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Permits 977 Atlantic Blvd *Y E�j T I D T�J�-, PEERI'1417' NUMBER T' F,,:)CT T DTG -4 S PE C T I C),N S UNDER ST,t'�.B PLUMBING '�z T,A E FR AM T'21G ,-r) --T 7 71 __VEI� T�j S'tj T A FINAL B717L:TNC _-ERTIFICATIE OF 0,-f-TI T ELEICTRT�A� EERM'_ _- N s F L,C Mi. --:D NS7 ROUGH FINAL 'MEI-HAINTCAL PERM! 17 # PLTJMBT'Ji-: PERMIT NOTES : -9& PSR-3844 10339 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ -------- LOCATION INFORMATION -------- - Permit Number: 10339 Address: 977 ATLANTIC BOULEVARD Permit Type: TENT ATLANTIC BEACH, FLORIDA 32233 Class of Work: N/A ---------- LEGAL DESCRIPTION 7-------- Constr. Type: WOOD FRAME Lot : Block: Section: Proposed Use: COMMERCIAL/OTHER Township: RNG: 0 Dwellings: 0 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $0 .00 Improv. Cost : $0 .00 Total Fees: $25.00 Amount Paid! $25 .00 -do Dat Pal, 6/21/95 Work Desc. t,, TZNT'� 'PI", IT FOR JUNE 22 , 1995 THROUGH JULY 51 1995 ---------- --------- APPLICATION FEES .�#,FORMATION N amo:- PERMIT $25 .00 Address: �, ,ii*`-�AvLiN'TIC BOULEVARD WATER IMPACT FEE $0 .00 ATLANTI,d" BEACH, FLORIDA 32233 SEWtk' ,IMPACT FEE $0.00 Phone: 094)24,11-1150 WATER MMR/TAP $0 .00 RADON GAS-H.R.S. $0 .00 ------- -CWTV, CT01t%,INFORMATION ------- RADON CAB 5% $0 .00 Name: PROPkkTY�`OWNER CAPITAL IMPROVE. $0 .00 Address: SEWER TAP $0.00 CROSS CONNECTION $0 .00 License: Type: 1 SEC H IMPACT FEE $0 .00 CONST.SURCHARGE $0.00 SCHARGEjATL.BCH4, $0 .00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS9� ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDJNQ DEP 000WOM 0000" M.00 14 G�Ae; Gi2l/95 01 Rcot. 0063288 00MI000 5189 By: JOB COPY e, 10339 ON LOCT.T ION 1YORM: IN FORNAt I.OWEPARTMENT OF BUILD ATTAW DR 'CITY OF ATLANTIC BEAdPf tq P, TENT 'T SCRIIP' ON - - - --- ORM,4'9 INFORMATION ' lp$39 FRRMF NTIC BOULEVARD Per' AddreAs'.., 977 ATL I C Mr-H, JUP *NT, y"R 1 k _RIDA 32233 `+�pef*p L L DESCRIPTION --------- C-las ork- N/A Bl"ock: Section: , �Typ��,,WOOD FR�iMFK Lot : ' Pr j�lds�ed Use: COMMERCIAL/OTHER Township: . RNG: 0 Pwel1ings : 0 Code. 0'- ," Subdivision: ATLANTIC BEACH Es-'timated Value: $0 .00 q mprov. cost : $0 .00 Total �Fees : $25 .00 mount, $25 .00 Date ftidt. 6 21/95 Work D e FOR JUNE 22 , 1995 THROUGH JULY 5 , 1995 ---- APPLICATION FEES ----- ORMATION W Name PERMIT $25 .00 L AN IC BOULg_VAFD, WATER IMPACT FEE $0 .00 Address- FL, ,RIDA,- 3223,3 SEMER,IMPACT FEE $0 00 - �'AT E H" 0 P1 ono�: 6-0 " 24" 6'� WATRR�,,',ki /TAP RADON GAS-H Z.S. CONT', T R, _�ADON -9- v .00 Nahe: ' PROPERTY OWNER AL IMPROVE. $0 .00 SEWER T is : $0 . 00 CROS8 CONNECTION �76041.�— Lic Type �-�-.SEC H I�Aucj, 1001 SURCHRRGE 1i�orvlo CON 00 SCHARGR/ATZZ so,,� NOTICE—ALL CONCRETE FOPMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE .BU-1�,DING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST.BE . CL,0,PED UP,ANb HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS LIEN LAW T14E PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IM , TV5 IS8UEDAC'CORDINGTO APPROVED' PLANS WHICH ARE PA fOFT0 RT S PEMAIT AND 8UIiJECT TO REVOCATION,FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. T ATLANTIC BEACH BUILD R COPY fSR-3844 4 16843�, DEPARTMENT OF BUILDIWG� CITY OF ATLANTIC BEACH PERRIT , INPORMATION LOCATION 1"' FORKAT I ON fermit Xumber:, -16,843� Address: , 977 ATLANTIC BOULEVARD Ty' pe:ELECTRICAL ATLANTIC BXACH,�. PLORTPA 32233 I as's of 'Work:' ' LTERA I T, ON'_ LEGAL VXSCRIPTJON'.� Constr. TRe4:�Rmcf 1K Bloc Lot BMW, U Wk,pposed, i I , I I - Wnw Pg Seottoil": o bd Dwe Subdivisioh'!ROY' AL PALMS: V a 1 U'0�: 0�-00 14rov. Cos't�.* Total, Fe 25.,00' �,-� ,`,Amount P 2ate p 19-91.8, JO&NN'$ FABRICS APPLICAT FEFS, P amo': E, INC I�Ef*t t, VILLAGE' OUSE 'PENTH md m TL'�, 3, 139 74" kt v (t 00( ATION -1 ilnO` FIRST''`CROrO%�'-MiCTRIC DRTVtIgAst ORANGE �AR, "LORIDA �2073 I Li xp:, p av:l Ti NOTICE,-INSPECTIqt�S' :MUST BE REQUESTED AT LEAST24-11OUR$,'PRIOR TO,jr4pECTION BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORKMUST NOT BE PLAC' CLEARED UPAND HAULED AWAY BY E,ITHER'CONTRACTOR OR OWNER N PUBLIC'SPACE,AND MUST BE -FAILURE TO:COIM,PLY,,WITH, THEMECHA.MiC$pI LIEN"'LAW CAWLAESULT IN ' .THE PROPERTY OWNER PAYINIST' WWICE, FOR'SUIL b1N[01MP4 MIENTS.P91 UED CORDING TO APPROVED.PLANS�WHICH ARE PART OF THIS PERMIT AND �: SUBJECT TO REVO -ATION OF APPLICABLE PROVISIO OR, ISIS OF,LAW. nAt CA, pt ;,A74A, 1r,REACH BUILDING-DEPARTMENT f C"'Y OF ATLAIATIC III- -AC --OPIDA APPLICATIM4 r'OR FLECTRICA1. PFjjMjr 0 111 V- (:1111.1 VI 1.CIF I I cA V I I oI I: 11"114)IIIAril TL,,� 19 It I c(It Is I I-n I?A I Mrj fly A(;I�l I In()I?m 'SAm WOIJJ� Irl VVI IICI I Al?l� 'IVI " I III? I 111 WORK AS DI-,;CI?IlI1 1) if I()I I A PAIII Atli) III A(,,(,, A(,COUDAN(A VVIIII ME Al IA(' All Avow I I it ORDANcl- WI I I I I 111. 1- IVD III At I S Atli) !Wl CIf ICA I IM11, 0 CIIIICAI (MI All()11!;, CODI Atli) (:fly -% r-C-40 ELECIIJIGAL-V-11-INJ: IIIIAS I III LI-LU I IIICIAIJ !;I(jrJA I I)IIE N ANI E ADDIJ ESS: -77 4o,�ic(&�/p SIZE BOX FIES. API. COMM, NEW 0 1 1) (>L AUDI I ION I I IIAILUJJ ( ) w. I I SVII VICE: r,j F vv Emp. j Slims 5U. 1-1. UUNDUG I Off SIZE INCIMASE IIITAIIJ I FE ANVIS At ON1. SYvI lull off 1311E.A.Ki-P SURV. SIZE VOL I 11AULWAY AMPS VM,I I '. FEE MARS IIAU'IA'VAY N 0. SIZE No. SIZE I--.- - - I - I No. CONCEALED (w r N 10 1 Al- ECEPT ACLUS 0. CONCEALEI) )I L- N 10 1 AL 114 CA N 1)V S C 1:N I FLIJO if F sc E N I & rj. v. Ix- 0 iO6 C) I-E 1-1 AIII 11,11. IIAIM litA L I I I-A CONDI I IM41m; CON111. Mo I oil OIIIEIJ MololIS AMP!; (,'FIL IIEAI: I EA I Mo I()Its 0-1 --- --- OVER VOLTA(;E HIS No. II.P. VOL I AM: Is MISCULI-AtMot,FS L CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION FORMATION Permit Number: 18563 Address: 977--ATLANTIC BGOLEVA-kt�- - Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: 0 Square Feet: Est. Value: Subdivision: ROYAL PALMS Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/28/1999 -Na---m-- e--:---E-Q-, -U--IT'Y-64E-(A-r-LAN-rfC—\[(LLkGE)INC---' Total Fees: 27.00 Address: 777 17TH STREET PENTHOUSE Amount Paid: 27.00 MIAMI BEACH, FL 33139 Date Paid: 7/28/1999 Phone: (800)548-2774 Work Desc: RE[PLACEMEINTPE UNIT CO TRACT IR INAL Inspections Reaulred NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $27.0014 Date: 7/28/99 01 Rceeipt: 86754-8 --- BE AQTIC CH B ILDING DEPT. CHECKS 3915 00100003221MO BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH All-"""C 11EAC11, 11-0.111A 3�233 APPLICATI 0 N FOR MECHANICAL PERMIT CAI-L-IN NUMBER IKIPORTANI' -- cOt"'Plefe all in secholis 1, and IV. P RTI A 4 —) - LOCATION Street Add,p.js: —OUCL c I fnf,I n 9 S'10, for' 0 F- Intersecting Slreplj: Bejrjj BUILDING w--o"y AnJ sub di�;S;011 111. Jr)VMTlr _I( A T I r)�'I I. IDENTIFICATION To IDe corlipleled ky all applicards In Consideraf;ofj �f I_...if 'Ji-11 10, 110inq the -,),I is in the abc— S1,11(...—I �v he—by '19'ee I� ro'fo.... sni'l �0'1, m acco"Imnc. -ith olhe a 11601ed plans Ar,d '1'e M f"I'l lle.leol` Awl ir� _ill, ll,e (:ily of 'C n 'd Of 9 Od PfcClice listed lhe,ein a, es e. d la Ida S N Name of Mechanical ,me of Mac he n ic" Contractor (Print) COnf(Aclorl Name of %for Property:0-nor S. 'q not U . of 0 f signature of O;n:r, or Aufhorii*J Agent Signafu,e of Arch;lect or Engineer GENERAL INFORMATION A, Typo of hoofing fuel: Cl 14octric IS, OTHER CONSTnUCTION BEING DONE ON THIS BUILDING OR SITE 7- knC� El Goo — El LP F] Natural El Central Utility 0 Oil IF YES, GIVE NUMBEIrt OF CONST"UCTION PEMIT Ej Other — Specify IV, MIPCHANICAL EQUIPMENT TO IF INSTALLED NATURE OF WOFIK (Pro�iclo complete list of components on bacit of this form) Hesidefillal or Heal EJ Spar* El Roctolod 11 Central U Floot flow BuIldIlig Air Conditioning: El R(>o m [J Control Bulldifig C] Duct, System: Material — Tbicliness. W---Replacemnfll Of 6XISIllig System Maximum capacity c.f.m. fIE!w Illstallallof,(No system prevlously 111stalled) C1 Refrigeration ExIelislof) of add of) to exIslifig System C] cooling to.or: Capacity 9-p-m- Olhe( specIfy 0 Fire tprinilort: Number of heads C1 Elra�afor E) Monli(I El Es"lator---(number) EI Gasoline pumpL (number) THIS SPACE FOR OFFICE USE ONLY (Rocolreel) Torlit .(number) Remarks LPG confa;nort—(num6or) Unfirild pressure �assoj C] toile" Permit Appro�orf by Data C] Other — Specify Permit Fee LIST ALL EQUII'Nll-�.NT AIR CONDHIONING ANI) REFRI(AzRAIJON 11"'QUIPMENU Capacity A proving Number UnItA 1)escrlption Model Number 111,11tilufacturtr (Tons) cyl 00 cq COO pq pq zo u ci 0 E 41 0 Z2 41 Li co Z2 LU t� I CL co" st co m w 1-0 Z2 Z2 2 IL U) w OD LL , �z z Ra ri) 1 2, co 'g. �4 -2 sc 5 P$P0044 10289 1 6EPARTMENTOF, 401k., CITY OF ATLANTIOAC-ACH; PERMIT INFORMATION ------ RX I ON LOCATION INFO PLT "�Pe'rmit , Number: 16289�) Addrei .* A 07!r �ATLANTIC BOULEV, ARD Pertnit T yp -COMMERC I AL ATLANTI-C -DA I BRACH!, PLORX -22�3 ClAas' of Wot*:RZMbDE L L130AL DESCRIPTION ----------- - Constr. T�pe:COXCRETE BLOCK � P Lot �, a-1 otk,: : Twp, rk I AL Section! Rng . Dwel I ings.- 0 Subdivisi. oh;ROYALPALMS' Est . Value: 0100 ov. , Cost , 25 0, 00 �np r 0 - Total F,,ee$: 202,"50 Amount 20Z 0 Date "Work q4i' 4 �*$RATO W, FRONT; � CEILING GRI 1,�,DOW HOT AD j�*ON STRUCTO & X Kill TION, APP ------ LICATI'ON ,FEES c V I LIioi)i fi� T , 2,02 . 50 'Add T PENTHOVSE C 33139, 1 100 4 0, 4, P, 0, A, ORMATI, Name, ION CO Sf*CT INC. A 61 al�d L:ORM��:�222,3 : -14-�Q ZXpl� -','04"nt NOTICE-INSPECTIONS MUST BE AEOUESTED At LEAST,24 HOURS PRIOR,TO IN SPEcinoN BUILDING MATERIAL,.RUBBISH AND DEBRIS FROM THIS WORK MUS A,, T NOT'BE'PLACED IN PUBLIC SPACE�.AND MUST BE ' RED UP�AND HAULED A W YBY ITHER CONTRACTOR OR OWNE14 CLXA 66 FAtLURE TO COMPLYWITH, THE MECHAMCWItErN LAWCAN RESULT IN IMPROVEM"tS. THE PROPERTY OWNER PAYING TWICE IFQ, _UIL, �-,JiSUJED ACCORDING TOAPPROVEO PLANS WHICH ARE PART,OF THIS PER ITAND SUBJECT TO RE OR , M -AT1040F APPLICABLE7 PRO 14F VISION$Of:LAW. Sj�ik5l 1_4 WT*1 4/ DECKS BUILDI DEPARTMENT 1217 f* CITY OF Soo SEMINOLE !�()AD ATLANTIC BEACIL FLORIDA �22:,:�-,-)1-15 TELEPHONE,9o4) 2 17-5800 FA�X,904) 2-17-,-)�,05 SUNCOM 852--),S00 6-18-98 2 1770. Osterer Const. 292-3997 ,�)7W , Pat Harris Tenant CO for Joanns Fabrics lye.- TENANT (ftrt trate of Mccupancg Titu of Atlantic I&* — 3lariba Department of luilbing Inspection This Certificate issued pursuant to the requirements of Section 103.8 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Commercial Bldg. Permit No. — 16289 Gro Z�E§kXTT--� Type Construction ('QmM Fire District Atlantic Beach Owner of Building -Joanns FabrZICS Address 977 Atlantic Raille-vard Buildin^dress Locality Atlantic. Bench' FT 32233 By: DON C. FORD Building Officia Date: (0 - / . .-2 J) POST IN A CONSPICUOUS PLACE HP OfficeJet Fax Log Report Personal Printer/Pax/Copier Jun-18-98 09:54 AM Identifisafign RNRU PAM IM Pak Jim Dutation Diagnostic 92923997 OK 02 Sent Jun-18 09:52A 00:01:24 002584030022 Z4.0 16240 Of OUILIDING CITY OF ATLANTIC BEACH I ow 6240 r I I t Number A es, ' " t I C BOULEVARD Add ?,b ATLAN - I I , �� ; wt I - Permit Type-DEMOUITION C B9ACH '. FLORIDA 32233 c.la$s, p f Wbrk:NEW --------- LEGAL DESCRIPTION 7onstr. TypLe:WO,0D FRAME B I ock Lot Twp: 0, Pr6pos,ed 'Use sectlon: 0 Subd: Rnq: 0 , ' Dwellinoz : 0 Subdivision, Est - value: -impr.ov., Cost , 0 .00 TLot*a I Fees : 50 ,00 Amount Paid: 50 . 00' Date:�Pa 190 W,I-V r 14 pll�l 44 T11 ltPPl;lCXTTvll FEES Name E IC YILLAql)l# T 50,00 9 4 tj Add r PENTOOTf c 331391, "Ag Phone.:,, -OlAll k v 4" OAt'l FORMATION ------ Name� Oq R, UCTION Co , INC. �,f�Aid4r; '26 Sp it Ohx LANE pill KBO E,--fLOLR 2-1 L Elk 1p,*0 7 W ,lho NOTES: NOTICE-INSPECTIONS MUST BE REOUESTED AT LEAST 24�HOURS PRIOR TO INSPECTION, NO MAT EAIALi RUBBISH AND DEBRISFROM THIS WORK MUST NOTBE PLACED IN PUBLIC SPACE,AND MUST BE CL ED UR AND HAULED AWAY BY EI'THE4 CONTRACTOR OR,OWNER TO COMPLY WITH THE MECHANICS' LIEN: LAW CAN ULT IN RO NTS, THE ROPERTY OWNERPAYING TWICE. F' 04pnill 11WING, IMP 1p V11 to ORDING TO APPROVED PLANS WHICH ARE,PART OF THIS PERMIT AND SUBJE VOOAtION CTTO RE FOR : APPLICABLE P ROVISIONS OF LAW. ATLAN*BEACH BUILDING,I)EPARTMENT Byi t. CITY OF ATLANTIC BEACH PERM= APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DM40LZTIONS /7/11 ,Owne r�,s) ho-LU4 Ad d r e s s -7 -n Phone: '.6M F1- 4/3099-- Lor- Block or Unit Subdivision: Contractor: oqi�49-A Fly-'el state License # CBC-A9 2=5 9 ) (0 Addr e s s -2667 Phone No: 2e-&- 7-f /177 C:.-:Y �r�476 State '-escr-iL-e work to be done: 6&.1 -1 J/ I-J� Present use of bui-Iding: CdAI7- LIC—brwe.- �VA16,ets p1gem Va!'-:aticr. C,-; zroccsed Construction: -Doxi4h�6^V Proposed use: 4 .ws this an addition! &o if yes, what are the d-mensions or tne added space: f,:-. W-41-1 the added area be 'neated and cooled? 7"e' 5 New elec-zrical (or increase0 Alc;l New plumbing f-�xtures?A/c, New fireplace?,Vo New Heat/'AC-, IVO SUBMZT TRREE (COMERCIAL) TWO (RESZZIMMIAL) COMPLETE SETS OF PLANS, 127CLU=NG S17M PLAN, StIpVry, MMRGy CODE rojWS, NOTZCE or ccm-MV=4ENT, ANI) OwNERICONTRACTOR A.E7TnAV:rT, 17 OWNER ZS CONTRACTOR. S.;znature OWNER: Date, Sicnature CONTt�ACTOR: V Date; Sworn to Ks c E WE ae this day 0 f APR 8 1998 ,40TARY 'PUBLIC ST TE OF r"LOR�-D AT LARGE City of Atlantic Beach STERE KATI- "T '-1 FLORID Building and Zoning OTAR'i MY 1, 1998 C;0-n 7 -Agencl I - p rson - Blecht Bonded thru LAW CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 977 & T L- weo r-,r c 13 c- up i-)z-let oce 4t2-ol o ak:-Z Date I G Heated Square Footage @ $_per sq f t = $ Garage/Shed lk A I @ $_per sq f t = $ Carport/Porch �e @ $—Pee sq ft = $. Deck E _per sq ft = s_ Patio @ $_per sq ft = $ TOTAL VALUATION : . 2, 05 , 000 0 $ Tot Valuation is t $ /00 0 V 000 /,,�o (fo $ --12) Remaining Value $5— per thousai�d or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplac.es @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $— ) RADON (HRS) . 0050 $ SECTION H PAVING HYDRAULIC SHARES CROSS CONNECTION $ ) SURCHARGE . 0050 $ OTHER GRAND TOTAL DUE s ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing Electric/New Electric/Temp_; SVimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : f7-7 Phone- Address: -7-77 17* /44,04 1 C&*41- 35137 Lot # Block or Unit Subdivision: Contractor: State License Address: -7 Phone No: -F C -g I ity _C,&0d5!fLAZ —State Zip Code J2 Desc ribe work to be done: Dim 0 r C L" A;C, xA ::�Oro-a e,- k_"-J1 &aw otAON I / - -or Present use of building: 11.4 oyv r &-�4 Valuation of Proposed Construction: *,25,000 It Proposed use: )qbn'e_ S;4&,,c Is this an addition? /j/0 If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? 4/6 New plumbing fixtures? A New fireplace? ,J/0 New Heat/AC? 1/0 SUBMIT 27n= (COMIERCIAL) TWO (RESIDENTIAL) COAMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORKS, NOTICE OF COMdENCEMENT, AND OWNERICONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: rA Signature CONTRACTO Date: �04"- Sworn to and subscribed before me this day o f 19-6 oo� RECEIVEDXTARY-- PUBLIC/TATE OF FLORICA AT LARGE KATHY M T NOTARY PLJK1,'-_ S'31�v_p_ My comaii,��"I`All E;,"'PreA"Une 1, 1998 APR A 1998 COMM�s�,,;on N � City of Atlantic Beach Bonded thru Patierson - Bech -Agency Building and Zoning Book 8910 Pg 1324 Atlantic Village Shopping Center Legal Description A PART OF THE CASTRO Y FERRER GRANT SECTION 38, TOWNSHIP 2 SOUTH, RANGE 29 EAST, DUVAL COUNTY, FLORIDA MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF BEGINNING COMMENCE AT THE SOUTHEAST CORNER OF LOT 1, BLOCK 26, REPLAT OF PART OF ROYAL PALMS UNIT TWO A, AS RECORDED IN PLAT BOOK 31, PAGES 16, 16A, 16B, 16C, AND 16D OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY; THENCE S. 07116' 02" E., ALONG THE WESTERLY RIGHT OF WAY LINE OF ROYAL PALMS DRIVE, AS ESTABLISHED AS A 60 FOOT RIGHT OF WAY BY OFFICIAL RECORDS VOLUME 1819, PAGE 52 OF SAID PUBLIC RECORDS, A DISTANCE OF 20.42 FEET; THENCE N. 851 37, 27"W., ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2010, PAGE 423 OF SAID PUBLIC RECORDS, A DISTANCE OF 80.29 FEET THENCE S. 000 41' 22" E., ALONG THE WEST LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2010, PAGE 42 A DISTANCE OF 214.92 FEET; THENCE N. 89018' 38" E., ALONG THE SOUTH LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2010, PAGE 42, A DISTANCE 147.68 FEET TO A POINT ON THE AFOREMENTIONED WESTERLY RIGHT OF WAY OF ROYAL PALMS DRIVE, SAID R!GHT CF WAY LINE BEING A CURVE CONCAVE NORTHEASTERLY HAVING A RADIUS OF 515 FEET, THENCE SOUTHEASTERLY ALONG THE ARC OF SAID CURVE,A CHORD BEARING OF S. 440 14"11" E. AND A CHORD DISTANCE OF 236.50 FEET TO THE POINT OF TANGENCY OF SAID CURVE; THENCE S. 571 31' 02" E., CONTINUING ALONG SAID WESTERLY RIGHT OF WAY LINE, A DISTANCE OF 87.05 FEET TO THE POINT OF CURVE OF A CURVE CONCAVE SOUTH WESTERLY HAVING A RADIUS OF 113.55 FEET; THENCE SOUTHEASTERLY ALONG THE ARC OF SAID CURVE;A CHORD BEARING OF S. 52* 13' 10" E. AND A CHORD DISTANCE OF 20.97 FEET; THENCE S. 89118' 38" W., ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3397, PAGE 69,A DISTANCE OF 126.77 FEET: THENCE S. 00141'22" E.,ALONG THE WEST LINE OF SAID LANDS, A DISTANCE OF 62.00 FEET; THENCE N. 89* 18' 38" E., ALONG THE SOUTH LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3397, PAGE 69, A DISTANCE OF 160.00 FEET TO A POINT ON THE AFOREMENTIONED WESTERLY RIGHT OF WAY LINE OF ROYAL PALMS DRIVE, SAID POINT BEING ON A CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 113.55 FEET; THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE, A CHORD BEARING OF S. 050 45'42" E. AND A CHORD DISTANCE OF 20.08 FEET TO THE POINT OF TANGENCY OF SAID CURVE; THENCE S. 89118' 38"W.,ALONG THE NORTH LINE OF THE LANDS As DESCRIBED IN OFFICIAL RECORDS VOLUME 2219, PAGE 306 AND ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2843, PAGE 750 AND ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3231. PAGE 773 A DISTANCE OF 440.00 FEET; THENCE S. 001 41' 22" E., ALONG THE WEST LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3231, PAGE 773 A DISTANCE OF 160.00 FEET: THENCE S. 890 18, 381, W., ALONG THE NORTH RIGHT OF WAY LINE OF ATLANTIC BOULEVARD (STATE ROAD A1A) AS NOW ESTABLISHED AS A 100 FOOT RIGHT OF WAY, A DISTANCE OF 569.18 FEET; THENCE N. 070 16' 02" W. A DISTANCE OF 160.00 FEET: THENCE S. 89* 18' 38" W., PARALLEL WITH SAID NORTH RIGHT OF WAY LINE OF ATLANTIC BOULEVARD, A DISTANCE OF 201.42 FEET TO THE EASTERLY RIGHT OF WAY LINE OF AQUATIC DRIVE, AS ESTABLISHED BY OFFICIAL RECORDS VOLUME 3278, PAGES 176 AND 177 OF SAID PUBLIC RECORDS; THENCE N. 110 42' 30" W., ALONG SAID EASTERLY RIGHT OF WAY LINE, A DISTANCE OF 390.26 FEET; THENCE N. 820 43' 58" E., ALONG THE SOUTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2411, PAGE 1171, A DISTANCE OF 262.48 FEET: THENCE N. 13*54' 50" E.. ALONG THE EASTERLY LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2411, PAGE 1171 AND ITS NORTHEASTERLY EXTENSION, A DISTANCE OF 192.81 FEET; THENCE S. 851 37' 27" E., ALONG THE SOUTHERLY LINE OF AFOREMENTIONED BLOCK 26, REPLAT OF PART OF ROYAL PALMS UNIT TWO A, A DISTANCE OF 37.52 FEET; THENCE S. 07016' 02" E.,ALONG THE WEST LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 1471, PAGE 472, A DISTANCE OF 35.00 FEET; THENCE S. 851 37' 27" E., ALONG THE SOUTH LINE OF SAID LANDS, A DISTANCE OF 60.00 FEET; THENCE N. 07116, 02" W., ALONG THE EAST LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 1471, PAGE 472, A DISTANCE OF 35.00 FEET; THENCE S. 851 37' 27" E., ALONG THE AFOREMENTIONED SOUTHERLY LINE OF BLOCK 26,A DISTANCE OF 541.85 FEET TO THE POINT OF BEGINNING. CONTAINING 14.04 ACRES MORE OR LESS. SUBJECT TO A 25 FOOT DRAINAGE EASEMENT AS RECORDED IN OFFICIAL RECORDS VOLUME 2509, PAGE 568 AND SUBJECT TO AN EASEMENT AS RECORDED IN OFFICIAL RECORDS VOLUME 2828, PAGE 374, BOTH OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY. From: F DELAHANTY To: Doron Valero Date. 4/6/98 Time:6:54.42 PM Page 1 of 1 Book 8910 Pg 1323 Permit# Tax# 1.77602-0040 State of Florida NOTICE OF COMMENCEMENT County of Duval The undersigned hereby gives notice that improvement will be made to certain real property. and in 311ccorclance with Chapter 713 Florida Statues, The following information is provided in this Notice of '14 UOMMencement. 1. Description of Property, Atlantic Village Shopping Center a) Street Address� 977 Atlantic Boulevard b) Legal Description: ___Atiantic Beach FL. -32233 A Portion of the attached Legal Description. �2- General Description of Improvement: Space Alterations T N, 3. Owner Information; a) Owner Name/Address; Equity One (Atlantic Village), Inc. 777 -17th-Stree—t thous Bk: 8910 _P�en_ q___ W—PML' Beach FL. 33139 1324 b) Interest in Property: Fee Simple Filed & Recorded c) Name and Address of fee Simple tit!e Holder- 04/13/98 10:53:57 A.M. 4. Contractor Name� Osterer Construc 10-D-Com any nc, HENRY W. COOK .,t ---p —Ir Address 2667 Spreading Oaks Laine a CLERK CIRCUIT COURT 5. Surety Name: _,L_i;*sonviIIe---FL.. -32223 ---DUVffL COUNTY, FL Add res's REC. $ 10.50 Amount of Bond: 6. Lender Name; N/A (Note,A copy of any bond must be attached.) Address'. 7. Persons within the State or Florida,des ig nated by Owner upon whom notices or other documents may be served as provided by Section 713.13(l)(a)7., Florida Statutes Tom Delahanty, C/O Global Realty, 2955 Hartley Road, # 106B Jacksonville, PL. 32257 8. In addition to himself, Owner designates copy of he Lienor's Notice as provi I ded in section 713.13(l)(b), Florida Statutes. 9. Expiration of notice of commencement (The expiration date is one (1) year from the date of recording unless a different date is specifAd.) 45 dAvs from t-his filing. LU Owner signature STATE OF Florida COUNTY OF Duval SS a Notary Public in and for said County,in the State aforesaid, do hereby certify that Doron Valero personalty known to me,to be the Authorized Agent, of Equilly One—iAlphal—In a Florida Corporation. Appeared before me this day in person and acknowledged that he signed and delivered the said instrument as his free and voluntary act and as the free and voluntary act and deed of said corporation,for the uses and purposes therein set forth. / It-k GIVEN under my hand and Notarial Seal this(�day of 1998. ipa P&* TOM DELAHANTY (SEAL) My ConvnissiGn CC4/Ej�- Expires Jun.22,1999 Notary Public Elonded by HAI 800-422-1555 BEAC.11 C:r Ty 0 ADDI,1101;S, op, ALTERAT10b'S p,vpj.aT A2PL:rC-AT:rC)Zq DEXCLITIONS xov=qG, It ?hone'. z"daress 131 S u L 0di .j; sjOn*. Block con,:ractor e CA state License -7.5,-4 r e 5 5 state be work to be done: or,Am( -Cctz(z bu ?,resent I-Ise -Onstruc' or -he added tase, if Yes, "I tat are r_he and . s ar, ne added area te (0 AC New eiec-t-- j�eat/ New fireplace? r e S Av—U 9L,.U�inq VS 1,1CLUDING CCWLETI: SETS CE* PL M AND .S:rD=;TZAL) or IJLL) TWO (pX Z.0p),S, gOTICE (CCMMERC CODE TPACTOR. StnWIT TNPJM SMVL�Y, VMP-Gy I:s Cos SxTr TCEZ A.E71DAVIT, CWNM,.ZICCNTRAC t e �,®RI 7, 0 N ZR Cate S;.-,nat�lre ' T 0 Z:-qnature Cot� ,ACTOR: day Of this t rZ OF OR- PT 1998 40 y ?UBJ�jc S1 R� FLO 40 0 ST yo APR a- a f9ge city of Atlantic Seac" 0-T -pgencl d ZOnIng suilding an 'Son , Bon Afttic am* jW CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION -Pe—rmit Number: 18738 Address: 977 ATLANTIC BOULEVARD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: 0 Square Feet: Subdivision: ROYALPALMS Est. Value: Parcel Number: I Improv. Cost: OWNER INFORMATION Date Issued: 8/27/1999 Name: EQUITY ONEE-(—ATLLANTICVILLAGG-E—))1NC Total Fees: 45.00 Address: 777 17TH STREET PENTHOUSE Amount Paid: 45.00 MIAMI BEACH, FL 33139 Date Paid: 8/27/1999 Phone: (800)548-2774 Wor esc: REPLACE P/C UNIT/HE—AT CONTRACT OR(S) __j — ..—, APPLtCATION FEES MIKE'S REFRIGERATION PERMIT 45.00 IN-A L I spectiqns,Reqyjire4�'-- NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION I FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $45.0014 Date: 8/27/99 81 Receipti U82785 P 3977 6H UILDING DEPT. CHECKS U188883221900 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 -5826 INSPECTION PHONE LINE 247 Application Number . . . . . 06-00033310 Date 6/20/06 Property Address . . . . . . 977 ATLANTIC BLVD Tenant nbr, name . . . . . . INSTALL CU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ AIR MAX HEATING & COOLING INC 316 PARKRIDGE AVENUE ORANGE PARK FL 32065 (904) 276-4340 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc - - Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 PERMff IS APPROVED ONLY W ACCORDANCE WffH ALL Cn'V OF ATLANnC REACH ORDWANCES AM TME FLORIDA BURDING CODM CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Property Address: Lpr�drl I Owner-ao! h,,Wl 4R�es*-a-77 Telephone#: lat4l -S—Cfpt Contractor:kl.w4� U Telephone 4-24c) A Contractor Address: Fax Contractor Signature: In consideration of permit given for doing the work as described in e e state t,we hereby agree to perform said work in-�c—cordance with die attached plans and specifications which are a part hereof and in accordance with die City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building AElectric or site,li LJ Gas: —LP —Natural —Central Utility Q oil Ll Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat _Space —Recessed Central —Floor Ll Residential Air Conditioning: —Room �Central U Duct System: Material Thickness— Commercial Maximum capacity__________cfin Ll Reffigeration U New Building U Cooling Tower: Capacity —gpm El Fire Sprinklers:Number of Heads K Existing Building El Elevator: —— Manlift—Escalator—(Number) Replacement of Existing System U Gasoline Pumps (Number) $1 El Tanks (Number) Ll New Installation L3 LPG Containers (Number) (No system previously installed) u Unfired Pressure Vessel C3 Boilers U Extension or Add-on to Existing System E3 Gas Piping Ll Other-Specify_ u Other—Specify_ LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency -TCJDs1fNC3C0 `T1LA1-3* IS L)L— HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. A 800 Seminole Road 0 Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 a Fax: (904)247-5845 e http://www.ci.atiantic-beach.fl.us Revised 1104 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 CALL-IN NUMBER APPLICATION FOR MECHANICAL PERMIT IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: LOCATION OF Intersecting Streets: Between And BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attacliLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed th-erein. Name of Mechanical -Cantractors Contractor (Print) 2�ar Name of V Property Owner Signefuris of Owner Signature of V or Aufhoriz*d Agent Architect or Erigineer Ill. GENERAL INFORMATION A, po of eating fuel: IS OTHER CONSTRUCTIO BEING DqNE ON ET;7i:lec�fmc THIS BUILDING OR SITEN7 rVIO 0 Gas-0 LP 0 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION E3 Oil PERMIT C3 Other - Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) 11 Residential or W-'-Commerclal 13' Meet [3 Space 0 Recessed Q_�_C'.ntrel 0 Floor 0 New Building E!"'Air Conditioning- 0 Room M---C.ntrol &�-�xlstlng Building • Duct, System: Material Thickness.- L�-�eplacement of existing system Maximum capacity c.f.m. E) New Installation(No system previously Installed) • Refrigeration El Extension or add-on to existing system C) Cooling tower: Capacity 11 Other - Specify (3 Fire sprinklers: Number of heads EI Elevator 13 Menlift [3 Escalato- (number) THIS SPACE FOR OFFICE USE ONLY 0 Gasoline pumps -(numb*rl C) Tanks (number) Remarks 0 LPG containis (number) [3 Unfired pressure vossoi 0 goiim fiairmii Approved Date b Other - Specify Permit Fee Uffr ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUIPMENT CVWtY Approving Number Unift Description Model Number Manufacturer (TO1111111111) Agency VV_ L111:4 C;597-RX I SOM&w �T7- irlo P t7- CITY OF Vead - 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville , FL 32202 Dear Sirs : The following final inspections have been made and are satisfactory : Permit #3761 - 985 Atlantic Blvd. , Atlantic Beach. Permit issued to All-Florida Electric Permit #3760 - 977 Atlantic Blvd. , Atlantic Beach. Permit issued to All-Florida Electric Permit 1�4872 - 261 Beach Avenue , Atlantic Beach. (repair-addition) Permit issued to Bivins Electric Company. ,S�incerely /John M. Widdows 0 Building Inspection Supervisor JMW:ra CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 February 1 , 1984 Pre-Service Section 3rd Floor _ Jacksonville Electric Authority 233 West Duval Street Jacksonville , FL 32233 Dear Sirs : The followin f*nal inspection has been made and is satisfactory : I Permit #37610 - 997 lantic Blvd - Walgreen' s Drug Store . Permit issued o All lorida Electric Company . Sincerely, ,John M. Widdows i'Building Inspecti`,�"upervisor JMW/ra WEST FLORIDA PIPING ��0 , INC. � � . - P. 0. DRAWER 1563 ` MARIANNA, FLORIDA 3?44 :) HYDRAULIC CAI rULATIoNC FOR . . PUP! lX 0 ATLNvT| ' ` ' U | A',& ` n'`M'TMG rENTER A[LxhTIC REAr*, F|' FI1. E NUMB[R : �,-�| T-) Oct 25 . 19M / -VESIGN DATA- OCCUPANCY CLASSIFICATI0Nr DENSITY : AREA OF APPLICATION : COVERAGE PER SPRINx/ ER: mVMBER ('F S[`RTNKLEQQ rx| rU| MFM TOTAL SPRINKLER WATER F|0w RE0U| REn : TOTAL WATER HE&UIRED ( INCLUDIN6 HURL ) : / /-, 6Pn FLOW & PRESSURE ( AT SoUPCE ) t '.7� GPM @ 32. m wT SPRINKLER ORIFICE 9rzE: CALCULATI0N9 M HAqS |`H»GRAM HRS 9YSTFM5. INC' ATLANTA, (.a , � SPRINKLER SYSTEM HYDRAULIC ANAivS[S Paoe 1 ` ATLANT `^ JOB TITLE: PUBLIX @ ATLANTIC VILLAGE WATER SUPPLY DATA NODE # AT STATIC RESIDUAL FLOW HoKE STREAM ACTUAL TOTAL SOURCE PRESSURE PRESSURE @ ALLOWANCE PRE99URE @ DEMAND ( PSI ) ( PSI ) (GPM) (6PM) ( PSI ) (GPM) 34 . 42. 0 33. 0 820. 0 0. 0 32. 6 672. 0 AGGREGATE FLOW ANALYSIG: TOTAL FLOW AT SOURCE 672. 0 GPM TOTAL HOSE STREAM ALLOWANCE AT SOURCE 0. 0 GPM OTHER HOSE STREAM ALLOWANCES 250. 0 GPM TOTAL DISCHARGE FROM ACTIVE SPRINKLERS 422. 0 GPM ' NODE ANALYSIS DAT* NODE # ELEVATION NODE TYPE PR[snURE DISCHARGE:;.. ( FT ) ( PSI ) (GPM) � z9' 0 2 19' 0 3 /9' 0 u= 5 60 20' � 4 19' 0 F- 5 ' 60 21 ' 9 6 |9' 0 7 19 R t /8. 0 8 19. g K= 'i ., "All li - � 19' l 9 19 G K= 5, �0 1�`' u �`n' m z0 `7. 8 K= � ' 6� / ^/ '/ /| . el 11 19' 0 12 19. 0 x 9 . 60 10' / 1e' 3 13 19' 0 K= 'j. 6N in |9' 4 04 19. 0 K= 5 . 60 1A' ^ z0' 15 15 19' 0 K^ 5' 60 16 19. 10 17 19' 0 - - - - 18 19. 8 K= 5 . 6V i8' 5 ?4 ' , 19 19. 0 - - - - / 9' � - - - 2m 19' 8 K= \ ' �N ,n' '^ 16' 0 21 19. 8 K= �' �* ` | '. 19. 1 22 19' 8 ' ^020. 0 ' 23 19' 8 �^` �- ^0 / v `, Z1 ' 6 24 19. 0 V5 19' 0 5 ' 00 / n 7 /" 3 2u z9. W /.~ z' 6* 19' 4 27 111' m x- 5' 60 / � '. �0. 5 28 19. 0 K= 5. 60 / hp ' 9 29 19. 0 - - - - 30 19. 0 31 15' 0 3 \5 ' 0 �2-,� z . m HopE sTxr*n '| /. z :)m m 34 z . 0 S0U*CE . 0 ° SPRINKLER SYSTEM HYDRAULIC ANALYSIS Page 2 ` JOB TITLE: PUBLIX @ ATLANTIC VILLAGE PIPE DATA ' PIPE END NODES DIA( IN) H-W C0EF KFN6TH FRICTION NO. PRESSURE( PST ) FLOW(GPM) (FT) L0SS ELEVATION(FT) VEL (FPS) ( PSI /FT) 1 . 1 , 2 1 ' 050 120 PL /2' 0 0. 110 PF 1 ' 3 10. 7 12' 0 -18' 3 F| 0' 0 PE 0, 0 19. 0 19' 0 6' 8 TL 12' 0 PV 0' 3 2 2 3 1 ' 380 1�0 0' 111 PF I . 12. 0 13' 3 -37. 7 F| 0' n PF 0.0 19. 0 19. 0 8' 1 [L 12. 0 PV 0. 4 3 3 5 1 . 380 120 Pi 12. i 0. 247 PF 3. 0 13. 3 16, 4 -58. 2 Fi 0, 0 PE 0. 0 19. 0 19. 0 12. 5 TL i?' A PV 1 .0 , 4 4 5 1 , 050 120 PL 2. 5 0. 153 PF 1 . 1 15. 2 16. 4 -21 . 9 FL 5 ' m PE 0.0 19. 0 19. 0 8. 1 TL 7- �) PV 0. 4 5 5 6 1 . 610 120 PL 5 ' 5 0. 210 PF 2. 8 16. 4 ' 19. 2 -80' 0 F\ 8. n PE 0. 0 19. 0 19. 0 12. 6 TL 13. 1 PV 1 . 1 6 7 8 1 . 050 1vo P| 12. 0 0. 107 PF 1 . 3 10. 3 11 . 6 -18. 0 FL V1. 0 PE 0' 0 19. 8 19.8 6. 7 T| 1.2. 0 PV 0. 3 7 8 9 1 . 38� t�0 PL 11 . M 0. 107 PF 1 ' 2 11 . 6 12. 8 -37. 1 FL 0. 0 PE 0. 0 19. 8 19. 8 8' 0 TL 11 ' 0 PV 0. 4 8 9 10 1 . 380 120 PL 9. 0 0. 238 PF 2. 1 12. 8 14. 9 -57. 1 FL 0. 0 PE 0. 0 19. 8 19, 8 12. 2 TL 9' 0 PV 1 . 0 9 10 11 1 . 610 120 PL 7' 3 0. 204 PF 3, 9 14. 9 19. 2 -78' 7 FL 12' 0 PE 0. 3 19. 8 19. 0 12' 4 T/ 19. 3 PV 1 .0 10 6 11 4' 260 120 PL 2. 5 0. 000 PF 0. 0 19. 2 19. 2 -21 ' 3 F| 0' m PE 0. 0 19. W 19' 0 0, 5 ' ', ' PV 0. 0 ' It 11 17 120 P| / ' '` 0' 003 PF 0. 0 19- 2 19' wI -lm�' 2 F| �. n pE 0. 0 19. 0 19. 0 2' � [/ 7 ^` PV 0. 0 12 12 13 / ' 050 12W 0' 110 PF 1 ' 3 10. 7 12. 0 -19 � F| N. n PE 0' 0 19. 0 19' 0 6' 8 TL |2. 0 PV 0- 13 13 1+ 1 . 3H0 1,20 P| 11' 0 0' 111 PF 1 . 3 12. 0 13. * -17. 7 H m' N pE 0. 0 19. 0 19' 0 8' ! n | /. m PV 0' 4 SPR IN|(| Ex SYn I | M I "I AMOK | C .\|o«| YS}�� v JOB TITLE: Pu81 | X 0 ATLANTT(' Vl| LAor PIPE DATA ( c"n+ ` d ) PIPE END NODES DIA( |N> U-W c0EF | 'N61H Fo] CT ]0N NO. PRESSURE( PSI ) FLOW(GPM) L0SS ELEVATION(FT) VEL( FPS) ( PSI /FT ) 14. 1A 16 1 . 380 120 n i�. 0 0. 247 PF 3.0 13. 4 16. 4 -58. 2 F| m. 0 PE 0. 0 19. 0 19' 0 12. 5 T| 1�'' 3 PV 1 .0 15 15 16 1 . 050 120 P1 /' 5 0. 153 PF 1 . 1 15. 3 16. 4 -21 ' 9 H 1) ' 0 PE 0. 0 19. 0 19. 0 8' 1 T| ' ' 5 PV 0. 4 16 16 17 1 ' 610 120 P| 5 . 5 0. 210 PF 203 16. 4 19. 2 -80. 1, /. 0 PE 0. 0 19' 0 19' 0 12. 6 || | '' 5 PV 1 . t 17 18 19 1 . b10 120 ,\ / . � 0' 023 PF 0. 4 18. 5 19- 3 -24. 1 | | 1 0 PE 0. 3 19. 8 19. 0 3. 8 U 1'�. 3 PV 0. 1 18 17 /q +' 260 | :!m ,. �' � . 0' 008 PF 0' 0 19, 2 19' 3 -180' 6 } l m. N PE 0. 0 19' 0 19. 0 4. 1 [| PV 0. 1 19 20 21 | . 050 1�' 0 0' 107 PF 1 ' 3 10. 3 11 ' 6 9. 0 F! u' m PE 0' 0 19. G !9. "Q 4 7 T| | ' n PV 0' 3 11 . 6 12. 8 19. 8 19. 8 8' 0 [i 1 | . 0 PV 0' 4 21 22 23 1 ' �8O P| v m 0' 27�8 pF �' i 12' 8 | 4' 9 -57 1 Fi n w PE 0' N 19' 8 19' 8 z2' 3 O `/' w PV z . m 22 23 24 1 ' �| 0 1 2N p| / . � 0. 2N4 PF 3. 9 14' 9 19' 2 -7O' 8 r| 1 ,' � PE 19' 8 / 9' 0 12, 4 Ti \ " 3 PV � '0 23 6 24 .1 .1 1., m. CAI 1 PF 0' 0 19' 2 19' 2 -18' m F| V) V-1 Pp 0. 0 19. 0 19. 0 1 . � [| / . "' ' pY 0' 0 1 0 0. 11M PF ` ' 3 l0. 7 . m P[ 0. 0 19 m |9' 0 �' G U |�`' N PV 03 m. 111 PF 1 . ] 12. 0 13' 4 -37' 7 R m' V1 PE N m 19' 0 � �� M 8' / T| ` /' N PV 0. � m' 247 PF 3' 0 13' 4 |^ * -58' � / � nn PE 0' @ 19^ 0 19' 0 12. 5 [| / ' 7 P`/ 1 . M ' SPRINKLER SYSTEM HYDRAULIC ANALYSIS Pase 4 ~ JOB TITLE: PUBLIX @ ATLANTIC VILLAGE PIPE DATA ( cont ` d ) PIPE END NODES DIA( IN) H-W C0EF LENGTH FRICTION NO. PRESSURE( PSI ) FLOW(GPM) (FT ) LOSS ELEVATION(FT ) VEL( FPS) ( PSI /FT ) 27 , 28 29 1 . 050 120 PL 2. 5 0. 153 PF 1 . 1 15. 2 16' 4 -21 ' 9 FL 5' 0 PE 0. 0 19. 0 19. 0 8. 1 TL 7. 5 PV 0. 4 28 29 30 1 . 610 120 P1 5 . 5 0' 210 PF 2' G / 16' 4 19' 2 -80' 1 F| R' N PE 0' 0 19. 0 19. 0 12. 6 7L I3' 5 PV 1 ' 1 29 24 30 4' 260 120 PL 2. 5 0=5 PF 0. 0 19. 2 19' ? -130' 5 FL 0' 0 PE 0- 0 19. 0 19' 0 3' 1 TL 2. 0 PV 0' 1. 30 30 31 4. 260 120 PL 272, 7 0, 012 PF 3. 8 19. 2 24. 8 -217' 2 FL 56' 0 PE 1 . 7 19. 0 15, 0 4. 9 7L 328. 7 PV 0. 2 31 19 31 4. 260 120 P 30`v' / 0' 010 PF 3. 8 19. 3 ' 24' 8 -204. 6 F| \6. N PE 1 . 7 19. 0 15 . 0 4. 6 TL 3h5 . 1 PV 0. 1 32 31 32 6. 360 120 PL 66. 0 0. 006 PF W. 5 24. 8 25 . 3 -421 ' 8 FL 19. N PE 0. 0 15. 0 15' 0 4. 3 /4PV 0. 1 33 32 33 6. 360 120 PL Q . 0 0' 006 PF 0. 3 25. 3 31 . 6 -421 . 7 FL Q' 0 PE 6. 1 15 . 0 1 . 0 4. 3 TL 50. 0 PV 0. 1 34 33 34 8. 040 140 PL 220. 0 0. 003 PF 1 . 0 31 . 6 32. 6 -672. 0 FL 79.0 PE 0' 0 1 . 0 1 . 0 4. 2 TL 298' 0 PV 0- 1 NOTES: ( 1 ) Calculations were performed by the HASS 3. 4 computer Program under license no. 8101F40 granted by HRS Systems , Inc. 2193 Ranchmood Dr ' ° N. E. Atlanta, Georgia 30345 (2) The system has been balanced to provide an averao~ imbalance at each node of 0. 028 qpm and . ma .iwum imbalance at any node of 0, 911 wpm. (3) Velocity pressures are printed f^r inf"n^a+ z ',n only, and are not used in balancing the system. Maximmo w.'ter `/el "ci+y in any pipe is 12. 6 ft/sec. SPRINKLER RYSTFM HYDPAULIC ANALYST'; Page 5 JOB TITLE, PURLIX M ATLANTIC VILLAGF- WATER SUPPLY CURVE . 60+ 55+ i 50+ i 45+ P 40+ R i E 1 S i 0 <- 35- 77 Psi 8 672 spmi S 35+ U i R X <- 32. 58 psi @ 672 gpmi M 820 gpm E 30+ P i S I 1 25+ 20+ 15+ 10+ 5+ Mff-f---+ ...... ........+ .................. 200 MM 4MM 9mm hom 7mm ROM FKOW (MPM) AND F1,0IR I DA CITY OF EF'�CHI APPLICATION FOR MECHANICAL PrERMilo lMnRTA-KT-Appl;c-.:.r%t io cocIP13tO 811 itoms in socii,:ms 1, St' St. 1-0e-�AT104 (K.A. S-tin, E*tt.w"t) 7 Lot No No jd in 8wpj;c&f& if Pv�ry) I ,, (State pori�� of 64 if 1-13 0.4m u Pe.rts A - D n-i, OF �ao�OSED A. uSZ- OF JUILDING ItESi[)ENTIAL ncw%profit 1. C3 Or,* f&m3y it. (3 utitity (F*e-*rcA, Va to cw 2. C] Tw-o�or rmors 41"N 0 of roz�-nt-- C- KATUKE OF W0JkK 1. 0 Trans;smf. Wet. -0+61. 17. &� Ne- n9 rc-or",mg �,Ougs - 13. Entat nurm6or of um;lh- 0 14. 0 OTHER-SPECIFY 11. 0 �c;:-Lsca��vod of C%;ti;�g py-stwo, 4. 0 060f f*$'d*"f;Aj 70. 0 New 2 1. C3 or*de--om to CA,-si;pq ry.;irm. S. 0 22. 0 Oil-"-S Pe-c;ff 6. 0 C�u*m�. olrl.or *';g;ows 7. C3 lnduslr�al 0 Ga,#gs. t-o-ke Oat;- L T`ri�z 0 Holp"fal, 3&. 0 NWML�or of 10. 0 Off"co, t�anl. 37. 0 W--,d fro me h�y a m d -cc-d AN Al r�_HANICA.L SPUIFIMAUNT TO LE lk�,,TAILM 31. (3 (P___ j , r 39. [3 comcrot* 'd 'o li"t (Prov;do comp)940 litt or com;>C�"h on L" of t�*% f:'rm) 2 0 0 S 0 f---�Or 40. 3. 0 Fu m a c 0: 0 SPac* 0 0 Csrtr&l Strwct-Wal si*41 24. 8/ Air Comd;t;o^im9: 13 Room 41. Otl%op 2 S. Cl Dwcf Sysiom: Maier4l M6.;m6r" c-ap-06ty -Z-1 49 T,4E) clff, 76. 0 K6fr;q*rsi;on TXIS SPACE FOk 0FFI`C* "t O"ILY 27. 0 cooling tv.0f: ca"46ty 22. [1 F�rs spr�mllorl: Num,60? 2,9. C] Elsyslor 0 par,131 0 (M 6-n!>Or) 30. R wr,&ris 32. 0 LPG 33. 0 Umfl-�d jp�.-uLra �-usl Ivy 34. (:3 pe"it Fv,*�- 35. 0 SF-3�c"Y Ill. GENER'AL INFORMATION B. A. Tj po, of I,&';IS f-1 15 OTMER CCRS-.��,jCTICM BE�NG DC-E C�M A7 IVE,,-ctric THIS B'JILDI14G OR S,T E 7 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT OWNER'S NAME__L=/At__(a_ZG_ C LOCATIO -T I MASTER PLUMBER STATE/COUNTY OCCUPATIONAL LICENSE NO. CERTIFICATE NO.- 0 -7-4 -7-7 - C-)C� CONTRACTOR \�_kar'_T TL TYPE OF BUILDING___C,=,L,,_ SINKS SHOWERS LAVATORY -WATER HEATERS BATH TUBS __DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE OTHER FLOOR DRAINS TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH.THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. /6700 A R P R 0 V E ID' C2 re4e U-�] E ce- i P SFATE No. ---,E OF s I !.-�s s 11 3*.Ill E PIS D) S s D) S O'S A! S cj-(�� ,- is ---- a C: S Fi -ill-CRE Crij.AT I s A L I-A T I C.,4 c p I U 73 1 "::3 D F I X-P,; E S �j S T 1 t, C 1,j ST T. -DJ J ON GF - SO S PI �7 C�-D E. C�-N T CITY OF ATLANTIC BEACH, FLORIDA A PLICATION FOR ELECTRICAL PERMIT is / 2 19 P13 TO THE CHJEF ELECTRICAL INSPECTOR: DATE:—L��2- M &I T m TIrFt IN n _ (2(p IMPORTANT NOTICE: IN bONSIDERATION OF I PERMIT GIVEN FOR DOING THE WORK AS DESCRI13ED IN T14E FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,.CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 1971L. h(,w;A -(ja'k, &6�L� 29%1 Ald left%-IUATI IR F f) JOURN&YMM ELECTRICAL FIRM: NWER ELECT- :-I=Z,. 1�1(1 , RFD—BOX , 6L26J!4gf NAME- eg4d AD- BLDG.SIZE BETWEEN: RES.( APT. ( comm.J)G PUBLIC INDUS.C NEW( OLD( REW. ADDITION TRAILER ( TEMPA SIGNS ( SQ. FT. SERVICE: NEW INCREASE( REPAIR ( FEE 60 CONDUCTOR SIZE 3 AMPS 00 COPPER ALUM. 3 3,Z-. A I-X70 JMTCH OR BREAKER 2,00 PS 03 PH w VOLT 7 -*�ORACEWAY_ 3 PH'' W, VOLT IWAY AMPS FEEDERS NO. SIZE No. SIZE 160 A NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOT I AL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AM"Ps. 31.190 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. a/c a FIXED OVER BELL TRANSF. APPLIANCES t I - AIR H.P.RATING H.P. RATING i ,- m . CEIL=HEAT: KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMP$ Fps s 0-1 OVER MOTORS H.P. I YOLTAGE PHS No. I H.P. VOLTAGE PHS ViscELLANEOUS el%lr.91 sm v 5 I'l 4'� PAO*00 OF*Ufj�*ING CITY OF-ATLAN 4 r 7�p N/A Block, Section Lot', 0 000" .14 on AuAsT 1,C -ACH lip # 15 41, 04'a F�+-;;pf.LON "till sz-r �4 ft 'PP1,7�!ATT' FrTs- -Gill- XXT TIP PE IT $15.00 rest C A0, 641V A,R IMPAC FEE d ca, rEsok I 9 0 - 4� TAP RAW$ s'0.00 0 RiwNI),CAB $0.00 '0V4N'Z 'R 00", R 0 SEW, T10, tor .00 :CQNNECtION $0.00 **00 Type- 1 S 9C It IMPACT FEE CON$,T SURCHARGE zz'� m OTICE—' ,ALL'CONCAP-TE FOR $AND FOOTINGS US m 'Et BEFORE POURIKQ PEOMITV010 SIX MONTHS AFTER DATE 00 SS E I U UILWNO,�MATERfAL,RU IOM,THIS WORK MUST 46T BE PLACED IN PUBLIC SPACE,AND MUST BE PSISKANDDEBRISFF E*466PIAND HAULED AWAY BY EIT ER CONTRACTOR OROWNt �,AILURE T0,COMOLY WITH THE IVIECHANIC.S �,'LIEN LAW CAN RESULT IN DIN r, TH F , WOU L G ""PROVOMEW-TS29 �'AbCOR TO APPROVEb'PLANS WHICH ARE PARTOF TkiS�PERMIT AND susjr=CT TO RE VOCATION FOR LICABLE PROVISIONS,OF LAW. ATLANTIC'BEACH UILDING DEPAFM T Wow oww000 Datet 6/21/% Ol "6 W323 oms 'JOW Bv: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIOiS OR ALTERATIONS DEMOLITIONS Owner(s) : Jk-)-AL &ePF7=-7K) Ck Address:- Q '7-1 j4rL-#qA3Lz& >1 .' r-� - . A I- " -- Phone:- QL+-) - (cj'50 Lot Block or Unit # Subdivision: Contractor: Address: Describe work to be done: Phone No:------------ -------� pre- ,P- Present use of building: valuation of Proposed Construction: Proposed use: Is this an addition?----. If Yes, what are the dimensions of the added space:___.ft . X Will the added area be heated and cooled?... Now electrical (or increase)? New Plumbing%. fixtures?_ New fireplace?_New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: ORK4 FREE Om 11111 61 Ocala Fl. 34472 No. 3044 00SX. 78th St. File 9 4T. 04-3 2004 li T .4 r s� Zi!�V 3REEMEN zl�, "A EN -!,:� ! Opp "-IS MENTISMA,,DEB k= A;�� as; rwith FREEDOM FIRFWOPI f'"P,z'Z'nP;-.for the purpose of allo,.Wng the rttailing'of approved fireworks'frorn the 16cat* H 10 f 90 .,At lanUd Bda;ch,: FL Lessor represents that the parking lot or commonly occupied premises as listed above is owned and/or controlled by the Lessor furthermore that the Lessor to grant Lessee the exclusive right to operate a Retail Fireworks Stand on these premises for the period from: Mine 22 .1994 0 7u&y .19 94 e period of time before and after such period for erectingand dismantling tenant's equipment and delivering Plus such reasonabl 'and iemoving its-inventory. return, Lessee agrees to the following terms and conditions: 1. Provide liability insurance coverage and post with Lessor, prior to occupancy, a certificate of insurance, evidencing liability insueance in force covering the erection and bperation of the retail stand.,-Said insurance shall name Lessor as additional "'k insured, and Lessor shall be held harmless from any claims arising from the maintenance or operation of the stand. Insurance 10A00 '000 '00 -boverage Will be in the amount of$ -2 Pay any,and all costs involved in erection, maintenance, and operation of thd stand, and Lessee shall gu r a antee that he premises will be returned to their original condition. j7 Obtain a n-d pay for all necessa rl'y'i permits and licenses required la local authority any debris or w,,an post with ..'&rmance bonds which might be required,'and guarantee that all laws-and regulations,will be adhered to. 4.'If the sale of fireworks is prohibited by Public authority,then this-166se agreement shall automatically become null and the l6ca;lmun'i�cip�lity having p�qper jurisdiction over this stand limiti&s' ale of fireworks or makes any other local rules t hang g the state statutes,then this lease agreement is subjec to revision. 5. Pay in full,to Lessor,on or before' _�Pa�tl 4,11 fill-I 19 a rental fee of 1 "300 0(1 P113g,7�qn16.z fnw chdcR#il4b9 ---- �313 F, 539q-, 6.: Should property,* -sell this Uease bedares null ?i AGREED AND DAfED THIS 20�F-h, dayof 19'94 THIS AG ENT C, IN, N ENTUPON LESSEE SECURING LOCAL AND STATE LICENSES. LESSOR: LESSEE: Aq ATUA tf n C C Address: 1-7 FREEDOM FIREWORKS City,State.zip: M TAX I.D.#/S L b6CUR Date' ease M6iIed--'�,nA'/7.A`/QA OCIA 441-; V�4. 1 o(l. pail pos' h De �p eck. it Individua or alknership Check No. - Fil e f, 3044 6P(0 5/93 city Atlantic Beach Address 990 Atlantic Blvd Tent size 40 x 60 Yo x deg 0- 1 Aquatic Dr A T t 1 \ \ \ \ a LY\7 \ n t / A i 77TZJ p u c b V\ B 1 VA1111111111111116� V d 71117, �WA N \AA LY\77 VL� I erojw REGISTERED ISSUED BY 10- 1 1 -9 1 Fabric No. RAINBOW PRODUCTIONS, INC. Date V manufadurod — 23 SOUTH SCENIC HWY 30�6.01 FROSTPROOF, FL. 33843 This is to certify that the matorials described on the reyerse side hereof hay@ been flarne- retardant treated (or are inherently nonflammable). roR Freedom Tents .........�ADDRESS 13640 S.E. 31st Court CITY Summerfield STATE Fl- 32691 Cortification is hereby niode that.- (Check "a" or "b") E] (a) The articles described on the reverse side of this Certificate have been treated with a flame-retardant chemical approved and registered by the State Fire Marshal and that ilia application of said chemical was done in conformance with the laws of ilia State of California and the Rules and Regulations of ilia state rire Marshal. Name of chemical used..................... ...................4.............................Chem. Reg. No........................... Methodof application............................................................................................................................ (b) The articles cl"cflbood on live reverie side hereof at* made from a flame-r*sistant fabric or material registered and approved by the state Fire Marshal for evch in*. Traci" name of flame-resistrin t fabric .. ...............G.roup.I........................ 1A NOL Be Tbe Flame Retardant Process Used..... .... Removed By Washing 14� By N,7rn*of ArriFeat'o"r or Fradud;on Sursrintsn�� dent size 30x5O TRIO color Red/Whi uwmvr..T..,J�iteBl�ue DRA170N INSURANCE DIWKERS, INC. pjjt;l'011jCH ft)X 94067 2%tili c1W1'1;lt POINTROAL),Wfff 301 BlILMINCHAM,ALABAMA 36220 01MMLNOHAM,%LAIJAMA 35215 FAX(205)654-5899 ITI.EPHONE:(205)t54-5606 CERTIFICKfE OF INSURANCE NO' 360961 We certify that illUUfUlJe4J Us UUtlillCd beitow It; off(O-J-1 tile Named 1risured. NAMED 1NSURFD; American Pyrotechnic IlllporUrls, lnc. Freedom Fireworks, lne, American West Marketing, lue. Pyrodyne American Corporation 6100 S.L. 78th Street Ocala, Florida 34472 PER101): FebrLlitry jo, 1993 tct ()e.toijer '.fl. 1993; Both Days Inclusive., COVERAGE: Commercial Ccllc-id lAiAh-111tY 1"ClIK11"16 1"'I'linem & Operations Liability and Fitidut:Ls 6 Uumpl(Acd Operkltlollz- LiabllitY- LIMIT OF UABILITY: A) �_icjj Oi�currence $10,000,000 B) Ili-ndtictR ocillipleted Operations Aggregate $10,000,000 Affuidud by AAbidral Innurnnne Company. Ptil ft.:y No. A92FG19499 for a 1-imit of $2,000,000. Pollcy No. 17SX1.00001 foi a limit of $1,000,000 of $7,000,000, 11L.Security Liu;urziticr, Oullip-Al"Y of Hartford. Policy No. FXL637292 fLil, �,j limit of $7,000,000 ExcerR of $3,000,000. Tile above sLaLed Iiiysit.s of liabll-ItY -11+1y 1�j) t!;lj!jj j)(�ttjjrroncu buL, its re.,jpccL:i 11roductu and CoMpletat] Operntjolu� liability oniy. in the aggregate. It is certified that, in accordance with, and uubje-c-1. (41, QW. ternl.q of tile above policies the following VENDORS AND/OR SPONSORS AND/OR COMMITTEES AND/Oic PROPYRTY OWNERS AND/OR 110ENSTNG AUTHORTTTES are Included as Additional Instiret](0, but tinly J%% ret-pect of the 11111;111ty of illicit Addlti(111,1.1 III:;%, l'tjj )S(Itill*y 111.1tti-y jalcl pyoperLy Damage arilifI11% out. of Lhe sale by tile AddiLiollill tif ffi-t-workm dimLributed by the Named Int;txr*(1, The limits ot lial)iJity stated above shall nof. be III(Ircaiied cither; 1) by tile inclusion of njl*sre than one intiured; nor 2) by th,:. t,(-t:j,jjjj if ttior(i t1l;it, miti certificitte by any Insured. NAME & ADDRESS OF ADDITIONAL INSUREDS: Atlantic Village ASSOCiates , Ltd . and Global Fvnd Investment', and Walgreens Location: 990 Atlantic Blvd. AtlaritiC Reacb , Fl 33233 their officers, agents. and CMP10YCCU Wilull lictilig Ill 11itt.tj uffiQ.1411 cilli4icAtien as such. Not.withbtanding any requircineilt, Lerill <Ir c:olitlition of' iiny contract or other document with respeCt to which this CCrt1f10Elt4U MY Ile. j.-tit.if-tip ,, - t),- 3,,ay p�-rtain� the inpurance afforded by the policies described herein Is subject. to 0.1.1 tilt! 14.1111N, ;jnd conditions of such policies. For purticulurti conce-Lullit; -ticil if anti coal itions each Addiftonal insured is referred LU tile policy ductmit-witu It, tile P000*65101-1 of the Named Jnsured. Should tile. above described policieii be cancelled before tile cxpiration date theroof, the Janoing company will mail 30 diys' prior wrItten notice to the above named Additional Insured. DRAYTON iNSURANCE RROKERS, TNC. 1 QQ3 ....... DATE A. J. STRINGER, PRES12", T L H r 7. APPROVAL' LIST NUI 1 -1-8 E RS Lio C. IN U. Date 0 Sold To: '�Ccoulit No. Locn(joll: QUAN I I I y slilesillall: ICE'! J 1:11 !:�i fI ......... A I SF-r- F-S-111 rqo ' I-LWIA STOCK SUGO. 15 -T1'A1ZA1jCRS 11111ing Relief 22 --- 11S arkittll ,box ----------- 402,403 lifist I'llm 23 erbx 1(;9 11 25, -)(, Glot 5 drifti, er b Ir 294 4 4 7" 3 k.36" 50 134 Curt --------— 45 I - CsfldleJutnbc.] 98 102 ------------- Ullpky hij."fe C"Inclin Fiowtr er box a 53 clinibing rand, MIT,telicl.1 75 ------------------- 1 112 Conch "hit Aw if 1 8 7 F 1 114 ———————— Fiery v-son I It box --- It It 137 448 Flojh Ray CUR — F' -_1-,Aw.41j 0 143 ' '1 207,325 Frel 2 in box - 161 199 G'ound 0143fer/Per box 60 j4de 40,41,233,23") 210 'let Sri n, Ground Toom Per box of 212,213 242 1,111cr lice 222 - 259 lien Lmji,,S Egg At."JiGral 227 f281. UnIld"t Cal per Pk or 12 —254 1 262 Lightning fire"ll..'r A_ lf,pp,L'I'l 311 F fish(Per bx) 312 Lolut 268 270 336 "at ly r0l"Per Per b cl-cl Val X-016 H/A ItIA.,gs" N/A 352 per box h 9"A I'm led I I-/A Still flirt n(411c, 215,2771,1139,442 A 386 onk(;It" — Lamp 432,433 1303 j link All A63013 per box 11 ___ Super o(ZE-2 72 'F'to turtle , flas-in—flic—c—1 43o rer hoz or I 435 4G5 r'i)UAfA3S0,Rr.4jL�Wr ---------mm! 4 9 0 llmrg in flat (7-�� 1244,491 _ 1�244�1_ FuTs k or'm r sniff 2510,252 go. - Anicflcmnf,s I (:""T IJ A sw it it I e 115',299 Jublice Dcluve �171111_4 A sivi,tell 365,472 . 1 #473,474,4A, U I o'k L.-S 19,164,300,301,iiM Par ly Craft of 4 till littler -/A it 0( ...... fill ke per 1'"j;of 6 :�A Cr Be heri Ilk. (":/A ,Ilk*Gt ensde 1,1!.or 2 /A per ca VA Col!, tits, I U I'A L A A loVjj r 101A1.1y F- N z]DO 0 M ITI 0 m W z -4 m m m m Ln C'u --4 V)c pq M z(A -4 m c go Lq )0. N Z 003P nv-3: 0 pom 0 0 OW 0 c 0- m-4 Oon cz x M> n FM In z Om Z"O o cm m 0-4 0 0 A M-4 < -4 m N 0 04xm m -00 0< 0 0 > -n -H U) >(A m > 0 AM -4 m m 0) ;004 ;KO (OJMI am > z 0 rd r z lb.m CA m(A *R-4 0 (J) --i 'n 0 V .4 e% a-h m 0 --1 ul 0 N to 64 M -n -4 x U)M r- 0 an v on 0 Cl) Cj) :0 X 5 > 40 )0> ;0 (A a V -4 X-4 > m 4 m r:q z IM m M)pb 0 m AM r m-4 0 0%0 z z 31. 0 F 6- Jil a ,n elm 5 m m C T-4 I M � w I c -4 c m -4 3* 0 — . m 0 ic 0 z cla— r cn m ZL rT C= M rT C) Ej (A a m m :�m 0 " - 0 0 0 m --� a -n o ET M CL CL cn 0 c) cn 4um..k" W..! 0 0 0 CL rm a 1= "SL 2. 0 = CL cr 4T — W a CL 19 CL 5�7 - cr CL 0 0 tr &A CL. 0 c cn en z Ld W1. IA L ga. A M M CA CL rn m g Z CA) z CL W Z :,u co -< W tr : cn z CD CL m CD Ci "I CL 0 CL z �-A ct cr CL a Ono c CA File # 3044 5/93 city Atlantic Beach Address 990 Atlantic Blvd Tent size 40 x 60 1:1 L Aquatic Dr A t 1 V\-A-1 a n t -Z-ZA p i u C B -71zlzlzllllllzllll V d 711ZZ11ZZ1ZZZZ11Z1LZA ,j11ZZ1Z1ZZZZZZ1." A V 7 7TTLI ew� I 4A CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD (.0 ATIANTIC BEAcH, FLoRiDA 32233 ma&t I n CA-C-+-I 4-k cLf rerteA00-1 r1ofiCt, ioj)L(jo( r)o+ be SeO'�. 00 I M;EBY mU<E APPLICATION FOR A LICENSE/TRANSFER TO CONDUCT THE FoLiOWING BUSINESS: BUSINESS NAM BUSINESS LOCATION LEGAL DESCRIPTION OF PROPERTY (IF AVAILABLE) MAILING ADDRESS 'SNiv,--tL EXPLAIN FULLY THE NATUp ,E OF THE BUSINESS s T Am S A F STA-rF- APPKeAEL S104RKLORS . OWNER/PRINCIPAL OFFICER \---Qc-\CA HOME ADDRESS BUSINESS PHONE -Z-�A-j HOME PHONE ID DATE OF BIRTH S - 1-7 SEX DPaVERS LICENSE # G6310 -349--(.a FE F, DERAL TAX I.D. # 59 (619-74+ S.S. # I46C f- 7 2,164, STATE LICENSE NUMBER, IF APPLICABLE I, THE UNDERSIGNED SWEAR AND AFFIRM THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT. I FURTHER UNDERSTAND THAT ISSUANCE: OF A LICENSE BY THE CITY CLM;K IN NO MY RELIEVES ME OF THE RESPONSIB11 TY FOR COMPLIANCE WITH ALL PROVISIONS OF THE CODE OF ORDINANCES PEF=fING TO CONDUCTING A BUSINESS IN THE CITY OF ATIANTIC BEACH. 2��4 APPLICANT% SIGIP� TITy VIA4tie i-lific 9-5 PRINT NAME DATE NOTE: ALL OCCUpATIoNAL LICENSES ExpIRE SEPTEMBER 30 OF EACH YEAR APPLICATION AND/OR PAMMqT DOES NOT CONSTITUTE APPROVAL OR ISSUANCE OF A LICENSE BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. r*ss: 7 7 —;in LOCATION Street Add AflAoo� OF Intersecting Streets: Between And BUILDING Sub-division A?2�&Am e— Zz/..n6age e o4 j 1111. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attach9d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Nam of Mechanical Contractors Contractor I Print) E U,— Master Name of #Nporty Owner $40ature.of w"or Signature of or Aitfhorhioc!�Agsinf Architect or Engineer Ill. 69MUL INFORMATION( A, Type of hooting fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Elochic THIS BUILDING OR SITE? 4e 0 CI fm—E3 LP El Natural E3 Contra[Utility IF YES, GIVE NUMBE OF CONSTRUCTION 03 PERMIT Also 31 13 ofier, specify IV, MICK�XICAL ICUMAGW TO It INSTALUD NATURE OF WORK �(Pravide compi a%list of components*a bad of this form) n Residential or Commercial E3' Host 0 Space El Recessed Ilk contal 0 Flooir El New Building t) Ai.r Coffififlisaing: E3 Room 10 central 13 Existing Building C) Dvc� System: Moterial Thickness— 0 Rep]&.cement of existing system Mo3tifflut"copecity 0 Now installation(No system previously instafted) 0 Extension or add-on to existing System 13 El Other — Specify [3 C401;09 iowsif Capacity 0 Fire sprinMers: Number of h" QL f'lavator [3 Marifift 0 EWAI4#o TNIS SPA= FOR Off= UU OMY 0 &OR**pumps —(numbsir) linumber), (number) Usifired istossum Ve" Permit Approved 0"W Specify Permit uffr ALLEQuipmENT AMK CONINTIONING AND REFRIGERATION EQUUWNT CAN011111 A"rofte WUWbWVAft8 D"ofttim, No"NUMbW xlmufach~ (TOM) Ag4IWW ZIP 6.-V 004-e Address ,,.Heated Square Footage @ $ per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ luation lst $ ReTainder Valuation per thousand or --------------------------------portion thereof Total Building Fee ------- ---- ADDITIONAL PERMITS and/or FEES REQUIRED + k Filing Fee Mechanical Fireplaces @ 15.00 BUILDING�PERMIT FEE $ Plumbing Electric/New ------------------------------------------------- Electric/Temp BUILDING PERMIT Septic Tank Well WATER METER CHARM S%dm-ning Pool SEWER IMPACT FEE Sign WATER IMPACT FEE Water Connection MISCELIANEOUS Sewer Connection Water Meter Elevation Certificate GRAND TOTAL DUE ---------------------------------------------------------------------------------------------- CALCUiATIONS and/or NOTES CITY OF ATLANTIC BEACH APPLICATION TO MAMI ADDITIONS OR ALTERATIONS Ownex L-f2- Phone Architect Address Phone Contractor Address ),,,//aPhone Contractors License/Certification Nuibers <� ExpiraLioL, 1),ltc Property Address 0 Zoning Lot # Blcok or Uni t Subdivision Valuation of Construction 66 C ons tructionZLg- 0 pe of C Describe Work to be Perfonned -sl-"gAc\ Materials to be Used Present Use of Building Proposed Use of Building Q-j�,�e Flood Zoiie Whensions of New Area: IMED GARAGE OR STORAGE D E C 01 198 7 CARPORT OR PORC11 MCK Building and Zoning. PATIO YES NO NUMER Will there be an increase in ninber .of units? Will there be a decrease in nuiber of units? 'Any additioual plurbing fixtures? Any new fireplaces? SUBMT W) WMPiME SETS OF PLANS INCLUDING SITE PLAN Signature MUM Date Signature WNERACIOR Date 6,X X 110 3 3;9 09P ARTME NT OF ISUILW;1Y F 7777 7 a 77 7 M C to 3 A 97 1,,1*4drji,�A, T ATLANTIC BOULZVOI), "'M LA- STIC'ERACH, PLORIDA a2233 LEGAL h* '00 DISMIPTION Di, Block# CO Soctiow MOO AT��TIC, SNAM 'T q"hip-. ,: isi on 0 to :,va .00 T"t $ ................�i: 6 , T 000 2 2 , , 1 9119's" JULY 51 1995 Pft'ICAT TON PZZS, T. ion 'A 7 7, 7,7,! ITAII 4 D�,I F IT, 0 'ACT, I I too- per -P �vw 4A RADOM- CAt Slk it-AP XT A I'MPROVE. oi 00 '0 caft, ""Or r.Sots, 00 77- -7 j NQnC9 ALL 60NO POURING _X�MONTHS -0,4 =N, AFT I; WORK V Pf-AC P-,JNPUbu1(P:SPACE,ANDM C 141EAt,"" C'AAAED UP-MO-iJAUL 6 W' L U$T BE S. A AY Y -I't CON OR _TwT 41 FAMLL 'CIO WITR:07.�7 :, LAW,CAN RESULT "MONTS MG-IMPR OVE, _�r_77-7- -7......7-7 7 9D:A00,Q NNO' SSU to APPR0v,#D.fL'AN,$WHICH Mtk' 0 FAPPLICABLE RT F THIS P,k �VIOLAT !WECf To RIEVOC�",FOR ATLANTIC, 'EACROUIL q I I PSR-3844 10339 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH' PERMIT INP.ORMATION t -------- LOCATION INFORM I rl ATION TA� PeMit T TENT Addre.s�-, � 977 ATLANTTz-l' ATLANTIC BEACH . FL,'�RIP71, N/A "I LEGAL DESCRIPTION Ty r,e W'� 01D FRAMF P ri �OMt k S'n-t i -1 E R T A L Townshir � od F t l t e,,�j Eult'divIrlon ' ATLANTIC BF,,A, H To� -i Pa i�j t e paid-� "1 1,4 C." TENT PERM TT lv'�,R THROTI" H itiLv c5 1 , OWNER INFORMATION FEES 4,ane,'_ WALf3REENS fp M T PERM I T A r1l T WATE '177 ATLn-NrlrT.0 Rr"l-ILE"JAFT WATER IMPA; T FEE r ", rF Vt� ATLVITI- BEACH Ff,e')R!fA 3 2 SEWER TMFA�"T FF�r�. 4)2 4 7 - 19 WATEF, m E T E R 11 T r"F RADON (-!AS H , F 4�r) CONTRACTOR INFORMATION RADON CAB 6 .. �WN s� lh e e 7APTTAL !MPR�_A!E , s rl SEWEP TAP NNF `T!"ll Tvpe , i H IMPACT FEE N S T , ':7�R�"H'IR!'�,F SCHARGE/ATL,ECH, NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY,BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN rVIOOTHE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTSYY I ISSUED A CORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR S C TIO SULATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILP)Nq DEP4 T L Bl: CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : 4Z6,':11Z� Address : /2/ Phone: Lot #_ Block or Unit # Subdivision: C on t r a c t o r: State License # Address :— elal00 e9o")h -Phone No: Describe work to be done: Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft . X — - ft . Will the added area be heated and cooled? — New electrical (or increase)? New Plumbing fixtures? New fireplace?_New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: r 1� D a t e License Supplied:— Liability Insurance: Worker's Compensation Insurance: FREEDOM FIREWORKS 6100 S.E. 78th St. - Ocala Fl. 34472 File No . 3044 904-347-2004 LEASE AGREEMENT THISAGREEMENTIS MADE BETWEEN ATLANTIC VILLAGE ARqQrIATES, LTD. as Lessor with FREEDOM FIREWORKS as Lessee,for the purpose of allowing the retailing of approved fireworks from the location of: 990 Atlantic Blvd. Atlantic Beach, FL Lessor represents that the parking lot or commonly occupied premises as listed above is owned and/or controlled by the Lessor and furthermore that the Lessor to grant Lessee the exclusive right to operate a Retail Fireworks Stand on these premises for the period from: June 1195 to July 5 1995 Plus such reasonable period of time before and after such period for erecting and dismant ing tenant's equipment and delivering and removing its inventory. In return, Lessee agrees to the following terms and conditions: 1. Provide liability insurance coverage and post with Lessor, prior to occupancy, a certificate of insurance, evidencing liability insurance in force covering the erection and operation of the retail stand. Said insurance shall name Lessor as additional insured, and Lessor shall be held harmless from any claims arising from the maintenance or operation of the stand. Insurance coverage will be in the amount of $10, 000, 000. 00 2. Pay any and all costs involved in erection, maintenance, and operation of the stand, and Lessee shall guarantee that the premises will be returned to their original condition. 3. Obtain and pay for all necessary permits and licenses required by law, and post with local authority any debris or performance bonds which might be required, and guarantee that all laws and regulations will be adhered to. 4. If the sale of fireworks is prohibited by public authority, then this lease agreement shall automatically become null and void. If the local municipality having proper jurisdiction over this stand limits the sale of fireworks or makes any other local rules changing the state statutes, then this lease agreement is subject to revision. 5. Pay in full to Lessor,on or before a rental fee of alpq tax, check # AGREED AND DATED THIS dayof No-tramber 1 A 19 94 THIS AGREEMENT CONTINGENT UPON LESSEE SECURING LOCAL AND STATE LICENSES. LE OR: 4 LESSEE: Address: FREEDOM FIREWORKS -7 ():: 04 All City, State, Zip:—A "I TAX I.D. #/SOCIAL SECURITYM Date Lease Mailed Corporation Deposit check of$ 1 , 394 . 00 Pa i d i n f-1.1 I I Individual or Partnership Check No. "AW REGISIEREb ISSUED By Vale Fabric No. RAINBOW PRODUCTIONS,INC. Manirfacluf ad 23 SOUTIJ SCENIC "WY FROSTPROOF, FL. 33043 7. aM This i's to certify that lite niaterials described on Ih@ reverse side hereof hays. been name- retardant treated (or are :inherently nonflonlinable). FO Freedom Tents -ADDRESS 1364n z__F_ 31st Court CIT STATF Florida 32691 Cortirication is hor 6by niodo thaft (Check "a" or "b") (a) The articles described on Ilia reverse side of Ilils Certificate haye been treated with a flamo-relardant chemical approved and raVIjIqfaj by Ilia state rite Marshal and that Ilie applicallon of told chemical was donf) In conformance with Ilia laws of Ilia Stole of California and the Rules and Regulations of Ilia Sinia rite mar Iiial. l4anis -of chemical I used......................................................................chain. Reg. No........................... Malliod of applicallon...........................................................; (b) 711VO orliclos CIVIC11"d em I" fe"190 2IJ9 11"00f elf* mcitis from a flam*-roslslonl fabric or material replatered and approved by Ilia, state rive Marshal for such tne. 7rade nortle of flon'te-resislarif fabric .. ...............01.0up.I........................ Noj��1,905 .. .... . .......... The Haille, Relat:daiil Process Use(I.....w ' *11 N.0 L..... Be Removed By Washing 00 ny at ArrIleater er rmtruction Surerl"fendont SIZE 40 X 60 C NOR 10339 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCAT!�'N 1NFnRMAT! _1N FFV,1T f1qF0RMNTT0N - _' ��I "I I n�_ � LEIAL J)F�, RTPT! `N T r-7j APFL!�-ATION FEFF OWnER IN1PQFM;%T!n14 V?A T E, f 7� mT L'�,, OE WATEF M FT'F F R AV "ONTRACTOR 1NFr1F.HRT10N rl c:F` 11 1 T 7, NOTES: NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS95 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECTTO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-58M FAX'("4)247-5805 CERTIFICATE OF SERVICE Don r P-A I delivered a notice to hereby certify I that at --- vard-----�, Atlantic Beach, FLorida 32233, this 23 day of July -----------�, 1993 at____ O' clock __A. m. This notification was in reference to CITY OF ATLANTIC BEACH Ordinance No. 24-111 (C )mmercial General Zoning Distrirt) a business without a lil-ense SIGNATURE OF SERVER: SIGNATURE OF RECEIVER: DATED: u 23 1993 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : / A A , -- - Address :- `J22 47-64.7'�e- Phone: Lot # Block or Unit Subdivision: Contractor: State License # Address : Describe work to be done:---------.Phone No:----------------- 7�F,-,u 7- Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? the added space: If yes , what are the dimensions of ----ft . X ----�ft - Will the added area be heated and cooled?---. New electrical (or increase)?_ New Plumbing fixtures? - New fireplace?_New Heat/AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, ENERGY CODE FORMS, NOTICE SURVEY, OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: License Supplied: v Liability Insurance: Worker's Compensation Insurance: .—� 2i 1995 BUilding and Zoning DEPARTMENT OF,Jlli�ll" IC BEACH CITY OF ATLANT. -------- LOCAT- ION_1 NPOPWAT I ON pim, t i I NP61-wh I ON ------ Addrois 071, ATLANTIC 000LEVARD, -p ATLAN 10'�`SZACII, FLORIDA 3223,3:1, Ve.:TENT rmit ly T , ---------- LEGALDRSCRIPTIO91 , 6f Voik�-NEW �.,Constr-, T to:�ONCIRZTA' l4t: Twp: 0 0 Sub �Rng: .,fro�0,844 us D J�i, 0 wel 'rigs: Subdi vi s i oh:JittAOT I C SEACR Est -Vol-uol- Cost* ."o 00' Tota, Lre s# 25.00 �4 tk ' UP �roR JULY ,4TH Sult, OF"'rPt OR otk APPLICATION FEES ----------- - I Vw 1 25.00 p Ad 3 P msm'o pigb - FORE ��EITVFORMS AND FOOTINGS IXMONTHS AM 7 ,E8 HIS RK M, P "IN PUSU SPACE AND MUST BE "CLM4MAT 0A ii�*No�tjiq USfkOT BE 80 C RIS FROM T LAC �UP AWAk(kW AWAY BY fITH6kd6NTAACTOA OR OWNER' IN, N T -c in -4 .UR'E,,' -70`� **0A L w, THE MECHANIC AW, CANAES 'y NGTWICE FOATHE 79, FOR -,,*wEDACCOAOlN61T1 fEdPLANS WHICH ARE PART OF THIS PEANUT RE)IOCATION 0"TION 0 APOLI IAW. .. ................. 42�zl AMMTle o0i��i 2, Aw�='d T L T;12 2 8 1996 CITY C? ATLANTIC BEACH Building and Zoning PERMIT APPLICATION %MODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) ; Address : 1/7 Phone: Lot # Block or Unit Subdivision:- Contractor : state License # Address : 'Phone No: De9cribe work to be doDe:LlilA. o&& P I e of building:-- valua.� ! A proposed Construction :— Propost- use; is this an addition? If Yes , what are the dimeablOAs Of the added space:---ft . X Will the :,- ' �-- drea be heated and cooled?____ New electrical (or increase )-�-- New plumbing tixtures? New fireplace?_New Heat/AC?---- SUBMIT Tj%z comPLFTE SETS OF PLANS , INCLUDING 51TF. PLAN , SU13VEY , E14ERGY CODE FORMS, NOTICE OF COMMENCEMENT AND oWNFR/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR . Signature OWNER : Date: signature CONTRAC,roR :__- 1r))ate,. License Supplied: Liability Insurance : Worker ' s Compensation Insurance :_ q ISSUED BY 10- 1 1 -9 1 Vale HAINDOW PHOUUCTIONS,INC. Fablic No. mantrfaefured 23 SUUlll SCENIC MY FROSTPROOF, FL. 33843 OF I_r - 3 6-cl 1 _"T r 10 certify H161 (he materials described oti the reyerse side hereof Ilaye beef) nanie- retardant treated (or are 'ititiereritty notincimmabie). FOR_.. Freedom Tents ADDRESS-13640 q - F - 31st CQurt Cily S _____�u mm e r f i e I d STATE Florida 32691 Certificalion is hereby made thalt (Chock "a" or "b") (0) Th" atlicles described on Ilia royarim side of dils Catfiricnia have been treated willi a norne-refordaril theinical approved and reolstered by ilie swe rlr" Marshal and that ilia application of sold Chemical Was donn In conformance willi Ili" laws of ilia Sinin of California arid 1116 Rules arid Regulalions of Z", ilia sinin rite mar 9 imi. Z I-Ionle of chernical wed......................................................................Chem. Reg. No........................... moillodof application................................................................................................. (6) 711" cirlicles J91cf1bid oil ilia roye've 21de 11"'wof nfo ni—le flom a norn*-roilstanl falbric or moletlal replitefed and approved by ilia state rite marshoi for sua, tno. ZI Trod" nome of flaiiie-tesist,3rit folitic 1 1605 2 V 1he Flame Relaidani Picicess Used._" Not Bo Removed By Washing ny 71, 14—me rf Arr,I;cnInr or riorivernm Sirroritit-149ni fill* SIZE 4 0 x (:01-0 lln� lif."'01,11110 1XI ul Im FAI Im )'k GLOBAL REALTY & MANAGEMENT, INC. April I 8th, 1996 David Santiago Freedom Fireworks 1708 Morningside Drive Middleburg,Fl. 32068 RE: Atlantic Village Shopping Center Atlantic Beach,Fl. Dear Mr. Santiago: This letter is to confirm the Landlord authorization for Freedom Fireworks to occupy the above referenced premises for the Fourth of July promotion . If you have any questions please do not hesitate to call. 4S* EARuiz-SaVncz Office Manager /ers enc 777 1 7th Street, Penthouse, Miami Beach, Florida, 3 3139 [3051672-1234,FAX[3051672-6606 File # 3044 5/ 93 city Atlantic Beach Address 990 Atlantic Blvd r a .k at size 40 x 60 Ej I Aquatic Dr A t a n t A V71 W/ / Li p i u C b A .71 N B I-LLI i V TTTI 1LhZZ V d 71 7111Z1111Z11Z11Z111 .1A r 1111111111111111111LJ L/ /r* L----. E . . .... 7TZ-J ---——————————————————————— DEpARTMENT OF BUIURING CITY OF ATLANTIC BEACH �4 - ----- - LOCATION, INFORKATIOW PERXIT INFOO14ATION I------- " 1 : � 9 L LEVARD 71 "ATLANT I C BOUT permitNumber Addres.s., ATLANTIC BEACH', FLORIDA 32233 'Ve rmi t Type:PLUMBING ---------- --------- LBOAL -btSCRIPTION Class of Work,.ALTERATION Lot: Twp: 0 , constr. Type,:N/A Section-,' , Subdt 0 Rng: 0 �' Proposed Use: I we!1,'ings 0 Sujo,4jvisiqn,'*#ATLANT1C BEACH D Est . Value: '0 .60 Improv. Cost : �b .00 Tot a I Fe S 25ioo , Amourit W1996 Wb AXD�FOUKTAIN ,rk Do , APPLICATION FEES TIZON 25.00 T Ad"d ULIVARD FLORIDA -4, �Ph -T1 ------ roft" ND SON LAI A : JACK$ L 322:16 Lie 'T 4,� -NOTES: NOME ALL.1010KRIMFORIM AND FOOTINGS MUST BE INSPECTED BEFORE POURING TEDF ISSUE . Peamr,r,-VOID SIX MONTHS AFTEKDA BE 01�0 IN PUBLIC SPACE,,AND MUST BE $UIMNG MATI�AIAL,,Ftvssls.H"ANd,�tig-$f4lS FROM TH I&WORK MUST,NOt PLA Ct-EARED U 'A A CONTRACTOR OR OWNER, LgDAY*Yey,eitHe IVS N LAW ILURE'�T- 7 0 CAN RESULT IN WIT141HE MECHAN LIE F A Com �ME PRO,P: RW, ;AMPROVEMENTS AYINGTWICEFORTHESUI . _F D Al tomlkd To A000VED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO fievoca OF APPLICAM $,OF LAW. 0 0 !I fiTIANTIC BEACH OUILDI :c ———————————————---———-- P"4041" DEPARTMENT OF 13UILDING CITY OF ATLANTIC BEACH PERk OFOAXATION LOCATION IXFQ -------- Permit Number: 11091 1 C BOULEVARD �,Perid t T ype*ZLECTRI, ,AL ATLOT TO- BEACH, FLORIDA 32233 01 ass of Work:ALTERATION LZOAL DESCRIPTION --------- Cdnsfri . Type:N/A Block.: Lot Twp: 0 o1a 0 Rng: pioposed use: 8ecti Dwelj4ng,$: "0, BEAM Subdivis i on*ATLANT I C Est . Value: 0. Improv. Cost,: 00 Total -Fe ount Am 434 -APPLICATION -FZZS --------- TO Nam 43 . 90 D WON Name: CO TIC", 00. T R NOt FLORIDA 32073 lix NMCE,��ALL��IFORMS,AND Foorms mtrtt,m INSPEOT96 BEFORE PoiliMe , E PERMITVOID SIX,MONTHS AFTEWDATE OF I$SU INGMAr ERI AL, RUBBISHANDDOR [$,FAOW THIS WORK MUST NCiT a k"44N,OU BLIC SPACE,AND MUST BE )i�RED UP ANQZ� EITHER CONTRACT014 OR OWNER L WITH THE MECHANIWS� LIEN LAW, CA TL IN WRESUL TWICE ""�f UL DING R, ,A YING NTS X-0-mbik6TO''111 EDIPLA $WHICH ARE PART OF THISPIS N I 41 _4y p% 104 F v OR QFlAW. LOOP."; 16i O� D, E ser BUILD NO NT W7 7 T CITY OF ATLANTIC BEACH, FLORIDA Appro"d bV APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: (10 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS- WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM:60temt, C-lectte MASTER ELECTRICIAN SIGNATURE L&JUL, JOURNEYMAN q 7 7 414,44;c I'v ckarl-o-s 'Fa)bb'.3 IQ RFD-BOX- NAME- ADDRESS: BLDG.SIZE 30,00C) SQ BETWEEN: -5411 P,-6A, RES. APT.( comm.( PUBLIC ( INDUS. NEW( OLD ( REW.(pl< ADDITION ( ) TRAILER TEMP.( ) SIGNS ( ) --- SO. FT. SERVICE: NEW( INCREASE ( ) REPAIR ( FEE CONDUCTOR SIZE AMPS COPPER ALUMA ) 1"5-- SWITCH OR BREAKER AMPS PH w VOLT RA EWAY EXIST.SERV.SIZE AMPS PH w VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE CONCEALED OPEN TOTAL LIGHTING OUTLETS RECEPTACLES CONCEALED OPEN ITOTAL 31- 1 0.30 AMPS. 1 3 1.100 AM PSJ SWITCHES F- INCANDESCENT FLUORESCENT&M.V. FIXED 0 100 AM F5. OVER Ll APPLIANCES I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 3 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS CITY OF ATLANTIC BEACH APPLICATION FO PLUMBING PERMIT N Fo JOB LOCATIQN:--211-:2i2--- ---------- OWNER OF, PROPERTY: BUILDING CONTRACTORt.... ---------------------- PLUMBING CONTRACTOR — ------------------- AND ADDRESS -------------------- TELEPHONE NUMBERs STATE LICENSE NO: TYPE OF BUILDING: SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS - -------------DISHWASHERS ' URINALS DISPOSALS CLOSETS WASHING hACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE flUNT............ x $3. 50 + $15. UO ----------------------------------------- ----------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 247-5826 o", 11918 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 'PERMIT INFORMtIONI tOCAT16N , INFOMATION -------- ri 11,916 Addresis�, 977 ATLANT I C BOULEVARD armit 141111&e ATtANTtC�,,SE Permit Typ*;XZCHAXI-CAL ACH PLORIDA �32233 01 ass of W6rk:ALTERATION LEGAL: DESCRIPTION C *.N/A Slo Lot; Twp: onstr�, Type c Ptoposed Use' : Section SA�bd:0 Rnq: Dwellinjs: 0 Subdivis,ion,.ATLANTIC BEACH Est . valvei Improv. Cost,-*. 0.00 Total r, .3*.0,0 Almnount oat, klack 'AjSZt,4TICIVA ION ----------- --------- C-fT-1 APPLICATION FEES Na IT 4�00 -OULIVARD .Addr: :3 1 PLORI DA" (A"T I T QR* C. A 3220 JACI(SON 7PLI'� NOTES: NOTICE ALI,PONCRETV FORMS AND.FOOTINGS MUST BE NSPEC70 BEFORE POURING PERMIT VOID SIX MONTHS AFTERI�DATE OF ISSUE BUILDING MXTERIAL,RU813JSH AND.,I)JEORIS1 .PROM THIS WORK MUST NOT BE' PLACEO��PUBLIC SPACE,AND MUST BE IPLEA D'HAU'LIE)AWAY BY EITHER,CONTRACTOR OR OWNE A ED UPAN 77 is i* -P MEI AIL M-COM' 0HANIVS,L1 LAW CANAESULT IN T, EN'11 �01RAWNGTWICE FORTHE BUILDING IMPROVEMENTV 7,e.77 E --00 W IW-", J$$ AC ADING To APPROVED PLANS WHICH ARE PART IT, a *REA, A OF THIS P RM A OPAPPLICASLE PROVISIONS OF LAW. ATLAN:m K BUILDING,OtWITMENT MCK OWN& - ------------------ ----------- 7.7.7-------- -------------- IN, A JIM= AfvXmK 2JIA ?a % moo vq LN3"d1601 mourdartim"V aNybmwouxisloo igiv �Iltj JLNSWJlnba Tiv jmri..",, -00 D v -"*Q —Aq P--ddV 41-64 a W" 0 cl AIN*154 20wo 110d lovag Simi %dwnd oullotee:'t) 4 I Febm 0 All-dg—jetIto Amedso wo" $V!I003'13 LUOIIIAS Oulltlx#01 UO-PPV JO 1101601'M vallasespiev 0 '4136d"wowlawri (P01111vul Alt nOlAoid WOISAI ON)U01111111111ul MON, 0 W816A.1 OU1141WO 10 justusovideW C] �,J� tj w�Opejovi :WOj%q Jac Sulpling Culpixg IWIV@O ]a weav El Isvies"ispue0aw 8ulplIng MON 0 0 1 W44100 111 0 w-dS (3 WON -13 1112jewwoo JO lVilueploom 0 1-41441 jo Vvq wo 61"wedima. Ia-pq 1111*016193 OM.4 Xwom 210 BUMN 017WISHI If(u INIP1411k6l TVMNVN=M W AjItiedS at" 13. 11VIII113411 NOILOnVA-SNO2 JO V3@WnH MAIO'INA A; 00 0 ,4 APWA 1014"0`3 0 IOJP41N C) al 'fig 13 La-1,11111 1110 981911AS Simi 0." NO 3NOO 9WID6 mouonvisoiw mamio$1 X. 11014 SuI40901 jo edAl N011VA10d I lvri"- A '_A ;,doy, ^0 Ap C—:::� y okm*N Owl I 0 lealml*�-pojd-poob jo. IPJVPQ 46 PUD%S2Y1PW!PJG 6111AU011w jo A#t:)*41 4"m 83u§P'0�79 u!Pu9 lQojn4 4,vd v " 4�!4-%W991.106di'puv S.#Id'pd4`av#4# oq4 941,e7 fauspo"a U.1,9-p!ol—oped*4*.�bo Xqo,#4 4�499 041,u! poqpsop so ji"*41 bVIOP 101 &#OA!b #!Wjad 10 Wq!40j*PjtWQ1j'VI s4ugoildde 119 Aq pa4ajdwo:).aq 01—N011VOIALLN301 III 4 Puy 111694IS SulpavielvI 10 7/ij awppy togi4s NO 3m 11V 'Al PUG '111 '11'1 SU01439S Ul SWGI!110 0491dLuoi 04 4ueoilddv INYM041 —A'—a—wnN Nl:!)vo IIHWU IVOINYHO31N 110d N011V311ddV , Cetus valwou 1)4.*Ivxm 0I.Lkvluv HOV38 OUNMV AID AM NOISIAWN0113USNI eNINOZ aNY 9NI(311rlg 11852 777T77 0iPAWMENT Of,OW�OW6 CITY OF ATLANTIc'05ACH PZRMIIT INFORMATION LOCATION INFORMATION ------- Ptrmi t :,Nur�ber. Addross: 977' ATLANTIC WARD BOOLE ' Permit Type:XZCHAgI CAL ATLANTIC -C BEACH, FLORIDA 32233' ClAss: ofV,10rk:AL, TZRAT 1014' --------- LZOAL,' DESCRIPTION --------- Constr. Type0MASO OR B I ock,:, Lot : Propowed us* Tvp: SOO't i ou 0 Subd.-O plo Rng: 01 * *TLANTIC BEACH- Val,Ue -0 .00 'Improv- cost ., 0,�.00 Tote I F� ' 5.00' A"ioun 25.00 io , ii TION APj?LICATION FEES ---------- N 64 P 9W Aad r IT," 25.00 BOULEVARD FLORIDA �4& T r 0�. ONOWO L 32750 RX)p P I'D A , Bch. ALL CONCRgTS,p0AM$-AND:fOOT1NG6 MUSIT ISE W8P6r.TgD BIIEFORE POURING p SAMIT VOID SIX MONTHS AFTER DATE 0F,ISSUE MATER�AIj RUSSISH'AND-M. RIS FROM THIS WOR K MUST NQT�bE�PLACED IN PUBUC SPACE,AND MUST BE UP AND,HAU LED AWAY 0y,EITHER CONTRACTOR OR OWNER "VAILUAE,.T0 ';C Om MECHANIVS LIEN, LAW CAN RESULT 'IN, PROP TW, CE-F THE$ I G IMPROVEMENTS WIN ED A( XORDING TO ApPROveo PLANS WHICH AR PART OFTHIS PERMIT AND BJECTTO . ,NMATION OFAPPLICABLE P 1&*�bF LAW. S-P REVOCAT16NFOR 14 ATLA WIC BVI WING x" By, 4� BUILDING AND ZONING INSPECTION DIVISION CITY Of ATLANTIC BUCH ATLANTIC 89AC". FLORIDA SX232 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT— Applicant to complete all items in sections 1. 11. 111, and IV. street Addr*":A—tl WCATION OF latersoefiat strests: Setwoon I TION r v k0:FjX L WILMNG And 11. MENTIFICATION To be completed by all applicants. la cOftS;d9?4f;O" Of Permit given for doing #No work as descri in the above staterne we hereby 9f@0 to Perform said work in accordance bad a with Me e"achpd plans and Specification% which are 4 Part hereof and ;" accordonco".1i of goad practice listed therein. th the City Of Jacksonville ordinances and standards Wasee of Mock icak ,am Ceekeetm (Print) Home of DI as 1"0000+1 sigaef"ns 04 Owner or AvahoerimaJ Aiteat lure #1 of 6"lloger G040LAL *W0ft"TXM A. Typo of heating W: 8. C) 610CIF Is*THU CONSTRUCTION 1114ING DONC an D Sea—C3 LP 13 Nafvto C) conw uN* THIS BUILDING On SITE? 0 CM IF YES, GIV9 NUMBER OF CONSTRUCTION C3 Oohw — speaf PIWIT IV- W80KAN" @PUP~ TO N INWAL&O NATURE OF WORK (N*v COMPIOW rwil Of 48"Pomeek*a bad of Ak two) 0 Residential or 0 Commercial 0, I'lleat 0 speft 0 Itemw 0 Co*hw a Rear 0 NOW'Sulkling Ai1C—d*iafti-9: 13 Rom 13 C"W 0,Existing&AWng Doc! Sirdeft: Tbkhn$@L____� 0 nimacowt Of existing syston "";OHM"podly qLf^ 0 Now Installation(No syston previously Instsil". Itaf ivesesise 0 Extension or add-on 10 existing system 0. C0,64 W-W- capw* 941s^ El other— speCity FOS spnoklms: Ne"er of L—A. 13 Spasm C3 of Sol C) I 0 Sooslies Pwam—�Iftvabsj TW WA= Pm of 1 I= us awy 13 - ("Wiwi 0 LPG C) UOAFW jiftswo (3 Smile" '-sip 0��ZLC(Ls NMA Appeved by-� C) 046ber — . I OrA-To 0 0� ::7L( - Pon"fte-� OV-Levc '51 S-I--&f-'I urr Au zQtnpuRkT AMR CONDMONW; AND REFUGEUTWN JQUIpNoff— HEATV4G FUXNACES. DOZERS, FULEJPLACFJ 11,5701 b&ARTMENT OF 00 IIANTIC 8 CITY OFA INFORMATION LOCATION Ito, OxxATI6K - m Per i t Number Addross 977, ATLANTIC BOULEVARD ' , !Per�dt Typo: BVI L D,ING 'N "rC 92 CH, FLOR AT", ,r I A IDA� 32233 Class, ot, Work: I ' ODEL L-)WAV DESCRIPTION, 01.1 MASi ATOMICK- 0 Blo6k: Section: p roposed 611io: . 1 , RE RNG:,' 0 Su ision: ATLANTIC BEACH 0 Code, - 0 $4560,0 �00 Cost : $o 00 Total 0*08: M21'.to t $1$2-so Work , x REMOD XMICATtOV pilts ON '*c1TT-0F7,01RMIT $352.50 Ad e , $0.0o IC BOULEVARD JMPACT FEE FLOF 15 6 AP, -H.R.S. ------ xrojl;t", $0.00 ON soioo RADON C"� Namw.t AL IMPROVE. to:,�00' LARSON D1, ILL tool,$ �- CROSS CONNECTION $0,.00 xpe 111 C R- JMPACT FEE .00 CONOT,�SURCRARGE o 'ALL-'CONCRf-tE:f0f"AND FOOTINGS MUST,ft, RE POt)R1 PERMIT VOID SIX MONTHS AFTER DATE�OF ISSUE $UIL E "FAIL IN 0"ERT"40TWICE $1 , mpfl THE, ........... $6EI)ACCORDIN Q TO APPROVEP"A'ANS WHICH ARE PART oF THIS PERMIT AND,SUBJECTM RE ION OF APPLICA%EP !Si6hS FLAK 4/11/% 01 1 84 M—'AT 0 Datet BEMIS TM m sulu)IN6 De ENT lot& CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : 1,4,Ualteavi �7 ,d q -7 -7 A Address : Phone: Lot #_ Block or Unit # Subdivision: Contractor:— �L�le_ —'I 4/40T_<-0,-7 State License # Address 61j"lowd'IL 7d(- )Owt ffelcl,_F11 —Phone No: Describe work to be done:—-7-4 7i�-Izi M 12 A zeM ode Present use of building:---- 1?e T-Al, ValuatiQn of Proposed Construction: L�L Proposed use: e7�9i' Is this an addition? �) O If yes , what are the dimensions of the added space: -ft . X — ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace?_New Heat/AC? 72dc) SUBMIT 'TRWELF-COMPLETE SETS OF PLANS, I S, NOTICE OF COMMENCEMENT, AND __N W Signature OWNER: A — Date: Signature CONTRACTOR:— Date: License Supplied: Liability Insurance: Worker' s Compensation Insurance:_:::� IMAR 19 1996 Dt Building and Zoning CITY OF ATLANTIC� BkACH OE IT'ICALCUL:ATION S4EET Address C L� Date Heated Square Footage per sq ft = Garage/Shed per sq ft = $ L Carport/P,orch per sq ft = $ Deck per sq ft = $ @ Tj rPatio 19 1 = $ @ $_per sq ft $ TOTAL VALUATION : coo Tota a.luAtion 1 s t $ ZLL26) 6u Remaining Value per thousand or portion thereof TOTAL BUILDING FEE s 3-S� + 1/2 Filing Fee $ -7- )Z ( ) Fireplaces @ $15 . 00 $— BUILDING PERMIT FEE $— WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT SEWER TAP ) RADON (HRS) .0050 $ SECTION H PAVING ( $ HYDRAULIC SHARES $ CROSS CONNECTION $ ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing_ Electric/New Electric/Temp _; SwimmingPool Septic Tank Well ---; Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES, RAMCO FORM 40P-' FLA. 1977 LAWS FS 713.13, rr of 1Q.1X1MMrUrrMrnt LPREPARE IN DUPLICATE) Book 8303 Pa 588 Zo The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property (include Street Address, if available) .. ............ ............. .................. 977 Atlantic Blvd. ... . . ... ... ......... .. . ............. ............. ............................ ...................................... ..... ... .... ..................... ...Atla.ntic.B.each,..F lo rid a (Store No. 1324)....... ..................... ..... .. . . ...... .................. ... ........ .. . . . . . ..... .. ..... . ....I..... . . .. .. Legally described in Exhibit.�'X... ... . ...... .... .... ................... General description of improvements ..... ..Ph8rM9tY Re model... .. ... ...... . .......... ... ...... ........... .... . . .. . . .... . . .. . . .. . . .. .. ..... .. .. ..... ....... .......I ... ....... .... ... ............. .......I...... N.. 0" ... .. .. .. .. . .. . I .. . .. .... . ..I. . .......... .. .. ............................. ..I...........I. .......... ................ Walgreen Co. VOwner . .. ... ... .... ........ . .... ... ......... .. ..... .... .. .... .. .... ......... ..................................... 200 Wilmot Road, Deerfield, Illinois 60015 Address ... . . . . .. . ... . . ... . . ... ........... .......... . ... ..... ... ... .. ... .... ..... ....... . ..... .. .................. k Owner's interest in site of the improvement Leaseholder ...................................................... Fee Simple Title holder (if other t-han owner) Atlantic Village Shopping Center Name ... .. ...... ...................;....................................... .... '6/o'*G16b6IA64lty'&...M'ain''ag' e m e n t Address .. ... ... . 777.7.17th. Street,.P.en house,. Miami Beach,-Florida..3.3.1-39...................... Walgreen Co. Contractor ..... . ..... ... ... . . .... ......... ........... ...... ................... .................................... Address . ...I ....200 Wilmot Road, Deerfield, Illinois 60015 N/A. . . . ........ . Surety(if any) .......... ... . ............................................................ .......................... N/A N/A Address .... . ... ......... ... . .......... ....... ............ ..................... Amount of bond $ . .............. Any person maki rXIA loan for the construction of the improvements: Name ... . ....... . . . .. . .. .. . ... . .... ...... ..................... ................................................... N/A Address . . ... .. .. . .. .. . . .... . . .. ....................... ............ ...... ... ...... ...... ......................... Person within the State of Florida designated by owner upon whom notices or other documents may be served: The Prentice-Hall Corporation System, Inc. Name .. . . .. . . .. .. .... ... . . .... .... .... .. .. ........ .... .. ......... ......... .......... ..... ....................... 110 N. Magnolia Street, Tallahassee, Florida 32301 Address ..... ...... . ..... . . ..... ....................I..... .... I................................................... . In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). N/A Name ............ ...... . . . ..... .................................................................................. N/A Book 8303 Pg 589 EXHIBIT "A" Legal Description A PART OF THE CASTRO Y FERRER GRANT SECTION 38, TOWNSHIP 2 SOUTH. RANGE 29 EAST, DUVAL COUNTY. FLORIDA MORE PARTICULARLY DESCRIBED AS FOLLOWS: FOR A POINT OF BEGINNING COMMENCE AT THE SOUTHEAST CORNER OF LOT 1, BLOCK 26, REPLAT OF PART OF ROYAL PAL14S UNIT TWO A, AS RECORDED IN PUT BOOK 31, PAGES 16, 16A, 16B. 16C, AND 16D OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY; THENCE S.07*16'02"E., ALONG THE WESTERLY RIGHT OF WAY LINE OF ROYAL PALMS DRIVE, AS ESTABLISHED AS A 60 FOOT RIGHT OF WAY BY OFFICIAL RECORDS VOLUME-1819, PAGE 52 OF SAID PUBLIC RECORDS, A DISTANCE OF 20.42 FEET; THENCE N-85*37127"W., ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2010, PACE 42:;OF SAID PUBLIC RECORDS, A DISTANCE OF 80.29 FEET; THENCE S.00*41'22"E., AL40NG THE WEST LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2010, PAGE 42 A DISTANCE OF 214.92 FEET; THENCE N.89'18'38"E., ALONG THE SOUTH LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2010, PAGE 42, A DISTANCE .147.68 FEET TO A POINT ON THE AFOREMENTIONED WESTERLY RIGHT OF WAY OF ROYAL PALMS DRIVE, SAID RIGHT OF WAY LINE BEING A CURVE CONCAVE NORTHEASTERLY HAVING A RADIUS OF 515 FEET, THENCE SOUTHEASTERLY ALONG THE ARC OF SAID CURVE, A CHORD BEARING OF S.44@14111"E. AND A CHORD DISTANCE OF 236.50 FEET TO THE POINT OF TANGENCY OF SAID CURVE; THENCE 5.57031'02-E., CONTINUING ALONG SAID WESTERLY RIGHT OF WAY LINE, A DISTANCE OF 87.05 FEET TO THE POINT OF CURVE OF A CURVE CONCAVE SOUTH- WESTERLY HAVING A RADIUS OF 113.55 FEET; THENCE SOUTHEASTERLY ALONG THE ARC OF SAID CURVE; A CHORD BEARING OF S.52*13110"E. AND A CHORD DISTANCE OF 20.97 FEET; THENCE 3.89418'38-W., ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3397, PAGE 69, A DISTANCE OF 126.77 FEET: THENCE S.00*41122"E., ALONG THE WEST LINE OF SAID LANDS, A DISTANCE OF 62.00 FEET; THENCE H.89118'38"E., ALONG THE SOUTH LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3397, PAGE 69, A DISTANCE OF 160.00 FEET TO A POINT ON THE AFOREMENTIONED WESTERLY RIGHT OF WAY LINE OF ROYAL PALMS DRIVE. SAID POINT BEING ON A CURVE CONCAVE SOUTHWESTERLY HAVING A RADIUS OF 113.55 FEET; THENCE SOUTHERLY ALONG THE ARC OF SAID CURVE, A CHORD BEARING OF S.05-45142-E. AND A CHORD DISTANCE OF 20.08 FEET TO THE POINT OF TANGENCY OF SAID CURVE; THENCE S.89*18'38"W., ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2219. PAGE 306 AND ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2843, PAGE 750 AND ALONG THE NORTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3231, PAGE 773 A DISTANCE OF 440.00 FEET; THENCE S.00-41-22-E., ALONG THE WEST LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 3231, PACE 773 A DISTANCE OF 160.00 FEET: THENCE S.89-18-38"W., ALONG THE NORTH RIGHT OF WAY LINE OF ATLANTIC BOULEVARD (STATE ROAD A-1-A) AS NOW ESTABLISHED AS A 100 FOOT RIGHT OF WAY, A DISTANCE OF 569.18 FEET; THENCE N.07*16'02"W. A DISTANCE OF 160.00 FEET: THENCE S.89*18*38"W., PARALLEL WITH SAID NORTH RIGHT OF WAY LINE OF ATLANTIC BOULEVARD, A DISTANCE OF 201.42 FEET TO THE EASTERLY RIGHT OF WAY LINE OF AOUATIC DRIVE, AS ESTABLISHED BY OFFICIAL RECORDS VOLUME 3278, PAGES 176 AND 177 OF SAID PUBLIC RECORDS; THENCE N.11042'30"W., ALONG SAID EASTERLY RIGHT OF WAY LINE, A DISTANCE OF 390.26 FEET; THENCE H.62*43'58"E., ALONG THE SOUTH LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2411, PAGE 1171-A DISTANCE OF 262.48 FEET; THENCE N.13*54150"E.. ALONG THE EASTERLY LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 2411, PAGE 1171 AND ITS NORTHEASTERLY EXTENSION, A DISTANCE OF 192.81 FEET; THENCE 5.85*37'27"E., ALONG THE SOUTHERLY LINE OF AFOREMENTIOkED BLOCK 26, REPLAT OF PART OF ROYAL PALMS UNIT TWO A,.A DISTANCE OF 37.52 FEET; THENCE S.07'16'02"E.. ALONG THE WEST LINE OF THE LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 1471, PAGE 472, A DISTANCE OF 35.00 FEET; THENCE 5.85137127"E., ALONG THE SOUTH LINE OF SAID LANDS, A DISTANCE OF 60.00 F"EET; THENCE N.07*16'02"W., ALONG THE EAST LINE OF SAID LANDS AS DESCRIBED IN OFFICIAL RECORDS VOLUME 1471, PAGE 472, A DISTANCE OF 35.00 FEET; THENCE S.8503712?"E., ALONG THE AFOREMENTIONED SOUTHERLY LINE OF BL)OCK 26, A DISTANCE OF 541.85 FEET TO THE POINT OF BEG- INNING. CONTAINING 14.04 ACRES MORE OR LESS. SUBJECT TO A 25 FOOT DRAINAGE EASEMENT AS RECORDED IN OFFICIAL RECORDS VOLUME 2509, PACE 568 AND SUBJECT TO AN EASEMENT AS RECORDED IN OFFICIAL RECORDS VOLUME 2828, PAGE 374, BOTH OF THE CURRENT PUBLIC RECORDS OF SAID COUNTY. —————---————— DEPARTMENT OF BUIW#410 BEACH, CITY OF ATLANTIC "rwxw%4%1 a va 7 ' t* Addr as: iV 'P�rmit -xii"a6b 11�19 4 -077 ATLANT I it BOU14 Type*. XZ0111ANICAL 'ATL-Aswilic 'BEAC'R�"I FLORIDA 322$3 �: ,�Ctos of Work*, ALTZRATUA4 LZ ''DESCRIPTION t r Type,*. WOOD FRAME, Lot: Section: ANG: 0 Proposed' Ute: . RETAIL STORZ�� Su 04: ITLANTIC StACH b�!el I i rigs Code i bdi is i Estimated :Value* $0.00 T'mprov. , Cost*. Total, Fees': Amount-, _Pai4 S7'5.00 Da, 2/27196 e"Bf Iff ow V ' IT $75 00 ERN TER -IMPACT FRE $0 .00 (�H FLORIDA, 32233 �'Sjwtg IMPACT P-19 $0 .00 $0.,Op 14 URAP I NIPORMATI ON --- RAD01t OAt i$lk $0000 CAPITAL' ,IMPROVE* $0 .00 DAMO 0 T "� RITAP�,"'� ., $0.00 $0.00 L ic n e AA Type: 3 SIC 11, FEE 3 14PACT CONST, SUAC, ARGE 0.60 00 AW AND FOOT INGS MUST I**$#60tj�iiSEFORE POURING, ptkMI VOID SIX MONTHS AFTF_A,0ATt0F ' CEIP IN PUBLIC SPACE,A U BE, NOT �A t� INGk MATERIAL,RUMISHAND,DEBRIS FROM THIS WORK ML ST �ST BE''PL' UP ANOHAULED AWAYtY EITHER CONTRACTOR OR W CAW LT 1N LYWITH THE,MECHANI LIE ' A' RESU LUA 0 M E 1EME NERPAYNGTWICE FO Es ImpwV -D AC APPROVEDOLANS WHICH ARE PART OF THISPERMIT O_ -A ,ISSUE COADING16 ,AN()SUBJECTT Ri5VO-0 TO JW, 6 OF LAW. :��"ONO�APPLI iW, W10 ENT 0 14 04i ,Us ;itA gl BUILDING AND ZONING INSPECTION DIVISION C17Y OF ATLANTIC BEACH ATLANTIC 8"CH. FLORIDA 1112113111 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. LOCATION Street Address: OF latersoctiftq stre0s. And WILDING Sub-divis;on II. IDENTIF CATION — To be completed by all applicants. In coas;derot;on of permit given for doing the work so described its the above statement we hereby age** to perform said work in accordance with the attschp4i plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed thare;ft. Home of Mechanical Contractors <nO le7e;S Cosirseter (Frint) - "jz:�2 memo of O'��a OL_ Master prolsorty Owner _rz '0 a. $;"store of Owner Signature of er Authorized Agent Architect or Engineer Ill. OWBULAAL I FOM"PO14 A. Tylins of heating%ol. 8. IS OTHER CONSTRUCTION 96ING DONE am 2"'Bectric THIS DU ILOING ON Sl TI? (3 Gas—C3 LP (3 Natural 0 CoetW Utility IF Yes, GIVE NUMBER OF CONSTRUCTION 13 0A PERMIT 13 Otheir — Swally IV. MICHAN" 1QUWMIINT TO K INWALLN HATURN OF WORK (Is st 40 complete"of composooft on bed of this fonal 0 Residential or 000`�Wmeralal C) meet 0 speft C) it"saw cl"Contw 1) &W El Now Building 42rAir Co*drtimsias: 13 Its*- 13 C"W 0 Existing Building 13 Doct System: b4sae" Mason— or'-Ripiecallnitnt of existing systent usaimean caps4ty 41^ 0 NOW (No systeM previously Inst~ 0 kofli"mfi" 11 Extension or odd-on to existing system coolift.9 *am. copecity 9411^ 0 other—Specify FW* Wrinideft: NOMAW of 1W SPA= POR 0 1 Un Wfty C) essel" 13 Tork (3 LPG*asomiam- Usfow Pressure vesse; IW64 FWm* Appe"d 09111W — Specify LJ#T ALL EQUIPMENT AM CIDNIXTIONING AND REFRIGERATION ZQMa= DeserIpUft MOM NMWIbW ='79507—F 01 7?r HEATING - FURNACES, BOILERS, FIREPLACES DEPARTMENIr.OF 9 CITY OF ATLANTIC' 14 ------ 4AT %ON p I NPORUXT ION: 7L_ ir I Ott; INrORMAT Addrest, 977 Numbek,. 'IC 1EX Cl ��tMj Tyr" ANT t sl N X FLORIDA L ZOA V D19S_C,R I -q f V60r.", t Lot us, r Type; MASONRY BRICK RNG U rtArl",STORE I' i' I l Own: C046 0 , 'i "i - I SUb&V, 3 on ATLANT I C 0 tLj'jj*tf6d' V4t' :Ue $0. ''Improv Covt t To 50 Amo ION K FgAS tj PIM' 5,D AC T 1�12 SOULEVARD H RADON A0�11t' R �SL. $0�,00 RMAT I �0 0 R RADON 0 0' COMPAt wo, tap $0 .00 b 0 IMPAC 'E'Z 110 0 140TIC, ALL CONCRETt FORMS A140 FOOTINGS MUST, 9 ll"srioT-9�01 !�qpjk*q t OF jS$UEL AT PERMIT VOID SIX MONTHS AFTER ? "BUIL ING MATERIAL,RUBBISH,AND DESMS FROM TRIS WORK MUST NOT BE PLACED I'N PUBLIC MUST BE LEj'REP:UP ANrD'HAU, LtD AWAY BY EITHER CONTRACTOR OR OWNER 'FA 1 LU#E, OMPLY,WITHL THE MECHANICS' LIE' LT IN TO t AL� ��WNt'kPAYING TWICE FOK UILD , ENTS. VOCATION-f J&IUW�ACCORDING. TO,APPROVEq PLANS WHICH ARE PART.OF TH IS PE No SUBJECT To :MIT bFAPPLICASLE-PR VISIONS OF LAW, 7" 0" 'ATLANTIC SFACH BUILDIN )e A T NT Y'L CITY OU AI'LANTIC BEACH APPLICATION FOR SIGN PEWMIT NA ME: ADDRESS: 977 ArWT7Z. so i�iiONE: 26 r-Vapir TYPE 01' SIGN: SIZE: tLb —4 PROPOSED LOCATION:_ k'ILL THE SIGN REQUIRE AN ELECTRICAL PERMIT?_ ELECTRICAL C0NTRACTOR:__N'r Signs over fifty (50) feet in area, and/or any sigil wjl.Lc,-jj is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, WUSt be submitted with drawings from a registered (.-�ngineor. Signs with a solid area greater than thirty (30) scivare feet must be crected to withstand a wind pressuj.�c,� of at-, least thirty-five (35) pounds per square foot. Drawilig,,; g must also show that weight of' sign will be suppc)j---te(j by the roof or ground support oil which it will be erect'cd. This application must be submitted along with tile 1 . A Plot plan of the land, showing the pos:[tj-(_),) of the sign in relation to buildings or struct-1.1,,es. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment t..o tile 41 building or in the ground. 4. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances, City of Atlantic Beach. APPLICANT OWNER %A, DEC 1; 5 1993 Building 'and Zoning DEPARTMENT OF BUILDING PERMIT NO. 9343 CITY OF ATLANTIC BEACH.FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date gmbe - 14 19 87 7`3 50 T1. 15,000.00 $ 71,59— 73":50CKT I Valuation$. Q 5 1A 0/17M "43 OnCAC This permit not valid until above fee bats been paid to City Treasurer,and is �)�j I A 1','/17/8 subject to revocation for violation of applicable provisions of law. f3 5 This is to certify that 200 Wjklmet Road -erfiald.111. has permission tX Classification— CQM=rCia1_ Zone Owned by— ]&lag ns Lot Block—S/1) House No.— 977 According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE X -110 0 Building material,rubbish and debris Z_4 from this work must not be placed in public space, and must be cleared up and hauled away by either con- a q or owner. ding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER AIM DEPARTMENT OF BUILDING PERMIT NO. 9343 CITy 01,ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date December 14 19 87 73,50 T Valuation$ 15,000,00 $_ 73.50 73.50CKT 1 2/17/8 2 2 0 5 1 A This pertnit not v3W until above fee has been paid to City Treasurer,and is 9 3 43 QDCAC .ubjea to revocation for violation of appli-ble provisions of law. 1 2 2 0 5 1 A 1 2/17/8 I U 9u Lri This is to certify that Dale T.Larson CGCO10408 200 Wilmet Road Deerfieldjll. has permission tX Classification Commercial Zone Owned by Walgreens Lot Block S House No.. 977 Atlantic Boialevqrd According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 10 4— 0 Building material,rubbish and debris zq from this work must not be placed in public space, and must be cleared up an hauled away by either con- 0 or owner. ding ci.l. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING 10034 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 500 Tt Date August 27 19 SIS RFTMPS W CKT Valuation$ $ 5.00 — A#2/FAI". PI*MIT MUMCAr. This pern�t not valid until above fee has been paid to City Treasurer,and is 5254 1A 8/'CP2/0 subject to revocation for violation of applicable provisions of law. 10001 This is to certify that DALE T. LARSON CGCO10408 200 Wilmet Road, DeeAield TL has permission to b del W=rmaf')E 25 410= Plans Classification Commercial —Zone C(; Owned by– Walgreens Lot Block S/D_ House No. 977 ATLANTIC BOULEVARD According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 No 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared I up apd-hg'uIed away by either con- or owner ��tng Official. FOR OFF CE PERMIT DATE CONTRACTOR I( USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING 10136 CITY OF ATLANTIC BEACH,FLORIOA PERMIT NO PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 9-30- 42*00 TL Date 19_�_8_ 6897 1A 9/30/8E 42.00 *00CACE Valuation$ Fee$ 6697 1 A MGM( This permit not valid until above fee has been paid to City Treasurer,and is I Ono subject to revocation for Violation of applicable provisions of law. This is to certify that—Terran Enzineerihiz Lic. # CMC009698 530 Grand St. Orlando, FL. 32805 has permission to Classification Commercial —Zone Owned by Walgreens Lot Block S/D_ House No. 977 Atlantic Blvd. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10 4 00 0 Building material,rubbish and debris 31 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. QA FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 5089 PERMIT TO BUILD 14b*UD T1, THIS PERMIT MUST BE POST�D ON JOB i4bioDOCKT W46 1 A 10/10/01 Date. 10/14 19 83 b'ul Ll 9 90CA171; Valuation$ MCHANTCAL Fee$ 14S - 00 104 6 1 A I U/18/8:1 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that CHARLES LOCKE HEATING AND AIRCONDITIONT- 700 BLOUNISTOWN HWY- , TALLAHA.-;SHF .� FT. -39104 has permission Q= TlgqTATI HUTING, AND Al R AS PER PIANS SUBMITTED. Classification COMERCIAL —Zone QG Owned by CENDLER DEVELOPMENT CO - Lot BI c S/D Hou,, No.977 ATLANTIC BLVD. According to approved plans which are part of this permid N ICE �LL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS "n AFTER DATE OF ISSUE M 0 Building material, rubbish and debris _Z1 from this work must not be placed in public space, and must be cleared u hauled away by either con- act ','3owner. Building Offid2l. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.- 5189 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 11-22--19 83 40*00 T Valuation LUMBING Fee$ 40 .00 44OCK4 jb�j 1A 12/QP/63 This permit not valid until above fee has been paid to City Treasurer,and is 5 lo� *UOCAC3 subject to revocation for violation of applicable provisions of law. J ti 11-3 i 1A I 2/U2/83 i nnfl I This is to certify that RALPH .1 HATAM WEST FU PIPING CO. , INC. has permission t PER PLANS Classification CQ�,W_R_CTAT� Zone Cr. Owned by Q4,Np1,E& M11:R1 C112== Lot (WALGREENS) Block S/D House No. 977 ATI-ANTIC BLVD- I AILANTIC VILLAGE CENTEL According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 01 4 10 0 Building material, rubbish and debris z A from this work must not be placed in public space, and must be cleared u ' h led away by either con- ra r wner. Building Official, FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER __!VATER A"k DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT No. 5467 PERMITTO BUILD ri THIS PERMIT MUST BE POSTED ON JOB 48,50 L 0*5= 0 Date 8/3_19 83 77u�j I A U/03/E 3 Valuation$ PLUMBING Fee$ 48-50 t)4u7 *UQCA(G 77uJ I A 8/03/E 3 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that TRI—STATE MECHANICAL CONTRACTORS 650 BLOUNTSTOWN HIGRWAY, TALLAHASSEE 32304 has permission 41" INSTALL PLUNZING AS PER PLANS Classification COMMERCIAL Zone CG Owned by CANDLER DEV. CO. Lot— gail & Block S/D 7 ;A AxLANTTC RTND_ _ IJAT.(, House No.— RRRNq According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material, rubbish and debris _zq from this work must not be placed in public space; and must be cleared a d hl. led away by either con- trac or ner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT No.- 6317 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Dee—, 20 19 83 7,50 T& Valuation$ SIGN —Fee$ 7.50 7,4W I 75�,/ 1A 21231u � This permit not valid until above fee has been paid to City Treasurer,and is (;j 17 9CIUCAU subject to revocation for violation of applicable provisions of law. 7�J7 1A 2/28/ �i This is to certify that J R BRITE LITE S IMOO'10 1940 SPEARING ST. JACKSONVILLE 32209 has permission to build SIGN AS PER PLANS SUBMITTED 4 Classification COMERCIAL —Zone CG Owned by—WALGREENS/CANDLER DEVELOPNENT Lot Block— S/D_ House No. 977 ATT.ZNTTr RTAM According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material,rubbish and debris _zq from this work must not be placed in public space, and must be cleared up-,And hauled away by either con- . r of–Owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER