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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 ,d6 Ae-f ro* 4 J I (2 7 A , Allamce--Mva "ii,irwr y " Ta il q nd 7,7" ov cle. pen • i-rok , 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