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
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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
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i soy ,,, PA.Not ryPubli ;h eawwdTnru Undin"�'t' Not " EXP1Un4,2015
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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
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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