Permits 435 Atlantic Blvd CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
!: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Buildin�dept&oab.us
Application Number . . . . . 06-00033966 Date 2/27/07
Property Address . . . . . . 435 ATLANTIC BLVD
Application type description RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16000
----------------------------------------------------------------------------
Application desc
REDBOX DVD VENDING MACHINE
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
REST. , MCDONALDS FACILITY SPECIALIST
435 ATLANTIC BLVD. 131 MAIN ST
ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32084
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee 55 . 00
Issue Date . . . . Valuation . . . . 16000
Expiration Date . . 8/26/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 110 . 00 110 . 00 . 00 . 00
Plan Check Total 55 . 00 55 . 00 . 00 . 00
Grand Total 165 . 00 165 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r sS, CITY OF ATLANTIC BEACH
s PLAN REVIEW SHEET
S.Mak wS
Building Department Public Works&Public Utilities Dep artments i ins
' 800 Seminole Road 1200 Sandpiper Lane . Doerr
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 ar er
(904)247-5800 (904)247-5834 Kaluznia
(904)247-5845 Fax (904)247-5843 Fax Public Safety
PLAN REVIEW COMMENTS
Permit Application# .5.39&r'o
Property Address: y24' 'B/Vo(
Applicant: )C�'/� y �Yp g i L i'tT
Project: �?E,6510 2)V
This permit application has been:
) Approved as noted by the Department.
Final application approval must come from the Building Department.
Reviewed and the following items need attention:
- Site plan provided is not valid (dated 1975) . s
McDo ald'
rebuilt in 2002 (CPH Engineers Job No. M291212) am
Provide ircerious surface area calculations
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Date Contractor Notified: q
12/31/2007 01:16 9048239356 JUDY;FERRELL PAGE 01/01
Judy Ferrell
1570 Spring Street
St. ..Augustr"ne, F1 32084
904-823-0752 home
904-814-2051 cell
160*1079*198 Nextel
904-523-9356.fix
marl
January 16, 2007
RE: 435 Atlantic Blvd-McDonalds Redbox
App number: 06 00033966
Attn. Rick Carper-fax 2475843
Following are the calculations based on the site plan.
Total sq. ft. of Property -44,560 sq. ft.
sq. ft, of parking lot- 26,087 sq. ft.
sq. ft. of landscape - 12,590 sq. ft,
sq. ft. of building - 3,680 sq, ft.
sq. ft. of sidewalk - 2,137 sq. ft.
sq. ft. of Redbox- 66 sq. ft.
04P m `
CITY OF ATLANTIC BFA.CH
PL.A�Y REVIEW SHEET ---------
: rs"= s.M®
i S> Building 1Vsrttnent Public Works&Public Utilities D pertme� 13t
ze
$oo Seminole Road 1200 Sandpiper Lme
Atlantic 13=4 Florida,32233 A.ttotie Beach,,Florida 32233
(904)247-5800 (904)247-5834 .Kaluu�
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVUW COMMENTS
Pe -wh Applicataion O 96,
Property Address:
Applicant: A 44 e %�L S7r
Project: Rf.6f3o 10 D1(2) /�f"P)T g - 4n d ingy -W7adh im6
This permit application has been:
0 Approved as noted by the Department..
Fi>aal application ItM roval must come from the Building Department.
Reviewed and the following item need attention:
Sitelan provided is not valid (dated 1975) , McDonald's
rebuilt in 2002 (CPH Engineers ,lob No. M291212) .
Provide impervious surface area calculations.
0 , Oew s ;4e p (Ceh
COO wil �QC-ked�
Please re-scnbmitou>r liestIOU when these items have been completed.
Reviewed By: 4
Date: _
Date Contractor Notified: ( I��
/13�
NOV 1 `� 2006
1 -70 (a qq . 6acoo
3J7J
CITY OF ATLANTIC BEACH
3 BUILDING PERMIT APPLICATION
(New or Alteration/Additions/Residential& Commercial)
XX e4-51
Date: � 2-1 - Q
Job Address: +� c� A
Owner's Name: �= V-� cA S
Address: P.O . j n V �� P one:
Contractor: rC .C_/ ((�
State License Number: C, (� Z/j os-9
Address: n ' (1 Phone: ('
City: E QCl W State:_Zip: .3c' 0-- Fax:
Describe proposed use and work to be done:
Present use of land or building(s): C t
Valuation of proposed construction: f 10 ocY) 00
Is approval of Homeowner's Association or other private entity required? UQ If yes,please submit with this
Application.
Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original
impervious area?
)RTNO. Applicant certifies that no change in site grade, impervious area or fill
project. material will be used on this
❑ YES. Approval of the Public Works Department is required prior to issuance of a Building
Permit. The Public Works Department is located at 1200 Sandpiper Lane, AB, Telephone#is (904)249-
5834,Rick Carper,Director.
PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED
THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST,AS IT
IS DETAILED AND TECHNICAL, AS WELL AS CONTAINS LANGUAGE SPECIFIC TO
ADOPTED CODES. AN INCOMPLETE APPLICATION AND OMISSION OF INFORMATION WILL
CAUSE A DELAY IN THE ISSUANCE OF PERMITS.
VERIFY ZONING DESIGNATION AND PROPER SETBACKS FOR THE PROPOSED CONSTRUCTION. IF YOU
ARE UNSURE OF THIS INFORMATION,PLEASE CONTACT THE PLANNING AND ZONING DEPARTMENT AT
904-247-5826.
BUILDING CONSTRUCTION PLANS
* 4 SETS OF PLANS
STEP 1. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS
FOLLOWS:
"THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING:
2004 EDITION FLORIDA BUILDING CODE,BUILDING,PLUMBING,MECHANICAL,ELECTRIC."
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Page 2 Phone: (904)247-5826 Fax: (904)247-5845 - http://www.coab.us
Revised 6/06
STEP 2. FOR ROOF ASSEMBLIES, THE CONSTRUCTION DOCUMENTS SHALL ILLUSTRATE AND
DESCRIBE THE TYPE OF ROOFING SYSTEM, MATERIALS, FASTENING REQUIREMENTS,
FLASHING REQUIREMENTS AND WIND RESISTANCE RATING THAT ARE REQUIRED TO BE
INSTALLED. PRODUCT EVALUATION AND INSTALLATION SHALL INDICATE COMPLIANCE
WITH THE WIND CRITERIA REQUIRED FOR THE SPECIFIC SITE, OR A STATEMENT BY AN
ARCHITECT OR ENGINEER FOR THE SPECIFIC SITE MUST BE SUBMITTED WITH THE
CONSTRUCTION DOCUMENTS.(FBC SEC. 104.2.1.1.)
STEP 3. FLOOR PLANS SHOWING:
A.DIMENSIONS OF CORRIDORS,DOORS,ROOMS,ETC
B.EGRESS WINDOWS WITH DIMENSIONS OF CLEAR OPENINGS AND GROSS AREA.
C.ONE BATH ON IST FLOOR MUST MEET CHAPTER 11 F.B.C.,29"CLEAR DOOR.
STEP 4. DETAILS OF ALL STAIRS,HANDRAILS,GUARDRAILS,ETC.
STEP 5. DETAILED WALL SECTIONS FOR ALL WALLS.
STEP 6. FLORIDA PRODUCT APPROVAL FOR ALL DOORS AND WINDOWS LOCATED IN EXTERIOR
WALLS.PRODUCT APPROVAL NEEDS TO SHOW COMPLIANCE WITH A 120 MPH
WINDLOAD,INCULDE A FASTENER SCHEDULE WITH INSTALLATION SPECIFICATIONS,
INDICATE THE SUSTAINABLE PRESSURE,AND WHETHER OR NOT THE GLASS IS IMPACT
RESISTANT.
STEP 7. WINDLOADING INFORMATION ON DRAWINGS.THE FOLLOWING INFORMATION
RELATED TO WIND LOADS SHALL BE SHOWN ON THE SIGNED AND SEALED
CONSTRUCTION DRAWINGS.
A.BASIC WIND SPEED,MPH,(M/S)
B.WIND IMPORTANCE FACTOR(1)AND BUILDING CATEGORY.
C. WIND EXPOSURE C, 120 MPH.
D.THE APPLICABLE INTERNAL PRESSURE COEFFICIENT.
E.THE DESIGN WIND PRESSURES IN TERMS OF psf(kN/m-2),TO BE USED FOR THE
DESIGN OF EXTERIOR COMPONENT AND CLADDING MATERIALS NOT
SPECIFICALLY DESIGNED BY THE REGISTERED DESIGN PROFESSIONAL.
(FBC SEC. 1606.1.7).
STEP 8. ENERGY CALCULATIONS.
SITE CONSTRUCTION DRAWINGS
4 SETS OF PLANS
STEP 1. NO DRAWINGS WILL BE REVIEWED FOR NEW CONSTRUCTION OR ADDITIONS UNLESS
A RAISED SEAL BOUNDARY SURVEY THAT SHOWS CURRENT CONDITIONS IS
PROVIDIED WITH EACH SET OF DRAWINGS.
STEP 2. SITE PLAN SHOWING:
A. SITE MANAGEMENT PLAN
B.BUILDING LOCATION, HEIGHTS,AND SETBACKS TO PROPERTY LINES.
C.FLOOD ZONE DESIGNATION AND PROPOSED FINISHED FLOOR ELEVATION.
D.ANY EASEMENTS ON OR IMMEDIATELY AJACENT TO THE PARCEL.
E.PARKINGS SPACES PER CITY CODE SEC.24-161
F. SURFACE DESIGN DETAILS OF PARKING AND DRIVEWAY AREAS.
G. IMPERVIOUS SURFACE CALCULATIONS.
H.PROPOSED HEIGHT FROM GRADE TO HIGHEST POINT OF ROOF,ANTENNA
STEEPLE ETC...
I. PROVIDE ALL DRAINAGE PLANS. INDICATE STORMWATER RUNOFF WITH ARROWS.
J.PROVIDE ALL EROSION AND SEDIMENT CONTROL PLANS.
K.ANY OTHER DOCUMENT REQUESTED BY THE BUILDING AND PLANNING DEPT.
PUBLIC WORKS AND PUBLIC UTILITIES.FBC 553.79.
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Page 3 Phone: (904)247-5826 • .Fax: (904)247-5845 • htty://www.coab.us
Revised 6/06
Address and contact information of person to receive all correspondence regarding this application
(please print).
Name: U Cf- �-ewt' N PCS it a ,_ f�
Mailing Address: `, Y l Q Q f--
�} 1 -
Telephone: ( - SIN ��� l Fax: ��V-t �� -5J'f0 E-Mail: JUC O?C)=q<D
I hereby certify that I have read and examined this application and attached documentation 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 provided as
required. 1 / (
Signature of Owner: _9-,�-,4A - Date:__90 K�
AS TO OWNER:
Sworn to and subscribed before me this -2 i day ofPyf� ,20 V
State of Florida,County of Duval
LESLIE L BANTA Notary's Signatur
#r z MY COMMISSION#DD 396863 ��q t�
Personally known
} EXPIRES:February r 20
"�i.1P•• BOfldBd TAN PIdIBId I11611f8nOB A(�Bri(IL�r
Produced identification
Type of identification produced
r
Signature of Contractor: ypr - '�...-� 24 .(�
gn �--+��- Date: (o
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of �.yac 11� ,20 0.(p
State of Florida,County of Duval
Notary's Signature:
LESLIE L BANTA
MY COMMISSION#DD 396663
EXPIRES:February 20,2009 Personally known
Bw&dihruPkhWInammAproy Produced identification
Type of identification produced ,
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5826 Fax: (904)247-5845 • http://www.coab.us
Page 4 Revised 6/06
LETTER OF AUTHORIZATION
(Duval County, Florida)
APPLICATION FOR ZONING/USE PERMIT
McDonald's Corporation ("McDonald's"), owner or lessee of the property described below, does hereby
appoint Redbox Automated Retail, LLC ("Redbox"), and Judy Ferrell Permitting and Expediting Services,
our agents for the purpose of consummating any building, use or zoning permit applications necessary to
insure Redbox's ability to use the property for the purpose of installing, operating and maintaining a DVD
rental kiosk. This letter does not grant Redbox the right to install a DVD rental kiosk at this property. The
actual installation of a DVD rental kiosk at this property will be determined after McDonald's completes its
internal legal review process.
We understand that this application may be denied, modified or approved with conditions and that such
conditions or modifications must be complied with prior to issuance of building permits.
Property Address: 435 ATLANTIC BLVD ATLANTIC BEACH FL (00q- NZ-7J)
Signature of Property Owner/Lessee: McDonald's Corporation
By:
Bruce A. eu ann
Senior Counsel
Date: September 19, 2006
Authorized Agents: Redbox Automated Retail, LLC Judy Ferrell Permitting and Expediting Services
One Tower Lane, Suite 1200 1570 Spring Street
Oak Brook Terrace, IL 60181 St. Augustine, FL 32084
STATE OF ILLINOIS )
COUNTY OF DUPAGE )
I, Barbara J. Skubiszewski, a Notary Public in and for the county and state aforesaid, DO HEREBY
CERTIFY that Bruce A. Neumann, Senior Counsel of McDonald's Corporation, a Delaware corporation,
who is personally known to me to be the same person whose name is subscribed to the foregoing
instrument as such Senior Counsel appeared before me this day in person and acknowledged that he
signed, sealed and delivered the said instrument as his free and voluntary act as such Senior Counsel
and as the free and voluntary act of said company for the uses and purposes therein set forth.
Given under my hand and notarial seal, this 19th day of September, 2006.
Notary Public
OFFI AL EAL
BARBARA J BISZEWSKI
My commission expires October 3, 2006. NOTARY PUBLIC-STATE OF ILLINOIS
MY COMMISSION EXPIRES: 10-03-06
SAH O\Dept\Legal\USLEGAL\Corporate Strategies Team\RedBox-DVD Initiative\Forms\Letter of Authorization.doc
LETTER OF AUTHORIZATION
(Duval County, Florida)
APPLICATION FOR ZONING/USE PERMIT
McDonald's Corporation, owner or lessee of the property described below, does hereby appoint Redbox
Automated Retail, LLC ("Redbox"), and Judy Ferrell Permitting and Expediting Services, our agents for
the purpose of consummating any building, use or zoning permit applications necessary to insure
Redbox's ability to use the property for the purpose of installing, operating and maintaining a DVD rental
kiosk. We understand that this application may be denied, modified or approved with conditions and that
such conditions or modifications must be complied with prior to issuance of building permits.
Property Address: 435 ATLANTIC BLVD, ATLANTIC BEACH FL
Signature of Property Owner/Lessee: McDonald's Corporation
4 By: t9.w,-
Bruce A. Neurbann
Senior Counsel
Date: September 15, 2006
Authorized Agents: Redbox Automated Retail, LLC Judy Ferrell Permitting and Expediting Services
One Tower Lane, Suite 1200 1570 Spring Street
Oak Brook Terrace, IL 60181 Jacksonville, FL 32254
STATE OF ILLINOIS )
COUNTY OF DUPAGE )
I, Barbara J. Skubiszewski, a Notary Public in and for the county and state aforesaid, DO HEREBY
CERTIFY that Bruce A. Neumann, Senior Counsel of McDonald's Corporation, a Delaware corporation,
who is personally known to me to be the same person whose name is subscribed to the foregoing
instrument as such Senior Counsel appeared before me this day in person and acknowledged that he
signed, sealed and delivered the said instrument as his free and voluntary act as such Senior Counsel
and as the free and voluntary act of said company for the uses and purposes therein set forth.
Given under my hand and notarial seal, this 15th day of September, 2006.
Notary Public
My commission expires October 3, 2006. OFFICIAL SEAL
BARBARA J SKUBISZEWSKI
NOTARY PUBLIC-STATE OF ILLINOIS
MY COMMISSION EXPIRES: 10-03-06
S:\HO\Dept\Legal\USLEGAL\Corporate Strategies Team\RedBox-DVD Initiative\Forms\Letter of Authorization.doc
Prin7=" �•r,',:
F I L I T Y
A C
SPECIALISTS
LIMITED POWER OF ATTORNEY
I hereby name and appoint:
Printed Name of Appointee
Company Name of Appointee
to be my lawful attorney-in-fact to act for me in applying to W VGA k county
E L State Government Commercial/Residential Permitting for a permit
enabling work to be performed at the location below-described and to sign my name and
do all things necessary to this appointment:
Section
Township
Range
Subdivision
Block
Lot
!I LA_ Project Address
Owner of Property
Owner Address
Signed:_
certified contractor signature
Date: J03_A/,
Certified Contractor: ��CL LL YJ t, w(lt�v�ct
printed name
Contractor License#:
State of
County of r
Swqr to and s bscribed before me this da of
1 C,4- 7fLLCrC_; (name of person acknowledged) who is r •KnoWm�eif����
to me or who has produced tificjvi n.
giARy tiz
Ar Z
Notary Public � i SLAI?
Commission expires:
0.
Facility Specialists 131 N.Main Street PO Box 257 Eagleville I TN 137060 1615.274.2866 Office 1615.274.2155 Fax
CITY OF ATLANTIC BEACH
r' PLAN REVIEW SHEET
Routed to:
Building Department Public Works&Public Utilities Departments S.MakowsL. Higgins
ki
800 Seminole Road 1200 Sandpiper Lane
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 S. Doerr
(904)247-5800 (904)247-5834 R. Carper
D
(904)247-5845 Fax (904)247-5843 Fax k
ublic Safety
PLAN REVIEW COMMENTS
Permit Application# Q6 3276 6
Property Address: -2�3 �-7j�'G ,O/✓�
Applicant:
Project: 7,-db, §a
This permit application has been:
EJ Approved as noted by the Department.
Final application approval must come from the Building Department.
ED Reviewed and the following items need attention:
0
�z
�N
Please re-submit your application when these items have been com leted.
Reviewed By: Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH
1 } PLAN REVIEW SHEET
S7MakfwsBuilding Department Public Works&Public Utilities Departments ins
800 Seminole Road 1200 Sandpiper Lane Doerr
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 Car r
er
(904)247-5800 (904)247-5834
(904)247-5845 Fax (904)247-5843 Fax LKaluzniali-c-8
ublic a ety
PLAN REVIEW COMMENTS
Permit Application# 0 & 63 9&&
Property Address: 7_-; Sl✓01
Applicant: g i G i sT
Project: Jj Fa�3a�0 7�dD
This permi -application has been:
Approved as noted by the MINDepartment.
Final application approval must co from the Building Department.
Reviewed and the following items need attention:
h � �
Please re-submit your application when these items have been completed.
Reviewed By: Date: Z d�
Date Contractor Notified:
BP250UO2 CITY OF ATLANTIC BEACH 12/06/06
Application Tracking Individual Step Maintenance 15:20: 38
Application number . . . . : 06 00033966
Application type . . . . . : RESIDENTIAL ADD/RENOVATE/ALTER
Revision number . . . . . . .
Agency/path/step/seq . . . PUBLIC WORKS A 01 00
Date submitted, resulted 92606
Approval code (F4) . . . . .
Reviewed by (F4) . . . . . .
Revised est cpl date . . . . X806
Copies of plans . . . . . . .
1 Add new comment 2=Change comment 4=Delete comment
Opt Seq Comments Prt Date
1. 00 Site plan provided is not valid (dated 1975) . McDonald' s 92606
rebuilt in 2002 (CPH Engineers Job No. M291212) . _
2. 00 Provide impervious surface area calculations . 92606
_ .00 _
. 00 -
F3=Exit F4=Prompt F8=Log maint F9=Add std comments F12=Cancel More . .
F14=Req'd insp maint
HP Officejet 7410 Log for
Personal Printer/Fax/Copier/Scanner Information Systems
904-247-5845
Dec 06 2006 3:33PM
Last Transaction
Date Time Type Identification Duration Pages Result
Dec 6 3:33PM Fax Sent 819048239356 0:29 1 OK
43S Lave-rt Bl��l 1 -70 qU . 6000
CITY OF ATLANTIC BEACH
J3 .
t BUILDING PERMIT APPLICATION
(New or Alteration/Additions/Residential& Commercial)
Date: 2-1
O ,
Job Address:
Owner's Name: �A(L 1�C'7 VtQ C� S
L � 2-
Address: 0 `7 Vl Phone:
Contractor: ro C i L_r (�C.� i , State License Number:
Address: 131 (YNC-6 0 _ Phone:
City: E✓Qc�IQ V ; `I State: Zip: .. 860 Fax: Q('(..f . c�2 9 15
Describe proposed use and work to be done: —RP C� ]�`/ fC�C rL. y�y1�' ( n1
,' i YNZ-
Present use of land or building(s): %.� {rn �= >0 VLC--1 C( `S
Valuation of proposed construction:
Is approval of Homeowner's Association or other private entity required? If yes,please submit with this
Application.
Will this project involve changes in elevation,site grade or any use of fill material, addition of 5% or more to the original
impervious area?
�'ZNO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this
project.
❑ YES. Approval of the Public Works Department is required prior to issuance of a Building
Permit. The Public Works Department is located at 1200 Sandpiper Lane, AB, Telephone#is(904)249-
5834,Rick Carper,Director.
PROCEDURE: IN ORDER TO EXPEDITE ISSUANCE OF PERMITS, IT IS RECOMMENDED
THAT THE ARCHITECT OR CONTRACTOR OF RECORD COMPLETE THIS CHECKLIST, AS IT
IS DETAILED AND TECHNICAL, AS WELL AS CONTAINS LANGUAGE SPECIFIC TO
ADOPTED CODES. AN INCOMPLETE APPLICATION AND OMISSION OF INFORMATION WILL
CAUSE A DELAY IN THE ISSUANCE OF PERMITS.
VERIFY ZONING DESIGNATION AND PROPER SETBACKS FOR THE PROPOSED CONSTRUCTION. IF YOU
ARE UNSURE OF THIS INFORMATION,PLEASE CONTACT THE PLANNING AND ZONING DEPARTMENT AT
904-247-5826.
BUILDING CONSTRUCTION PLANS
*; 4 SETS OF PLANS
STEP 1. PROVIDE STATEMENT OF COMPLIANCE ON ALL PLANS TO READ SUBSTANTIALLY AS
FOLLOWS:
"THESE PLANS WERE PREPARED AND SHALL COMPLY WITH THE FOLLOWING:
2004 EDITION FLORIDA BUILDING CODE,BUILDING,PLUMBING,MECHANICAL,ELECTRIC."
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5826 Fax: (904)247-5845 • http://www.coab.us
Page 2 Revised 6/06
STEP 2. FOR ROOF ASSEMBLIES, THE CONSTRUCTION DOCUMENTS SHALL ILLUSTRATE AND
DESCRIBE THE TYPE OF ROOFING SYSTEM, MATERIALS, FASTENING REQUIREMENTS,
FLASHING REQUIREMENTS AND WIND RESISTANCE RATING THAT ARE REQUIRED TO BE
INSTALLED. PRODUCT EVALUATION AND INSTALLATION SHALL INDICATE COMPLIANCE
WITH THE WIND CRITERIA REQUIRED FOR THE SPECIFIC SITE, OR A STATEMENT BY AN
ARCHITECT OR ENGINEER FOR THE SPECIFIC SITE MUST BE SUBMITTED WITH THE
CONSTRUCTION DOCUMENTS.(FBC SEC. 104.2.1.1.)
STEP 3. FLOOR PLANS SHOWING:
A.DIMENSIONS OF CORRIDORS,DOORS,ROOMS,ETC
B.EGRESS WINDOWS WITH DIMENSIONS OF CLEAR OPENINGS AND GROSS AREA.
C.ONE BATH ON 1sT FLOOR MUST MEET CHAPTER 11 F.B.C.,29"CLEAR DOOR
STEP 4. DETAILS OF ALL STAIRS,HANDRAILS,GUARDRAILS,ETC.
STEP 5. DETAILED WALL SECTIONS FOR ALL WALLS.
STEP 6. FLORIDA PRODUCT APPROVAL FOR ALL DOORS AND WINDOWS LOCATED IN EXTERIOR
WALLS.PRODUCT APPROVAL NEEDS TO SHOW COMPLIANCE WITH A 120 MPH
WINDLOAD,INCULDE A FASTENER SCHEDULE WITH INSTALLATION SPECIFICATIONS,
INDICATE THE SUSTAINABLE PRESSURE,AND WHETHER OR NOT THE GLASS IS IMPACT
RESISTANT.
STEP 7. WINDLOADING INFORMATION ON DRAWINGS.THE FOLLOWING INFORMATION
RELATED TO WIND LOADS SHALL BE SHOWN ON THE SIGNED AND SEALED
CONSTRUCTION DRAWINGS.
A.BASIC WIND SPEED,MPH,(M/S)
B.WIND IMPORTANCE FACTOR(1)AND BUILDING CATEGORY.
C. WIND EXPOSURE C, 120 MPH.
D.THE APPLICABLE INTERNAL PRESSURE COEFFICIENT.
E.THE DESIGN WIND PRESSURES IN TERMS OF psf(kN/m-2),TO BE USED FOR THE
DESIGN OF EXTERIOR COMPONENT AND CLADDING MATERIALS NOT
SPECIFICALLY DESIGNED BY THE REGISTERED DESIGN PROFESSIONAL.
(FBC SEC. 1606.1.7).
STEP 8. ENERGY CALCULATIONS.
SITE CONSTRUCTION DRAWINGS
4 SETS OF PLANS
STEP 1. NO DRAWINGS WILL BE REVIEWED FOR NEW CONSTRUCTION OR ADDITIONS UNLESS
A RAISED SEAL BOUNDARY SURVEY THAT SHOWS CURRENT CONDITIONS IS
PROVIDIED WITH EACH SET OF DRAWINGS.
STEP 2. SITE PLAN SHOWING:
A. SITE MANAGEMENT PLAN
B.BUILDING LOCATION,HEIGHTS,AND SETBACKS TO PROPERTY LINES.
C.FLOOD ZONE DESIGNATION AND PROPOSED FINISHED FLOOR ELEVATION.
D.ANY EASEMENTS ON OR IMMEDIATELY AJACENT TO THE PARCEL.
E.PARKINGS SPACES PER CITY CODE SEC.24-161
F. SURFACE DESIGN DETAILS OF PARKING AND DRIVEWAY AREAS.
G.IMPERVIOUS SURFACE CALCULATIONS.
H.PROPOSED HEIGHT FROM GRADE TO HIGHEST POINT OF ROOF,ANTENNA
STEEPLE ETC...
I. PROVIDE ALL DRAINAGE PLANS. INDICATE STORMWATER RUNOFF WITH ARROWS.
J.PROVIDE ALL EROSION AND SEDIMENT CONTROL PLANS.
K.ANY OTHER DOCUMENT REQUESTED BY THE BUILDING AND PLANNING DEPT.
PUBLIC WORKS AND PUBLIC UTILITIES.FBC 553.79.
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5826 Fax: (904)247-5845 • http://www.coab.us
Page 3 Revised 6/06
Address and contact information of person to receive all correspondence regarding this application
(please print).
Name: Lk CL �_e t
Mailing Address: I I
Telephone: �� I`k . S Fax: � � �g3JC E-Mail: JudepZotQ)L ( .
I hereby certify that I have read and examined this application and attached documentation 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 provided as
required.
Signature of Owner: Date:
AS TO OWNER:
Sworn to and subscribed before me this -2 i day of ��/� e ice : 20 (P
State of Florida,County of Duval
J
"' ""• LESLIE L BANTA Notary's Signator : �i t �
MY COMMISSION i DD 396863
�' EXPIRES:February 20,2009 Personally known
,R f•.• Bonded ThN Pidkud Inemarae AperM,y Lj
Produced identification
Type of identification produced
Signature of Contractor: C / 'w .�.,;� / Date:
AS TO CONTRACTOR:
Sworn to and subscribed before me this ( day of &_ADU_r� 20 0.(p
State of Florida,County of Duval
Notary's Signature: �'
LESLIE L BANTA
.-��• MY COMMISSION#DD 396863
EXPIRES:February 2p 2009 Personally known
BMMlbmrU,dineu,MAg%W Produced identification
Type of identification produced
800 Seminole Road Atlantic Beach,Florida 32233-5445
Page 4 Phone: (904)247-5826 Fax: (904)247-5845 - httP://www.coab.us
Revised 6/06
LETTER OF AUTHORIZATION
(Duval County, Florida)
APPLICATION FOR ZONING/USE PERMIT
McDonald's Corporation ("McDonald's"), owner or lessee of the property described below, does hereby
appoint Redbox Automated Retail, LLC ("Redbox"), and Judy Ferrell Permitting and Expediting Services,
our agents for the purpose of consummating any building, use or zoning permit applications necessary to
insure Redbox's ability to use the property for the purpose of installing, operating and maintaining a DVD
rental kiosk. This letter does not grant Redbox the right to install a DVD rental kiosk at this property. The
actual installation of a DVD rental kiosk at this property will be determined after McDonald's completes its
internal legal review process.
We understand that this application may be denied, modified or approved with conditions and that such
conditions or modifications must be complied with prior to issuance of building permits.
Property Address: 435 ATLANTIC BLVD, ATLANTIC BEACH, FL 00q— d o2 7 J)
Signature of Property Owner/Lessee: McDonald's Corporation
By:
Bruce K eu ann
Senior Counsel
Date: September 19, 2006
Authorized Agents: Redbox Automated Retail, LLC Judy Ferrell Permitting and Expediting Services
One Tower Lane, Suite 1200 1570 Spring Street
Oak Brook Terrace, IL 60181 St. Augustine, FL 32084
STATE OF ILLINOIS )
COUNTY OF DUPAGE )
I, Barbara J. Skubiszewski, a Notary Public in and for the county and state aforesaid, DO HEREBY
CERTIFY that Bruce A. Neumann, Senior Counsel of McDonald's Corporation, a Delaware corporation,
who is personally known to me to be the same person whose name is subscribed to the foregoing
instrument as such Senior Counsel appeared before me this day in person and acknowledged that he
signed, sealed and delivered the said instrument as his free and voluntary act as such Senior Counsel
and as the free and voluntary act of said company for the uses and purposes therein set forth.
Given under my hand and notarial seal, this 19th day of September, 2006.
Notary Public
LAig
L
EWSKIMy commission expires October 3, 2006. OF ILLINOISES: 10-03-06
S:\HO\Dept\Legal\USLEGAL\Corporate Strategies Team\RedBox-DVD Initiative\Forms\Letter of Authorization.doc
LETTER OF AUTHORIZATION
(Duval County, Florida)
APPLICATION FOR ZONING/USE PERMIT
McDonald's Corporation, owner or lessee of the property described below, does hereby appoint Redbox
Automated Retail, LLC ("Redbox"), and Judy Ferrell Permitting and Expediting Services, our agents for
the purpose of consummating any building, use or zoning permit applications necessary to insure
Redbox's ability to use the property for the purpose of installing, operating and maintaining a DVD rental
kiosk. We understand that this application may be denied, modified or approved with conditions and that
such conditions or modifications must be complied with prior to issuance of building permits.
Property Address: 435 ATLANTIC BLVD, ATLANTIC BEACH FL
Signature of Property Owner/Lessee: McDonald's Corporation
By: AOIA"�
Bruce A. Neurbann
Senior Counsel
Date: September 15, 2006
Authorized Agents: Redbox Automated Retail, LLC Judy Ferrell Permitting and Expediting Services
One Tower Lane, Suite 1200 1570 Spring Street
Oak Brook Terrace, IL 60181 Jacksonville, FL 32254
STATE OF ILLINOIS )
COUNTY OF DUPAGE )
I, Barbara J. Skubiszewski, a Notary Public in and for the county and state aforesaid, DO HEREBY
CERTIFY that Bruce A. Neumann, Senior Counsel of McDonald's Corporation, a Delaware corporation,
who is personally known to me to be the same person whose name is subscribed to the foregoing
instrument as such Senior Counsel appeared before me this day in person and acknowledged that he
signed, sealed and delivered the said instrument as his free and voluntary act as such Senior Counsel
and as the free and voluntary act of said company for the uses and purposes therein set forth.
Given under my hand and notarial seal, this 15th day of September, 2006.
Notary Public
My commission expires October 3, 2006. OFFICIAL SEAL
BARBARA J SKLIBISZEWSKI
NOTARY PUBLIC-STATE OF ILLINOIS
MY COMMISSION EXPIRES: 10-03-06
S:\HO\Dept\Legal\USLEGAL\Corporate Strategies Team\RedBox-DVD Initiative\Forms\Letter of Authorization.doc
Print F6F771
F A C I L I T Y
SPECIALISTS
LIMITED POWER OF ATTORNEY
I hereby name and appoint:
Printed Name of Appointee
Company Name of Appointee
to be my lawful attorney-in-fact to act for me in applying to DUyC1 k county
F L State Government Commercial/Residential Permitting for a permit
enabling work to be performed at the location below-described and to sign my name and
do all things necessary to this appointment:
Section
Township
Range
Subdivision
Block
Lot
\) Q,�-� 0 'I t Project Address
0 Owner of Property
Owner Address
Signed:
certified contractor signature
Date: 0�k
Certified Contractor. L CAc 0 l; t4wl�t�tti�y�
printed name
Contractor License#:
State of Flee
County of r
/'iia( ` ��1ltmnt�i
Sworn to and s bscribed before me this ��/ day of � �0 LY
� ZC %Zcs? (name of person acknowledged) who is r I 'KrtW; M ��Z,��
to me or who has produced :(itffi i n) F2�,�
C ---- = C Par/ C z
Notary Publiczz
Commission expires: ll`l J ��rC �,�'•, RGE 2
�'. O ........... '' 1�����•
Facility Specialists 131 N.Main Street I PO Box 257 1 Eagleville TN 37060 615.274.2866 Office 615.274.2155 Fax
C ,i,&lu!►UTPrOPerryDerng improved: 'I� •� ( C[� . � t
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Address of Property being improved.
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General description.of improvements:
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Owner C J��., !,t'r 4 V` 1
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Address-�-�C r
Owner's interest in site of the improvement �S
Fee Simple Titleholder(if other than owner) r�
Name
Address
Contractor
Address
Phone No. / ✓� 3_70 Co U
Surety(if any) Fax No. �_.
Address
Phone No. Amount of bond$
Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name p meats.
Address
Phone No.
Fax No.
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No.
Fax No.
In addition to himself, owner designates the followi
ng Section 713.06(2)(b), Florida Statutes. (Fill in at Ownes optionrson to
�1Ve a copy of the Lienor's Notice as provided in
Name
Address
Phone No.
Fax Na
Expiration date of Notice of Commencement(the expiration date is One year from the date of
different date is specified): recording unless a
THIS SPACE FOR RECORDER'S USE ONLY
OWNER
Signed:
Before me this DATE �
Co my o Shite of ,- Ld QLL"L_ In e_�
has Personally a eared
Doc#2007034946,OR BK 13785 Page 1147, are true a 8ffirir s that all statements and clarations herein in by
Number Pages:1 are true a accurate
0401
FW&Recorded 01/31/2007 at 11:37 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY OFFICIAL SEAL
RECORDING$10.00 &ARBWj MSSMWSKI
WTAW PL"-STATE OF WNW
W�XXP &-1QW0
Notary Public at ,Siete of L
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