Permit 38 Ocean Boulevard CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number
10-00000057 Date 2/03/10
� � 38 OCEAN BLVD
Property Address . . .
Application type description SIGN PERMIT
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
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Application desc
REPLACE FABRIC SIGNAGE
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Owner Contractor
-
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JUBRAN, HANNA OWNER
60 OCEAN BLVD.
ATLANTIC BEACH FL 32233
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Permit . . . . . . SIGN PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 65 . 00 .
Issue Date . . . Valuation 0
Expiration Date . . 8/02/10
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS .
2004 FLORIDA FIRE PREVENTION CODE
2005 NATIONAL ELECTRICAL CODE
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Fee summary Charged Paid Credited Due
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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.
z ,. t,;a, • City of Atlantic Beach APPLICATION NUMBER
Building Department (To b2assigne y thXuildin e artment.)
�O800 Seminole RoadAtlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845E-mail: building-dept@coab.us
Dat
City web-site: http://Www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Sanning
t review required Yes No
Applicant: oninog
Project: f Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof Permit Verified B
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: proved. ❑Denied.
(Circle one.) Comments:
BUILDING
(P� NTNG &Z COPY Reviewed b : Date: �'!DFILEY
TREE ADMIN. Second Review: QApproved 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 05/14109
City of Atlantic Beach FDate
LICATION NUMBER
Building Department ns byy a 8u in a artment.)
.` 800 Seminole Road
r� Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 d:
E-mail: building-dept@coab.us
City web-site: http://Www.wab.us
APPLICATION REVIEW AND TRACKING FORM
Pro Address tJ Q C.��QLJ '`� De nt review uired Y No
Pe�Y i
annmg &Zoning
Applicant: a or
Public Works
Project: Public Utilities
lrl-�na Public Safety
Fire Services
Review fee$ Dept Signature
iew
Other Agency Review or Permit Required Revor Receipt Dateof Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
V
of Engineers
Hotels and Restaurants
Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
(BUILD:lNG
PLANNING&ZONING Reviewed by: Date:
TREE ADMIN. Second Review: (Approved as revised. EyDenied.
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
CITY OF ATLANTIC BEACH
` 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09-
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPTGCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
TI1.JOB ADDRESS: 2.VALUAON OF WORK: 13.'SO.FT UNDER ROOF"
7) 9 Dc l >J co c Sm O
4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE-
0 NEW BUILDING ❑DEMOLITION 0 RESIDENTIAL
LOT_BLOCK_SUB DMSION 0 ADDITION 0 CONVERTING USE 8 COMMERCIAL
7.DESCRIPTION OF WORK: 0 ALTERATION 0 ACCESSORY BLDG. 8'FIRE SPRINKLER:
0 REPAIR 0 POOL/SPA 0 YES 0 WA
lE�T A -Ct S 1 N S[/ ()A.) AllklIUC, 0 MOVE ErDTHER JONO
PROPERTY OWNER: CONTRACTOR: ARCHITECT IENGINEER:
9.NAME: 15.COMPANY NAME: 23.COMPANY NAME:
16.NAME 24.LICENSEE NAME
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE 28.FAX NO-:
13.CELL PHONE 21.CELL PHONE: 29.CELL PHONE--
14.
HONE14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME: 33.NAME 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet 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 for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
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. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
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 OBTAIN FINANCING, CONSULT WITH YOUR
.ENDER N ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
ent,Power of Attorney or Agency Letter Required) (Qualifier Only)
Signed: ate: Signed: Date:
Beforethis day of 2009 in the county of Before me this day of 2009 in the county of
Duval, to of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of ,County of Notary Public at Large,State of ,County of
0 Personally Known 0 Personally Known
0 Produced Identification- 0 Produced Identification-
Notary Signature: Notary Signature:
BLDG01 Permit Application Bldg:REVISED:12/18/2008
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