,� . ; V ? �; ,
CO nay c = b v✓4 t-- '.•••:¢� a
* * MYD PAooErr I DO 915979
EXPIRES: December 12, 2013
' P' a n o r Bonded' Nu Budget *iffy SeMae
Nu
CK SHEET IS: SELF - IGNITION
9 IS GREATER THAN 820 DEG.F,
535 IS LESS THAN 1.5 INCHES
'.ASURED BY ASTM -2843 IS NO
ailed to comply .. �� a ,-
'.
� i� M „,. A 1 '�+ at\ 3 4
{ 4 a
« _� .
_. ff .' .1 ,, , -- -,:-.:-
BUILDING FRONT= 22' -0”
,.,.,,,.....,. :.,..... ,-, ,.. ... . ....., 3It li fi')
Pitc' 9-A7-1
R
' s
flLE COPY:s i
k r '
L. ,, ; , _ . � RED FOR CODE COMPLIANCE
i- �n �- 1 �. 1.._ _ 1 . � �,, � _ t...� - CITY OF AT
F0', LANTIC BEACH
tt SPE PERMITS FOR ADDITIONAL
R EQUIREMENTS AND CONDITIONS.
`3 I
a
- t__
REVIEWED BY: I DATE: - "- //
/114th ; C of 5'c'c) .e l•u ," .
,S ✓t: . '
2
2C / SIGN = 4'-1 1 "x 8'- 11 "(44 sq. ft.)
I THIS DESIGN OR AND DRAWING CORPORATION SHOWN IS THE PROPERTY OF CNS SIGNS, INC.
NO TRANSMITTAL OR DISCLOSURE SHALL BE MADE TO ANY PERSON, FIRM,
WITHOUT PROR WRITTEN APPROVAL.
263 South Edgewood Ave. (904) 425 -3363
C���� �� �° ���� Jacksonville, FL fax (904) 425 -4946
THE COMBUSTIBILITY TEST DATA FOR 1/8" THI
TEMPERATURE AS MEASURED BY ASTM D -192!
10" VARIES RATE OF BURNING AS MEASURED BY ASTM D -1
PER MINUTE, AND THE SMOKE DENSITY AS ME
MORE THAN 5 %.
IM 8I IM - 1 1 Signs shall be constructed & inst
IM -2} ! ® IM -1 I FBC 2007 building codes.
Wind speed = 120 mph
Exposure = C
r, , l
,
IM -4 1 Jn
11L �Z I 1 APF'HUVt:U AS SUBMI 1 I t_ll
[=-
I APPROVED AS NOTED
F r I RETURNED FOR CORRECTIONS
IM - 6 IM -10
r SIGNED
DATED ...............
IM -7 1 '
PLEASE INSPECT THIS DRAWING & CHECK APPROPRIATE
BOXES, SIGN, & FAX BACK A COPY. CNS SIGNS WILL NOT BE
RESPONSIBLE FOR FRRORS UNDETECTED BUT APPROVED
BY THE CLIENT. PRODUCTION CAN NOT PROCEED UNTIL
MATERIAL DESCRIPTION DRAWING HAS BEEN SIGNED & RETURNED. DELAYS IN
RETURNING PROOF WILL AFFECT SHIP DATES.
M1 .060 ALUMINUM RETURNS WITH .063 BACKS. FINISH TO
BE BLUE FINISH INSIDE OFLETTER TO BE WHITE
M2 1" BLUE TRIM -CAP.
M3 3/16" WHITE FACES WITH VINYL OVERLAY.
M4 15 MM 7100 DESIGNER WHITENEON.
M5 DOUBLEBACK ELECTRODESWITH U.L. APPROVED
ELECTRODEBOOTS AND 15000 VOLT GTO WIRE.
M6 STANDARDTUBE SUPPORTS.
M7 1/4" WEEP HOLES AS REQUIRED
M8 MOUNTING HARDWARE (TYPE DEFENL:S ONWALL
CONSTRUCTION. MIN.3 /8 "THRU BOLT or LAG BOLT.
M10 30 M.A. (120 VOLT) NORMAL POWER FACTOR TRANS-
FORMERS (GROUND FAULT PROTEOEDAND2161 U.L.
APPROVED). 41/2
M11 20 AMP. DISCONNECT SWITCH.
M12 PRIMARY ELECTRICAL LEADS.
M13 TRANSFORMERS MOUNTED INTERNALLY TO LETTERS
—
URGENT- ATTN ELECTRICIANS CIRCUITS REQUIRED
U NEWUL2161 GEP.. SIG TRANSFORMER —
REQUIRE THAT ALL O RCU TS MIST HAVE TO BE
CEDCATEDHOT; NEUTRAL CRCUC DETERMINED
TERMNATI%ATPANEL (120 VOLT)
REaUIRED SIalNUTBEGi0J'EDINCCN'PU AWE WTH
AR11C1E 600 CF11-E NATIONAL ELECTRIC CCCE
JOB: kVrn 5/aka 1 &t 725 A TLANTC BLVD THIS PRODUCT IS LISTED
LOC.: ETL TESTING LABORATOR
MALL: SPACE #: 1— AND BEARS THE MARK
INSTALL 1NACCORDANCE L
DATE: BY: SCALE: SQ FT.: THE NATIONAL ELECTRIC CC