Permit Sign for Complex S !:L`l fl�y.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
5 =, ATLANTIC BEACH, FL 32233
' � INSPECTION PHONE LINE 247 -5814
-Oil 9
Application Number 11- 00002708 Date 10/06/11
Property Address 125 JACKSON RD
Application type description SIGN PERMIT
Property Zoning RES SF DISTRICT
Application valuation . . . 0
Application desc
SIGN FOR COMPLEX
Owner Contractor
BEACHES HABITAT LIBERTY LIGHTING, INC.
1671 FRANCIS ST 599 CHARLES PICKNEY STREET
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 610 -8673
Permit SIGN PERMIT
Additional desc .
Permit Fee . . . 105.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 4/03/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONA1 ELECTRIC CODE
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 105.00 105.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 109.00 109.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
.0,4o./-,. City of Atlantic Beach APPLICATION NUMBER
a <S, Building Department (To be assigned by the Building Department.)
: A )•s 800 Seminole Road _
01 7
41 Atlantic Beach, Florida 32233 -5445
Phone (904) 247 -5826 • Fax (904) 247 -5845
rjt 0 E -mail: building- dept @coab.us Date routed: q 02li //
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /-26 e / Department review required ¥e No
i uildingf� V
Applicant: / ' / L , in C • anning & Zonin
Project: Public Works
Public Utilities
Public Safety
Fire Services
R ,,", /` pp.�!� s p ,� g rar� T'�:.` :�- r ,�:, r T�" ,� *",'���u�,. j� ., � y ^�S �:3z
� fir+` ieit ' r, ' eF , 'ale- f e g a,.0 k :T `. ;. lh 1 X� #fr! �t ;
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: (Approved. ['Denied.
(Circle one.) Comments:
BUILD!`
PLANNING & ZONING Reviewed by: t?i Date: '7";; " /�
TREE ADMIN. Second Review: ['Approved as revised. ['Den ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
oL 1r14,, City of Atlantic Beach APPLICATION NUMBER
J Building Department (To be assigned by the Building Department.)
800 Seminole Road /� 7
0 Atlantic Beach, Florida 32233 -5445 /
Phone (904) 247 -5826 • Fax (904) 247 -5845 `
!)"/". E -mail: building- dept @coab.us Date routed: q a / r�
City web -site: http: / /www.coab.us `
APPLICATION REVIEW AND TRACKING FORM
Property Address: / J - ,i 76- ?d De rtment review required Yes No
C�m
//� Buildin .�
Applicant: L L- 5/71 % n � ` / �✓e. anning & Z
Ad —^,
y
Project: r? (1, M,t7 / :7j Public Works
l Public Utilities
Public Safety
Fire Services
'mp r'`Awya'er�! 9„NOprl"�`Fp4N:� *i ,-;� ,�awi�
?aua AaIWI< . 0�.._,e , ��d J� ATM' ✓ _°ss. °
Other Agency Review or Permit Required Review or Receipt Date
of Pe 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: Approved. ❑Denied.
(Circle one.) Comments:
BUILDING
P NNING & ZONING Reviewed by: Date: 9 /05/g011
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. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
' " "` ' BUILDING PERMIT APPLICATION
1 r CITY OF ATLANTIC BEACH ��
/ 800 Seminole Road, Atlantic Beach FL 32233 SFp v
r F,,y - 4r'
Office: (904) -5826 • Fax: (904) 247 -5845
6' y
82 %
14 (k at) ' r I t 4 .S 3-11 -
Job Address: I 5 -.- Ar. k" 56.0 - RA ., A i. M 1 I e' �C4 41.,, PL- Permit Number:
Legal Description
Valuation of Work (Replacement Cost) $ $60 . "
_ ,
• Class of Work (Circle one): V Addition Alteration Repair Move
• 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
• Is approval of homeowner's association or other private entity required? (Circle one): Yes No
Describe in detail the type of work to be performed:
bI.FVTll: Wig T/Ok) SIGN PIM O_op1PLLY
Propertv Owner Information
Name: CA Ckt s 1 ± k ( t. ogj1(l lit/ '. Address: ) 1 pkAu (=. C c) `-
City � c � Stat e LZiP 5 ' " 3 - 5 Phone q D Li - LI / j ,, , i-
Contractor Information:
Name of Company: Li grJZ-T L( LI C. 1.11 lW c.. / Mc . Qualifying Agent: K . CC . C.44 MIS AA / T
Address: 1-,t, F3( , 8c C ft 103 City O Ria/V E, Ppt?k State 1 L Zip CG7
Office Phone 40 Lit) Q6 Job Site/Contact Number r l o 8673
State Certification/Registration # ES / .l)c)e) a v' Office Fax # ?3D . t99 q
Architect Name & Phone #
Engineer's Name & Phone #
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work o
installation has commenced rior to the issuance of a rmit and that all work will be erformed to meet the standards of al
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 a period 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
Furnaces, 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 YOL
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
'hereby certify that I have read and examined this application and know the same to be true and correct. All provisions o,
laws and ordinances governing this type of work will be complied with whether specked herein or not. The granting of c
permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local lar+
regulating construction or the performance of construction.
Signature of Property Owner: (' . `' - , . 4 ` << Signature of Contractor: 0 :0 41"
Sworpio and subscribed before me Sworn t and subscribed Wore 11.914111,
this Day of , ? �. w. 6 t. 2 this2V ay of St / ' . ( BR ' i�y4,i
Notary Public: rJGt„4.— .e.'z`' Notary Public: lI7T.W TT ►- IVA — 's'
"'' KYLE MURRAY )ham
` y ( i:=
R
1 14y
EVISED 03.05.. .• MY COMMISSlCi: J 774208 � ' ' '4••'
,,• �•t EXPIRES Marcia 31, 2012 // /4 or OFD
(407) 398-0153 FtoridallotaryS •rvfce.com
LETTER OF AUTBORiZATION
Itlittir lighting 3nt.
599 Charles Meaty Street
Orange Park, Ar 32073
Ph 904 - 6108673
Fax 904 - 2138682
Email lighlingine.ael.com
ES 12000206
This letter authorizes Liberty Lighting Inc. ( and its agents or assigned ) 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
Tenant Company: N ttc n9 tie LCp
Tenant Name:
Location: 0,5 .rte C.X s o n) P
Zoning:
Company • ame: I A, A • ' ILAkf ,r4
Name: c 6 1 �, c S 4A ' So A 3
Title: e a - _, a . .
Address: PEI • 2+. e. i kI L ! —! 4. 7 s e L 3 2 -.3 7
Phone: 90 y - 'Yl - 13)-a. Fax: a o Y -) Gl1 L-I 3 / o Email: K j i /
Ste z ' s Date
Before me this / 'D., y of - wt. k `t2, has personally appeared herein by himself! herself in
giving authorization to the above corne to apply for a permit to do their own work at the address described
above, affirms that all statements and declarations herein are trine and accraate..
Notary Public S ___..
My commission expires: ; .. t VLF MURRAY
ff "_ MY COMMISSION )D 774208
Pecaomslly Kanown. r ■ � ` EXPIRES March 31, 2012
(407) 3 398 -0 15.: .. FloridallotarYService.Com
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t" ' Planning each
, , ng and Zoning Department AA
;, Z T ^ PPro approval verifie compliance with �� n
a "� development regulations, but does ndt 4o x 3 6
approval for the issuance of permits. Compliance`
a with Florida Building Code and all oth
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Building Permit. P issuance of a
Approved By: _ 4 /
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Date: r , ��� , ' re ■