Permit 1198 Mayport Rd Unit 11 (vault) JOB ADDRESS po f 4 TYPE WORK
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CITY OF
4&44& gdacA-4&U-A
Office of Building Official
REQUEST FOR INSPECTION
Date— Permit No.
Time
Received M
Job Address ocality
Owner's 4:11k "S
Name Contractor
BUILDING wmEL RICAL PLUMBING MECHANICAL
Framing 0 F
Sfgl 1Aou h Wiring El Rough 03 Air Cond,& 11
I
Re Roofing 11 S1 E, Tern Pole 0 Top Out 0 Heating
0 UAR i Fin 0 Sewer 0 Fire Place 0
Pre Fab
edDy R INSPECTION A.M,
Mon. 375-8 Thurs. Friday—P.
AIK
Inspection Made PM,
Inspector— Final Inspection D
Certificate of Occupancy 0
/-7A6-- Date -.--
CITY OF
Office of Buii&,q Official
REQUEST FOR INSPEMON
Date Permit No. ,
Time A.M.
Received RK
Job Address ca ity
Owner's
Name Contr r
ME�CHANICAL
--VUCD�ING CONCRETE ELECTRICA PQU &5 ECH
—=�� 1-1 Footing —7 Rough Wiring Rough 17 r 0,
E �—Air on a
Re Rooting 0 Slab U, Temp Pole 0 Top Out 0 Heating
Insulation U Lintel 0 Final 0 Sewer 11 Fire Place 0
Pre Fab
READY FOR INSPECTION
Fr AM�
Mon. TE.e:,� Wed. Thurs. iday
kK
Inspection Made
Inspector Final Inspection
rtif,,,t,of Occupancy 0
Date
CITY OF
ff lci
Office of Building 0
REQUEST FOR INSPECTION
0
Date Permit No.
Time
Received
Job Address
Lo lity
"y
Owner's
Name Contractor
-awc ING ,-,.--CONCRETE M 777� ",MECHANICAL
6' PLUMBI
9-
f�amin — �ooting HoughWiring Rough 0
Re Roofing----;>E0]1- Slab 0 Temp Pole --�-Tbp Out _-'5*__H..ting
Insulation El Lintel D Final El Sewer 0 Fire Place
Pre Fab
READY FOR INSPECTION
(Mo)n Tues. Wed, Thurs. Friday
A.M.
Inspection Made PM.
Inspector— Final Inspection D
Certificate of Occupancy El
Date
CITY OF
4&4a& heacA-4"' 13 "6'
Office of Building Official
REQUEST FOR INSPE ON
Date_a[13/02— P'TermNo.Z6 C)
Time AN.
Received
0 lit
4A 1,A&d1,.skN0C Locality
Owner's contractor ,,A4(,7U4(Z I
UILDING CONCRETE ELECTRICAL PWMBING MECHANICAL
1 9 ��
0 R,.gt
0 Rough Wiring D Rough D Air Cond. 0
Framin F1 F.,tin
Re Roofing 0 Slab El Temp Pole E-1 Top Out 11 Heating
Insulation E Lintel 0 Final 0 Sewer 0 Fire Place 0
Pro Fab
READY FOR INSPECTION
A,M.
Mon, Tues. wed, Thurs. Friday—P.M.
2- AN.
Final Inspection 11
Inspection Made PM.
Inspector
Certificate of Occupancy 0
d),j Date
Vr rJLA
LAN
OF
ADDITIONS or CORRECTIONS
DO NOT REMOVE
JOB ADDRESS tr DATE
jigo UAU�pf_j ?0- -3/1g [0-2_
THISjbB HAS NOT BEEN COMPLETED
The following additions or corrections shall be made before
the job will be accepted
IR*--
14 �&0
MAR. 1 1
L_"�5.00 REINSPECT FEE
It is unlawful for any Carpenter, Contractor, Builder or other
persons, to cover or cause to be covered, any part of the work
with flooring, lath, earth or other material, until the proper
inspector has had ample time to approve the installation.
After additions or corrections have been -
made, call 247-5826, Building Depart- PLUM
ment for an inspection. Field Inspectors 'ELEC Ij
are in the office from 8:00 a.m.to 5:00 SLOG
p.m. Monday through Friday.
CA I Y OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233- Tel:
247-5826- Fax: 247-5877
ELECTRICAL PERMIT
RMITAPOK
Permit Nu IMF-
Permit Type' Address: .
: ELECTRICAL mAYHURT ROAL)#11
Class Of Work: ALTERATION ATLANTIC BEACH
Proposed Use: COMMERCIAL Township: Range: Book: 18
Square Feet: Lot(s): Block: 46 Section:
Est. Value: Subdivision: MARSH OAKS
Improv. Cost: .,Parcel Number:
Date Issued: 3/02/2002 L�2,`iZ"VVVN RJNFORMAn
Name:
Total Fees: 25._00 r-l/ALJLUVV, BRYCE
A nt Paid: 25.00 Address: 1651 SEMINOLE ROAD
mou' 25 00 *4"'uures'
DuaterPaid:, )O� ATLANTIC BEACH, FL 32233
Wnrk 3102/2002 0
MP Phone: (904.)247-0047
Work Desc: NEW 200
A S TENANTBU�LIT
MPS TENAt
ILDOUT
7, ---
�AP
K NS ELECI Nlu INC. FLI
-.45
2
5.00
F-P.
F.1
M.4 ri; RIS
W
mg
. M1
NOTICE
6;
PECTION
BUILDING.MATERL
'Mi dj-.0$j*
00
MUST BE CLEARE C
IC SPACE, AND
"FAILUR
E TO COM -C
JERLAW
PROPERTY OWN M9Z-49. N THE
ZZ
ISSUED ACCORDING TO
APP
FOR VIOLATION OF APPLICABL 3UBJECT TO-REVOCATION
0
Daper: CHERYLE Type: OC Drawer: I
te' 3/94/92 01 - Riceipt. 389&0
---------- 14 PERMITS-BUILDING 1 $25.9%
Trans nunber:.' 792881
A I LANTIC BEACH-EKjU*�'_DEPT. CK CHECKS* 2084
$50.08
Time:
BUILDING, PL4Ni'V1NG,4jVD ZONING INSPECTION DEPAR TMENT
CITY OFA TLANTIC BEACH, FLORIDA
CER TIFICA TE OF OCCUPANCY
WOR.KSHEET
Date Requested:
Building Contractor:
/
Building Permit Number :
Addzess :
Legal Description:
Improvements to the above described property have been completed
in accordance wi-th the terms of the permit and is cezzi-fied to he
rg---adv for occupancy as
Lowest Floor Elevation:
reauired as built
BEFORE ISSUING CER77FICA 7E OF OCCUPANCY THE FOLLOMNG MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED DATE APPROVED BY
Fire 2-
Public Works
2 la n n-i n g
&Uilding
CITY OF ATLANTIC BEACH
DEPARTMENT OF 13UILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
- 7 -- �,, I I WNFOlkM Of
A,e, - :`OCAT
RM
IT-INIFOOW-- �1'1 I 1�� AM 4
Permit Number: 23532 Address: . 1198 MAYPORT ROAD#11
Permit Type: ELECTRICAL ATLANTIC BEACH
Class of Work: ALTERATION Township: Range: Book: 18
Proposed Use: COMMERCIAL Lot(s): Block: 46 Section:
Square Feet: Subdivision: MARSH OAKS
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 3/02/2002 Name: HADLOWBRYCE
Total Fees: 25.00 Address: 1651 SEMINOLE ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid:, 3/02/2002 , Phone: (904)247-0047
Work Desc: NEW 200AMPS TENANT BUILDOOT
LICATIORE 591"21,2128 W., RRMT,
ADKINS ELECTRIC INC.
5.00
2
n7
. ...........
..........
X,71
&
ZA,
NOTICE - I PECTION
BUILDING MATE I
IC SPACE, AND
MUST BE CLEAPF
"FAILURE TO C J 10 1i AW 'iTHE
PROPERTY OWNE
ISSUED ACCORDING TO APP SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABIL
..........
Oper: CHERYLE Type: OC Dravor: I
Date: 3/84/62 81 DI Receipt no: 38%8
14 PERMITS-BUIL NO 1 SE&N
A.A A Trans number: 792881
ATLANTIC BE�AC�Mtl:b—M DEPT. CK CHECKS: .21084. $58.N
Trans date-- 3/R4/R? Tim 15*43-16
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5M-FAX 247-5877
PFRMIT INFORMATION LOCATION INFORMATION
Permit Number: 23460 Addris�sl�198
Permit Type: COMMERCIAL ATLANTIC BEACH
Class of Work: ALTERATION Township- Range: Book: 18
Proposed Use: COMMERCIAL Lot(s): Block: 46 Section:
Square Feet: Subdivision: MARSH OAKS
Est. Value: Parcel Number:
Improv. Cost: 10,500.00 OWNER INFORMATION
Date Issued: 2/1212002 Name: HADL BRYCE
Total Fees: 98.00 Address: 1651 SEMINOLE ROAD
Amount Paid: 98.00 ATLANTIC BEACH, FL 32233
Date Paid: 2/12/2002 Phone. (904)247-0047
Work Desc: TENAIJ:;i ;,0
`1RACTOR(S) ,
CONI PPLICATION FEES
-i-A-GUAR BUILDERS, INC --98-.00
'4A
m
...........
Mol TION
BUILDING MATERIA '�w
LIC SPACE,AND
U
MUST BE CLEARED U
"FAILURE TO COMP -AM Lit:
IN THE
PROPERTY OWNER
ISSUED ACCORDING TO APP E w AND SU
BJECT TO-REVOCATION
FOR VIOLATION OF APPLICABLE PROV
Oper: DERYLE Type: OC Draw: I
Dite: 2/12/02 It RKeipt no: 33754
ATLANTIC BEAC14 BUILDING DEPT. 14 PENITS-1)(JILDING 1 $911-118
Trans number: 787359
8678 $98.011
Trans date: 2/12/82 Time: 16:54:51
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address
Date 0 2,.
Heated Square Footage @ $_per sq f t = $
Garage/Shed @ $_per sq ft = $
Carport/Porch @ $_per sq f t = $
Deck per sq ft = $
Patio
@ $_per sq ft = $
TOTAL VALUATION: s �/o
0 $
Tota� �udt�ion ist s loor�
j—0 $
Remaining Value $,-�6` per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ 73 3
( ) Fireplaces @ $15 . 00 $ 0
BUILDING PERMIT FEE $
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT $
SEWER TAP
) RADON (HRS) .0050 $
SECTION H PAVING (
HYDRAULIC SHARES $
CROSS CONNECTION $
) SURCHARGE . 0050 $
OTHER $ 0
GRAND TOTAL DUE $ 5;�r eo
ADDITIONAL PERMITS OR FEES: Mechanical Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well- Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
R' i I
01:59P FROM: 2117.-L�8145 TO:c-49-249816 P,1/1
0
CITY OF ATLANTIC BEACH, FLORIDA
A UCATION Fee ELECTRICAL PIMIT
1- 1;1 6 :�L 0 U IX
TO TKII!CHIEF ELECMICAL INVIECTOR: DAM-
MOORYAMT NOTICE.
IN CaNSIDERATION Of KRMIT GIVEW FOR oOINQ THE WORK AS DESCRI13ED IN T141E FOLUWBM WE
HEREBY AGREE TO PERFORM SAID WORK IN A=RDANCE WITH THE A77ACHED PLANS AND P%CWATKM!L
WHICH ARE A PART HERIEOF, AND 114*ACCORDANCE WITH THE ELECTRICAL UGULATIONSt CODFA AND My OF
ATLAN'nC SE4CH ORDINANCE&
AckY%-k,Ns Eliec"kp,�c- ImC. Fc000l\11,
-EL_9CrRICAL FIRIllt MA"M IELgt"$CIAN SIGN&MR1 - MVINEVI"m
7NO Lk h�N OL I
QIU:AG�M�-ADDRWMI hoS o�. FtFD-----PDX-- 60
SIZE semm—
REL I ) Art.( I Comm( PUBUC WOUL Rtw I OLD I RIEW.I I
AMTION I ) TRAJILL911 I TEMP.I $113INS I ) sm FT
SERVIM' m9w( I ISCREAU I REPAIR I FEE
Comoucma SIZE A COM
U 1. ALUK-L
MEMN-ORs"rAng '),00- AWS PR- Wl VOLT -RAcmay-
11013111T.3ERV.ZZIE Aws P" v# VOLT RACEWAY
FUDERS No. sur INO. Uze No. Size-
UGHTING OUTLEM come"LaD om-1 ITOTAL
RUIPTACLES CONC"LED OPEN , TOYAL_
0-20 Amps. as-SO*AMPS.I
swrrel
INCAXDESCEAFT
FLUORESC04T&WL V.
ptx= AMPS. &vat
APPLIANCUS I --:::=3eLL TMANSF.
AIR M.P.RATING MY.RATING
CONDITIONING COW.MOTOR OTHER MOTORS AWS JCRIL H"T--AW-14EAT
WLT.Arsfi _L PHS
MOTOR's NO. I VOLTAGE PHS
i
L L
MISCE us
12,ANSFORMERS.- UNDER SM V.
IKVA
NO.1111SON TRAMSF. NO.140- 1 KVA Ulmo. —
[VA- lik MOTORSIZE SWITCH C&ASHEP
EACH$WN
FORWAROM
s -'no
TOTAL FEES
R E I!E D
1�N
%J it
City u� Geach
Building and Zjiiina
City of Atlantic Beach- SUSeminol*Road- Atlantic Beach,Florida 32233-5445
Phone. (904)247-5800- FAX (904)247-5805- http:/Iwww/ti.attantic-beach.fLus
PERMIT APPLICATION FOR REMODEL,ADDITIONS AND ALTERATIONS,
MOVING OR DEMOLITION OF SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION
APPLICANT_ Blz�fcc P. RA 1_�o L--�,W DATE D--) Z
ADDRESS 11,f yoq-TW
tjC?_1jjAj_ 31 -6
C PHONE:
ADDRESS WHERE WORK IS TO BE PERFORMED IM MAYP�JKr�_ R_�>AD
LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT
CONTRACTOR 4#4)-- B9 i t-)) C STATELxcENszNumBER e-1�-C-05-72 'N
ADDRESS PHONE
CITY STATE ZIP FAX
DESCRIBE PROPOSED USE AND WORK TO BE DONE
J033 =Q F-7—, —
PRESENT USE OF LAND OR BUILDING(S)
VALUATION OF PROPOSED CONSTRUCTION 0
Is this an addition? k4D - If yes,what are the dimensions of the added space: feet by. feet
Will the added area be heated and cooled? New electrical or increase in service?
New plumbing fixtures? Now fireplace? New heating/air conditioning?
Is approval or Homeowner's Association or other private entity required? If yes,please submit with this application.
PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide an
information as amprogriato
STEP 1. Vm*zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please
contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have
Property Appraiser's Real Estate Number available,
STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction
topographical survey is required. (If not required, written verification must be provided with this application.) The
Department of Public Works is located at. 1200 Sandpiper Lane,Atlantic&eack FL 32233 Telephone:(904)247-5834
STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and
four(4) complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Halt
800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826
01/02JO2
I *d SOBS_L*a_*P0S *4uaw%.jvdaa 2uyprTng voe;oi zo ic uar
In addition to construction and engineering detaiL plans must contain the following information as appropriate for the type of work
being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
I. Current survey showing the property boundary with bearings and distances and the legal description.
2. Location of all structures, temporary and permanent, including setbacks,buMng height, number of stories and
square footage. Identify any existing structures and uses.
3. Existing and/or proposed driveways.
4. If required by the Department of Public Works,a pre-construction topographical survey.
5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies.
6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.)
7. Other information as may be appropriate for individual applications.
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED W1TH THIS APPLICATION IS CORRECT.
SIGNATURE OF OW ���_lDAT.
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
WITM 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.
DATE oz.,
SIGNATURE OF CONTRACTOR -jr
ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING
THIS APPLICATION (PLEASE PRINT)
NAME y S-1tJ 6- ce-T-0 -�
L_Vi)� jN
MAILING ADDRESS
qaj-7)5,1-01
PHON-4 FAX rJOILi -72-1-9060 t E-MAIL
SWORN AND SUBSCRIBED BEFORE ME TMS 41 DAYOF owL
UVAL NOTARY'S SIGN
AS TO OWNER: Personally know4n
Produced identification
Type of identification produced
AS TO CONTRACTOR: Personally known
Produced identification
Type of identification produced
01/02/02
d wow-a-jaclea 2uzplTng w0e :01 20 le uIrr
63/31/2002 23:12 9046338004 NEON RIDEPS OF AMERI PAGE 01
Rf&r*r1VEL)
r-g-
C'-�Y Of Atlantic Ej,,,ach A lWil r
anj z
oni
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C'tYQfAtI4Rdc8#A- v1')- d08SvMjR0JcU4d- Atlantic Beath,Florida 312:1334449
PhOw: ("4)247-01900- FAX (904)247-5805
APPLICATION FOR SIGN PERMIT
0 ile-f,3 CC
lc�L
-Mck IEL
-sum
PROPERTYAPPRAISIRIS REAL EST.Alft NUMBER BLOCK Loro
X(INING DISTRICT VXXIII!,T)RICAL PERP41T REQVMZD: 0 VES- V-40
"VIACTRICAL CONTRACTOR
1ATZ OF SIGN AND MrTHOD OYCONSTRUC71JON
DIMENSIO.NS AND TOTAL SQUARY FOOTAGE OF SIGN
Sigriv ever fifty(50)square hot In sres and/or seventeen(17)feet In 1wighto or any sixtweighing more than one
thousand(10ti)pounds shall be submiltod wivis drawlap from a registered ongiviiiier. Signs with an area greater
thaii tbi My (30) squaire feet shall be constructed to withstand minimum wind leads Of tbfrt?-flve(35)pounds per
square root. Drawings shall also demovarate that the support structure of tbe sip is adequate to support the
weight 4 1 the sign.
P1,1A SF kNOVIDE TWO(1)COPIES or APPLICA11ON A140 THE FOLLOWING REQ1111RED INFORMATION.
1. Site]ilas showing location ot prepaxed sign($),and all dimensions including height and setbacks frorn property lint or
right-sif-way.!tir frivestanding sigow.
2. 1,;nc:ir fevatage of office business or storefront,or endre btsilding,an appropriate.
.1. Own it's outherizatim form irappoitartigoUier than proptrtyowner.
d. Othe-Intormstion as may be required by Chapter 17 of the City of AtUntic Death Municipal Code.
I FIFREBY T ALL INF 1AdA4AQj!j[,PJROV D WITUTICS A"LICALTION fS CORRECT.
,ein
at
Siguatu re o r uthor ale *. j
SIGNATURE A '6" 1PR1NT NAMI,
AUVRE AL40 CONTACT INFORMAIION OF PERSON TO RECRIVIE A1,L CORMSPONVKKCZ REGARDING THIS
C�tS
^1111LI L
Xk
fm�dA a - �Z- --3
MAJL(N A"DRESS I
PRON FAX E-Ujtjj,j2eaC
'CorNn
d3/31/2002 23:12 9046338004 NEON RIDERS OF AMERI PAGE 02
33/VV2002 27:0c. S046339094 MM FIDFRE ap! *Fpl PAGE al
OWNEWS AUTRORIZA'nON FOR ACENT
-k L, is hefthY AuUxWnd
TOACTCYNDOWYOF (dO'1AlkA-4AC%J- tjW,,WOtl($'
of 66*4 lw*doweb64 w1we ft SCROW Uppikubm wd as d"critpad in(a*
mwhW dmd or odoor auch proof afawswardp u may be raquired,In VplyinZ tD the
City Of AtAmMe OW!%FloNds. IX 4a gppkcAiM%MAW to a DavelOPMWIt PUMit Of
a6et attim purjuant to*: I
Z--*Ag*'uiame Appeal
tl Sign PwMir
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sipsAwt V. NT's
t
Print Nome
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*&d www Wpm mr m
va
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b3/3142002 23:12 9046338004 NEON RIDERS OF AMERI PAGE 03
pr ki We US.-48m Betoce 904-e49-7291 P. 2
85:33 "46138004 NEON RIDEW- OF qKf?l par�E pli
0
u
Fi, A%MIEIM 9C ilm
1"By For . . . The Most 111motutim Name lit Signs, Worldividr!"
fiva
Gif
Oct..
48 4X4 s
JEEP SPEACIALISTS
swarims Vu Worlit.4t 77k.Siwd Of 1.4hil,
szi cormAND amErr - )4CICSOINVILL2,V1.122H
LOCAL!(M)633-6WO I FAX:(WO)633-M4
*CPRLr)WIDN Wif LINF:I-IM-47,VNRON 46M) * IFAA! I-SWLUV-NIIVN(M0,6.466)
*03/31/2002 23:12 9046338004 NEON RIDERS OF AMERI PAGE 04
Hpr OR 091494 Dr!$oo Hadlow 904-249-7291 p. 3
T—,
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75116a-
C-1 9. of Atlantic Beach
IrI41111711 a oning Department
al verifies compliance with appli=ble
z6ning, subdivision and other local land
levelopment regulations, but does rat constitute
pproval for the Issuance of penrAs. Compliance
with Florida Building Code end aN ovw appouft
and Federal peftiting mulromeno
local, Stale
mutt be verified by 64LM"of*a City of A#Wft
Beach Build jai off&
1 0 off)" prW
SuUdMg Po=
AppWied Wrl
tot VAZ^P4Z..ACA
ii"Tars
3? Moro
04/12/2002 01:47 9046338004 NEON RIDERS OF AMERI PAGE 02
City ofAthintlellpacii 800 Selftinok Road- Atlantic Beach,florlde 32233-4445
Phone; (904)247-15800. FAX (904)247-5905- http:liwwvvfei.stiatitic-beach,o,us
APPLICATION FOR SIGN PERMIT
APrxjcAiq-.r kjft�jr-%
S8 nQ
'FL a- QU
PROPF ITY APPAAI9kR'9 REAL ESTATE IYUNIRER ...... -BLOCK A—LOTO
XONINI-DIST RICT 710-R— 1" FLECTRICAL PERMIT REOUIRIED: OYES- PINO
'F11 C rRJCAJL CONTPLAC _'.0
TY111 OF SIGN AND Kr TROD OYCO:%'S1R1JC11ON r%
Dl�%IENSIWNSAND TOTAL SQUARY FOOTAGE OF SIGN 0 1so
Sign-to over jrjftv(50)square feet In trots,and/or seventeext(17)feet in height,or simy size weigising more than on@
ihet;sax d 000i)pounds shall be submitted with drskwings from a registered engineer. Sign%with to area greater
thail thi rty(30) square reet shall be constructed to withstand minimum wind loads of tbirtv.flve(35) pounds per
square rout. Drawings sbaLl also demonstrate that the Support structure of The sign Is adequate to support the
weight 14 the sign.
PLIA.5h PROVIDE TWO(2)COKES OF AYPLICATION AVDTHE FOLLOWING REQUIRED I-NFOR"Al-ION.
1. Sift pine showing location 91 propovLd sigu(s).end all dimensions Including height and setbacks from property due or
rigbi-of-way. nr freestanding signs-
2. Linev frontage of office business or storefront.or vatire building,as appropriate.
Owner's authorizatlom form it applicant is other them property owner,
4. Other Information as may be required by Chapter 17 of the Clh-of Atiantic Beach Municipal code.
I llFJ)LEl1VjMT ALL INIFFOU FIRIOV IUV WITHTITIS AJPPLICATION(S CORRECT.
ho '00
Sign I ture 0 r uthor' agent.
L PRO
SIGNATURE A_
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A11DIU!S AND CONTACT INPORMAI:1014 OF PERSON TO RECEIVE Al.1,CORRESPONDSKCE REGARD114G TRIS
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04/12/2002, 01:47 9046338004 NEON RIDERS OF AMERI PAGE 03
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OWNER'S AUTITORUATION FOR AGENT
TO ACT CXX 101W.F OF 'Cz-VA.AQ,4 wM0,Aufaj jiCownet(A)
of ithokc 1w4o dow.1bed vAC'�n Cho aftwhood a"ficatk^and ac desevibed in eae
ansched deed or cohor such proof of cwftwWp a&rmay be*, mired,Ln sppl)ft;to'M
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04/12/2002 01:47 9046338004 NEON RIDERS OF AMERI PAGE 04
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521 COPELAND STREET , JACKSONVILLEt M 3ZZ04
LOCAL:(904)634JPM .�- IFAX-(904).X3-M
V�ORLD WIDE TECH LINF— 1-800-473-NEON(6,366) rAC-acglqL (588-6366)
04/15/2002 23:35 904633G@04 NEON RIDERS OF AMERI PAGE 01
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City of Atlantic llnt4ocii- 404ftminok Read- Atlantic Death,Florida 3Z233-5445
Phone: (904)241-MO- F.dkX (904)247-5805- http:/Iwww�/cl.stimalle-besch.fLmx
APPLICATION FOR SIGN PE RMIT
DATE
A,Prl,l A.NT LkQr� VA&C-S -Arv,&LrA-N(DLL
.014EK ADDRESSrual. B.n,-AcA --surrR,.vum- 9xR_,;�f'
PROPE
urov;muRmi, ELECTRICAL PERMIT REQUMED: YFS* NO
PUCtRICALCONTRACTOR
'I'VIIE C-17SIC'N ANI)MYTHOD OFC0NS1'RvC11ON
DIMEK RUNSkND TOT,%L SQUARF FOOTAGE OF S;ICN C)-�--,o
SiMpv op-er fifty(50)square feet in area andVor veventeest(27)feet it% height,or any sixie weigbing more than oft
thrusamd(10ki)pounds shall be submitted with drawitigs from a registered engineer. Signswith an STen greater
thaii thirty(30) square feet shall be constructed to withstand tolnimun wind loads of fbirly-five(35)pounds per
squarr fout. Drawings sball also demonstrate that the support structure of the sign it adequate to support the
vv-eiv,bt(ftke 111V.
PLUASI. FROVIDE TWO(2)COPLES Or ePPLIC.-kT10M ANDT.HE F0I,LOWtMG REQUIRED INFORK4,1710N.
1. Site flaa ShoWlail Incodairt of proposed sign(t),and all dimensions including height%ad setbacks from property Arte or
righ-of-vvvy.!ar freestanding signs.
2. L-at kr froutogt of office business or storefront.or entire building.as appropriate.
2t, Owv or's authorization ferv"it applicant Is other thav property ovvner.
4. Othi r Warnmdoo at may be required by Chapter 17 of the City of Atlantic Beach.municipal Code.
1"EHLA Y7 T ALL IMNIF11 PROV 11D WITH TIUSAYIPLICATION 15 CORRECT.
Signature o ir kaboir agent
SIGNATI.RL PRMT.;Amm
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