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1100 LINKSIDE DR SIGN23-0002 IN ISLAND C **1)-/: Building Permit Application Updated 10/9/18 City of Atlantic Beach Building Department ALL INFORMATION r v 800 Seminole Road, Atlantic Beach, FL 32233 HIGHLIGHTED IN GRAY Atm 0 IS REQUIRED. +Phone: (904) 247-5826 ,E1mai1l: Building-Dept@coab.us�Jll ��^^ �2� � , Job Address: 1 ( TB Sr. 3 SEL\)f L I Is)4.S(O t, L-• Permit Number: S(, l-�L� C-�- —000 Legal Description 1 L © Q L t A k st 6a RE# aI' Valuation of Work(Replacement Cost)$�8no .-----' Heated/Cooled SF Non-Heated/Cooled • Class of Work: New ❑Addition ❑Alteration ❑Repair ❑Move ❑Demo ❑Pool ❑Window/Door • Use of existing/proposed structure(s): ❑Commercial ❑Residential • If an existing structure,is a fire sprinkler system installed?: ❑Yes ❑No • Will tree(s)be removed in association with proposed project? ❑Yes(must submit separate Tree Removal Permit) No Describe in detail the type of work to be performed: Fe AO\1 E E4STIN6 CNTK.40CC S't661 I- 2€?k . 1.)3 ill NE- Florida Product Approval# for multiple products use product approval form Property Owner Information Name Address City State Zip Phone E-Mail Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Contractor Informa iio • �'I Name of mpany l►� 1 r Qualifying Agent 14.,e (I 0, 1 a l Address IC ei sX A� � City '- G'' 4 K.State Zip IT Office Phone 10 ' (O 3 Job Site Con act Number t-�' I - 0 State Certification/Registration#es000 2 G1 E-Mail CNS5 i G,t'T ( l _..,3/ C1, 1 Architect Name&Phone# �J Engineer's Name&Phone# s Workers Compensation Insurer ar,5-i(nfz, f +4Ot1(A. OR Exempt❑ Expiration Date Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or insta lation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc. NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permits required from other governmental entities such as water management districts,state agencies,or federal agencies. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YO ' PROPERTY. IF YOU INTEND TO OBTAIN NANCING, CONSULT ITH YOUR LENDER OR A ATTORNEY •RE RECORD! ,ovals • , �F •�,��' ENCEMENT. `� 9 41, -"(Signature . er•r A:47-t) Ili"mature of Contractor) X� Signed and sworn to(or affirmed)before m this n day of Signed and sworn to(or affirmed)before,mge this "clay of bra .223 ,byy,, ^KQn mg this ��C.t✓j ,2o23 ,by rgo & !��tQ (Signature of Notary) (Signature of Notary) `�'� MALLORY HENDERSON w:; ''*•" MALLORY FIE:4 l' [ Personally Known OR ' -• Personally Known OR ... MYCOMI„I3Sl�"'. [ ]Produced Identification "-.�';,:. MYCOMMISSION$HH288073 i [ ]Produced Identification 'I".���.,Fr EXPIRES' " Type of Identification: '-14, . lef$ EXPIRES:July 14,2028 4 Type of Identification: --— A one-sided sign,front entrance, Selva Linkside Dr. 72"wide top 23" r2 . . 1---r-j g P (14.44 S.F.) 66" Q _ N D 57"w Y C m`$ o › El [ Tv- 0) _ — C Y N C J 6x6 posts o o a3 E 5 24"off ground cn (I) N V a. y w _ :0 N o • V 71 OS .1S UlI.i. one-sided sign, front entrance, Selva Linkside Dr. 72" wide top 23" L. .-1 g • • • • 1---- 1 r F-Y-i (14.44 S.F.) 66" Iiied 41 , :, w 31.5 ap ° ELVAUIsIuP;4I, r A __.. 6x6 posts 24"off ground - t- r . r ' 34 S E LVA 14INIKSIDE UNIT 1 � 'S a=LE IN E:- 's EFTA 2 I.OF BOOK 44 PAGE 1. A A PART OF SECTIONS 16 & 17 , TOWNSHIP 2 SOUTH , RANGE 29 EAST NOTES I. BASIS Of REARMS ARE USED ON PLAT err r . . .. •.'� CITY OF ATLANTIC BEACH , DUVAL COUNTY , FLORIDA 2. PCaMANLNT 4EFE1E3CE 1434.Iu4F.TS i.N . 3. PERMANENT aPtitOl PO;ir%A2( ;Arm 4444 4. All RADII ARE 2 FLET UN1.E3S JINE:.•t1E 'I1tIJ S •� t' S. 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Job Address Permit Number Contractor Information /� Company S S t( I�S Qualifying Agent f ii 13rir1f> i� Address I� j -f)OX ( lVi� City J t\L f +11e State Zip 3 2 2-b41 Phone 9 oy L!23 -3303 Email C lj lS JflS( OOf(Y I ( LYY) State Certification/Registration# ES0oc2sD Architect Phone Email Engineer N/A Phone Email I Workers Compensation Insurer�a,li-fav 03t.11 amt 1 OR Exempt f Expiration Date al/c1 j2ii • Permittee declares that prior to filing this application they have ascertained the location of all existing utilities,both aerial and underground and the accurate locations are shown on the sketches. • Whenever necessary for the construction, repair,improvement, maintenance,safe and efficient operation,alteration or relocation of all,or any portion of said street or easement as determined by the Public Works Director,any or all said poles, wires, pipes,cables or other facilities and appurtenances authorized hereunder,shall be immediately removed from said street or easement or reset or relocated hereon as required by the Public Works Director and at the expense of the Permittee unless reimbursement is authorized. • All work shall meet City of Atlantic Bea or Florida Department of Transportation Standards and be performed under the supervision of /e' (Project Superintendent) with(Company Name) einiel 5 Phone 9cf..- 64 " 3fda • All materials and equipment shall be subject to inspection by the Public Works Director. • All city property shall be restored to its original condition as far as practical,in keeping with City specifications and the manner satisfactory to the City. • A sketch of plans covering details of this installation,as well as a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the City right-of-way are to be included with this application. • The permittee shall commence actual construction in good faith within days. If the beginning date is more than 60 days from date of permit approval then permittee must review the permit with the Public Works Director to make sure no changes have occurred in the area that would affect the permitted construction. • It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title an. interest in the land to be entered upon and used by the holder,and the holder will,at all times,assume all risk of and ' d•mnify,defend and save harmless the City of Atlantic Be. r'm and against any and all loss,damage and cost of ex.en.es arising in a % m. .f t, - exer.'se or attempte• -xer ' es by the holder of the aforesaid rights and privileges. • e 'ublic o irks Dir-•..r ,Lr.-1 b : ifie -, hou s .ri. to .rtin: ;•and again immediately upon completion. Date 1 / 5123 Permi, f- gn presence of Notary Public) STATE OF FLORIDA,COUNTY OF DUVAL 'Y�l v) The foregoing instrument� was acknowledged this day of 3 O %k c (CJS ,20 , / by C / 6( I ,whohopersonally appeared before me and (printed Vme of Permittee) acknowledged that he/she signed the instrument voluntarily for the purpose expressed in it. i i; '" % MALLORY HENDERSON •, *MY #HH 2W073 l 1.W-711e-#7 , ' EXPIRES:July 14,2026 [ Personally Know � " Signature of Notary Public,State of Florida [ ]Produced Identification(Type) H:\Applications&Forms\Word Documents\201801001 Right-of-Way Easement Permit Application.docx Revision Date:10/1/18 W • • MEM x MEM ' m INJ m MIME m (j) p A N Q O A Q a re Tcp o mom co OEM 7 OWN (D .7 ' CD 9.75'h r (3.86 S.F.) 5 s (� 7T to top CD r N 7 � one-sided sign,front entrance,Selva Linkside Dr. 150 ft. A � o y M V Selva Linkside Dr. one-sided sign, front entrance, Selva Linkside Dr. 72"wide top 23" • • • • r- -j -11-ri- (14.44 S.F.) 66" ^ w- t 315 `� � ° , LVA I _ 1......,LI A 6x6 posts 24"off ground x one-sided sign, front entrance, Selva Linkside Dr. 150 ft. < > A L o M V Selva Linkside Dr. is in si•e Or • an ic:- • i•d • r �.:, rn sr Dr Park._.-- , i i • Sde i rksWe IN 6 Perk Side_ r .. 1-, IP �{ ink• �- h de • . i ,.' t: V , , F . 1. , /40,— ...t.. :',,...."4-,,per-iit, ',.-1.•,,,;_.— . . - t*.• • • ., _ .V" ,AwriWilit' % ' ( rik lit a - y • . o N lit1r f . , ......- 'I"; i t , ;+y,• , .ot ,-,..1-4 - r . tikl, et. iyy ' ,i. • a f / F :,., 1101 MIL& W i. ..... . r, t self l. li . .r, , , , ,,,.... i A -ir ,its.. ,fri,...4 4. •y M. .A l �`1 • 9' , § t ai , . j I._ f r t / r F,; PLso' 10r S E LVA • 1,11'04 K I 1)11E, lN IT 1 ,..,a • c•••60•••+ 1 s EEA 2 OF BOOK 44 PAGE 2�A4 A PART OF SECTIONS 16 & 17 , TOWNSHIP 2 SOUTH , RANGE 29 EAST NOTES 1. OASIS OF BEARINGS ARE DASEO ON PLAT arrt . • „• . , CITY OF ATLANTIC BEACH , DUVAL COUNTY , FLORIDA 2. PERMANENT REFERENCE rON171ENTS ARE ilv. ' D. PERMANENT QYTRT1l PO:NrS ARE 5.110:4 -,F••, ye............ ""!1. 4. ALL ANTI ARE 25 FEET UNLESS 3THELNESE Y1:17 5.c' 6. THERENNAT O AW1E10NAL RESGN CLAPIES ARE STTRICTIONS�TAT ARE Aar FATO sL:CRG(J OF TICS PUT TTur 4r ^r- •► ••a• i2 I •$Q OE FOUND iN THE PF IIC R(COROS OF THIS COUNTY. yr..w PA.•• .,,,,.,..•.4r.aa 7. EASEMENTS SmFm,NEREGN ARE FOR DRAINAGE.urt LI TIES ANO k'+ERS. ua3•tSoo G 299.'!4' 8. ctarAtN ESE/IENTS ARE FOR THE ERCLUSETE USE .... < 444• t4. .1414. la,010' i EA TtZertS ra(Lei E2 6'4 WI' DETAILS OF J.E.F. - IN CONJUNCTION Ni TH THEIR i G4 I. r 11 I- < . .re.. o.. 1•<.. •., - .rt-s.e.t2..�..•t' I1NO£RGaOI4O DISTRIBUTION STSWEN- a 44.rr I e8 ,u'. 4.S v tJ gge2 to'E Gfi4,a5 .tf vl 1 A. i , YC ,t `a_ VI i V Y• Vim' V•' Year •r.I 4•' Y.• ..4A 1 jR v(aASi �. c S VV ./ i , r. f 8o til IT A- . r .? 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