16 W 3rd St (vault) CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
'} ATLANTIC BEACH, FLORIDA 32233
- V
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00025253 Date 11/27/02
Property Address . . . . . . 16 W 3RD ST
Tenant nbr, name . . . . . . 3 EMER. & 3 FLR LIGHTS
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
-
------------------------
-----------------------
BARKOSKIE ELECTRIC
JAX BEACH FL 32240
------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 38 . 60 Plan Check Fee .
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited ----Due---
----- ---------- ---------- -
Permit Fee Total 38 . 60 38 . 60 . 00 . 00
Plan Check Total . 00 .00 . 00 . 00
Grand Total 38.60 38 .60 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE.AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE WHICH ARE PART OOFPERTY OWNER THIS PERMIT AND SUUBJECT TO REVOCNG TWICE FOR ATION FOR VIOLATION OF ING IMPROVEMENTS"APPLICABSUED LE PROVISIONS ORDING TO F LAW. PLANS
BUILD CIAL
PAGE
DATE 12002
INSPECTION TICKET HIGGINS --------
6:58:19 INSPECTOR: LARRY J
PREPARED 12�02IO2� SUBDIV:
CITY OF ATLANTIC BEACH-------------------------------
ADDRESS : 16 W 3RD ST PHONE :
NBR: 3 EMER. & 3 FLR LIGHTS PHONE :
TENANT, BARKOSKIE ELECTRIC
CONTRACTOR :
OWNER -----------------
PARCEL 02-00025253 ELECTRIC ONLY ----------- ----
ADPL NUMBBR: ---------------
----- BLBC 00 ILICTRIm Plall SCRIPTION
PBIT REQUESTED INSP COMMENTS
COMPLBTED RESULT RESULTSI .__ _
TYP�SQ TIME: 13:00 LIGHTS
--- BL FINAL 3 FLORES. __
12�02�02 L3-R-
3 EMERGENCY LIGHTS, --
23 01 ------- ---------
----------
- ------ COMMENTS AND NOTES -----
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: --,7 20
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: ---� MASTER ELECT IAN SIGNATURE:
OWNEV NAMe
ZL&1-2 ADDRESS: �� �ST 3 -S� RFD BOX_
BLDG. SIZE BETWEEN:
RES.( ) APT.( ) COMM ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW-( )
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT.
SERVICE: NEW INCREASE REPA
CONDUCTOR SIZE AMPS: COPPER ALUM.( FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30AMPS 31.100 AMPS
SWITCHES
INCANDESCENT
FLOURESCENT& M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING CEIL. KW-HEAT
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS I HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
UNDER 600V OVER 600V
TRANSFORMERS:
NO. IKVA NO. IKVA
NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE SWITCH FLASHERS
EACH SIGN
Updated 5/20/2002
CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number 04-00028094 Date 5/07/04
Property Address . . . . . . 16 W 3RD ST
Tenant nbr, name . . . . . . 45 SQ OF SIGNAGE
Application description . . . SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------- ----------- ------------------------
CHRISTENSON, DALE GENERAL SIGN SERVICE CORP .
16 W 3RD ST 1940 SPEARING STREET
JACKSONVILLE FL 32206
(904) 249-2529 (904) 355-5630
----------------------------------------------------------------------------
Permit . . . . . . SIGN PERMIT
Additional desc . . 45 SQ FT SIGN
Permit Fee . . . . 195 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
-------------- --- ---------- ---------- ---------- ----------
Permit Fee Total 195 . 00 195 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 195 . 00 195 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
), C` t k
.
BUILDING OFFICIAL
�S y CITY OF ATLANTIC BEACH
is
} 800 SEMINOLE ROAD
-r ATLANTIC BEACH, FLORIDA 32233
Y. INSPECTION PHONE LINE 247-5826
jilt
Application Number . . . . . 04-00028094 Date 5/07/04
Property Address . . . . . . 16 W 3RD ST
Tenant nbr, name . . . . . . 45 SQ OF SIGNAGE
Application description . . . SIGN PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---------------- -------- ------------------------
CHRISTENSON, DALE GENERAL SIGN SERVICE CORP.
16 W 3RD ST 1940 SPEARING STREET
JACKSONVILLE FL 32206
(904) 249-2529 (904) 355-5630
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc 200AMP, 3PH, 4W, 208V, 3 "RACE SIGN
Sub Contractor ERICKSON ELECTRICAL CONTRACTOR
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
t l
4 h
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT(L�
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: !gyp//� 20D4
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECTPTLANTIC
ATIONS, WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY O BEACH ORDINANCES.
EP�lu-,So rJ �I�GTR I A 1. i,U(t R
ELECTRICAL FIRM: MASTER FkE jrRICIAN S1 'URE:
16 W f 3
OWNERS NAME: 17ak Chrls�P,n��1 ADDRESS:A+lat, 3
,f- �--RFD—BOX—
BLDG.
FDBOX_BLDG. SIZE BETWEEN: /YJAYPoRT go4D r W¢-s-r 3rcl StrCeir
RES.( ) APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD REW.( )
ADDITION( ) TRAILER( ) TEMP.( ) SIGNSK SQ. FT.
SERVICE: NEW INCREASE REPAIR(
CONDUCTOR SIZE AMPS: COPPER( ) ALUM. FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
�, �
V
EXIST. SERV. SIZE L-C: AMPS PH W OLT`" RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30AMPS 31.100 AMPS
SWITCHES
INCANDESCENT
FLOURESCENT& M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING CE . KW-HEAT
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS Con T 61e,^S J✓ isrm(::, CIRZucr
IN5TA�- (�3. oRiDe(L NEo►J on EAST Elo4alo
l)L*# D F 4cl 5 4 S 516 n1-D P..EAa: S K.ATI- Lft d
UNDER 600V OVER 600V
TRANSFORMERS:
NO. IKVA NO. IKVA
NO.NEON TRANSF. NO VA I MA I MOTOR SIZE I SWITCH FLASHERS
EACH SIGN
.' DENOTES 3/8" DIA.
FASTENERS SEE SECTION
NOTE:
1. DESIGN IUIND PRESSURE IN CONFORMANCE W/
ASCE '1-98, 130 MPH REGION, (PER FB-C. 2001
EDITION)
2, PRE-ENG'RED SIGN FACE BY OTHERS.
DELEGATE ENGINEER SHALL PROVIDE DESIGNS
TO RICHARDSON ENGINEERING FOR APPROVAL
PRIOR TO FABRICATION OR ERECTION.
3, BOLTS: ASTM .4307
4. CONTRACTOR SHALL BE RESPONSIBLE FOR
WATERPROOFING.
L,UIND DESIGN CRITERIA
WIND VELOCITY 130 MPH
IMPORTANCE FACTOR 1.m
EIRE CATV-TORY(MMRF) B
INTERNAL PRESSURE CO6*ICIENT +0 -m
COMPONENT t CLADDING PRE33URE9 2 ANG
FORCE cl l ICIENT cf 1-RICHARDSON ENGINEERCONSULTING ENGINEERS, OR�,ANDLIC#0012380 / ID#EB 0000873PROJECT: ICLIENT: BEACH NEONSIGN CU.DESIGNED BY: DRAWN BY: NECKEDBY:
GB GB RBR
DATE: JOB NUMBER: SHEET: {
4-1-04 040435 I 1 I
ol
DENOTES 3/8" DIA.
P14STENERS SEE SECTION
i
NOTE:
1. DESIGN WIND PRESSURE IN CONFORMANCE W/
ASCE 7-W, W MPH REGION, (PER FB.C. 2001
EDITION)
2. PRE-ENG'RED SIGN FACE BY OTHERS,
DELEGATE ENGINEER SHALL PROVIDE DESIGNS
TO RICHARDSON ENGINEERING FOR APPROVAL
PRIOR TO FABRICATION OR ERECTION.
3. BOLTS: ASTM A301
4. CONTRACTOR SHALL BE RESPONSIBLE FOR
WATERPROOFING.
UJINC) C)ESISN CRITERIA
WIND VELOCITY w MPH
IMPORTANCE FACTOR I.O
EXPOSURE CATEGORY(MMRF) B
INTERNAL PRESSURE COWICIENT
COMPONENT 4 CLADDING PRESSURES
FORCE COEFFICIENT cf
RICHARDSON ENGINEERING
CONSULTING ENGINEERS, ORLANDO FL
LIC#0012380 / ID#EB 000087'
PROJECT: SEAL:
SKATELAB `
CLIENT: j `�`�
BEACH NEON SIGN CO. � ,,��
DESIGNED BY: DRAWN BY: CHECKED BY: „BEET:
GB GB RBR
DATE: JOB NUMBER: SHEET:
4-1-04 040435 I I
PRE-ENG'RED
SIGN CABINET
+0
1
1
I PRE-ENG'RED
SIGN CABINET
3/5"O THRU BOLTS
UJ/ NUT $ WASHERS
SEE ELEVATION
II
I
EXISTING I
STEEL BM
II
II
1x1xi/8" ANGLE - I
CONT
CORRUGATED
I
ALUM. SIDING
6ECTION SIGN CABINET
1
lo
PRE-ENG'RED
SIGN CABINET
+0
1
1
I PRE-ENG'RED
SIGN CABINET
3/8"0 tHRU BOLTS I
UJ/ NUT 4 IUASHERS
SEE ELEVATION
I
II
II -
EXISTING i 0
STEEL BM
II
II
NNI/8" ANGLE -
CONT
CORRUGATED I
ALUM. SIDING
I
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Cc:
�s�:Lyrf, CITY OF ATLANTIC BEACH
BUILDING / ZONING DEPARTMENTS. Doerr
ts�
1 800 Seminole Road
_ Atlantic Beach,Florida 32233
(904)247-5800
A, (904)(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # C4 - 2-909q
Property Address: /( r 0
Applicant: 1,. _ w C)ca I, M I i
Project: 0,15
This perm' pplication has been:
Approved
❑ Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By:Z213-1�Gt_. GClc� Date: 42
' RECEIVED
CITY OF ATLANTIC BEACH CITY OF ATLANZIlC
O B Ar✓!i
BUILDING 8 ZGklINC
SIGN PERMIT APPLICATION APR 13 2004
Date: 2oa�
Job Address: 6 W. 3rcl 51-cte1' A-Nanfic. ISeac.4fibf�dCa
Owner's Name: -DPS LC- Cnr'ls-krtborQ
Address: Ito W 3t01 5trec•+ fijj r L hgeS h4 fL 3aa33 Phone: a49-2SQ9
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: Caral Gjnztc.> % beneral 5�n5�V�ce Cam State License Number: CCS L'O(aOC��S
Address: 111g0 Phone: " 3557-57,o3-0
City: UhCKSonuli.LE: State: F"--- Zip: 322Dw Fax: 9!D4- 3S S•S-4v3 Z._
Electric Permit Required? aYes* ❑ No *Electrical Contractor: &W-kWl Eevei ical CoA-1rae,-JDfS
Dimensions and total square footage of sign: 3=0"-ML-L- x ISTD"W i DE ism 5- Sr(WNA&G.-.
�oMe�n�eo� ZA '-s.m"tJ r,,6uNc.
Please provide two(2)copies of application and the following required information:
1. 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.
I hereby certify that all information provided with this application is correct.
Signature of Owner: Jew "L.e.fkr Q_ fio-thariza-ftcud 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 performance of construction of the property. I understand
that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting
data have been or shall be provided as required.
Signature of Contractor: Date:
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 • http:flwww.ci.atlantic-beach.R.us
Page 1 Revised 1/30/03
Address and contact information of person to receive all correspondence regarding this application (please print).
Name: AANDY 6in►V(o %0 &dAefal 51�r1 5crVLC.e Corp — r-1hW1, &AILI& 06-60l0o02-?
Mailing Address: / )qo sPearOng S-trect Ja c. flat 3a;.a(,.
Phone: 355-S1o30 Fax: 3S5-51e32- E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this \ day of_112�p C-, k _ ,20_QL� .
St Qunty gL Dival
JOANNA B.DORTCH
S�
MY COMMISSION#DD 232293 Notary's Signaturey:,,�,,�-��Gri��
's EXPIRES:July 14,2007
%Pf.h•` ft.W 7t.ftherd 1 .nce Ap,
[3'Personally known
❑ Produced identification
Type of identification produced
)( AS TO CONTRACTOR:
Sworn to and subscribed before me this r-��► day of �,� 1 ,20� .
State of Florida,County of Duval
Notary's Signature:_ �a�,,., ��[��.►+V
JOANNA B.DORTCH
MY COMMISSION#DO 232293 2Versonall Y known
EXPIRES:July 14,2007 E] Produced identification
.� 1•f- Borded1Y"" °`dI'""°"=ApB1q Type of identification produced
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 Fax: (904)247-5845 • http://www.ci-stiantic-beach.fl-us
Page 2 Revised 1/30/03
APR-01--,2004 10 :54 AM BEACH NEON AND SIGN 904 1 6 714 IRFSOLIRCE P. I
OWNER'S AUTHORIZATION FOR AGENT
I .
_'<2gner4j StOA seakcc Cap. KeW is hereby authorized
TO ACT ON BEHALF OF , the owners)
of those lands described within the attached application,and as described in the
attached decd or other such proof of ownership as may be required, in applying to the
City of Atlantic Beach, Florida, for an application related to a Development Permit or
other action pursuant to a:
❑ Zoning Variance Appeal
❑ Use by Exception Fence or Pool Permit
❑ Rezoning Sign Permit
❑ Plat or Replat Other
BY: �
Sign
Alv&Rf Owner
Print Name
Signature of Owner
Print Name
q '), -7 0
Telephone Number
State of Florida
County of Duval
Signed and sworn before mo on this Ll— day of,2004{
By JOANNA B.DORTCH
ti
.: MY COMMISSION A DD 232293
EXPIRES:Jury 14,2007
Identification verified: Z4r. bonded ThriRawdWa mpgqge,,y
Oath sworn: Yes No
Wtary Signature
My Commission expires:
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Cc:
CITY OF ATLANTIC BEACH
BUILDING / ZONING DEPARTMENT s. a �
IS �'
r 800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
'r�Jl (904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # C ti - 2�cl q q
Property Address: i(p c0 3cs' (-54 -
Applicant:
5Applicant: "/"
Project: S
This permit application has been:
� Approved
❑ Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed Ey:
Date:
rvl
'r
RECEIVE0
CITY OF ATeNTIC BEACH
w CITY OF ATLAN'T'IC BEACH BUILDING
s ' SIGN; PERMIT APPLICATION I APR 1 3 2004
Dati:
Job Address: �� �/ 3rd SITE—e Pr Aan+�c 3eu c��fi�f u�G 3�a3 3 ('SK14-TE
LA- L3>
Owner's Name: -DPrLz— Chas �rJ —
Address: (lo W. 'Stfee.+ —A± +N<, cls hf=_ Phone: &49-•2Sa9
Legal Description: Block Number: _ Lot Number: Zoning District:
Contractor: Carat (_in7j& % 6c eeal 5w ri SefVice COT_State License Number: C(o • COe M_2-2
Address: 19'40_ ,2c rlrW tr,& Phone: 90`f 355 Slo3�
City: U?1VCK500Ul1_t.0 State: F'--- Zip: 3Z_2zco Fax: aD4 3S s- �3 z
Electric Permit Required? E�yes* ❑ No *Electrical Contractor: Crte_ sOnf ELIc7tric31 (,on+raLtDrS
Dimensions and total square footage of sign: 3�O�'f�t-�- x 15=a"w i DC IL/SM 5}- Si�NRC�S._•
N -00 yn 3u/d4�y Gi4c•.trJ!/
G4sT
Please provide two(2) copies of application and the following required information:
1. 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.
I hereby certify that all information provided with this application is correct.
Signature of Owner: _'5tc "Lef4ev - hol+vrrue.�10-AJ _ 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 performance of construction of the property. I understand
that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting
data have been or shall be provided as required.
Signature of Contractor: Date: / n
d,--
800 Seminole Road • Atlantic Beach,Florida 32233-5445
Phone: (904)/'.47-5800 - Fax: (904)247-5845 • http:!/www.ei.atluntic-beach.fl.us
Page I Revised 1/30/03
Address and contact infbrmation of person to receive all correspondence regarding this application (please print).
Name: RANDY 6injziG % &"efa! 51c rl SCfVLCe. Loi --_ cmc. 6WNzly C� Cor000Z�
Mailing Address:_101cI0 5Peariny 5-1 ren_ " Tc,_( ri-0, 3aZa c-r
Phone: 355-Slo 3 Fax: 35S-S_US-2-- _`E-Mail:
AS TO OWNER:
Sworn to and subscribed before me this� 1-�_ day of 1 p; _ Zn •
State _7nunty of L)uval
JOANNA B.DORTCH (�
MY COMMISSION#DD 232293 Notary's Signature' ,o,�vz• 7,C1C,
: -a;- EXPIRES:July 14,2007
Pf" 8-WThmPldwdInsmrceAgerxy Personally known.
m
❑ Produced identification
Type of identification produced
X AS TO CONTRACTOR:
Sworn to and subscribed before me this day of t2� r,::>�� 1 20
State of Florida,County of Duval
Notary's Signature: (__\eN( t ,r, � Cl-,__- -,i _
;tiY;P JOANNA B.DORTCH r-
,�; MY COMMISSION#DO 2322`93 r ersonally known
a•• EXPIRES:July 14,2007 ❑ Produced identification
Bonded ThruPkhardlLurenceAgeixy 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.il.us
Page 2 Revised 1130/03
APR-'01--2004 10 :54 AM BEACH NEON AND SIGN 904 16IRFSOURCE P. 01
OW'NER'S AUTHORIZATION FOR AGENT
�tx&nGtc�.Q StM sena , CO(P. / K&-V1 is hereby authorized
TO ACT ON BEHALF OF r , the owner(s)
of those lands described within the attached application, and as described in the
attached decd or other such proof of ownership as may be required, in applying to the
City of Atlantic Beach, Florida, for an application related to a Development Permit or
other action pursuant to a:
❑ Zoning Variance Appeal
❑ Use by Exception Fence or Pool Permit
❑ Rezoning Sign Permit
❑ Plat or Replat Other
BY'
Sign-Awfi-�f Owner
Print Name
Signature of Owner
/
Print Name
. (/2 q �,t T -7 0
Telephone Number
State of Florida
County of Duval
Signed and sworn before me on this Ll — 1-\ day of,2004{
7EXRES
A B.DORTCH
MSION#DD 232293
:July 14,2007
Identification vetificd: , ;n¢' herdh.,.a,q, „�y
Oath sworn: Yes No
tary Signature
My Commission expires: -i y— r °�
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-- „p-,b - ---- - -- -- „p;OZ --—
APPROVED
CITY Or AI LAN I IC BEACH
BUILDING OFFICE
.' DENOtES 3/8" DIA. APR 14 2004
FASTENERS SEE SECTION
NOTE:
I. DESIGN WIND PRESSURE IN CONFORMANCE W/
ASCE 1-W, w MPH REGION, (PER F.B.C. 2001
EDITION)
2. PRE-ENG'RED SIGN FACE BY OTHERS.
DELEGATE ENGINEER SHALL PROVIDE DESIGNS
TO RICHARDSON ENGINEERING FOR APPROv
PRIOR TO FABRICATION OR ERECTION.
3, BOLTS: ASTM A301
A. CONTRACTOR SHALL BE RESPONSIBLE FOR
WATERPROOFING.
LJINC) DESIC*N CRITERIA
WIND VELOCITY 130 MPH
IMPORTANCE FACTOR 1.0
D POWRE CATEGORY(MMRF) 5
INTERNAL PRESSURE COBFICIENT
C01PONENT t CLADDING PRESSURES 2 ro_3 PAF=
FORCE COEFFICIENT cf 12
RICHARDSON ENGINEERING
CONSULTING ENGINEERS, OR!,_V;DO FL
LIC#0012380 / ID#EB 000!'873
PROJECT:
CL ENT: t`
BEACH NEON 4 SIGN
DFSIGNED BY: DRAWN BY: HECKED BY: 7;
w GB RBR
DATE: JOB NUMBER: HEET:
4-1-04 040435 I I
PRE-ENG'RED
SIGN CABINET
1
1
I PRE-ENG'RED
SIGN CABINET
3/allo THRU BOLTS
W/ NUT 4 WASHERS I
SEE ELEVATION
11
EXISTING
STEEL BM
II
II
1xlx1/8" ANGLE
CONT I
CORRUGATED
I
ALUM. SIDING
S�C�ION � SIGN C��IN�T