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Permit MAZA Sign 725 Atlantic Blvd Unit 1 2013 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00001672 Date 2/12/13 Property Address . . . . . . 725 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT1 MAZA NEW AMERICAN CUISINE Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW SIGN/ELEC ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ATLANTIC PENMAN LLC CNS SIGNS, INC. 416 3RD STREET S SUIT # ! 263 EDGEWOOD AVE JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32254 (904) 733-4806 ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . - 8/11/13 ---------------------------------------------------------------------------- Special Notes and Comments SIZE PERMITTED: ONE (1) SQUARE FOOT OF SIGN FACE AREA FOR EACH LINEAR FOOT OF THE UNIT (S) OCCUPIED BY ONE (1) BUSINESS OR OCCUPANT. UNIT WIDTH IS TWENTY-TWO (22) FEET; THEREFORE MAXIMUM AREA OF SIGN FACE IS TWENTY-TWO (22) SQUARE FEET. ---------------------------------------------------------------------------- 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 ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 r Application Number . . . . . 12-00001672 Date 2/12/13 Property Address . . . . . . 725 ATLANTIC BLVD Tenant nbr, name . . . . . . UNIT1 MAZA NEW AMERICAN CUISINE Application type description SIGN PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc NEW SIGN/ELEC ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ATLANTIC PENMAN LLC CNS SIGNS, INC. 416 3RD STREET S SUIT # ! 263 EDGEWOOD AVE JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32254 (904) 733-4806 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/11/13 ---------------------------------------------------------------------------- Special Notes and Comments SIZE PERMITTED: ONE (1) SQUARE FOOT OF SIGN FACE AREA FOR EACH LINEAR FOOT OF THE UNIT (S) OCCUPIED BY ONE (1) BUSINESS OR OCCUPANT. UNIT WIDTH IS TWENTY-TWO (22) FEET; THEREFORE MAXIMUM AREA OF SIGN FACE IS TWENTY-TWO (22) SQUARE FEET. ---------------------------------------------------------------------------- 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. CITY OF ATLANTIC BEACH A SIGN PERMIT APPLICATION FILE COP Date: /�—AO —12— Job Address:— 1,?-!-> fiTcA-Amt (_ bult) . n-Aw7n, oFA<H Owner's Name: Al't#A(T/C- PEA/4 kY�J L�L C_ Address: 1�906 51Y64- 4U-4h J4 6&& Phone: Legal Description: Block Number: Lot Number: Zoning District: Contractor: _CNS SIGNS, INC State License Number: ES0000258 Address: 263 EDGEWOOD AVE S. Phone: 904-425-3363 City:JACKSONVILLE State:—FL Zip:_32254—Fax: 1704 )P Electric Permit Required? Rr Yes*E] No *Electrical Contractor:_CNS SIGNS,INC Dimensions and total square footage of sign: 4'41"x8'41" (45SQ.FT.) Please provide two(2)copies of application and the following required inforination: I. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs,mounting detail and type of illumination, if any. 2. Provide linear frontage of office,business or storefront,or entire building,as appropriate. 3. Provide completed owner's authorization form if applicant is other than property owner. 4. Other information as may be required by Chapter 17 of the City of Atlantic Beach Municipal Code. p I hereby certify that all inform ation is correct. Signature of Owner: Date: 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 with,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 perfon-nance of construction of the property. I understand that the issuance of this permit is contingent upon the above info tion being true and correct and that the plans and supporting data have been or shall be pr ided as required. Signature of Contractor: V it I - - —Date: r2.- 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Pagel Revised 1/30/03 F COPY ILE K Address and contact information of person 1�4rcc`eive all correspondence regarding this application(please print). Name: ALtAN-61C, -PEAWA14 MailingAddress: 600 3XI) 196'elarl-I Phone: 0,011—090-6105 Fa,: E-Mail: AS TO OWNER: Sworn to and subscribed before me this 1�h day of 20 State of Florida,County of Duval Notary Public State of Florida Notary's Signature: Brittany Faye Driver my Commission EE 182533 Expires 04/26120`16 It,'Personally known El Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of 20ZZ—. State of Florida,County of Duval Notary's Signature: Off N& Notary Public State of Florida R Brittany Faye Driver ersonally known My Commission EE 182533 , �E] Produced identification %or Expires 04/28/2016 W-W,V-* __ Type of identification produced 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 - Fax: (904)247-5845 - http://www.ci.atiantic-beach.fl.us Page 2 Rcvised 1/30/03 Letter of Authorization --C, 6 Af S , //VCI is hereby authorized to act on behalf of ?rrtA A(-rl�,126VA4AAf t-(,e. ,the owner(s) of those lands described City of Atlantic Beach within the attached application, and as 800 Seminole Road described in the attached deed or other such proof of ownership as may be Atlantic Beach,FL 32233 required, in applying to the City of Atlantic Beach, Florida,for an application (P)904.247.5826 related to a Development Permit or other action pursuant to a: (F) 904.247.5845 www.coab.us F- Zoning Variance F Appeal F- Use-by-Exception F- Fence or Pool Permit FIL E CO P V F- Rezoning rV/Sign Permit Plat,Replat or Lot Division F- Other BY: Z 4Signaturf OwneAr A /�UOI A/ 6+tZA-6 Printed Name Signature of Owner Printed Name 410L1- 2q1-146)?3 State of Florida Phone Number County of Duval /,Qz* Signed and sworn before me on this -- 7 clay of by Identification verified: yc�, bklilot6 kA-)�,WA) Oath sworn: F Yes YAW Notary Public State of Florida Brittany Faye Driver My Commission EE 182533 Notary Signature Expires 04/28/2016 My Commission expires: LETTER OF AUTHORIZATION AFFIDAVIT To Whom It May Concern, This letter authorizes CNS SIGNS, INC. (or their Agents or Sub-Contractors)to act as Agent to secure permits or variances required by local governing body, and to perform sign and/or awning installations,removals, or maintenance at the property located at: Alnk-4 &1e4_ eew�fr '72-c,7 ,#-7(_AA17_A:� 6Z er/A;:ed Agent Sig/nae of Owner/Authoriz Z2,/,4,1 4,61 IAJ 0R9Y-*,61 Printed Name of Owner/Authorized Agent ........................... NOTARY State of Florida County of Duval Sworn to and subscribed before me thi- day of 20 12-. Signature of Notary"!Atate of Korida _RA(7WY F*VC- �PUV6?t, Print or Type Commissioned Name of Notary Public Personally Known: [ 1_�Or Produced Identification: Type of Identification Produced: Commission Expires: 4-4-/4, R.4PP P%�' Notary Pubiic State o�Ficrida Briffany Faye Driver My Commission EE 182533 ap Expires 04128/2016 A^ HiEl 1� I 5_Q4 City of Atlantic Beach Building Department APPLICATION NUMBER (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us L Date routed: �Voqh'-1' City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM r7 ') --" Property Address: 10&' &&nJit'i3l Department review required- Yes No 46(B u i uilding P1 r Applicant: Plainninq &Zonina V Tree Administrator Project: (U,1�4ublic Works Public Utilities Public Safety Fire Services f f 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: [L-]Approved. NDenied. (Circle one.) Comments: SOP- C.L-A4�1� APC#E!) - BUILDING <AN:NI N G _ :&:ZO�NIN Reviewed by:- 0,61gL., aw Date:- TREE ADMIN. Second Review: VApproved as revised. F�Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by:. ZAJZ��Date: FIRE SERVICES Third Review: FlApproved as revised. RDenied. Comments: Reviewed by: Date: Revised 05/14/09 City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by vie Building Department) Atlantic Reach. Florida 3223-'t-5445 Phone(904)247-5826 - Fax(W4)247-5M5 rQjit E-mail: building-dept(Mcoab-us Date routed. Cityweb-site., http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: DeP;!Amqnt review requi d Yes No Applicant: -Building Planning&Zonin—q--17 injigrat Project: Public Works Public Utilities Fire Uervices Review fee $ Dept Signature Other Agency Review or Pennit Requi Review or Receipt Date Florida Dept. of Environmental Protection of Permit Verified B Florida Dept. of Transportation St.Johns River Water Management Di Army Corps of Engineers Division of Hotels and Restaurants Division of AJcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: EjApproved. DDenied. (Circle one.) Comments: BUILDING PLANNING&ZONING TREE ADMIN. Reviewed by: Date: Second Review: DApproved as revised. ElDenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERMCES Third Review: DApproved as revised. ElDenied. Comments: Reviewed by: Date: Revised 07127110 City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned by the Building Department.) Atlantic Beach, Florida 32233-5445 - F Phone (904)247-5826 - Fax(904)247-5845 J67 /A, - E-mail: building-dept@coab.us Date routed: 4YO911&-I- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM f7 ') Property Address: 1,71% 411t-� Department review required Yes No Building D Bu e P i Id a inr m g t en Z t review required on I n g _�ing jstrator ks s Public Utilities ty Safety_ Public E Applicant: Planninq &Zoning ree Admin u blic W r Tree Administrator Project: ublic Works u bljc Utillt Pu blic Safe ir S ic s ;Fire Services "INA, Ag RV� a -4 "fJ a evid -L X'JEffi Other Agency Review or Permit Required Review or Receipt Date -- of Permit Verified By Florida Dept. of Environmental Prot�ction Florida Dept. of Transportatio—n St. Johns River Water Management District Army Corps of Engineers Division of Hotels aid�Restaurants Division of Alcoholic Beverages and—Tobacco Other: APPLICATION STATUS Reviewing Department First Review: FCTA—pproved. F]Denied. C' le o Comments: BUILDI PLANNING &ZONING TREE ADMIN. Reviewed by: Date:jL:J--/ Z- Second Review: ElApproved as revised. DDenie PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: E]Approved as revised. nDenied. Comments: Reviewed by: Date: Revised 05/14/09