Permit SIGN Gourmet Grouper 363 Atlantic Unit 13 2012 . r 1.1?) , CITY OF ATLANTIC BEACH
,, 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Ace,, INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000337 Date 3/27/12
Property Address 363 ATLANTIC BLVD UNIT 13
Application type description SIGN PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
new sign
Owner Contractor
SHOPPES OF NORSHORE LLC RIVER CITY SIGN COMPANY
P.O. BOX 330108 12025 SAN JOSE BLVD # 103
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
Permit SIGN PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/23/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Other Fees STATE DCA SURCHARGE 2.00
STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR 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 8.00 8.00 .00 .00
Grand Total 73.00 73.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
11 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
+ „ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
" ,011
Application Number . . . . . 12- 00000337 Date 3/27/12
Property Address 363 ATLANTIC BLVD UNIT 13
Application type description SIGN PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
new sign
Owner Contractor
SHOPPES OF NORSHORE LLC RIVER CITY SIGN COMPANY
P.O. BOX 330108 12025 SAN JOSE BLVD # 103
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/23/12
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 90.00 90.00 .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
�}
Office (904) 247-5826 Fax (904) 247 -5845
Job Address: 3(V3 i4 10-trC &C. i3/ vd. Uri, 1. /3 Permit Number:
Legal Description G �ti Parcel #
oor Area of S q.Ft. 5q.1+t
Valuation of Work $ O • iia Proposed Work heated/cooled non - heated /cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool /spa window /door
Use of existing/proposed struc re(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: tau '5 n eS 5 J t ii a cl--C, e. fir
p - r ra • w _ ► �.. -• r. ■ •
Property Owner Information: ,
Name: 4E'O,2 t t �" //SJI} n/46(6 Rdiddress: 3 6 .r i+re. oihirrot" LJe.vo 111.01 ?
City hartAWI7TG. Qeolletj Stati—niZip Phone q 4 ct • 374 -'f PC. I
E -Mail or Fax # (Optional)
Contractor Information: !s s' CO. ompany Name: N d C4 Y, C Qualifying Agent:
Address: 1 20 95 , a..v� ,lose tt1vci. I 0,5 City k,'-rinv ',I State f Zip.. D3
Office Phone 0)04 3C)' (041 O Job Site/ Contact Number 6, 4u') Fax # f o-1) ,ty... 6 , -)19
State Certificatio egistration # EP & . bk I .4O r/ S
Architect Name & Phone # Ai/ ` .
Engineer's Name & Phone # s I+N17 F . T� .C• T ! - 3 '4 2 .• & o 7
Fee Simple Title Holder Name and Address At de,
Bonding Company Name and Address IV' A
Mortgage Lender Name and Address A d 40.
Application is hereby made to obtain a permit to do the work and installations as indicated I 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 tf 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 1 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 YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
. COMMENCEMENT.
1 hereby cert that I have read and examined this n
placation and brow the sae to be true and correct. All provisions of laws and ordinances governing this
type o, fwork will be complied wt whether specified rein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other feder te, or local law re. • ing construction or ,, - , • • of construction.
Signature of Owner y J Signature of Contractor�Gr��
Print Name ‘11:021Z Name e. -
Swam to and subsr b d before me Sworn to and subscribed re m
this Day of • 7 , 20 la this o J.. Day of c-4- , 20 12,
Notary Public V g Notary Pub 'c
r ; Rev 01.26.10
Notary Public 1 „
Kathleen Marks .
l , ' I ay
Commonwealth of Massachusetts . . , 0
Y , i (t ;3M15 ... ..
M Commission Expires on Jan. 28, 2()113 ' Booed EXPIRES 914459
onded That w p� U 2013
t h,} TAYLOR HANEY
f• •� MY COMMISSION # OD 914455
1 EXPIRES: August e, 2013
;r: y
Sondes fistu Notary Public Underwriters
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