363 Atlantic Blvd # 13 sign elec 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
,lit
,lit '
Application Number . . . . . 13-00003750 Date 12/11/13
Property Address . . . . . . 363 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 13 ASHLEGRYRE
Application type description SIGN PERMIT
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
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Application desc
sign and elec
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Owner Contractor
------------------------ ------------------------
SHOPPES OF NORSHORE LLC TAYLOR SIGN & DESIGN, INC.
P.O. BOX 330108 4162 ST.AUGUSTINE ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-3777
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Permit . . . . . . SIGN PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/09/14
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
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Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00
STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
STATE DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 43 . 00 43 . 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
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003750 Date 12/11/13
Property Address . . . . . . 363 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 13 ASHLEGRYRE
Application type description SIGN PERMIT
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
sign and elec
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
SHOPPES OF NORSHORE LLC TAYLOR SIGN & DESIGN, INC.
P.O. BOX 330108 4162 ST.AUGUSTINE ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-3777
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/09/14
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
-- -------------------------------------------------------------------------
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.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 FILE C
On
Office (904)247-5826 Fax(904) 247-5845
JobAddress: 363 Atlantic Blvd. Atlantic Beach FL32233 PermitNumber: -7 5_0
Legal Description 5-69 21-2S-29E 1.65
ATLANTIC BEACH Parcel# T�0
Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ 2400.00 Proposed Work heated/cooled non-heate( (cd3led
;:� 5� 0
*4 4t 0
Class of Work(circle one): C��) Addition Alteration Repair Move Demolition pool/spa windqviilow 64
Useofe�xi�ting/pro osedstructure(s) circleone):. r—c_ial'-_) Residential
COMM(
Cj
If an existing structure,is a fire sprinMr system inslaHed2-t0r�e one): Yes No
Florida Product Approval
For multiple products use product approval form
Describe in detail the type of work to be performed: Installation of reverse lit channel letters on custom b:c
Property Owner Information:
W 0
Name: Chris Hionides —Address: 363 Atlantic Blvd.Unit#13 UE,
City—Atlantic Beach —State FL Zip 32233 Phone 904-241-1151
E-Mail or Fax#(Optional)
Contractor Information:
Company Name: Taylor Sign&Design,Inc. Qualifying Agent: Randall Taylor
Address:4162 St.Augustine Road City Jacksonville State FL Zip 32207
Office Phone 904-396-4652 Job Site/Contact Number 904-874-5588Fax# 904-396-3777
State Certification/Registration# 1200017 _5TTohnni6
Architect Name&Phone# 01
Engineer's Name&Phone# 7/1,
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
4pplication 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 ofa permit and that all work will be per ormed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
� f
and void if work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a
Wperiod ofsixk)months at any time after
work is commenced, I understand that separate permits must be secured for Electricar Work,Plumbing,Sikits, ellsPools, urnaces,Boileis,Heaters,
Tanks and Air Conifitioners,eta
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN
E
W M 0
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF w
LL
COMMENCEMENT. z
> g 2
co (D
I herelb certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governi. 4.if
-hwh er
work will be complied specified herein or not. The granting of a permit does not presume to give authority to violate or can �eWh W
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provisions ofany otherfedera te, ocal law regulating construction or the peTformance ofconstruction. 0
C.)
0 >_ X
Signature of Owner Signature of Contractor� 00<z W I
01F - 'A! Ae � I /
Print Name D................................................................................ Print Name Randall..T�)jqr
Sworn t M
q and subscrib.-d be ore me d subscribed before me
this 'VT DaUf�!!T W MARY ANNE-W9'O'
�]th Day o
f November 20
XK19467
Commission# 10
Expim Janua
U,
Notary P#ic
NotaryTniyti—c
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: 5 aj�WbC PA Ij . afl 0,Kfl C/ Pj WtCtf F(, -�"&7-65PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS HASE
]z L !73SE
VALUE OF WORK$_ '40c) - 00 8 �, �
NEW SERVICE 0 Overhead Underground D Underground up Pol NOV 26 2013
LIResidential (Main) Service y
LJO-100 amps 11 101-150amps Ll 151-200amps 0— amps o
El Commercial(Main) Service
LIO-100 amps El 10 1-I 50amps 11 151-200amps 11 amps FICT Service amps
Conductor Type Size
[]Multi-Family(Main) Service
LJO-100 amps [I 101-150amps El 151-200amps 11 amps of Unit Meters
ElTemporary Pole El amps
SERVICE UPGRADE El amps 11 CT Service amps
f ILE
Co
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
c k
E1100amps 0150amps 11200amps El amps FICT Servi e
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
Is G I ec,tj If,
OTHER ELECTRICAL PROJECT Cot4ou'-(\w 0 tms
L]SwimmingPool )�Sign L]Smoke Detectors_Qty IlTransforiners KVA L]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUEOFWORK$ t'PO
REPAIRS/MISCELLANEOUS
DReplace Burnt/Damaged Meter Can []Safety Inspection El Panel Change El OH to UG
0 Other:
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 Phone Number 61 D4- 2,q I - I I�S
Electrical Company Taalo)r Tivs, t nul"- Ut C . Office Phone 9 04-40F�1_Fax 610 Li-M U--3
Co.Address: q1 U2_ Sfj. 0,A)q umvie' Rwd city �dcksuvw& State R, Zip 52,2-011
License Holder(Print): R6W' out Tcwtot- --�8tateCertification/Registratio�# 12,00011-?
Notarized Signature of License Holder -1-44-
CHERI M VIANELLO da of N0Ve*1-bRX 20
worn and subs/ibed before me this
My COMM15SION#EE063836
....................
EXPIRES February 13.2015 ;ignature of Notary Pu
oF
(407)399-0153 FlondallotaryService.com
LETTER OF AUTHORIZATION
Affidavit
Ply
FILE CO
To Whom It May Concern:
This letter authorizes Taylor Sign &Design, Inc. (or their Agents or 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 located at:
3(� � Obff&mf V, 81 val . 0:Aax&-h(. beacIt R
Company Name: Shoppes of Norshore, LLC Phone Number: (904)241-1151
Name: Chris Hionides Title: MEMB
S& 363 AtVnc BlvlvUnit#13,Atlantic Beach, FL 32233
Addre
SfGNATURE ONOWNERALAND—LORD
STATE OF FLORI]DA
COUNTY OF
Sworn to and subscribed before me this day of �3 UM 13W 2o 13
W MAD-)�
Signature of Notary *State of Florida
ILJ�Jqcm C'�"� C C'�)
Print or Type Commissioned Name of Notary Public
Personally Known 0' OR Produced Identification ( )
Type of Identification Produced: Commission ExpirescA ( I-] ( Zon
(Notary Stamp or Seal Required) A
8MAW L ULCA11
MWY Pdft-Stft of Florift
my Comm.Expires Apr U.2015
COMMS61"#EE IM7 I
ftWW TWO*MftM Way Assn
POW"~— — — —
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road /3 37c§�6
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed: 21a
E-mail: building-dept@coab.us 3
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address:36 3 A_14n4d' —D/ . 0/ Department review required Yes No
uildi
Applicant: k/1h oe J-7. ;Minning &Zoning)
-T-re-e-Td m-in i strato r
Project: Public Works
Public Utilities
Public Safety
Fire Services
R61�feia` I
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
Arm Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
E]Denied.
Reviewing Department First Review: 6<pproved.
(Circle one.) Comments:
BUILDING
<�I N G &�ZO G Reviewed b
Date: t-71;12&e
TREE ADMIN. Second Review: FlApproved as revised. F]Denied.
PUBLIC WORIJ� Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVVES Third Review: nApproved as revised. [-]Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
)epartment.)
(To be assigned by the Building I
Building Department
800 Seminole Road -5445
Atlantic Beach, Florida 32233
Phone (904)247-5826 - Fax (904)247-5845 Date routed:
E-mail: building-dept@coab.us 1112i!�-h 3
City web-site: http://www.coab.us I
APPLICATION REVIEW AND TRACKING FORM
Property Address 1477&r�e, -Blv ol Department review reguired Yes No
uildi
Applicant: ning &Zonin
---Ad-ministrator
ree
Project: Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ 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: DA/`pproved. E]Deni6d.
(Circle one.) Comments:
Qi��
PLANNING & ZONING Reviewed by-.— Date:
TREE ADMIN. Second Review: [-]Approved as revised. F]Denied..
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09