725 Atlantic Blvd #9 15-SIGN-2210 sign permit CITY OF ATLANTIC BEACH
s >r J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIGN PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SIGN-2210
Job Type: SIGN PERMIT
Description: sign and elec
Estimated Value: $4,035.00
Issue Date: 9/25/2015
Expiration Date: 3/23/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 09
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: HERITAGE SIGNS
Address: P 0 BOX 236 QA CHARLES L KNIGHT, SR
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
Sign Erection $65.00
STATE DBPR SURCHARGE $2.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE W1771 ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
\�. /
- CITY OF ATLANTIC BEACH
.t, J 800 SEMINOLE ROAD
\L)1101 ` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\J;319f'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2256
Job Type: ELECTRIC ONLY
Description: elec for sign
Estimated Value:
Issue Date: 9/25/2015
Expiration Date: 3/23/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 09
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: HERITAGE SIGNS
Address: P 0 BOX 236 QA CHARLES L KNIGHT, SR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Sign $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH /5-- 3.3n - ol 310
800 Seminole Road,Atlantic Beach,FL 32233
Office(904)247-5826 Fax(904)247-5845 11.11 1 .I IIiI r__
I V t
Job Address: 725-9 ATLANTIC BLVD ATLANTIC BCH 32223 Permit o�p�P r:
Legal Description 31-1 38-2S-29E 3.95 ROYAL PALMS UNIT 2A Parcel# I ,1.3-O• : ,
oor ' v. o q. t. e i t I
Valuation of Work$ 4,035.00 Proposed Work heated/cooled NA II 1 t -heated/cooled '
Class of Work(circle one). XNew Addition Alteration Repair Move De lition poolspa window/door
Use of existing/proposed structure(s)(circle one): X Commercial Residential '
If an existing structure ,is a fire sprinkler system installed?(Circle one): Yes No XN/A
Florida Product Approval is
For multiple products use product approval form
Describe in detail the type of work to be performed: INSTALLATION OF S/F INTERNALLY ILLUMINATED WALL SIGN
81.75"X 72"TOTAL 40.875 SF AND WIRE TO EXISING SIGN ELECTRICAL CIRCUIT
Prooerty Owner Information:
Name: ATLANTIC-PENMAN LLC Address: 500 S 3RD STREET
City JACKSONVILLE BEACH State a Zip 32280 Phone
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: HERITAGE SIGNS Qualifying Agent: CHARLES L.KNIGHT
Address: PO BOX 236 City GREEN COVE SPRINGS State FL Zip 32043
Office Phone 904.529-7446 Job Site/Contact Number 904-5294446 Fax# 904-529-1587
State Certification/Registration# ES0000e58
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the nark and installations as indicated. I certify that no work or installation has commenced prior to the
issuance ofa permi(and that all work will be performed to meat the standards of all laws regulating construction in this jurisdiction This permit becomes null
and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned fora period of six(6)months at any time Mier,work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb.y certify that I have read and examined this application and know the same to be true and correct. All pros,'ions of laws and ordinances governing this
type of work will be complied with •. died herein or not. The granting of a permit does not pies to of authority to violate or cancel the
provisions ofany other federal,state, 1.••/awregulating • • lion or the/xrlormance ofconstruction.
• ,�t// I Signature of Contracto
Signature of Owner j� �( � � � � ��
Print Name v t n Pak a Print Name r. / �, j (,� —
Swor . and subscrif d before me Sworn to and subscribed before me
this!)t, Day of t ,2015 this l( Day of S�4• e•�--'-- .20/S
• w
i"0.Cji►. 0 A itAb"ilf /d i,�_.. /r . �v_
Notary 'ublic I .1 'o,: /.• is -
— — _ _ i[teyiscg12{ijO
��Puy Notary Public State of Florida ti�v puB,,,
`t. Brittany Faye Driver ' ;;p —���; MARGARET M CASPERSEN
y 4', My Commission EE 182533 �� - Notary Public-State of Florida I
''+a wd' Expires 04/28/2016 4 .� o, My Comm.Expires Oct 20,2017
( 4%;F,,,,�d ' Commission 0 FF 0S8624 l
44,1-1\11"
ELE COPY
Sign arama
The way to grow your business.
Letter of Authorization
Margie Caspersen, Signarama Jax Beach and Chuck Knight, Heritage
��Signs.igns. Sub-Contractor
are authorized to act on behalf of MANTI C P N MI<Iv LLC
(Landlord's / Owner's Name)
the owner(s) of those lands described within the attached application, and as described within the
attached Deed or other such proof of ownership as maybe required, in applying to Atlantic Beach.
Duval County, Florida, for a Sign Permit.
Owner/ Landlord Information:
Landlord / Owner's Name: Pki-L t1T L 4M ,LC.
Address: 5oO 3vd +. So. rJe,t/l. 3 22 5(/
Phone: 6104-- 2(a 0-5o 0
Email: 12vCktAlk. dyje,vt J R A •C
Location Site Address: 725-9 Atlantic Blvd. Atlantic Beach, FL 32233
I. ,,ft\y bfWa.101 (print) as owner agent for
(location) 725-9 Atlantic Blvd. Atlantic Beach, FL 32233 property, give
Margie Caspersen, Signarama Jax Beach and Chuck Knight. Heritage Signs, Sub-Contractor
authorization to apply for required sign permits and install signage at the above mentioned
location.
, // / ', '
Ow er/Agent Signatu e Date 0 /Y//-5
eser Pti Notary Public State of Florida
: ; Brittany Faye Driver
c ` My Commission EE 182533 0/8/1// „ d "40r t oy' Expires 04/28/2016 S
Notary Sign- re / Stamp Date
746 S. Third Street Jacksonville Beach, FL 32250
Phone: 904-247-4115 Fax: 904-247-0688
info @signarama-jaxbeach.com www.signarama-jaxbeach.com
NOTICE OF COMMENCEMENT
Permit No. /S"-- (c yv — a.2'o Tax Folio No.
State of Florida, County of Duval A i .r
COPY
•
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement.
1. Description of property(legal description of property and address if available):
37- 2s a yc -3-- lRoyift mL/fs 64,(4-r t
2. General Description of improvements: , ff/• 7S X 7.Z
1L1.,../ s .;I. t14A..� / A.....141! 424 I �. /�./// • SS
3. Owner Information:
a)Name and Address:P'L//t/7 C, PEi(J,GI LLC 5 p9 3•'`/1 r 3��,5'fl
b) Interest in property: ,e�•%/tA J ��J�
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
a)Name and Address: , �/ , �z 'I ‘S.
b) Phone Number: 7'p ( s}.,7--7 f- FL 32.0 43
5. Surety Information:
a)Name and Address: /t/./4 #2015211451,OR BK 17302 Page 563,
b)Phone Number: Number Pages:1
c)Amount of Bond: $ Recorded 09/15/2015 at 10:59 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
6. Lender Information: COUNTY
a)Name and Address: �'� RECORDING$10.00
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a)7, Florida Statutes:
a)Name and Address:*to, *A-1;5r id S0/0,q m �<' '4 7 f6 5`- L' r
b)Phone Numbers of Designated Person: 9d c� q•7 f/�
3�2-SO
8. In addition to himself/herself, Owner designates ///.7, of to receive a
copy of the Lienor's Notice as provided in Section 713.13 (1) (b),Florida Statutes.
a)Name and Address:
b)Phone Number of person or entity designated by owner:
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction
and final payment to the contractor, but will be one (1)year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best •f my knowledge and belief.
ioSi t ature✓ da te
Owne or Owner's orized Officer 0 i ector/Partner/Manager Signatory's Printed Name&Title/Office
The foregoing instrument wa acknowledged before me this (C day of t)Qc err� C ,20 IS,
. Leh �� ` gD 1� for �� cc24' .� �°f �'
by lsa���-=- _- c�
(Name of Pe't.n) (Type of Authority Officer/Attorney) (Name •f Pa y Instrument wa Executed for)
' Beth Ann Dowling / WO' / CJ,-._ 'I
•��"' ;.
FF 137922 • '. NOTARY PUBLIC, STATE OF FLO' •A
•X��` m(PIRES:JUL 01,2018 ,(
BONDED THRU Print Name: ?-J J'� /'C chn ay,1
we'" htPLORIDA NOTARY,LLG:- •
0 Personally Known
IR'identification/Type: 0 a 6-S-4 3-S a_ —C�
(Affix Notary Seal Above)
Revised 3/15/12
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH Pip rh.,...
CAP 800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: 725-9 ATLANTIC BLVD ATLANTIC BCH, FL 32233 PERMIT# /5-'5/GN—?21O
JEA INFORMATION REQUIRED ON ALL PERMITS 3 AMPS 120 VOLTS SINGLE PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑► Underground up Pole
-Residential(Main)Service
0-100 amps 1 101-150amps I 151-200amps L: amps #of Meters
Commercial(Main)Service
0-100 amps 1 ; 101-150amps !I 151-200amps 1' amps Li CT Service amps
Conductor Type Size
(Multi-Family(Main) Service
10-100 amps L.101-150amps 1151-200amps `- amps #of Unit Meters
:Temporary Pole [! amps
SERVICE UPGRADE n _amps I-. CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
Ll 100 amps 150amps L 200amps i_ amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100 amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[-Swimming Pool XSign Smoke Detectors_Qty L 1Transformcrs KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can :Safety Inspection H Panel Change F-,OH to UG
Other: CONNECT NEW SIGN ELECTRICAL TO OLD SIGN ELECTRICAL CIRCUIT
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.
Property Owners Name ATLANTIC-PENMAN LLC Phone Number
Electrical Company HERITAGE SIGNS Office Phone 904-529-7446 Fax 904-529-1567
Co. Address: PO BOX 236 City GREEN COVE SPRINGS State FL Zip 32043
License Holder(Print): CHARLES L. KNIGHT State Certification/Registration # ES0000058
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
Signature of Notary Public
TJ City of At lantic Beach Building Department APPLICATION NUMBER
(To be assigned by the Buildin De artment.800 Seminole Road 9 p )
�� Atlantic Beach, Florida 32233-5445 ��� O Phone(904)247-5826 • Fax(904)247-5845
9',' E-mail: building-dept @coab.us Date routed: g Sr�v ��
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 72.6.---ei %7ani4e 4vd • - .. ment review Yes No required '
q
Applicant: ...-.4 j _ ing &Zoni
-- =• -Is rator
Project: / /7 eik_____ Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
1 of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: , Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING
Reviewed by:_00/01.34411-d/ Cr-/-------- Date: if
TREE ADMIN.
Second Review: [Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: QApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
sed 07/27/10
A•An" City of Atlantic Beach
,� APPLICATION NUMBER
Building Department
,� (To be assigned by the Building Department.)
Atlantic tic Seminole Road
/lc— d'� ZZ/O
j r� Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845 Q
7......',
=.4Jn39%,. E-mail: building-dept @coab.us Date routed: 9 /p is"
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 72.61e, 11
4/Vd . - • . ment review required Ye No
: •
• all
Applicant: gEZilhall ' hs . ing &Zoni •
is rator
Project: Si ' P e 6 6 Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ 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:
APPLI ATION STATUS
I •
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
40r--:
:UILDIN
PLANNING &ZONING
Reviewed by: 7)1 Date: /p'dl'c70/S_
TREE ADMIN. Second Review:
['Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: QApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
revised 07/27/10