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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