501 Atlantic Blvd 2011-00002347 awning extension permit - -14j
6 ° I.,. ` A CITY OF ATLANTIC BEACH
'' } 800 SEMINOLE ROAD
J , ° =� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
' "4r). 1 >`'
Application Number . . . . . 11- 00002347
Property Address Date 7/18/11
501 ATLANTIC BLVD
Application type description COMMERCIAL OTHER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
Application desc
EXTEND AWNING
Owner Contractor
GRFA PALMS LLC ADVANCED AWNING & DESIGN
501 ATLANTIC BLVD, 2155 CORPORATE SQUARE BLVD
ATLANTIC BEACH FL 32233 BLDG 100
JACKSONVILLE FL 32216
(904) 724 -5567
Permit COMMERCIAL ALTERATION /OTHER
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee .
Issue Date 30.00
Expiration Date Valuation . . . . 2000
1/14/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
Other Fees STATE DCA SURCHARGE
STATE DBPR SURCHARGE 2.00
2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 60.00 60.00 .00
Plan Check Total 30.00 .00
Other Fee Total 30.00 .00 .00
4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00
.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
' s!.- 1!1r�j City of Atlantic Beach
APPLICATION NUMBER
.j : ` " A Building Department (To be assigned by the Building Department.)
800 Seminole Road
ry . " `�' r7 ? Atlantic Beach, Florida 32233 -5445 /� r
: Phone (904) 247 -5826 • Fax (904) 247 -5845 'f
jT , E-mail: building - dept @coab.us Date routed: / /6
City web - site: http: //www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 6l / 1 75 ?frel s - . xj.LILent review re • uired Yes No
v . / Buirin
d in
Applicant: `rJf�� � �• < :&F)79 � Planning & Zoning
e Tree Administrator
Project: XT b - 7-, ,7) b, " Public Works
Public Utilities
Public Safety •
Fire Services
xt � r• ,�
!fie i ,,,,w,--- ee$ t - 4 ; k t o �, a S ac r e . i � N =j " , . ' :_¢
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
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: Bcpproved. ❑Denied.
(Circle one.) Comments:
BUILDI )
PLANNING & ZONING
Reviewed by: / Date: 7 �/
TREE ADMIN. Second Review:
['Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: (Approved as revised. nDenied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247 -5826 Fax (904) 247 -5845
Job Address: 5c, \ P..1/4 ,—>v..._ fL\ 4 i Permit Number: ,i 9- 3 if/
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.F't
Valuation of Work $ 2- o 00 , oc� Proposed Work heated /cooled non- heated /cooled t Z 0
Class of Work (circle one): New Additio Alteration Repair Move Demolition pool/spa window /door
Use of existing/proposed structure(s) (circle one): Commercial Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product approval form
Describe in detail the type of work to be performed: i k Q A, c f h s k. „ Pk c A- „ i, 2 t
Property Owner Information: Gem (Z A a, tc ,
Name: cz ,,,c_1 -. 1)', ,, Qc Address: SS c”) 6, a \C,., L,_ V- A
City lk r„ k■ C‘ c- State F_1 Zip 322-3 1 Phone 3 2 S - G i
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: fk- civh, Le 3, N,,,,, c : ,, Is, '(yes;3r) . LI Qualifying Agent: "'Toe\ f'N - S \V
Address: 7.4 Ss (c., c )., c.Ast- S� 'Ci\..d City '' State cA Zip 3 ZZ-\ ( -
Office Phone 7 2 - 4 - SS (...'"I Job Site/ Contact Number S u 49 - ( 4.- 4, Fax # -) 2_4- t Z 2,3
State Certification/Registration # (k c... S
Architect Name & Phone #
Engineer's Name & Phone # L - r--t \k S' t - "-VI - 1 Sr 4 S° 1 S,I ,
Fee Simple Title Holder Name and Address i Bonding Company Name and Address F ILE COPY /.. l[
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. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, F urnaces, Bo 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 I have read and examined this . application and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether speci Ted herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal, state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name ,
VR v j Print Name - ec. e9 )),.. \t,
Sworn to and subscribed before me Swor i to and subscribed before me
this Day of `k , 20 11 this t� Day f 20
/ t. s , 4 . ./ 4 t 1, _ WW I
o rf Do, Notary Public State of Florida o 4 " , Ub i )Iic State of Honda
: Alanna Latham r a nu t atham
•
4 tMy Commission DD730405 03. L. t v; Gorrirr D0730405 .' evised 01.26.10
'4. 0, 0, 94* Ex ices 10 /30/2011 15 ta cti3` i .xpir es 0/30/2011