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375 Atlantic Blvd Sign 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 C Application Number . . . . . 14-00000495 Date 4/17/14 Property Address . . . . . . 375 ATLANTIC BLVD Application type description SIGN PERMIT Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 9000 ---------------------------------------------------------------------------- Application desc new sign face ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PETWAY REAL ESTATE LLC ICON IDENTITY SOLUTIONS INC 5011 GATE PARKWAY SUITE 150 14055 46TH ST N STE 1108 JACKSONVILLE FL 322562813 CLEARWATER FL 33762 (561) 239-5516 ---------------------------------------------------------------------------- Permit . . . . . . SIGN PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/14/14 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 99 . 00 99 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BuILDING PERMIT APPLICATION Y11 WIN CITY OF ATLANTIC BEACH FILE COPY 1 ! 800 Seminole Road, Atlantic Beach,FL 32233 kAR72 4 201�4]1 —IJ O.ffice (904) 247-5826 Fax (904) 247-5845 - - jy 7�q- — - C/I Job Address: Permit Number: Legal Description cc, Tloor Area of _9_cFF_t. Parcel# __S_qKFt Valuation of Work 0CQ Proposed Work heated/cooled non-heated/cooled e Demolition pool/spa window/door Class of Work(circle one): New Addition Xlteration Repair Mov im' �c Residential Use of existing/proposed structure(s) (circle one): -iiercial' I - If an existing structure,is a fire sprinkler system installe e one): -Ve-s No Florida Product Approval# For multiple products use�r_oduct apliro—val form A ed: 2_PL_A Describe in detail the type of work to be perform . III I I - 11"', Lo"11 Sr- C, Property owner Information: Name: ,�f _IL�Vnk�L"A91) kl�_113T_� —Address: Z31 ("'42 State f-LZip_142)_2 Phone �z7 6 �.26 city "7� E-M�il�or F �0 (0ptiOna Contractor Information: f Quali ing Agent: AA 0'6 i rc:5 Company N Me. iN Zip —State Address: FH A J Sm 7,�- 1tLL2___itY OfficePhone (_ZIIM3a:�--ZO�-Lo_Job Site/Contact Number Fax 0 State Certification/Registration It— Architect 9 Name &Phone# i-as nach? 34' Engineer s Name&Phone# Fee Simple Title Holder Name and Addres Bonding Company Name and Address Mortgage Lender Name and Address ed prior to the 4pplication is hereby made to obtain a ermit to do the work and installations as indicated I certify that no work or installation has commenc issuance ofa permit and that all work wif,be perfqrmed to meet the standards ofall laws rerlating construction in thisjurisdiction. This permit becomes null ano d ora eriod ofsix(6)months at anytime after work is ced within six(6)months,or ifconstruction or work is suspende orabandone void ifwork is not commen g,Signs, 19fe'lls, ools,Furnaces,Boilers,Heaters,Tanks andAit commenced. I understand that separate permits must be securedfor Electrical Work,Plumbin Conditioners,e1c. 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. Ihere certi that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this pp� qfwoZwill P,complied with whether speci ie or not. The granting ofa permi.tdo�s notpresume to give authority to violate or cancel the provisions oj an) otherfederal,state, or local law regul -'constru n o epe�f&mance of construction. Signature of Owndl�_�' Signature of ContractorZ122v_ 7 1.................................. PrintName ..... ..........0 ........... ................. ............. ............... ........ Print Name ..... ....... ............... Beforr in av of Before xne Day o 201-4 this r 20 this ota Public Notary P b ic Revised 10.24.12 Day o r 4 )tary P b Ic N ry --A 1 n 1A Q CINDIF,IJFRNANDEZ My C0M%jjjSS10N 9 EE149600 er Noveniber 27,2015 FNPIRES '��\SSA 4 "V ........ Irl W, 'Icw -C- OFY Fl.N.MI,,I)iwou.t As�m _"�N4 0 "OTARY :0 0- (J,% e Z��5 #EE 044359 tr��_k _* 11C City of Atlantic Beach APPLICATION NUMBER Building Department (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(g,,f�aab.us Date routed: City web-site: http://wii,.�.!�.coab.os APPLICATION REVIEW AND TRACKING FORM - d&aA.6 Ard D Property Address: qpartment review required Yes No i iiHina 4 Applicant: <Franni g &2 Tree Administrator Project: 1VJ 0 S-7.1 -4 Public Works Public Utilities r d Public Safety Fire Services Review fee Dept'Signature Other Agency Reviei. -r Permit Required Review or Receipt Date I of Permit Verified By Florida Dept. of Environri)E.ital 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: APPLICAJJGN STATUS Reviewing Department First Revie,.: �Approved. [—]Denied. (Circle one.) Comments. BUILDING 7 PLANNING &ZONING Reviewed by:4 Date: f4l s V7 TREE ADMIN. Second Rel)w: is d RDenied. _]Approved as revis PUBLIC WORKS Comments., PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. E]Denied. Comments: Reviewed by: Date: Revised 05114109 City of Atlantic Eeach APPLICATION NUMBER Building Departmc..it (To be assigned by the Building Department.) 800 Seminole Road 141— Atlantic Beach, Florida )2233-5445 Phone(904)247-5826, Fax(904)247-5845 E-mail: building-dept(r- .)ab.us LLate routed City web-site: http://w .coab.us APPLICATION REVIEW AND TRACKING FORM S: lok Property Addres, rtment review required Yes -No LJ d a 4a n n ing a n Applicant: on g &Z!oning JLC�V/147, Tree Administrator S-7' 17 Public Works Project: Ali Id Public Utilities -.S4 i q d a4i-o ii Public Safety Fire Services Review fee $ Dept'signature Other Agency Reviex -r Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environn,i: ital 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 Revie, P40p1proved. E]Denied. (Circle one.) Comments (BUILDING) E P NN �Date: IN ZONII LANNIN ZONING Reviewed by: TREE ADMIN. Second Re, -w: nApproved as revised. nDen PUBLIC WORKS Comments. PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date'. FIRE SERVICES Third Review: F—JApproved as revised. [:]Denied. Comments Reviewed by: Date� Revised 05/14109