899 Atlantic Blvd Panera Awnings2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
COMMERICAL ALTERATION/OTHER
Ml IST GAL' RV 4P114 FOR NEXT P"!NSPE-GTI-10-NI -247-6-2-114
JOB INFORMATION:
Job ID: 14-COTH-290
Job Type: COMMERCIAL OTHER
Description: PANERA AWNINGS
Estimated Value: $2,300.00
Issue Date: 10/22/2014
Expiration Date: 4/20/2015
PROPERTY ADDRESS:
Address: 899 ATLANTIC BLVD
RE Number: 177602-0899
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE
Address:
GENERAL CONTRACTOR INFORMATION:
Name: TAYLOR SIGN & DESIGN, INC.
Address:
Phone: - -
PERMIT INFORMATION:
FEES:
BUILDING PERMIT FEE $61.50
STATE DCA SURCHARGE $2.00
PLAN CHECK FEES $30.75
STATE DBPR SURCHARGE $2.00
Total Payments: $96.25
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITt' OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'Q'�-J- City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned b the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 W—
Phone(904)247-5826 - Fax(904)247-5845
9�� City web-site: hftp://www.coab.us L Date routed:
........ _11W
I
APPLICATION REVIEW AND TRAGKING FORM
Property Address: Dgpa4ment review required Ye§�_ No
Applicant: '�7
Planning &Zon_in_�g
--affi'inis aff&r
ti ee A
Project: T59.V ;�iA_77:s 7:;�: 2fvi'�'X) Public Works
Public Utilities
ff7/-'7 Public safety,
25004 enJces
Is Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: 19411pr—oved. E]Deni
(Circle one.) Comments:
PLA &ZONING Reviewed by:--Jq—1 Date: /0
TREE ADMIN. Second Review: []Approved as revised. DIDen
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review. []Approved as revised. 1—]Denied.
Comments:
Reviewed by: Date:
REVISED 09252014
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
F .
Application Number . . . . . 14-00000836 Date 8/05/14
Property Address . . . . . . 899 ATLANTIC BLVD
Application type description SIGN PERMIT
Property Zoning . . . . . . . COM GENERAL DISTRICT
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
3 SIGNS FOR PANERA
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
EQUITY ONE ATLANTIC VILLAGE TAYLOR SIGN & DESIGN, INC.
1600 NE MIAMI GARDENS DR 4162 ST.AUGUSTINE ROAD
ATTN:TREASURY DEPT JACKSONVILLE FL 32207
MIAMI BEACH FL 33179 (904) 396-3777
----------------------------------------------------------------------------
Permit . . . . . . SIGN PERMIT
Additional desc TOTAL SQ FGT 204
Permit Fee 1785 .00 Plan Check Fee 892 .50
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/01/15
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 26.78
STATE DBPR SURCHARGE 26. 78
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 178S . 00 178S . 00 . 00 . 00
Plan Check Total 892 . 50 892 . 50 . 00 . 00
other Fee Total 53 . 56 53 .56 . 00 . 00
Grand Total 2731 . 06 2731. 06 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF XrLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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city of Atlantic Beach APPLICATION NUMBER
To be assigned by the Buildin Department.)
Building Department
800 Seminole Road
Ve Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845 Date routed: :7 �17 114
E-mail: building-dept@coab.us
Cityweb-site" http://www.coab.us
APPLICATION REVIEW AND TRAC " 3NG FORM
A-7 D ....nt review required YesAo
Property Address:
Bu
n ing & oning
tr t
e
Applicant: s or
e rdministrator
Project: Public Works
Public Utilities
Safety
Fire Services
Review fee $ Dept Signature
Review or Zecei
Other Agency Review or Permit Required of Permit Verifiec. -'v Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Man!gen`IE�nt C ListrIct
Army Corps of Engineers —------
Division of Hotels and Restaurants
.--Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
[�?`Approved.------ F]Denied.
Reviewing Department First Review:
(Circle one.) Comments:
B ILDING
:::fFp
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. DDenie
Second Review: FlApproved as revised. By
PUBLIC WORKS Comments:
PUBLIC UTILITIES
Reviewed by:_ Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: []Approved as revised. [—]Denied.
Comments:
Reviewed by:_- Date:
Revised 05114109
At�FLIUA I ION NUIVIbLK
(To be assigned Py the Building Department.)
epartment
Building D
-ninole Road
800 Sei
Atlantic Beach,Florida 32233-5445
-5826 - Fax(904) 247-5845
Phone(904)247 Date routed:
E-mail: building-dept@coab.us
City web-site* lltlp://www.coab-LIS
APPLICATION REVIEW AND TRAC"' .JNGF-0RM
nt review required Yes No
Property Address Buil
n ing &Zoning
Applicant: ee drninistrator
Public Works
Project: Public Utilities
Public Safety
Fire Ser,./;,-es
Review fee $ Dept Signature
Fieview or Recei Date
Other Agency Review or Permit Required of Permit Verifiec
0 r
F ori -nental Protection
lorida Dept-of Envirom
f Transportati n
or
EFI!ida Dept.of Transportation
M gemen
J Water an�j
St 1,
0
St. Johns River Water Management District
fps of Engineers
�Ivl ion of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION-STATUS
��pproved. OlDenied.
Reviewing Department First Review:
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed Date---7/Pv�
Denieci
TREE ADMIN. Second Review- []Approved as revised. 0
PUBLIC WORKS Comments:
PUBLIC UTILITIES Reviewed by:_ -Date:
PUBLIC SAFETY
FIRE SERVICES Third Review: []Approved as revised. FIDenied.
Comments:
Reviewed by:-- Date:___
Revised 05/14109
JILECOPY BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach,FL 32233
Office,(904)247-5826 Fax(904)247-5845 joy
V- Job Address: A�J Alcwhe' 13 I'd ",,,a &1/4perrnit Numbei
Legal Descriptio.,,��-�6, 0q27 Parcel# /7 14-1012' 00 yey
Valuation or Work$ Floor Area of 14ut. Sq.Fc
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): (:�r�NT Addition Alteration Repair Move Derm.,' in pool/spa window/door
Use of existingtprorosed structure(s)(circle one): /1Co__mm_crcia_J Residential
I
If an existing struc ure,is afire sprinkler system Jnst'2l1lFZf7'(L'fPffe one): Yes N. (�P
Florida Product Approval# IZ 0001 1:�
For multiple products use product approval form
Describe in dctail die type of work to be perfornied:
_4�r I nera. Ri2,,(14_ PwLkezv 4 C�X_t N-5
Property Owner Information:
Name: Address-14-�`1�7111ml D40jv&�"�&o
V W— ii
Phone
C i 41- WXZ 7.1)-.4_jz 2,
E-Mail or Fax ft
Contractor Information-.
Compian�Narn al�fying Agent- 00 0 1 Ta
e. ___Qu
Ad izA, St t F z
Cit
Offic.P�one 94.4-13c�V �ob Sitel Contact Numbcr.�� Fax
State.CeitificationlRegistration 2-00 7-11+-5_�21
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is herebyinade to obtubtapennit to do the work andiatiallations or indi-led 7-16-that no irork iritrtraiialiaithaicominencedpriorin the
Rviatice a and that all ivork svill beqZorn to
,a Zoe
,,,S.0
and f commenced idthinsir c .,ruction or hvrk issmended or abandonedfor.W t'
work is coolmenceet criod of sixp)inonths at ait)
or Electrica Work,Plumbing,Sf�vw, il7jP0019, slynercer,Boileit,11111111.2rer
I understand that separate pe)wdrr oinst be seeived f
rdaks and Air Condirioners,etc.
WARNING TO OWNER:YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT AY SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPE I OU INTEND TO OBTAIN FINANCING CONSULT WITH
YOURLENDE TT9 V
,%V BEFORE RECORDING YOUR NOTICE OF
IE
NCEMENT.
her� rerti-t t I have rra C- ivat is it don onatknowdiesaniewhe true andearreet.Allpr�ne-,ns
W be conipl.. Va"and ordinancff governing this
-o V, Wa
[�)pe. is I her ec* hi or not. 77to granibig Of a perIttil 110eS net prm to g ve fluthority to via ie a ancel the
projqj nr y other it, f ig eonsinte.lion or the pedoariatice oftonstrtictibn.
Signature of Owner Signature of Con
Print Name rint Name
Sworn to and subscriWd befqrp ine S and subscrib
_20jq .-rj
th, Day of ILI
P
KENNFTI/Av
Logn U.MUM
ly CoMmiSSION.1 EF 15-7,112 Notary Publlc late of Flo a
my Comm. iriM4101.10 17
IRES:Feb ry24,2016
EXP
putik Und COMMI lon#FF 07 88
Bondeil Thru N
W W
I D11
7 �7f 1 74
By—
............. ------
FILE COPYI ..'
LETTER OF AUMORIZATION
Affidavit
To Whom It May Concern:
This letter authorizes Taylor Sign&Design,Inc. (or their Agents or Subcontractors)to act as
Agent,to secure pertrtits or variances required by the local governing body,and to perform sign
or awning installations,removals,or maintenance at the property located at:
Rvd- 6m��MC, 1364L& FL- - 32-733
CompanyName: RALGIL LL� -PhoneNumber: ��N- 633 - '7100
Name: Title:
Address. RmA -"�- 100 dtuo 5,4 ......M 0 (g
SI A4TURICOF 4&WVNERILANDLORD
STATE OF FL-OMA
COUNTYOF
Sworn t a subsc ibed re m his day of 20A�-.
ignatur7eof No4y *State of vida VWL'�6W,^'
Print or Type Commissioned Name of NotAry Public
OR Produced Identification
Personally Known)X,
2��U�
Type of Identification Produced: Commission Expires
Notary Stamp or Seal Required)
STEFANIE M. DOYLE
Notary Public, Notary Seal
state of Missouri
St. Louis City
commission # 13403344
My Commission Expires July 16, 2017
now
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City of Atlantic Beach APPLICATION NUMBER
Building Department To be assigned b the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
City web-site: hftp://wvvw.o3ab.us Date routed: As
L
APPLICATION REVIEW AND TRA( '�:'%.ING FORM
Property Address: Qgp�ent review required Yes No
Quilding
Planninc
Applicant: V -Sr7 I &Zonin—g�
--------------- F,e AZ—m—i n Mis V—a ro—r
Public VV-rks
-A'
Project: -�Q-A—rS
Public U-,:!:ties
Am -r1l Public Safety
�e, _��-e s
Review fee $ Dept Signature
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPLICATION STATUS
Reviewing Department First Review: )XApproved. [:]Deni
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:X'1tU—/ Date:-1d/21-/M
TREE ADMIN. Second Review: F]Approved as revised. FIDer
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES
Third Review: FlApproved as revised. ElDenied.
Comments:
Reviewed by:_ Date:
REVISED 09252014
JOB COPV
4E
THIf; P
LETTER OFAUTHORIMN41' 'W"S
SITE
Affidayit
EACH INSPec-�-j
UN
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:
2-
1 00jXft C' Vd . Vailm c, -aLLk
CompanyNarne: Pane-m L PhoneNumber: 00
Name: Title:
P"j
Address:
s 4?R1
SI(A4ATUfte-OF WNER/LANDLORD
STATE OF FLOMA
COUNTY OF
Sworn I a d subscribed re is day of 20-6-
-Ap
4*S;igonature of NotEy*State of Fla.ids
Print or Type Commissioned Name of Notiry Public
Personally Known OR Produced Identification
Commission Expire
Type of Identification Produced: z
(Notary Stamp or Sea]Required)
E STEFANIE M. DOYLE
0'aty Seat
sou'l
it
is:y
C
M
ry Pubi:tory Seal
Nota 1c, No
state of Missouf I
St. Louis CRY
eo
commission# 13403344
[my commissionExpires July 16,�201 1
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