Permits 10 Donner Rd S,
PERMIT WORKSHEET Certificate of Occupancy
Job Address: Type Work:
c�►v�� �� , C.1�T
Property Owner: Phone #
Contractor: Phone #
Permit#: Date Issued: a �.
Building Inspections: Footing
Slab
Tie Beam
Lintel
Nailing / Sheathing
Framing / Cover Up
Insulation
Final Building
Tree Permit# �� YES NO
Electrical Permit# Date/Copy to
0 3 2-cr'4 U -7 JEA
Temp, Pole Permit# Date/Copy to
JEA
Temp. Power Letter Received: ( YES NO
Inspections: Rough Electric G Released to JEA
Temp. Power Released to JEA
Temp. Pole Released to JEA
Final Released to JEA
Mechanical Permit#
Inspections: Rough q,d-• 3 .Final Or
C4a.3 re 9-4 o's
Plumbing Permit# I t73 - Z61vLla
Inspections: Rough / Underslab Topout "7 if
Water/Sewer Final
Drainage Inspection: [—
Pool Permit#
Inspections: Steel Final
Grounding Final
Roofing Permit#
Inspections: Nailing /Sheathing Final +�
Fire Inspection:
Failed Inspections: Date Paid: _
Date Paid:
1
t I, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001407 Date 11/04/08
Property Address . . . . . . 10 DONNER RD
Application type description SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1515
----------------------------------------------------------------------------
Application desc
new wall sign
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
AD AMERICA
8679 W. BEAVER ST.
JACKSONVILLE FL 32220
(904) 781-5900
----------------------------------------------------------------------------
Permit . . . . . . SIGN PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/03/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
SEP�9-2008 013:21A FROM: (904) 781-5903 TO:2121643 P.4/4
Letter of ALIthorization
;J
r S3
is hereby authorized to act on behalf of
)Vthe owner(s)of those lands described City of Atlantic Beach
within the attached application,and as 800 Seminole Road
described in the attached deed or other such proof of ownership as may be Atlantic Beach,FL 32233
required,in applying to the City of Atlantic Beach,Florida,for an application (P)904,247.5826
related to a Development Permit or other action pursuant to a: (F) 904.247.5845
www.coab,us
I— Zoning Variance r Appeal
I— Use-by-Exception r Fence or Pool Permit
F- Rezoning r✓sign Permit
r Plat,Replat or Lot Division r Other
BY: CA�J=LZ��
511gnature of Owner
Printed Name J
Signature of Owner
Printed Name
—' 1- 4 State of Florida
Phone Number County of Duval
Signed and sworn before me on this day of I �by �yStY �B
KELLY MICHELLEERHAYEL
Nf ".JM',v(ISSION#DD421746
LJ U V I�LJ c
E-'.TIRES: Apr.24,2009
I (407)398-0153 Florida Notary Service.com
Identification verified:
PC(Sono ��� � �/�� IVo
Oath sworn: Z Yes r No
FILE /0 P Y Notary Siyna Lre
J
My Com fission expires:
Faces: white
'? $° Trimcap: black
Returns: black
Neon: white
I�I CROSS SECTION
CHANNEL LETTER OR LIGHT BOX CONSTRUCTION
Sr.
a � ACRYLIC FACES WITH TRIMCA
ALUMINUM CHANNEL LETTER
� G L7 z
4 g Y ► � �� � OR LIGHT BOX
MOUNTING BOLT
cL7cL7 Rc '' .''• FACIA
15 MM NEON
RACEWAY
I
SECONDARY HOOKUP -
-� TRANSFORMER
i
PRIMARY HOOKUP AT 120 VOLTS (.
i
NEON ILLUMINATION TERMINATING
INTO APPROVED HOUSING
�r NO SCALE -- -'-
-- ..._..........
* HIGH IMPACT TRANSLUCENT ACRYLIC FACES
* 1"JEWELITE TRIMCAP
* FABRICATED ALUMINUM 5"RETURNS
*ALUMINUM RACEWAY PAINTED TO MATCH BLDG
*SIGN MOUNTED TO WALL WITH 6"3/8"BOLTS
EVERY 30"ON RACEWAY
THE COMBUSTIBILITY TEST DATA FOR 1/8" THICK SHEET *SIGN MANUFACTURED TO WITHSTAND 120 MPH
IS: SELF IGNITION TEMPERATURE AS MEASURED BY
ASTM D-1929 IS GREATER THAN 820 DEGF.RATE OF BURNING WINDS
AS MEASURED BYASTM D-635 IS LESS THAN 1.5 INCHES PER I *SIGN MANUFACTURED TO OPERATE ON 120 VOLT!
MINUTE AND THE SMOKE DENSITY AS MEASURED BYASTM-2843
IS NO MORE THAN 5%. *TRANSFORMERS MOUNTED INSIDE RACEWAY
*AD AMERICA NOT RESPONSIBLE FOR PRIMARY
ELECTRICAL SERVICE OR HOOK-UP TO SIGN
UNLESS EXISTING PRIMARY SIGN CIRCUITRY IS
DCIV ! AVAILABLE. IF NO CIRCUIT EXIXTS,A FEE WILL
SPACE FRONTAGE: 1140 Sq. Ft. ALLOWANCE: 114 Sq. Ft. COI o L BE ADDED_AT THE EXPENSE OF THE TENANT.
* * * * * Sign: NICK THE GREEK SIGN = 29.1 Sq. Ft. Date: 9 - 5 - OS
A�
AM-ERICAw7 Job Location:10 DONNER ROAD City: JACKSONVILLE
SIGNSOFALLKINDS Customer: ALINA BUGAJNY AP VAL (plea sign): Date:
(904) 781-5900 561-744-1115 Fax: ( C' i Customer
Landlord
PHIS DESIGN AND DRAWING REMAIN THE PROPERTY OF AD AMERICA-ALL RIGHTS RESERVED, U E WITHOUT PERMISSION IS OF ADA IS PROHIBITEC
Faces: white
Trimcap: black
Returns: black
Neon: white
CROSS SECTION
CHANNEL LETTER OR LIGHT BOX CONSTRUCTION
�N El 14011 ACRYLIC FACES WITH TRIMCAP
ALUMINUM OR LIGHT BOX
ANNEL LETTER.-
MOUNTING BOLT -.
„
FACIA4 '
15 MM NEON
RACEWAY
SECONDARY HOOKUP
I
TRANSFORMER
PRIMARY HOOKUP AT 120 VOLTS ♦♦_�
NEON ILLUMINATION TERMINATING
INTO APPROVED HOUSING
NO SCALE
*HIGH IMPACT TRANSLUCENT ACRYLIC FACES
* 1"JEWELITE TRIMCAP
*FABRICATED ALUMINUM 5"RETURNS
*ALUMINUM RACEWAY PAINTED TO MATCH BLDG
*SIGN MOUNTED TO WALL WITH 6"3/8"BOLTS
EVERY 30"ON RACEWAY
THE COMBUSTIBILITY TEST DATA FOR 1/8" THICK SHEET *SIGN MANUFACTURED TO WITHSTAND 120 MPH
IS: SELF IGNITION TEMPERATURE AS MEASURED BY
ASTM D-1929 IS GREATER THAN 820 DEGF.RATE OF BURNING WINDS
AS MEASURED BY ASTM D-635 IS LESS THAN 1.5 INCHES PER *SIGN MANUFACTURED TO OPERATE ON 120 VOLTS
MINUTE AND THE SMOKE DENSITY AS MEASURED BYASTM-2843
IS NO MORE THAN 5%. •TRANSFORMERS MOUNTED INSIDE RACEWAY
*AD AMERICA NOT RESPONSIBLE FOR PRIMARY
ELECTRICAL SERVICE OR HOOK-UP TO SIGN
UNLESS EXISTING PRIMARY SIGN CIRCUITRY IS
ETAAVAILABLE. IF NO CIRCUIT EXIXTS,A FEE WILL
Sq. q F 41,
BE ADDED AT THE EXPENSE OF THE TENANT.
SPACE FRONTAGE: 1140 S Ft. ALLOWANCE: 114 S Ft. °RnF�-
** * ** Sign: NICK THE GREEK SIGN = 29.1 Sq. Ft. Date: 9 - 5 - 08
AD AMERICA Job Location:10 DONNER ROAD City: JACKSONVILLE
SIGNSOFALL KINDS Customer: ALINA BUGAJNY APPROVAL (please sign): Date:
(904) 781-5900 Custome561-744-1115 Fax: andlordr
THIS DESIGN AND DRAWING REMAIN THE PROPERTY OF AD AMERICA-ALL RIGHTS RESERVED, USE WITHOUT PERMISSION IS OF ADA IS PROHIBITED
City of Atlantic Beach APPLICATIONNUMBER
�� Sz Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 .�
Phone(904)247-5826 • Fax(904)247-5845
will ' E-mail: building-dept@coab.us
City web-site: http://www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
/U „���Q De nt review required Yes No
Property Address: uilding
q � 9 g
Applicant: Amc2 e'd , in &Zonin
.. .:,. Public Utilities
Project: ALie 0
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APP CATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circi Comments:
BUILDIN
PLANNING &ZONING ,
PUBLIC WORKS Reviewed by l Date:ld-l6
PUBLIC UTILITIES Second Review: ❑Approved as revised. ❑Denied.
Comments:
PUBLIC SAFETY
FIRE SERVICES
Reviewed by: Date:
Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
SEP-12-2008 11:47A FROM: (904) 781-5903 TO:2121643 P.2/2
r
CITY OF ATLANTIC BEACH S OS ( I I
ODD SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 v
OFFICE:(904)247-8826 a FAX NO.:(a04)247-SUS
SUILOING43EPTQCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1. AODRE 2.VALUATION .FT.VNM ROOF
l0N If / ,4
4.LEGAL DESCRIPTION, 3.CLAW OF WORK: S.USE OF STRUCTURE
Q NEW BUILDING ❑DEmouTo O RESIDENTIAL
LAT BLOCK $tie DIVISION 13 ADDITION O CONVERTus I USE 6116COMMERCIAL
T.DUCRIPT10N OF WORK Cl ALTERATION O ACCESsOR am S.FIRE SPRINKLER:
f O REPAIR C3 Pool./SPA O YES O NrA
O NO
PROPIIIRTY QMFA: 'i
0-NAME 15,COMPANY NAME AD
23.COMPANY E:
16.NAME: �a �p �p�• 24.LICENSEE I,AME:
E+f,A 1 7tfl f 1E
�jQ.ALARf^ _ 17.STATE F FLORI LICENSE NO,: 26 STATE I LICENSE
(/lr/���///h�(� 1nyA.`t� � yr y�I E��S •i..1,,�,�py
1►lM l�li j�� - 1 �� t6.ADDRe6�0/ //JW/ RMGR � 7d AOl7FE6a
�i •I�y; 1P
11 OFF 1 FAXoo�y 10. PFIONE' 20.FAX 27.OFFICE PH 18.FAX NO.:
1 21.CELL PHONE
29.CELL
14.EMAIL ADDRESS: 22. MAIL ADDRESS: 30. ILA E83:
Y Cyto A ,' r 40
OWN
hFongTHu,owweR► BONDINt1 COMPANY: MORTGAGE LENDER:
31.NAME: 33.NAME: 35.NAME:
32,ADDRESS: 34,ADDRESS: 35.ADDRESS:
Application is hereby made to obtain a permit to do the work and Installations as Indicated. I coral that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all ewe regulating construction in this
JurisdlcUon. This permit becomes null and void If work Is not commenced within six(6)months, or If cc truction or work Is suspended or
abandoned for a period of six(6) months at any time after work is comrnenced. I understand that se rate permits must be secured for
Elsetrlcal Work Plumbin ,3! ns,W6118,Pools,Furnaces,Boilers,Haatsrs,Tania, Air Condttdoners,
OWNER'S AFFIDAVIT-I certify that all the foregoing Information is accurate and that all work will be don Incompliance with all applicable
laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,1 in0l all Inspections are fInaled and
prior to obtaining a Certillcate of occupancy or completion Issued by the building official,as required by law,
*** WARNING TO OWNER: *tet
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTlC OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB OF
BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSU T WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT.
OWNER or AGENT CONT CTOR
E A9w11,Pawn Of ANCIM or A9wwy LaMar Requirso
�} � 1
Signed, Dsle.2-]L-lf'.C} nad: � Date:20 — 0
Before nro this day d •2007 in the county of Before me this-7�day of Q ,201 inCounty of
Duval,State of Florida,has PeMnally appea }- Duval,State of Florida,tug personally ap n\
herrn by himself I herself and affirms that all statements and dedwaaona we herrn ey Mmself 1 herself and ammar thst 1 atatemems and dedaraliona ere
true and accurate. true and Saturate.
Nota ublIc at La State Of�Flf�1(Q -County of N Public at Large, lata of of
onaNy Knorr ' Pwannally Known �1i1Z1L(J
PmdlCed Ptbdaoad 1 on
Notary Signet �' ry Signature:
911
ftmo mot t f 1.c7 L 4- t tip"+a CYNTHIA KAY TROMl3l.Y
1Y COMMISSION#DD 722607
cone Fath DG0VISED-til ;c o, EXPIRES:October 19,2011
KELLY MICHELLE ERHAYEE ondadThryNotarypubWUndsnnilwy
('()M MISSION#DD421746
Elt
h"<PIRES:Apr.24,21)09)398-0I bu y Flaida Notary Service corn
SEP-9-2008 09:21P FROM: C904;° 781-5903 TO:2121643 P.3f4
LETTER OF AUTHORIZATION
TO WHOM IT MAY CONCERN:
This letter authorizes AD AMERICA to act as Agent to secure permits or v iances required by
the local government body,and to perform sign installation,removals or mah Itenance of the
property located at:
VJ
Name of Tenant: f i
Property Name: IV I � --
Property Address: D �oNN�Kt._ 'plh,l R-• AA 33
Telephone: � ��2�
Daze Purchased:
Name on Warranty Deed: �TL` �
Owner: �h ► �' .� -' MOO),C�i�C'�r1
Address: � )-�
Signature: Date:
Print Name: �-)(J' t� > Title:
State of
County of Lit
Sworn to and subscri ed before me his day o _ 1 20 .
E.
Personally known or produced identifiion
of ide fic tion produce ,_
S' a e f Notary
���V°� KELLY MICHELLE ERHAYEL
Commission Expires: MY COMMISSION#DD421746
(Notary stamp) E7 PIRES: Apr.24.2009
(407)3U-015$-0153 Floride Notary Service-corn
SEP-9-2008 09:21A FROM: C904) 781-5903 TO:2121643 P.4/4
r S)
ti
is hereby authorized to act on behalf of
`z the owner(s)of those lands described 3
� (���L�x� � �'��`�� ����within the attached application,and as City of Atlantic Beach
800 Seminole Road
described in the attached deed or other such proof of ownership as may be Atlantic Beach,FL 32233
required,in applying to the City of Atlantic Beach,Florida,for an application (P)904,247.5826
related to a Development Permit or other action pursuant to a: (F) 904.247.5845
www.coab,us
F- Zoning Variance r Appeal
r Use-by-Exception (i Fence or Pool Permit
(— Rezoning (--n Permit
Plat,Replat or Lot Division r— Other
BY: f 6th
gnature of Owner
Printed Name
Signature of Owner
rPrinted Name
ot.E State of Florida
Phone Number County of Duval
ab <
Signed and sworn before me on this day of f by a4' Y uaG� KE(i V MKHELLE ERHAYEL
,-'t )w 41SS10N#DD421746
OF o� dt'cS: Apr.24.2009
i W��
(407)398-055: m
Florida Notary Service.co
Identification verified: pCr)��n oA k,j know
Oath sworn: p� Yes l r No
Notary:na re + /�
My Cossion expires:
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road r
Atlantic Beach Florida 32233-5445
V Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us
City web-site: http://www.coab.us Date routed:- /10 _
APPLICATION REVIEW AND TRACKING FORM
Property Address: �� �QAIAIJA- De nt review required Yes No
—�-- uilding
Applicant: — �(�r �cz.
ung &Zoning
opffift Mum
Pro' k '?� µ.. .. �_. ,.,... _
.. ... , .. . . . :, . ., ,..,., .Public.Utilities.., .. , ,.... : .,
)ect Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: ,Approved. [-]Denied. a
(Circle one.) Comments: Dro(nosed` 2q. I s F�-
�EGTtor t IT Z�x P2t�n�{g one(t) sq�-e ,��. � e�
BUILDING lirlea.v f-00�-Cad bl d�V� WACI.4., +kak(-ACeS (,O0+- F6
NNING &ZONING 0. �ICj�Cc�u,�,l�� e����� 0 I
l��c,'v��s'�� ,� ��� �'(� Fc->?i—, �pv
PUBLIC WORKS Reviewed by:_ / Date: L1/1(o Zc
PUBLIC UTILITIES Second Review: ❑Approved as revised. []Denied.
PUBLIC SAFETY Comments:
FIRE SERVICES
Reviewed by: Date:
Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
SEP-12-2008 11:47A FROM: (904) 781-5903 TO:2121643 P.2/2
' CITY OF ATLANTIC BEACH OQ I
800 SEMINOLE ROAD,ATLANTIC BEACH,FL V 32233
OFFICE(904)2475828 to FAX NO.:(904)247-6845
BUILDING-OEPTOCOAB.US
BUILDING PERMIT APPLICATION DuvAL COUNTY
1.JOB ADDRESS; 7ADDITION
.FT.UNOCR 00
D N LSS
7�4.LEGAL DESCRIPTION: RK: 5,USE OF STRUCTURE
G 1]DEMOuTi Cl RESIDENTIAL
IQT_eLOCK_$US01VISION OCONVERTI USE OMMERCIA
7.CEWRIPTiON OF WORK: O ACCEBSOR BLDG. a.FIRE SPRINKLER:
r O REPAIR O POOL i SPA 0 YES O N/A
JMOVE THE Q NO
0.NAME: 15.COMPANY NAME' r 23.COMPANY ME:
f fl r
WR � 15.NAME �f / ra24.LICENSEE ME.
CMMIMI
2bArdl 17.STATE OF FLORA LICENSE ND,: 25,STATEFLORIDA LICENS N
Qd.
18.ADDRESS j f 7.1 W..Ba%eR4#, 28.ADDRESS:
A1I1G
It-OFFICE PHONE 1 .FAX NO' 19.0 CE PHONE; 20.FAX 27.OFFICE:PH N 28.FAX NO.:
241- ~211-16{3 i-54-a 787 3
V 1
13 tO
. W 21.CELL PHONE 29.CELL P
(
i14.EMAIL ADDRESS:: y� 22. MAIL ADDRESS: 30. LAD ESS:
I (.LIJ�o Itr4aR jAf1�i0
Per(IF rLM T ITLF HOLDER-R) - BONDINQ COMPANY: MORTGAGE LENDER:
31.NAME: 33.NAME: S5,NAME:
32.ADDRESS: 34.ADDRESS: 38.ADDRESS:
Application is hereby made to obtain a permit to do the work and Installations as indicated. I cern that no work or installation has
commenced prior to the issuance of a permit and that all work will be perforated to meet the standards of all Ism regulating construction in this
jurisdiction. This permit becomes null and void If work is not commenced within six(6)months, or If construction or work Is suspended or
abandoned for a period of six(6) months at any time after work is commenced. I understand that se rate permits must be secured for
Eloctrical Wark,Plumbing,Signs,Walls,Pools,Fumaces,Bottom,Heaters,Tanks, Air Condltionem,
OWNER'S AFFIDAVIT•I Certify that ail the foregoing Information is accurate and that all work will be don 3 In compliance with all applicable
Ism regulating construction and zoning.I will not occupy or use the referenced building or any part therof,1 infil all inspections are finaied and
prior to obtaining a certificate of occupancy or completion Issued by the building official,as required by law.
,t�t,lr WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY R SULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTIC OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB ITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSUT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT.
OWNER or AGENT CONT CTOR
N Aosnl.Poorer of Attorney or Ao ney Latter RWAred) (Qualm Only)
Signed, Date: nod: C v 4 Date: Q — CIS
Before me this 1ZL day of 2007 in the county of Before me this day of200 in}�county of
Duval,State of Florida.has nally appea Duvet,State of FlorWa,has personally sp eared �V
1lerin by himself I herself and affimis that all statements and declensions are nenn by himself I herself and afamm that 4 II statements and declarations am
true and accurate. ptrue and accurate. t I
Nota ubllc M Stale of (LLLa1LLb .County of N ry Pudic at Largs,Slats of ounty of
onally Knowe Personally Known 1 `f7/YpLLiJ f
Produced IOgn J tion- Produced Idantlfl im
Notary Signet l 'f tary Signature: }
L-IGIr f U r l j V l AP I ` e)jI" ry,� CYNTHIA KAY TROMBLY
:.; Y COMMISSION#DD 722607
COAG FORMr___
�VISED 1111=os EXPIRES:October 19,2011'A j�'y°r` on led Thru Notary Publie Unilerr tors
KELLY MICHELLE ERHAYELN5Y COMMISSION#DD421746
EXPIRES:Apr.24,2009
)398.0153 Florida Notary Service.com
SEP-9-2008 09:21A FROM: (904) 781-5903 TO:2121643 P.3/4
LETTER OF AUTHORIZATION
TO WHOM IT MAY CONCERN:
This letter authorizes AD AMERICA to act as Agent to secure permits or vitriances required by
the local government body,and to perform sign installation,removals or mai tenance of the
property located at:
Name of Tenant: ?f K L L�l}
Properly Name: I V fAr-aaa-k (�
Property Address: (1 % a N N UA16 1w�� R--
Telephone: �rZZ
Date Purchased: II nn� ii(( (
Name on'Warranty Deed: O p ��� � � U l 1 ^
Owner: &27k R-01-0 �--V NAHO,U f In t
Address: ayz�, ,i 'i -�
Signature: i Date:
Print Name: Title:
►� } Title:
v
State of
County of:\
Sworn to and subscribed before me this J day o I�b 20 .L > .
Personally known or produces' identific 'on
of iden ficdtion produce -i
/gnat fre Of Notary !
� KELLY MICHELLE ERHAYEL
Commission Expires: ,.,1'1` 1 = ( R4Y COMMISSION#DD421746
(Not/� p�
tamp) �1�D7;o EXPIRES:Apr.214,2009
(407)39-0153 Flaide Notary Service.com
� sfS, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001547 Date 11/13/08
Property Address . . . . . . 10 DONNER RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
3 fixtures
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
STEEG PLUMBING
Q/A: STEEG, JAMES
1601 MAIN ST
ATLANTIC BEACH FL 32233
(904) 249-5191
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 56 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/12/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56 . 00 56 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 56 . 00 56 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
_z CITY OF ATLANTIC BEACH
. � 4�� PLUMBING PERMIT APPLICATION
Date:
Property Address: fa Amex—
Owner:
mex-Owner: f t-A, CA'--e� Telephone#:
Contractor: v� )jp� ore -YL Telephone
Contractor Address: Fax#: C-Ay/U
Contractor Signature:
In consideration of permit given for dthe work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans an specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and Mures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
❑ New list the building permit number:
❑ Re-Pipe
Number of Fixtures:
Bath Tubs / /Showers
Closets Shower Pans
Dishwashers 2— - Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler System Other *See attached sheet see
For Backflow and Irrigation procedures
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X$7.00 + $35.00=
800 Seminole Road m Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800 e Fax: (904) 247-5845 a http:llwww.ci.atlantic-beach.fl.us
Revised 9/06
IS1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
,
Application Number . . . . . 08-00001407 Date 6/09/09
Property Address . . . . . . 10 DONNER RD
Application type description SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1515
----------------------------------------------------------------------------
Application desc
new wall sign
----------------------------------------------------------------------------
Owner Contractor
-------------------- ---- ------------------------
AD AMERICA
8679 W. BEAVER ST.
JACKSONVILLE FL 32220
(904) 781-5900
-------------------------------------------------7--------------------------
Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/06/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.HP OfficeJet 7410 Log for
Personal Printer/Fax/Copler/Scanner Information SystemsCiTY O
904-247-5845
Jun 09 2009 3:31 PM
Last TransacUon
Date Time Type Identification Duration Passes Result
Jun 9 3:31 PM Fax Sent 92963471 0:23 1 OK
06/08/2009 09:09 2963471 ALLSTATE ELECTRICAL PAGE 01/01
+ CITY OF ATLANTIC BEACH 09-
800 Sf mfoLE ROM.ATIAM BEACH.11322 A
Ji• OFfICi::U o4itAl'.11625•FAX N04004yx+RCM6
15W ' 'tc;�=eis' ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
t.J A TR
2.1 tH 6 a.UA
Q
10 �onlRe r vice if PERMIT N:
OWN;,
,I.NAME: ADDRESS IF omRErrr Pam XM AVORM PHONt-
EWEGIRICAL TOR:
7. OFCx7MFANY: $,A _
t.afATE Ci ICEl19E N0: /0.CELL PHONE I%FAX NO.: +
12.%#RAIL A lagm5z PHONE: 1A.
ciffe L;Mwo
15.Appiicsfion to hereby mode to obtain a permit to do the work and installations as ind"10d. I aertlfy that all work will be perfommd to meet
the standards of all lava mgwadng constfuctioh In this Jurlsdidon. This permh becomes null and vold It work Is not commenced within six(6)
rnoritle,or N coe>mmion or work is suspended or abor Boned`ora period of six(6)rronli►s stony Mmc aaftr�work K c oemumd.
coNrtalCrpna anslNA,uari ��K/�9 .IL�/�
16.CLA86 qf 1I.MmIt NUMOR :
TI FAMILY-N OF UM S:' Q RESIDENTIAL
O SINGLE FAMILY 13TEMPSERVICE GheOMMERCIAL
O ADDITION D AILOR 1t.BUILDING, 1t,CURRENT Cools;
Q ALTERATION &SIGN 0 OLD W NATIONAL ELECTRICAL C
17 REPAIR O POOL r SPA O REWIRE O OTHER;
LIST ALL ELECTN L
20.TYPE OF SERVICE: r3 OVERHEAD O UNDERGROUND ❑UNDERGROUND UP POLE,
21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON O POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY: OCOPPER C ALUMINUM
23.SWITGH OR t3REAKER SIZI: AMPS; PH: W: VOLT: RACEWAY SIZE.
24.EXISTOG Sg"CE Sig: ANDS: PHH: W: VOLT: RACEWAY SIZE:
25.FEEDERS: OF AMPS: it OF AMPS: 3OF AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27.FIXED APPLIANCES: 0.30 AMPS:31-100 AMPS: OVER 100 AMPS:
28.FIRE ALARM: O YES 0 NO
APPLY TON S FAML.Y.NUL - L AN ROOM AOOI ION
29.SMOKE DETECTORS; NUMBER:
30.RECEPTACLES: 0,30 AMPS: 31.100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS; OVER 100 AMPS:
az.Am Wamlow.,
9 OF UNITS. CAMP.MOTOR HP RATING: AMPS: HEAT KW.
#OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW
33,
s:
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
34. NSPORMER :
UNDER 60OV: NUMBER: KVA:
OVER 600V: NUMBER: KVA:
3 . 1 NEOUs RBPA
DESCRIBE I101! L:
r
I LOOB?Pe**App0L7a eft. ,UY+ar2o08 �•��coo
.. 4 R•��jfj Nor.
fell <; CITY OF ATLANTIC BEACH
=' z� 800 SEMINOLE ROAD
- ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00001843 Date 11/03/09
Property Address . . . . . . 10 DONNER RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
4 lights under canaopy/nick the greek
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DAN' S ELECTRICAL CONTRACTING
6451 BEACH BLVD.
JACKSONVILLE FL 32216
(904) 838-9882
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/02/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
J ` � CITY OF ATLANTIC BEACH 09� ( ( I t
4,. 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 f J I
OFFICE:(904)247-5826•FAX NO.:(904)247-5645
BUILDING-D EPTCCOAB.U S
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
1 'JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE
Da v\v\efr R�
IN
❑1 NO V YES PERMIT#: �� 13tal
PROPERTY OWNER:
4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
ELECTRICAL CONTRACTOR:
7.NAME OF COMPANY: 8.ADDRESS.:
9.S TE OF 1F2 0 C,3L-LICENSE;?-4 N0: - 4t 10.CELLO E:8 3O-1 Fe 11.FAX NO.:
12.EMAIL ADDRESS: OO 13.OFFICE PHONE: 14.
9 b4 7)-q (d t 0.0
15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet
the standards of all laws regulating construction in this jurisdiction. This permit beco II and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)m nths any ti er w is mmenced.
CONTRACTORS SIGNATURE:
147
16.CLASS OF WORK: 17.SERVICE: 18 METER NUMBER:
❑MULTI FAMILY-#OF UNITS: ❑RESIDENTIAL d r_
❑SINGLE FAMILY ❑TEMP SERVICE JB COMMERCIAL
❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE:
❑ALTERATION ❑SIGN IR OLD ❑NEW 13'08 NATIONAL ELECTRICAL CODE
REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER:
LIST ALL ELECTRICAL WORK:
20.TYPE OF SERVICE: ®OVERHEAD ❑UNDERGROUND ❑UNDERGROUND UP POLE
21.NEW SERVICE: CONDUCTORS PER PHASE: ❑POWER IS ON ❑POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM
23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
24.EXISTING SERVICE SIZE: AMPS: 100_- PH: I W. VOLT: 24 D RACEWAY SIZE: a
25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:-4---
27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
28.FIRE ALARM: ❑YES ❑NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
32.AIR CONDITIONING:
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
33.MOTORS:
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
34.TRANSFORMERS:.
UNDER 600V: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
36.MISCELANEOUS REPAIRS:
DESCRIBE IN DETAIL
/baa 4 05L-14-5 L-14-s ccIr-O
BLDG02 Permit Application Elec:REVISED:0720/2009
Cc:
CITY OF ATLANTIC BEACH D. Ford
BUILDING / ZONING DEPARTMENT
L. Higgins
us S. Doerr
s 800 Seminole Road
J Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
(JJ --- P
PLAN REVIEW COMMENTS
Permit Application #
Property Address: -2'! ` ,� Cr 2-0
Applicant:
(Project:
This permit application has been:
❑ Approved Y `
❑ Reviewed and the following items need attention:
c 5 0y C 5
0,Y) U O
m Go 1-5 : � �� 6W
where a
Please re-submit your application when these items have been completed.
Reviewed By: Date:
Schlueter, Jennifer
From: Van Liere, Nelson
Sent: Wednesday, December 03, 2003 11:00 AM
To: Schlueter, Jennifer
Subject: FW: 10-20 Donner Road
Jenny, This is the trail, I just noticed you were involved a long time ago. Hopefully,the plans found their way to the
vault? Please let me know if you find them before I tell Bob they are on the way. Thanks- nvl
-----Original Message-----
From: Matthews,Carlene
Sent: Wednesday,December 03,2003 10:38 AM
To: Van Dere,Nelson
Subject: RE: 10-20 Donner Road
The Property owner is B & K Properties- contact person is Kelly at 743-2233.
-----Original Message-----
From: Van Liere,Nelson
Sent- Wednesday,December 03,2003 10:35 AM
To: Matthews,Carlene
Subject: FW: 10-20 Donner Road
Carlene, do you have info on the property owner?
-----Original Message-----
From: Kosoy,Robert
Sent: Wednesday,December 03,2003 10:17 AM
To: Van Liere,Nelson
Cc: Matthews,Carlene
Subject: RE: 10-20 Donner Road
See my October 23 e-mail to Carlene below. Bay DeMarco needs to discuss with the landlord and, if the landlord
breaks down the impervious areas, which add up to the previous total, we will gladly reallocate the stormwater
charges. (note: then everyone whose fee goes up will call and complain, but it is a more equitable way of charging).
-----Original Message-----
From: Van Here,Nelson
Sent: Wednesday,December 03,2003 10:02 AM
To: Kosoy,Robert
Subject: FW: 10-20 Donner Road
Bob, any suggestions on this?- nvl
-----Original Message-----
From: Matthews,Carlene
Sent: Tuesday,December 02,2003 2:14 PM
To: Van Liere,Nelson
Subject: RE: 10-20 Donner Road
Nelson, has Bob returned yet? Bay DeMarco is calling again. Carlene
-----Original Message-----
From: Van Liere,Nelson
Sent: Thursday,November 20,2003 2:53 PM
To: Matthews,Carlene
Subject: RE: 10-20 Donner Road
We will have to discuss with Bob when he returns.
-----Original Message-----
From: Matthews,Carlene
1
Sent: Thursday,November 20,2003 9:22 AM
To: Van Liere,Nelson
Subject: FW: 10-20 Donner Road
Nelson, Bay DeMarco came in this morning concerning the storm water on his account. All these units
are charged 7.30 ERU's. What can we do? Carlene
-----Original Message-----
From: Kosoy,Robert
Sent: Thursday,October 23,2003 10:38 AM
To: Matthews,Carlene
Cc: Van Liere,Nelson
Subject: RE: 10-20 Donner Road
Carlene,
As you can see from the previous correspondence (thanks for attaching), 1 recommended dividing the
previous number of ERUs by the number of parcels since we have no plans. I think this complaint
should be directed to the property owner and if the property owner provides us with plans and areas of all
parcels, we can adjust the billing accordingly. - Bob
-----Original Message-----
From: Matthews,Carlene
Sent: Thursday,October 23,2003 9:11 AM
To: Kosoy,Robert
Cc: Van Liere,Nelson
Subject: FW: 10-20 Donner Road
Bob, had Hot Dog Hut come in concerning Storm water. Bay DeMarco 247-8886 said that all the
units are approximately 1,000 square feet but his is only 200 square feet and he feels like he is being
charged incorrectly. Currently I am charging them all 7.30 ERU's$29.20 per month. The addresses
are 10, 12, 14,16,18 &20 Donner Road and Hot Dog Hut is located at 20 Donner. HELP. Thanks,
Carlene
-----Original Message-----
From: Kosoy,Robert
Sent: Tuesday,August 26,2003 11:41 AM
To: Matthews,Carlene
Cc: Van Liere,Nelson
Subject: RE: 10-20 Donner Road
Carlene, lacking any plans, I would divide the previous number of ERU's by the number of active
accounts, to insure we are receiving the total required. - Bob
-----Original Message-----
From: Schlueter,Jennifer
Sent: Tuesday,August 26,2003 11:25 AM
To: Kosoy,Robert
Subject: RE: 10-20 Donner Road
Bob,
These are build outs from an existing building and I don't see any plans for the original building
in the vault.
Jenny
-----Original Message-----
From: Kosoy,Robert
Sent: Monday,August 25,2003 5:20 PM
To: Schlueter,Jennifer
Cc: Showman,Lisa
Subject: FW: 10-20 Donner Road
Jen,
Can I get the approved engineering plans for these addresses? Thanks. - Bob
-----Original Message-----
From: Matthews,Carlene
2
Sent: Monday,August 25,2003 9:55 AM
To: Kosoy,Robert
Subject: FIN: 10-20 Donner Road
Good Morning Bob, Since the remodeling of this shopping center I'm still charging 43.80
ERU's to the old 10-20 Donner Road. Since they have individual meters I probably need
new calculations for each of these units please. Thanks, Carlene
-----Original Message-----
From: Schlueter,Jennifer
Sent: Friday,August 22,2003 3:17 PM
To: Matthews,Carlene
Subject: RE: 10-20 Donner Road
Yes, we now have a 10, 12, 14, 16, 18, and 20 Donner Rd.
Thanks!
Jenny
-----Original Message-----
From: Matthews,Carlene
Sent: Friday,August 22,2003 2:41 PM
To: Schlueter,Jennifer
Cc: Matthews,Carlene
Subject: 10-20 Donner Road
Jenny, since they put in separate meters at the above address should the addresses
change to 10 Donner and 20 Donner. I see that you already added another location for
20 donner anyhow. Thanks, Carlene
3
CITY OF ATLANTIC BEACH
CITY COMMISSION STAFF REPORT
AGENDA ITEM: Request to approve a right-of-way use permit to allow a canvas and
aluminum frame awning to extend above the sidewalk and over a
restaurant's walk-up (no drive-through) carryout window, for
property at pont — e.�.to r•c et-Dv? s-r (�/l
SUBMITTED BY: Sonya Doerr,AICP
Community Development Director _
DATE: August 18, 2003
BACKGROUND: The subject property is a retail space wit] ig
Building located at the northeast corner of Donner Road and M, is
being renovated as part of the former"Fred's Saloon" property.) '. a
canvas awning on an aluminum frame over a window located or we
building to provide walk-up carryout service for his restaurant (the Hot Dog Hut.) A right-of-
way use permit is required since the awning extends over a small portion of the public sidewalk.
The proposed awning does not appear to create any obstruction to vehicular traffic or to
pedestrian traffic, and continues the design theme that wraps around the Donner Road side of the
building. Staff finds that the request is consistent with redevelopment objectives for Mayport
Road, particularly the desire to increase appropriate retail and pedestrian activity along Mayport
Road.
RECOMMENDATION: Approve a right-of-way use permit to allow a canvas and
aluminum frame awning to extend above the sidewalk and over a restaurant's walk-up
carryout window, for property located at 1447 Mayport Road.
BUDGET: No budget issues.
ATTACHMENTS: Applicant's letter and diagram of awning.
REVIEWED BY CITY MANAGER:
.j. d
1 August 25,2003 regular meeting
August 18, 2003
Hot Dog Hut
10 Donner Rd.
Atlantic Beach
Dear City Council Members:
My name is Bay De Marco. I am in the process of opening a take out hot dog sandwich
shop at 10 Donner Rd. I would like to put an awning up to cover the take-out window on
Mayport Road. This would provide protection against rain for my customers while they
are waiting for their orders. Prior to my leasing of the building,there was a metal awning
above this window. I am just replacing that awning with a higher quality awning. I also
feel the new awning will add beauty to the frontage of the building.
I thought the city property line started at the sidewalk. The awning only extends thirty
inches from the wall of the building which is approximately two feet from the sidewalk.
Also, the awning starts seven feet above the ground so as not to obstruct anyone walking
on the sidewalk.
I am using the best quality of materials in the construction of the awning which
includes double trussed aluminum and the highest grade of canvas available on the
market.
I want this business to succeed, not only for myself but for the city and its vision to
revitalize this business area.
I would appreciate your consideration and help in making this business a positive
addition to the city of Atlantic Beach.
Sincerely,
Bay De Marco
;
FABRIC:
SCALLOP:
BINDING:
3d
METAL:
I
30
.i
I
GENERAL NO S:
, i
AWNING STYLE
a
1/4 Round
APPROX. DESIGN
i Does Not show scallop...... General Shape Not To Scale
�� I
r �
CITY OF ATLANTIC BEACH
-' 800 SEMINOLE ROAD
j r ATLANTIC BEACH,FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026854 Date 9/26/03
Property Address . . . . . . 10 DONNER RD
Tenant nbr, name . . . . . . SIGN 16 . 5 SQ. FT.
Application description . . . SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
B & K PROPERTIES AD AMERICA
4308 FAIRWAY DR
JACKSONVILLE FL 32210
----------------------------------------------------------------------------
Permit SIGN PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- --- -------
Permit Fee Total 65 . 00 65 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 65 . 00 65 . 00 . 00 . 00
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.
BUILDING OFFICIAL
�.X f (A-
r '
Cc:
CITY OF ATLANTIC BEACH D. Ford
BUILDING / ZONING DEPARTMENT
.S f 800 Seminole Road S. Doerr
1 r�
Atlantic Beach,Florida 32233
(904)247-5800
��SJ:31 (904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application #
Property Address: C) DCS t .)O�E '
Applicant: AD Pr" (F-- .i C A
Project: G N �
This permit application has been:
Approved 'y —
Reviewed and the following items need attention:
NUl�uea,�
VAQC
T 29 ED
c.
Please re-submit your application when these items have been completed.
Reviewed By: Date: c�
4 ' �'6► °�
■
■
■ �,� �'.� CITY OF ATLANTIC BEACH
r J
800 SEMINOLE ROAD
• ATLANTIC BEACH, FLORIDA 32233-5445
• Telephone: (904)247-5800
• Fax: (904)247-5845
• http://ci.atlantic-beach.fl.us
FAX
To: ;len / RCC i/ Fax#:
From: Jennifer Date:
Pages: _ Re: 14c,f 7�6�4 f c-/ c �i n
❑ Urgent LDJ For Review ❑ Please Reply
Notes: /C' '✓l i 1�'T c� /� �L�
ccal L
LETTER OF AUTHORIZATION
TO WHOM IT MAY CONCERN:
This letter authorizes AD AMERICA to act as Agent to secure permits or variances required by the
local government body, and to perform sign installation,removals or maintenance of the property
located at:
Name of Tenant: PY)4
bj 10 ' LL4
Property Name: 0
Property Address:
7AILLaL
F 33
Date Purchased:
Name on Warranty Deed:
Owner: &--ILr— 1�.1� `1j`-P
Address: S�Q I -Z JILC-h (�))Swa
Signature ,�'�� Date:
Print Name: C P'$y,'L{. - Title: E3ts�ver^
State of6t � -
County of U V C
rg�
Sworn to and subscribed before me this ` day of 200.
Personally known y� or produced identification Type of identification
Sibahure of N
Commission Expires:
(Notary AMP)
1;0J'Py^11 JENNIFER SCHLUETER
MY COMMISSION#DD 121301
EXPIRES:May 27 2006mes
'sl'���444--"'"dt8aded TMu Notary Public Underw
t
L w
CITY OF ATLANTIC BEACH
SIGN PERMIT APPLICATION
Date: Lo
Job Address �Q NjNjm (- (Y\d.
at!"'C &.012A
Owner's Name:
Address: 81V n1- Phone: 9A 4-,54L.A�
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: 0 ja State License Number: X
Address: _(kb0',.1/ o ,--4-, Phone:
State: PIC(- Zip aR)6X Fax: '781-5790,-3
Electric Permit Required? Yes* ❑ No *Electrical Contractor:
Dimensions and total square footage of sign:
Please provide two(2)copies of application and the following required information:
1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions
including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs,
include elevation drawing showing location in relation to adjacent signs,mounting detail and type of illumination,
if any.
2. Provide linear frontage of office,business or storefront,or entire building,as appropriate.
I Provide completed owner's authorization form if applicant is other than property owner.
4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code.
I hereby certify that all information provided with this application is correct.
Signature of Owner: Date:
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the
laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit
does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,
or laws in any manner,including the governing of construction or the performance of construction of the property. I understand
that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting
data have been or shall be provided as required.
Signature of Contractor: t . 0 i. Date: /` C
T
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 • Fax: (904)247-5845 - http://www.ci.stlantic-beach.fl.us
Page I Revised 1/30/03
Address and contact information of person to receive all correspondence regarding this application(please print).
Name:
Mailing Address:
Phone: For. E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Sigaattae:
❑ Personally known
❑ Produced identification
Type of identification produced
AS TO CONTRACTOR
Sworn to and subscribed before me this— r day of � ,2OLD
State of Florida,County of Duval
Notary's Signature:'
personally known
❑ Produced ide ntiScadon
Type of identifia Won produced
NNIFER SCHLtIETER
w� My COMMISSION#DD 121301
_ roc EXPIRES:May 27,2006
Bonded Thru Notary PUbiic Underwriters
S
800 Seminole Read •Adantie Beacb,Florida 32233-5445
Inge 2 Mae: (904)2474W • Fax: (994)247~5845 • bttp://www.ci.atlantic beaceb.8.us
Rcvited 1/30N3
-- 3Q in c�` PRE-FRED
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< ;T
2ft2in
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fir. __----
eCT{ON (OPTION 3)
WIND DESICxN CRITERIA
WIND Ac oc(TY ism MPH
HPMAI=WWR 1.0
SGAI pcPoam CATEGORY m
INTERS"PREIasuRE 03MCIENT +0 -0
COMPdJ o 4 CL4 Wj PR!awm 263 PSR
FORCBGOEFFICiENT cf 1-2
CI
NOTE:
318"m THRU 80LTS
I,DESIGN WIND PRESSURE IN CONFORMANCE W/
W1 NUT 4 WASHERS ASCE I-W, 130 MPH REGION,OPER F.B.G.2001
EDITION)
2. PRE-ENG'RED SIGN FACE BY OTHERS.
DELEGATE ENGINEER SHALL PROVIDE DESIGNS
TO RICHARDSON ENGINEERING POR APPROV
PRIOR TO FABRICATION OR ERECTION,
3. BOLTS: ASTM A"l
4.CONTRACTOR SHALL BE RESPONSIBLE FOR
2X4 CONT WATERPROOFING,
RICHARDSON ENGINEERING
CONSULTING ENGINEERS,ORLANDO FL
LIC#0012380 / ID#EB 0000873
EXISTING WD OR MTL HOT DOG HUT
STUDS rp'3
AD AMERICAt`at
D BY: DRAWN BY: NECKED BY: HEET
GB RBR
{ 1
>'j� e rT I ON !OPTION i -03 J�031342 BEET: � �
Cc:
CITY OF ATLANTIC BEACH D. Ford
BUILDING / ZONING DEPARTMENT "'
�t oe
800 Seminole Road
41 Atlantic Beach,Florida 32233
(904)247-5800
(904)347-5843 Fax
PLAN REVIEW COMMENTS
Permit Application
Property Address: a� - -
Applicant: AD
Project: Jc—i G N
This permit
" application has been:
Approved
Reviewed and the following items need attention:
Please re-submit yo application n these items have been completed.
Reviewed By: Date: e����
LETTER OF AUTHORIZATION
TO WHOM IT MAY CONCERN:
This letter authorizes AD AMERICA to act as Agent to secure permits or variances required by the
local government body, and to perform sign installation, removals or maintenance of the property
located at:
Name of Tenant:
Property Name: hb4 U
Property Address:
P16LS;0- 3
Date Purchased:
Name on Warranty Deed:
Owner:
Address:
j
Signature „ Date:
Print Name:��V3 C�2�@�c�{�� Title: CY0
State of F:10-r l
County of C) L/ V 04
Sworn to and subscribed before me this day of J CP4— , 200
Personalty known jZ or produced identification T p of identification
produced
Si a ofN
Commission Expires: Z'1
(Notary AMP)
,1,"�6'"�y.•., JENNIFER SCHWETER
MY COMMISSION#DD 121301
EXPIRE! May 27,2006
A A�• Bonded Thnt Notary Public Underwritero
� c �
CITY OF ATLANTIC BEACH
f SIGN PERMIT APPLICATION
S
Date: /Ci 0 �5
Job Address-J Ql) d 4 77
Owner's Name A,
Address: ltC t = �'( Phone. _
Legal Descriprn' tock Number: Lot Number: Zoning District:
Contractor: State License Number:
Address: OonQ ( OCL o.t , Phone: 231 - 5%0
City: 1QC. c3c VeI e- State: Zip: Fax: -. 01-4)
Electric Permit Required? -1� Yes'[I No *Electrical Contractor:
Dimensions and total square
4�footage of sign: �f3 ►�l� � CP.
Please provide two(2)copies of application and the following required information:
, For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions
including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs,
include elevation drawing showing location in relation to adjacent signs, mounting detail and type of illumination,
if any.
Provide linear frontage of office,business or storefront,or entire building,as appropriate.
3. Provide completed owner's authorization form if applicant is other than property owner.
4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code.
I hereby certify that all information provided with this application is correct.
Signature of Owner: Date:
k)
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the
laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit
does not presume to give authority to violate or cancel the provi§ions of any federal,state or local rules,regulations,ordinances,
or laws in any manner,including the governing of construction or the performance of construction of the property. I understand
that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting
data have been or shall be provided as required.
Signature of Contractor: Date:
800 Seminole Road -Adantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 • http://Www.cLadantic-beach.fl.us
Page I Revised 1/30/03
Address and contact information of person to receive all correspondence regarding this application(please print).
t
Name:
, 2L '4 ae(0-10
Mailing Address: iI
Phone: �] -_S 9� Fax: F"M _„'�'9� E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this day of ,20
State of Florida,County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of ,20
State of Florida,County of Duval
Notary's Signature:
❑ Personally known
❑ Produced identification
Type of identification produced
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - bttp://ww*.ci.atlantic-beach.tl.us
Page 2 Revised 1/30/03
September 8,2003
Hot Dog Hut
10 Donner Rd.
Atlantic Beach F1.32233
To Whom It May Concern:
I am requesting temporary electric at the above address for one week until final
inspection is completed.
Attached are the Building permit and the Electrical permit.
Thank You,
old De Maz /���
A aVeD
My OF ATLANTIC BEACH
B lt;DING wr-icE
�'�r 0
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
� . w
INSPECTION PHONE LINE 247-5826
r�
Application Number 03-00026467 Date 7/22/03
Property Address . . . . . . 10 DONNER RD
Tenant nbr, name . . . . . . INSTALL COOK/CLNG EQUIP
Application description . . . COMMERCIAL INTERIOR BUILD OUT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
Owner Contractor
------------------------ ------------------------
B & K PROPERTIES INC PRIMO CONSTRUCTION SERVICES
1339 CESERY TERRACE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 545-9682 (904) 744-0500
---------------------------------------------- ------------------------------
Permit BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 40 . 00 Plan Check Fee 20 . 00
Issue Date . . . . Valuation . . . . 1500
Expiration Date . . 1/22/04
------- ----------------- ----------- ------------- --- -------------------------
Other Fees . . . . . . . . . WATER IMPACT FEE 100 . 00
WATER CROSS CONNECTION 35 . 00
Fee summary Charged Paid Credited Due
---------- ------- ---------- ---------- -- -------- ----------
Permit Fee Total 40 . 00 40 . 00 . 00 . 00
Plan Check Total 20 . 00 20 . 00 . 00 . 00
Other Fee Total 135 . 00 135 . 00 . 00 . 00
Grand Total 195 . 00 195 . 00 . 00 . 00
� t
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.
BUILDING OFFICIAL
4 A
CITY OF ATLANTIC BEACH
r J 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026467 Date 8/04/03
Property Address . . . . . . 10 DONNER RD
Tenant nbr, name . . . . . . INSTALL COOK/CLNG EQUIP
Application description . . . COMMERCIAL INTERIOR BUILD OUT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
Owner Contractor
---- -------------------- --- ---------------------
B & K PROPERTIES INC PRIMO CONSTRUCTION SERVICES
1339 CESERY TERRACE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 545-9682 (904) 744-0500
-------------- ------------------------------- - ------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc 100AMP, 1PH, 3W, 220/110VOLT, 2 "RA
Sub Contractor KNIGHT ELECTRIC LLC
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
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.
`3r u
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
-rr ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
�J.cf
Application Number . . . . . 03-00026775 Date 9/02/03
Property Address . . . . . . 10 DONNER RD
Tenant nbr, name . . . . . . GAS PIPING
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
HOT DOG HUT MOBILE GAS
4110 UNIVERSITY BLVD. CT.
JACKSONVILLE FL132217
----------------------------------------------------------------------------
Permit MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
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.
BUILDING OFFICIAL
BUILDING AND ZONING INSPECTION DIV1r8ION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT —Applicant to complete all items in sections I, R,III, and IV.
I. Street Address:
LOCATION OF Intersecting Streets:Between Q4Si,F7o And
BUILDING Sub-division
II. INDENTIFICATION—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 attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinances and standards of good practice listed therein.
Name of Mechanical Contractors
Contractor(Print) Aft) Master O
Name of Property ,A
Owner 4"'I T
Signature of Owner ,%C/ f' Signature of
Or Authorized A eat / 1— Architect or En 'neer
III. GENERAL INFORMATION
A Type of heating fuel: B.
❑ Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
❑ Gas: )gLP _Natural Central Utility B UILDING OR SITE?Q j -000 z o� C.7 .
❑ Oil
.C] Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK
INSTALLED
C3 Residential or Commercial
2( New Building
(Provide complete list of components on back of this form) Cl Existing Building
❑ Heat _Space —Recessed 4 Central _Floor C2 Replacement of existing system
C] Air Conditioning: Room Central New Installation(No system previously installed)
❑ Duct System: Material Thickness Cl Extension or add-on to existing system
Maximum capacity cfnt ❑ Other- Specify
O Refrigeration
Cl Cooling tower. Capacity Qpm
❑ . _Fire sprinklers: Number of heads THIS SPACE FOR OFFICX.USE ONLY
❑ Elevator: _ Maali$ Escalator (Number) (Received)
C1 Gasoline pumps (Number)
C1 Tanks (Number) Remarks
❑ LPG containers l (Number)
C] Unfired pressure vessel
❑ Boilers permit Approved by Date
❑ Other—Specify Permit Fee
LIST ALL EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
Tons Agency
HEATING—FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
TU) Agency
1 "O C 2 ! 6
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
And Dimensi ns Contained Manufacturer No. Agency
P
N
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
;} ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . 03-00026467 Date 8/04/03
Property Address . . . . . . 10 DONNER RD
Tenant nbr, name . . . . . . INSTALL COOK/CLNG EQUIP
Application description . . . COMMERCIAL INTERIOR BUILD OUT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
Owner Contractor
--- - -------------------- ---- --------------------
B & K PROPERTIES INC PRIMO CONSTRUCTION SERVICES
1339 CESERY TERRACE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
(904) 545-9682 (904) 744-0500
----- ----------------------------------------- - -----------------------------
Permit . . . . ELECTRICAL PERMIT
Additional desc 100AMP, 1PH, 3W, 220/110VOLT, 2 "RA
Sub Contractor KNIGHT ELECTRIC LLC
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
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.
BUILDING OFFICIAL
J
r s�
CITY OF ATLANTIC BEACH, FLORIDA
ELECTRICAL PERMIT APPLICATION
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �I 200-7
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 CONTRACTOR: + �� uL-zpjL (—(- C"
MASTER ELECTRICIANS SIGNATURE:
OWNER OF PROPERTY: IV- / f
JOB ADDRESS: 1 D �JUrJr��JL �i�
RES.( ) APT.( ) COMM.( PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( )
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT.
SERVICE: NEW( ) INCREASE( ) REPAIR( )
CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST. SERV. SIZ U AMPS PH W VOLT RACEWAY /t
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES o2, CONCEALED OPEN TOTAL
0.30AMPS 31.100 AMPS
SWITCHES
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P.RATINGCEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
UNDER 600V OVER 600V
TRANSFORMERS:
NO. 1KVA NO. 1KVA
NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS
EACH SIGN
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845 • http:/iwww.ci.atlantic-beach.fl.us
ReviceA 01/17/01
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026735 Date 8/29/03
Property Address . . . . . . 10 DONNER RD
Tenant nbr, name . . . . . . 51SS RANGE HOOD
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ - -----------------------
DEMARCO, BAY SPECIALTY METAL WORKS
4415 EMERSON ST
JACKSONVILLE FL 32207
(904) 318-4861
-------------------- ---------------------------------- ----------------------
Permit MECHANICAL PERMIT
Additional desc STARTED WITHOUT PERMIT
Permit Fee . . . . 130 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
-- ------------- -- ---------- ---------- ---------- ----------
Permit Fee Total 130 . 00 130 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 130 . 00 130 . 00 . 00 . 00
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.
BUILDING OFFICIAL
C '
t-=L,fr CITY OF ATLANTIC BEACH FFord 10
BUILDING / ZONING DEPARTMENT S. Doein
s J rr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
399 �z�Z
Permit Application # 03 - Z L0 13 S
Property Address: IQ non n.Pr -d
Applicant: r 142, M e at I L+ r k c
Project: SS arl vire kL
This permit application has been:
'ba Approved
i w d t owing items need attention:
r
PP
6t,K
a2 o rn N /bra. l �c_1r7.
� s ,�cE cc it res /Soy /t o�
1. PICIII/
nal 5 '
G v1
0 via C'
Please re-submit your application when these items have been completed.
Reviewed By:L+� Date: � ' 1
r CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date: 03
Owner of Property: &1"kA Oil-ro
Job Address: l `tC )0 mft`M eV
Contractor:
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 attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinances and standards of good practice listed therein.
III. GENERAL INFORMATION
A. Type of heating fuel: B.
❑ Electric IS OTHER CONSTRUCTION BEING DONE ON THIS
❑ Gas: —LP _Natural _Central Utility BUILDING OR SITE?
❑ Oil /n
L3 Other—Specify V/4 IF YES,GIVE NUMBER OF CONSTRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK
❑ Residential or Commercial
INSTALLED ❑ New Building
(Provide complete list of components on back of this form) QT'— Existing Building
❑ Heat _Space ,Recessed _Central _Floor ❑ Replacement of existing system
❑ Air Conditioning: Room Central ❑ New Installation(No system previously installed)
❑ Duct System: Material Thickness ❑ Extension or add- to existing syst
Maximum capacity ofm ❑ Other-SpecifyZ.
❑ Refrigeration Q ?��rfA
❑ Cooling tower: Capacity SPm
❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY
❑ Elevator: _ Manlift Escalator (Number) (Received)
13Gasoline pumps (Number)
❑ Tanks (Number) Remarks
❑ LPG containers (Number)
❑ Unfired pressure vessel Permit Approved by Date
❑ Boilers �Fi'
❑ Other—Specify � Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
(Tons) Agency
& \ j
HEATING—FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
BT Agency
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
And Dimensions Contained Manufacturer No. Agency
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800•Fax:(904)247-5845• httn://www.ci.atlantic-beach.a.us 1/14/03
N
10S�
1 is 10
xw
14
Metal
•1�
49-- Telephone
11542 Judie' 1 Dir � (904) 399-8222
Jacksonville FL 32246 Q 4
CL VC
U) Quality Metal Fabricators 4
QUOTATION
Date:
To:_
-- job:
w
� y
Q. 1�s.
61
Accepted By:
Total:
This qu tion►is good for_.._---
days. submitted By:
a
��r�tJrJ
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026063 Date 5/14/03
Property Address . . . . . . 10 DONNER RD
Tenant nbr, name . . . . . . INSTALL 10 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
B & K PROPERTIES, INC. PLUMB-PAL, INC.
1728 SABEL PALM
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 743-2233
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORD 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.
a
BUILDING OFFICIAL
.I f CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date: Z,3
Job Address: W e>i ,,,V
Owner of Property: ,�?g � T-; Telephone: 2f L Z.3 3
Plumbing Contractor: 'C C),gl
Contractor's Address: �7Z S S� 'aS�{ fi�C.�, 1 �. �T.�x ��^,� c( C ,ZZs—b
Telephone: 2p Fax: Z y Z—o C E J
State License Number: C r-C '7 C 7s,
How many of the following fixtures (re-piped or newt':
Sinks Showers l Water
Z Lavatory Water Heaters / Hose Bib
t� Bathtubs Dishwashers ® Sewer
a Urinals O Disposals 0 Other
Closets O Washing Machine O Shower Pans
Floor Drains Re-Pipe (List fixtures being re-piped)
Total Fixtures: /0 x $7.00 + $35.00 = (Minimum Permit Fee: $35.00)
Signature of Contractor: '
Installation of plumbing and fixtures st be in accordan 'th the most recent edition of the
Southern Standard Plumbing Code.
Call a day ahead to schedule inspections: (904)247-5826
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.adantic-beach.n.us
1
1
CA
BUILDING AND ZONING INSPECTION DIVISION
o j
CITY OF ATLANTIC BEACH, FLORIDA Z CID {
0 .c}-
z ELECTRICAL PERMIT a
Date 51,*91 L4 Fee $-A.A ffPermit No. l f 4 t 0
LU
J I
Location fr Fr$+ Q
Between and a
This is to certify that a
.VJLJ1A m
(Electrical Contractor) (Master Electrician)
has permission to install Electrical Construction as described herein in w oa 1
accordance with the provisions of the Electrical Code and regulations U °c 1
of the City of Jacksonville, and subject to the information shown on the W
0
application, drawings and specifications which are made a part of this :z
permit.
for aafA A$-4 LCALA Udg, StAILC
UJ
Type of work: _ C8201tAtUt ISCAL AAA o m
SERVICE: Ce#tda4t#A Sill Ata n. Smlte4 100 axpA aU.
1?ff 39 ISO Pett cab c utemy a r j
N V
Feeders:
Outlets:! O
Receptacles:5 W j
m
Switches: to
Incandescent:
Fluorescent:
Appliances:
Air Conditioning:
Motors: r
Transformers:
Signs:
Miscellaneous:
{
1
IF NO WORK IS DONE UNDER 1
THIS PERMIT DURING ANY SIX ISSUED BY: 9
MONTHS PERIOD, PERMIT lectnca Inspec Van
BECOMES VOID.
Ook AM* a
0003036
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
I
--- PERMIT rNrOK ATXON ------ -- ----- LOCATroK rmmonnATraK ----i----
P sit Numbers '30,36 Ad resss 10 DONKI:R ST
ermit Types RL-Roar' ATLAKTrC BICACH, PLOftrDA :!2x'3,3
Cl as o:r works KtA --- ------- LLOAL DftSCRrPTXOH ----------
C nstr- Types WOOD PRARSh LoI2 D1ocKs sections
P oposed Uses arKOLLO' PAR=LT Townships RNO% a
Dv p1lingsI a Codes a Sult divisions
Em imated Values 00.%M
raprov. Costs 00.00
Total room s 022. 30 0
Amount Paler 2 022. 30 X
Mo
------- awns* r!!OORRATZOn --------- - -- APPLIcATran r'M>R's -----
names r'RE.D LIOWX EI PNRRrT *T.Da
Acic rremn% 10 Dt1NK1l:n ST WATER 2RPACT rice, *0.00
ATLAKTrC ISMACH, rLORSDA 322'3.3 SEWER ZRPACT Pit *0.00
hones C 1304)724-1P41 J MA'!`s" N'ffi'1"Oft 00600
RADON OAS-H- R-s. *0.00
--- COKTftACTOR rK MATraK - ---- RADON OAS - law 00.00
aces JOE TURNLNt RaaFIKO p i� WATER TAP 00.00
Aadrenst 1620 HOLLT OAK Rb 3 0�' � � S 'SEWER TAP 00.00
JACKSONVSLLE PL J2210 HTDRAULIC SHARE *0.00
Li nses Types a RL-rKS108CT FEE $13.00
SEC. " rRPACT Pitt" *0.00
OTHER 00000
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 MECHANICS' 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.
ATLANT C BEACH BUILDING EPARTMENT
By. �� C JOB COPY
CITY OF ATLANTIC BEACH
APPLICATION FOR SIGN PERMIT
NAME: ��°d�icsr L fet A) , /Q /
ADDRESS: PHONE:,P / c�
TYPE OF SIGN: /�ic�-1,�/t�lc IBJ SIZE: 17 5/� � � / 3
PROPOSED LOCATION:
WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? 'C/a
ELECTRICAL CONTRACTOR: �
Signs over fifty (50) feet in area, and/or any sign which
is more than seventeen (17) feet above the ground, or any
sign weighing more than one thousand (1,000) pounds, must
be submitted with drawings from a registered engineer.
Signs with a solid area greater than thirty (30) square
feet must be erected to withstand a wind pressure of at
least thirty-five (35) pounds per square foot. Drawings
must also show that weight of sign will be supported by
the roof or ground support on which it will be erected.
This application must be submitted along with the following:
1. A plot plan of the land, showing the position
of the sign in relation to buildings or structures.
2. A blueprint or ink drawing showing the plans and specif-
ications, and the construction and/or attachment to the
building or in the ground.
3. Other information as may be required under Sec. 17-2(b) ,
Code of Ordinances, City of Atlantic Beach.
APPLICANT SIGNATURE: ' Date: /�/ � �/
OWNER SIGNATURE: �•�� Date: . 4
RECEIVCU
JUN 12 1998
City of Atlantic Beach
Buildin
Zoning
d zo g
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PE - � LOMTON �� MA
e mit Number e 16666 A dress; 10 DONNER R ?"'
Permit Type. SIQN ATLANTIC S9ACH, ?LORI Dk 32233
less. ,f I c rk:1 EW ----- L199AL ARSCRIPT"1�7�1'.".�
Cohstr. Type:ALUMINUM Black: Lot Twp: Q
Ptopcsed U e.'COMMERCIAL Section;" 0 Subd Rl�c�: +�
Dwellings: 0 Subdivision: "
Est. Value: 0 .00 1
Improv, Cost : 0.00
Tenet Fees -c, 30 .00
ArncountPs .d• 30 .00
Date ,Palik 'Wig
crk n ". �5. PLNAS
1014 - :� " : �. AFPLICAT` 3R E'EES --w..__-
., ..��
�� . ERM �0.,00
ddr-
`yy A �� '` AC A $I`,L6RII?A 322
.►. �r �1} `,'�'" "'" ' 3 ar Y x Ai
GC�N TC I IFRMAT ION ------
I
L'". Pi1O
Li,clx Exp
NOTE
a
{
3
NOTICE-'INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
-a
ff
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT.BE-PLACED IIN PUBLIC SPACE;AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
A
i
66FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CA#+l RESULT IN
THE PROPERTY OWNER RAYING TWICE FOI R SUILDINC IMPAOVEMENTS." 1
ISSU A pRpiNG TO AWPROVEt3,PLANS WHICH ARE PART OF THIS PERMIT SUBJECT TO REVOCATION F
1/IOLATlC�YAtQF f'LI,CABLtf�RO1%SIONS , CAW. # I4
IF
8
i1TLANTI BEACH B PART
ME 1 3 31
� x t