Permit Sign 695 Atl 2012 F .11-Akr
A gym: CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
-- r it. Si
Application Number 12- 00000179 Date 2/13/12
Property Address 695 ATLANTIC BLVD
Application type description SIGN PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
new sign 36 x 36
Owner Contractor
ELITE PRO REALTY LLC OWNER
P.O. BOX 50664
JAX BEACH FL 32240
- -- Structure Information 000 000 NEW BUSINESS SIGN
Permit SIGN PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/11/12
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
Other Fees STATE DCA SURCHARGE 2.00
STATE DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 65.00 65.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 69.00 69.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
li@ITEITAI
Office (904) 247 -5826 Fax (904) 247 -5845
III
Job Address: 'J f ,( Permit Numbe � : /.2' 0 / 7 9
II
By
Legal Description Parcel #
Floor Area of Sq.Ft. Sq.F't
Valuation of Work $ Proposed Work heated /cooled non- heated /cooled
Class of Work (circle one): New Addition Alteration Re air Move Demolition pool /spa window /door
Use of existing /proposed structure(s) (circle one): mmerc Residential
If an existing structure, is a fire sprinkler system insta ircle one): Yes No N /A
Florida Product Approval # /Qh�, -- )
For multiple products use product approval form ( / •
Describe in detail the type of work to be performed: /.Vim! t! bfq7A4 al (r e,,,,,d-, 4 , , - (legilfkriaA)9
Property Owner Information: /
Name: e J t, 1 fv le, i l , k
(, , Gin N Address: e. p . B. O S /rte /) 6 6 7
City 4 e ,n d i L L 1 : 2 7 10_,e e . A m State T 2 Zip 3t2 4 !' Phone C9n y) '2 -17/3
E -Mail or Fax # (Optional)
Contractor Information:
Company Name: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/ •r
State Certification/Registration # ,;, *► /��5► _ pit no 57.r x �
.1 „ar '. w a _ _— All +
Architect Name & Phone # ' ' ' ' A - ►�[N ■
Engineer's Name & Phone # _ ' _ P1 ' : • H I
Fee Simple Title Holder Name and Address '' • • 'II_ ID ITIONAL
Bonding Company Name and Address ` `' • e • n 1
Mortgage Lender Name and Address B u • /t r1 _ „_ : Alr,
Application is hereby made to obtain a permit to do the work a nd i n stall - a - � t�s as tn• tca ems = . 'T •- -- - - -- J, as c' z et • .r to a tthe
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. Thi *r ""=*, sir zull
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for ap ertod of six (6) rn • z ; in fter
work is commenced. I understand that separate permits must be secured for Electrical fFork, Plumbing, Signs, Wells, Pools, F urna' -:, Boiled; a(ers,
Tanks and Air Conditioners, etc. °1144
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROV
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 thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be conzplied with whether sped zed 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 rfr or�.;. Le..yen ni.,e i r <^nJ Print Name
Swam to and subscribed before me Sworn to and subscribed before me
this � Day of r {a- , 20 /1_ this Day of , 20
Notary P is ---.7"' es Public
r:T mm. H UA A. ING
ry Public, State o f Florida Revised 01.26.10
ommission#/ EE 97401 expires May 26, 2015
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At , v- City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233 -5445
- Phone (904) 247 -5826 Fax (904) 247 -5845
„ " 9' E -mail: building- dept @coab.us Date routed: {= r `Z )/,/.
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
JJ
Property Address: (67,9 7 lid D.epartment review required Yes No
�:,
Applicant: �� ��,r�r �� � - - Planning & Zoning
Tree ArrnTrilttratar
Project: 4"7 g 717' /? =. Public Works
Public Utilities
f d Public Safety
Fire Services
V
Rev eW fee $, _3.w w t_ .... Dept Signature
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: �j address �,,� i
�,�
BUILDING `� P Y � ` ress pI �� an �St/uf � will
PLANNING & ZONINe Reviewed by: Date: a3/442012--
T' E ADMIN. Second Review: ['Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. ['Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
City of Atlantic Beach APPLICATION NUMBER
A Building Department (To be assigned by the Building Department.)
A 800 Seminole Road Ai? / 7 9
Atlantic Beach, Florida 32233 -5445
" 4 Phone (904) 247 -5826 • Fax (904) 247 -5845
Date routed: 47 /MAR,
,, it 9e E -mail: building- dept @coab.us
<
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: (!/� 1 r a-77 h 6 h rtment review required Yes No
Applicant: � /V Planning & Zoning
Tree ministrafo
Project: A /bMJ c 7 q Public Works
/ 0 Public Utilities
m 7t Cj 7� GY Public Safety
7 — C / i a ,e Fire Services
ROCOR414e111V21ki 0 d�y'� Y [ i���^�y` -„ ;7 r� - �'�"� le ��5, n�.
Review or Receipt Date
Other Agency Review or Permit Required 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: j pproved. [Denied.
(Circle one.) Comments:
q u LDINCj PLANNING &ZONING Reviewed by: Date:0 — /Z_
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 07127/10