1500 Mayport Rd 2013 sign replacement ,C,� :� CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002040 Date 1/31/13
Property Address . . . . . . 1500 MAYPORT RD
Application type description SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
----------------------------------------------------------------------------
Application desc
5 signs (3 elec)
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SPARTAN FOODS, INC. DOWLING SIGNS INC
C/O CARL KARCHER ENT. INC. 2834 N MAIN ST
PO BOX 4349 ATTN: TAX DETP GAINSVILLE FL 32604
SPARTANBURG SC 29304 (352) 376-0456
----------------------------------------------------------------------------
Permit . . . . . . SIGN PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/30/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL 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 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 93 . 00 93 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
5 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
oil >�
Application Number . . . . . 13-00002040 Date 1/31/13
Property Address . . . . . . 1500 MAYPORT RD
Application type description SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2200
----------------------------------------------------------------------------
Application desc
5 signs (3 elec)
----------------------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
SPARTAN FOODS, INC. DOWLING SIGNS INC
C/O CARL KARCHER ENT. INC. 2834 N MAIN ST
PO BOX 4349 ATTN: TAX DETP GAINSVILLE FL 32604
SPARTANBURG SC 29304 (352) 376-0456
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/30/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL 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 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 98 . 00 98 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
UILDING PERMIT APPLICATION
i
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233FILE COP
K
Office (904) 247-5826 Fax (904) 247-5845 - --
Job Address: 1500 r
Permit Number:
Legal Description 7 S 2 � • �,7&1 074 3 �� ®r .IJ� 12332--parcel#0 ,7 L- -2T Z.Ll—ez,3G
Floor eao q, t. t
Valuation of Work$_�d� Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition �Alteratioti7 Repair Move Demolition pool/spa window/door
Use of existing/pro osed structures)(circle one): �mmerciai'� Residential
If an existing structure, is a fire sprinkler system installed?(Cirde 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: v— /�L✓s�� -�e� t -i� S��is
:5la IV--)
Property Owner Information:
Name:: gra' yr ,1 x �S rrl C- Address:2L_A, _ - yw �1 "kAe
City qgA P,fil State6i Zipi c'3 rhnne yap_
E-Mail or Fax#(Optional)
Contractor Infor//m��atio :
Company Name:, .? Qualifying Agen E �,
Address: City ,?%_,"'e-)44 tate f=C_ Zip 3�
Office Phone: .37 iffo x Z2ti"' Job Site/Contact Number.3523 7(. &_z x2zS- Fax#3y L 376 Sl,?u
State Certification/Registration# S S
Architect Name&Phone#
Engineer's Name&Phone# rte _ `oL3 a t 3 7 Sy -yi I
Fee Simple Title Holder Name and Address iv
Bonding Company Name and Address .l
Mortgage Lender Name and Address 4
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aper:od 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 certify that l have read and examined thispplication and know the same to be true and correct. All provisions of laws and ordinances governing this
type o1 work will be complied with whether sppecs ted 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 Inv regulating construction or the performance of construction.
Signature of Owner Signature of Contracto
Print Name Print Name > t
Sworn to and s4scribed re Sworn to and subsgibed before methis Day 20Z this J.% Day of 20 1
Notary Public
""LINDSAY A TUTEN
MY COMMISSION#EE2173& ised 01.26.10
S ,t, EXPIRES July 28,2018
ELECTRICAL PERMIT APPLICATION �g
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 I[FILE C
Ph(904) 247 5826 Fax (904) 247-5845
r•
JOB ADDRESS: 1- y�viPEI;MIT I<F
S �4
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS /�VOLTS PHASE
VALUE OF WORK$fIj. le-'
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main) Service
❑ ❑ ❑ ❑ #of Meters
❑Commercial(Main) Service
❑ Il II ❑ II
Conductor Type Size
[]Multi-Family(Main) Service
❑ ❑ ❑ ❑ #of Unit Meters
❑Temporary Pole
SERVICE UPGRADE ❑
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
it II
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
FIRE ALARM SYSTEM (Requires 3 sets of plans) /
Qty volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
IJ
Mod—
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. /
Property Owners Name C Phone Number mot?
Electrical Company Office Phone371P054X2.2,5 "Fax3�a37,'"OF'90
Co. Address: 273t{ A4 0a,h 5-1- City v State�L Zip•
License Holder(Print): �t�iiUai� L. ,� ! State Certification/Registration#Ej&6z)Cj.,frll�
ELECTRICAL PERMIT'APPLICATION
CITY of ATLANTIC BEACH ^
800 Seminole Rd,Atlantic Beach, FL 32233 �; ,�.
FILE COPY
Ph(904)247-5826 Fax(904)247-5845 _;
JoB ADDRESS: PERMIT#
Notarized Signature of License Holder
Sworn and subscribed before me this 1 y of 206
Signature of Notary Publi4�W� . A, 3Z:6
LINDSAY A TUTEN
-': •': MY COMMISSION 0 EE217360
EXPIRES July 28,2016
(,07)�9e016� .oan
FILE COM
DOWLING SIGNS I _ -
... ...... .
N C O R P O R A T E D
2834 North Main St_
Gainesville, FL
352-376-0456
State Certified
License No. ES85
AI &est�� c
LETTER OF AUTHORIZATION
I, Lenora Lynn Dowling, acknowledge that the following persons have my permission to apply
and sign for permits. This document is effective until revoked.
• Jack Lee
• Rick Waddell
• Chris Lewis
• Shaw Lee
• Daniel Mitchell
Lenora L. Dowling
Contractor
Qualifying Agent
ES0000085
The foregoing was acknowledged before me this �� day of imaLLyi20 i 3
By j e-n CL- who is personally known to me or has produced
identification.
Aja)"V L)
otary Public
(Seal)
LINDSAY A TUTEN
MY COMMISSION#EE21T360
EXPIRES July 28,2018
•'••••~153, Ftorwanobryg•r .00m
FILE COPY ,
1
r
LETTER OF AUTHORIZATION
To Whom It May Concern:
This letter authorizes Principle Group, (or their Agents of Subcontractors) to act as Agent, to
secure permits or variances required by the local governing body, and to perform sign or awning
installations, removals,or maintenance at the property location at:
Tenant Name: HARDEE'S
Address: 1500 Mayport Road, Jacksonville FL 32233
Owner/Landlord Info:
Company Name: Hardee's Food Systems Inc. Phone Number: 800-422-4141
Name: Colleen Ford McDonough Title: Vice President, Real Estate Asset Mgmt
Address: 1325 N.Anaheim Blvd,Anaheim CA 92801
SIGNATURE OF JW- RE-R/LANKLORD
STATE OF CALIFORNIA }
)ss,
COUNTY OF ORANGE }
On January 15, 2013, before me, Hazel E. Streetmaker, Notary Public, personally
appeared Colleen Ford McDonough , proven on the basis of satisfactory evidence to be the person
whose name is subscribed to the within instrument and acknowledged to me that be/sheAhW
executed the same in-his/her/heir authorized capacity, and that by Alis/herA"r signature on the
instrument the person, or the entity upon behalf of which the person acted, executed the
instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal. c "a 1961261
Nobly p11a-CAWN0
Signature;
*�6—kTl—%�, - - -1
Co X015
(Seal)
Hardee's Food Systems,Inc. ( 1325 N Anaheim Blvd Anaheim,CA 42801 1202
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s` City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assgned by the Sodding Demberrt)
SW Seminole Road / 0 .
Atlantic Reach, Florida 32233-5445 / -
Phone(904)247-5626 - Fax(904)247-5x45
��;esur E-mail: building-deptQcoab_us Date row.
Cityweb-site: tttp://ww.+w.coab.us _
APPLICATION REVIEW AND TRACKING FORM
---
Property
Property Address: 6) Puildi
view uired Yes No
Applicant: Aw�/ •h �r ,$ �
or
Project: /�tn� �/�ZA-6 fi- Public Works
C Public U4ilities
Public Safety
Fire Services Hal
Review fee $ Dept Signature
Other Agency Review or Permit RequiredReview or Receipt
thrmDate
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept. of Transportation
St Johns Fiver Water Management District
Army Corps of Engineers
Division of Hotels and Restaurards
Division of Alcoholic Beverages and Tobacoo
4-
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑tDenied.
(Circle one.) Comments:
E?UIL G
( PLANNING&ZONING / / J
Reviewed by: u (�kzDate: 2
TREE ADMIN.
Second Review: ElApPrOved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [-]Approved as revised. [-]Denied.
Comments:
f!
i
Reviewed by: Date:
Revised 07/27110
sem, City of Atlantic Beach APPLICATION NUMBER
Building le R Department (To be assigned by the 8uing Dent
800 Seminole Road
Atlantic Beach, Florida 32233-5445 "Z d�o
Phone(944)247-5625 • Fax(904)241-5845 ` 3
E-Mali_ buildng-dept@coab_us Date routed.
Cityweb-site: ht1p:/Avww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: ���� �// � !11"� CJS5Services
mnt review aired Y No
---� _----
Applicant: g&Zoniministrator
Project: !Q C� , / /? > fOl' orks
tilities
afety
ices
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified BY
Florida Dept.of Envirormentai Protection
Florida Dept. of Transportation
St Johns River Wader Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: a[�proved. QDenied.
(Cirde one.) Comments:
UIL NG
PIANNIN ONING Reviewed � 1 �� _�
by Date:
TREE ADMIN. Second Review
QP.pproved as revised_ QDenied.
f PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFELY Reviewed by: Date:
TIRE SERVICES Third Review: QApproved as revised. QDenied.
Comment~:
Reviewed by: Date:
Revised 07=10