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Permit 2405 Mayport RedBox 2011 t a .I , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 4 �y.�331=fir' Application Number . . . . . 11-00001536 Date 1/18/11 Property Address . . . . . . 2405 MAYPORT RD Application type description COMMERCIAL OTHER Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 1000 ---------------------------------------------------------------------------- Application desc red box and elec ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AGREE ATLANTIC BEACH LLC KRIEGER CONTRACTING 31850 NORTHWESTERN HIGHWAY 1115 6TH ST SW FARMINGTON HILLS, MI WINTER HAVEN FL 33880 FARMINGTON HILLS MI 48334 (863) 294-1650 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee 27 . 50 Issue Date . . . . Valuation . . . . 1000 Expiration Date . . 7/17/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total 27 . 50 27 . 50 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 86 . 50 86 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. `f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 11-00001536 Date 1/18/11 Property Address . . . . . . 2405 MAYPORT RD Application type description COMMERCIAL OTHER Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 1000 ---------------------------------------------------------------------------- Application desc red box and elec ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AGREE ATLANTIC BEACH LLC KRIEGER CONTRACTING 31850 NORTHWESTERN HIGHWAY 1115 6TH ST SW FARMINGTON HILLS, MI WINTER HAVEN FL 33880 FARMINGTON HILLS MI 48334 (863) 294-1650 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 60 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/17/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 60 55 . 60 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 59. 60 59 . 60 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 cn� Ph(904)247-5826 Fax(904) 247-5845 .TOB ADDRESS: a4( (Mb--�. - PERMIT# NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole ❑Residential (Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters []Commercial (Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service 110-100 amps 1110 1-I 50amps ❑151-200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-3 Damps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist Qty volts/amps VALUE OF WORK$ct , REPAIRS/MISCELLANEOUS I- 0 Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change 0 O to UG ❑Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name A L G kE n Phone Number Electrical Company 6 R i S—r6 lam' <<T dZ.�(,` e) Office Phone Co.Address: , �h ^ i -- ryj ti-kiIMR o' City 1 N'T-tq 002*j State Zip License Holder(Print): 1,Azr -YC State Certification/Registration# E C 000 0�� Notarized Signature of License Holder N Sworncr*o i L of 20A— EXPIRES:> '► Signa BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 Job Address: L�C� `� Ccbf c�_- Permit Number: Legal Description Parcel# Floor Area of Sq. Sq.Ft Valuation of Work$ .CXR Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New ddition Alteration Re air Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): r ' Residential If an existing structure,is a fire sprinkler system installed. ircle one): Yes No N/A Florida Product Approval# For multiple products use product approval form Describe in detail the ripe of work to beperformed: Iiiw sal � � CZX G t'c c.kk-� Property Owner Information: `- Name: tQ T P-O- y� l-i c P_Gd,� U-�Address: 9.& as)X- City t)ePr 2 e L6 StateT(.Zip (DWL5�_ Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: Qualifying Agent: 2Y,.�r 2 r Address: l 11Z tot C,W City 2 'Qn State Zip 3'8k Office Phone %:I- to 50 Job Site/Contact Number Fax# 863. 0971 - !9'&_K Y State Certification/Registration# e CMa 0 :3,-)CQ Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six 6)months at any time after work is commenced. 1 understand that separate permits must be secured for ElectricaC Work,Plumbing,Signs, Wells, Pools, urnaces, Boilers,Heaters, Tanks and Air Conditioners,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 1 hereby certify that 1 have read and examined thisplication ar�d know the same to be true and correct. All provisions gnaws and ordinances governing this type o work will be complied with whether spect ied herein or not. The granting of a permit does not presume to give authority to violate pr cancel the provisions of any other federal,s te, or local law regulating construction or the performance of construction. i Signature of Owner Signature of Contra o -may Print Name jj�y►2�' ZA� ....i(.....�,�i l�G�1� Print Name � i 1 Sworrvo and subsc ' Up- re me Sworn to and subs ed before me this Da 20 this 20 t Pis i soy ,,, PA.Not ryPubli ;h eawwdTnru Undin"�'t' Not " EXP1Un4,2015 '11f�t:� Bonded Thru NodnrY, N UtM«v W -Revised 01.26.10 r� � z I 0 v"Na"7XKVU OPIP,aw"lutu alto I W01-11211 J w .f/ J p�✓ OI Oj/I! a s 0 S I�7 eav ,o!,ar3 wuawl ��Y�°IS /Vai+wN77 y�icuool a.cs y ��.seg "'� OK spa s�WV<+'�'!r,<.os Asn d-ftwr!u ON W-•Ok-avav 3„1 Wa<os.w�.,r� ap.4.aaoaaw�s -' JNO� �r!�ncsrv"ws �gew•+a�a��•3•!�ent � ` u� war - �aa.a — ,._, C pnwmv-v a'•aswo o1M Pm!Pu"!rd on '-t3`f nu1S X71 F�[ nay -dw-.8l £� Z� 7� N��f�l�w✓��L"7'i7.LF �s�4'J � xQjvpv Wil uawl Oil W!W - S."14-pugs p-7 n•t�� �t1 Q�/�1w SO 7 3 WWW°J�I +P"fO9V► dwat P'!�t3� iMla1uaJ a1^In3 T�iP 1 VR«mVPY O L J iI s 103P 7VA xwKn lCD 7C spas�pN5da�0 - - aq rm Xfa yBy sd�ls flatn� Qday` 0-1 CD co Un co Me - ® - $ w v v I o I I o 3 7C ca m -s LEGENDfD Ey NON-FUSIBLE SAFETY DISCONNECT SIMTCH PARTIAL FLOOR PLAN- POWER ��HOMERUN SCALE:tr2"=a'-0• -'- VP WEATHER PROOF NOTES KEYED NOTES 1. ALL WORK SHOWN SHALL COMPLY VATH ALL NATIONAL, STATE AND ONE(1) 20A.12OV.14 DEDICATED CIRCUIT (NTH G>:CI CIRCUIT BREAKER) LOCAL CODES, ORDINANCES, ETC. FROM EXISTING PANEL LP-2, 3 OR 4, ROUTED ABOVE CEILING TO A z� �� SPECIFIED LOCATION (DETERMINED BY REDBOX) ON ONE OF THE PRIMARY x ET // 2. CONDUIT SHALL BE ELECTRICAL M ALLIC(STEEL) TUBING (EMT), RIGID V BUILDING EXTERIOR ELEVATIONS (DETERMINED BY TRAFFIC AND/OR STEEL (SIZE IN ACCORDANCE WITH NEC), OR MC CABLE WHERE ALLOWED GRADE OF SIDEWALK). GROUND SHALL BE CONNECTED TO LUG ATTACHED o BY CODE. WHERE MC CABLE IS USED, PROPER SECUREMENT AM TO PANELBOARD ENCLOSURE (OF PANEL FEEDING THIS EQUIPMENT). SUPPORT (AT INTERVALS NOT EXCEEDING 6 FEET) SHALL BE FOLLOWED Co PER NEC ART. 330. JUNCTION BOX SHALL BE INSTALLED AT 3'-6" A.F.F. (AT SPECIFIED ti 3. ALL RECEPTACLES AND 5N7TCHfS SHALL HAVE TWO (2) REVOLUTIONS LOCATION) WITH WEAliERPY OOF, LOCKABLE NON-FUSED DISCONNECT co OF ELECTRICAL TAPE (SCOTCH 33T) OVER ALL THE TERMINALS, TO O (60A.120Y.2P, 5Q. D PARTa0020DTR), FINAL CONNECTION OF SEAL TIGHT PREVENT ACCIDENTAL CONTACT WITH THE JUNCTION BOX OR OUTLET WHIP FROM DISCONNECT TO REDBOX BY REDBOX ELECTRICAL a BOX. CONTRACTOR. o„ TITLE: EXTERIOR REDBOX POWER PLAN DRAWN BY: BD FACILITIES PLANNING,DESIGN,AND ENGINEERING DATE: 08/05/90 106 VIROAD DEERF[ELDlD,ILL 6001&5105CADD PLOT: redbox-power-exterior-01-05aug10.dwq �v 0 cn JAN-07-2011 FRI 11 :19 AM Krieger Electric FAX N0, 8632975848 P. 10 wm&""edw The Pharmacy America Trusts.Since Wi* Richard N.Steiner Director,Real Estate Law December 27, 2010 City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 Re: Walgreens #13028, 2405 Mayport, Atlantic Beach, FL To Whom It May Concern: This property is owned and/or leased by Walgreen Co. who controls the leasehold interest of the property. This letter authorizes Krieger Electric, Inc., a Florida corporation, to apply for electrical permits and install power for an exterior Redbox DVD Rental Kiosk at the location referenced above. This authorization expires 90 days from the date of this letter and pertains to the above referenced location only. Very truly you 1 .lard N. Steiner - Director, Real Estate Law STATE OF ILLINOIS COUNTY OF LAKE the foregoing instrument was acknowledged before me this 2r day of 1.��[ .bar-• , 2010 by Richard N. Steiner, Director, Real Estate Law of Walgreen Co., II' is corporation, on behalf of the corporation. He is personally known to me. t NotAry Public FNOTARY IA"Log EAL COLLINS-SCHRODE Printed Name:3v-2, L.&11. c, STATH of ILLINOISN EXPIRES 611412014 My Commission Expires: Ul t �1a t -1 Commission # Corporate and Transactional Law Department • 104 Wilmot Road MS#1420 • Deertleld,Illinois 60015 847-315.4543 • Fax 847-315-4825 • rlCh.steiner0walgreens.com www,walgreens.com City of Atlantic Beach APPLICATION NUMBER rs s� Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 77 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: v'� 705 �6 T 1-� De artment review required Yes No Building > Applicant: / c 'ML ,dW_1_44P manning &Zoning- -- Q / Tree mirrl5traor Project: Public Works Public Utilities Public Safety Fire Services ��Y•�. "'r�: �I^ryT �+���� i ,i'b "�IAh� i i:'s i ��rl'��3�w��"Y""��� 1°: � � r .� L ,r a 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 C� Other: APPLI ATION STATUS Reviewing Department First Review: Approved. ❑Denied. ne. Comments: PLANNING &ZONINGr Reviewed by: .�/�- Date: TREE ADMIN. Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 JAN-07-2011 FRI 11 :14 AM Krieger Electric FAX N0, 8632975848 P. 02 BUILDING PERMIT APPLICATION CITY OF ATLANTTC BEACH 800 Seminole Road,Atlantic Beach, F!< 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: Permit Number: Legal Description Parcel# FlorAre 177 Valuation of Work$ _Proposed Work heated/cooled non-heated/cooled____, Class of Work(circle one): New ddition Alteration Repair Move Demolition pool/spa. window/door Use of existing/proposed•structure(s)((circle one): a Residential If an existing structure,is a fire sprinter system install trent one): Yes No N/A Florida Product Approval# For multiple products use product approval orm Describe in detail the type of work to be performed: `�•� l 47� C<<-�.�'� Property(honer Information: Name: a r ee. AeWJA U=c Address: Q.O. ad)(. gb City � c tJI<�LA StateTt.Zip ( 1!;- Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: &P le. C.• Qualifying Agent: 2Y' t r t.0 'e1r' Address: I k- -1 h S SC J""" City % t A:ke Q�__State l• Zip Q Office Phone 9u-Ito SP Job Site/Contact Number Fax# 96-4. aQ7 -Gtj y State Certifica.tion/Registraiion# Elt r!10=9218SA Architect Name&Phone# Engineer's Name&Phone# Fee Simple Title Holder Name and Address Bonding Company Name and Address Mortgage Lender Name and Address 4pphearion is hereby mode to obtain a permit to do the work and installations os indicated 1 cert that no work or installation has commenced prior to die issuancr of a permit and that oil wnrk will be performed to meet the standards of all laws regulating consp action in ibis jurisdiction. This permit become.t null and void f wnrk is not commenced within six(6)months, or if constr:rctlon or work ie suspended nr abandoned for apenix!of sat((6J months at any lime after work is commenced. 1 understtind that separate permits mull he secured or electrical Work,P/untbing,Signs, Wells,Puols, furnaces,Bailers,Heaters, Tanks andA lr CanA onerg eta WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR.IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN .FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. There certi/y that!have road and examined this o plication ur�d know,the same to be true and correct. 411 provisions of laws and ordinanoe"'governing this type oJYwork'wlll be complied with whether speci rad herein or"not, The granting of a permit docs not prenume to give authority to violate pr cancel the provisions of any other federal, te,or local law regulating construction or the performance of construction. Signature of Owner Siguaturc of Contra o Print Name / a f -�+'....�f jC, /jr -1 Print Name . Swo and subsc4ftdjbofbre me Sworn to and subadilbed before me this Da tAdrlteNgMOtJ 20 vinev, 20 t sot Not Publi emeatnroaaw a°uou"a^�w" sed.01.26.10 JAN-07-2011 FRI 11 14 AM Krieger Electric FAX N0. 8632975848 P. 01 ELECTRICAL,PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: ' �b�1•Q�11'' PERMIT# NEW SERVICE ❑Overhead Underground ❑ Underground up Pole 17'Residential(Main)Service 00-100 amps ❑101-150amps F_-I 151-200amps I 1 amps 4 of Meters ❑Commercial(Main)Service 1,I0-100 amps L1101-150unips 1=.1151-200amps EI amps 1--ICT Service amps Conductor Type Size ❑Mullti-Family (Main)Service r.10-100 amps 1"1101-15ouraps l"'I 151-200amps 1.'1 amps 4 of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) C 100 amps C 1.50amps C200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: _ - 0-30amps 31-l 00amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ILI Swimming pool 0 Sign Q Smoke Detectors_,Qty ❑Transformers K.VA ❑Motors lip FIRE ALARM S'YST.EM (Requires 3 sets of plans & Fire Alarm Checklist Qty volts/amps VAL UE OF WORKS REPAIRS/MISCELLANEOUS []Replace Burit/Dama.ged Meter Can F-1 Safety Inspection ❑Panel Change ❑OH to U u Oflier: Permit becomes void if work does not commence within a six month 1wriod or work is suspender)or abandoned for six months. I hereby ccrtil.y that I hove read this application and know the same to be true unci correct. All provisions of taws and ordinances governing this work will be compiled with whether specified or not. The permit docs not give authority to violate the provisions of tiny other shite or local low regulation construction or the perl:ormance of construction. Property Owners Name A it 6 "�n Phone Number Electrical Company _ R1 V—rh" F 7cr AkC.T-A)e1 Office Phone a91-' Fax Co. Address:!h "1 �-, S'l"' �tl� W st.�r�gyp,, ► _ City i Jttrcl7rlt r State Zip License.Holder(Print): -6State Certification/Registration 4 E C Notarized Signature of License 1161der A Swoni ci ii., ay of 2011— EXPINFS'AP'�wb Signatt