1021 Atlantic Blvd #1013 2015 sign/elec 51 '-\b
F f CITY OF ATLANTIC BEACH
s1 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
19
SIGN PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 14-SIGN-668
.lob Type: SIGN PERMIT I
Description: new sign
Estimated Value: $1,800.00
Issue Date: 1/7/2015
Expiration Date: 7/6/2015
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD MAIN
RE Number: None
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Sign Erection $65.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
j►�-'-L`J7�J�
CITY OF ATLANTIC BEACH
1 s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
`\a INSPECTION PHONE LINE 247-5814
�J33!
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ELEC-727
Job Type: ELECTRIC ONLY
Description: FOR SIGN
Estimated Value:
Issue Date: 1/7/2015
Expiration Date: 7/6/2015
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD
RE Number: 177602-0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE,
Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Sign $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
VDEC
CITY OF ATLANTIC BEACHf 'LE CO Y
800 Seminole Road, Atlantic Beach, FL 322332014
Office (904)247-5826 Fax (904)247-5845
Job Address: (Clrlfj C b WCt ,1 _ 1 y = � _66
T(, r11 + I�>1�j
Permit�Nuum e
Legal Description CIE 1�J.pyb /(a-4 y 1=�'t"e✓bYO'arccel# 1 L11�o00�
Floor Area o Sq. t. —Sq
Valuation of Work$ 130 0 . 0 O Proposed Work hented/cooled NA A non-heated/cooled M R
Class of Work(circle one): ew Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(j)(circle one):. Commercia Residential
If an existing structure,is a fire sprinkler system insta itrc a one): Yes No 6D
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: ELAe I(-)V- LYt I 1(1 n - ►I 2+C41 ,t
_ ,I� ul ,1 11I�-)._.t' ) + ,) 1� `711"� Cr, ll IC It i` I It (i �t �� A1 1j-A1'`'�`III � Irkcae—
Property Owner Information: url VCAC&-r y
Name:Ej�w'L t o I V Address: llot�b I 1'� tnryt F,C�r�ler� DI%IVe
City 0QYAh t Ckn iu FYOC h State Zip''')31 7 I Phone
E-Mail or Fax#(Optional)
Contractor Information: i fi A#7 � - �f 5 X191 /1 S�/�X _
�.bCv-� 17 ����,� ���CRST Nt I
Company Name: QualAing Agent: �jjL�]P } L�YM t'1
Address: O l�►'� Vf 7.1-� City�)l'j 5bru I Ile, State��`Zip
Office Phone ClN 356 CICI I Job Site/Contact Number Coq --)qqFax# C(
State Certification/Registration# j Ei')
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 hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed tom
the standards of all laws regulating construction in this jurisdiction This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six 6)months at any time after
work is commenced I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaees,Boilers,Heaters,
Tanks and Air Conditioners,etc
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.
I hereb certify that I have read and examined this. plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specd herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,st te,or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name C� I Print Name t
_I al-t..-...1�.......`n... -....._....................... ......... ► �1 .........��m. - _....................................
Sworn and subscribed before me Swo t d subs ribed before me
t ' a of 20 1L thi ay of d PnnUPr .20 �y .
JILL M.HUMPAGE
tary Public tom'
My Comm.Expires Jun 5,201! Public �`�'s Notary Public-State of Florida
^, P'•'
Commission I FF 129649 M Cn 5.2018
. •,� ,• �` eVVrl�trhiYslok P129649
�•,,,.t...� Bonded Ttxo*Wliornl 11O/y Assn .',•d 8atded Ttxo*Natural Ndary Asan.
ELECTRICAL PERMIT APPLICATION o„• ,,.�,
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
BILE COPS
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS:W�21 _0±1(I r4l C b lyd PERMIT#./-L/- R/&AI-66�
"I'161 C
JEA INFORMATION REQUIRED ON ALL PERMITS _LQLLAMPS l a oo VOLTS t?I (' - „e-PHASE
VALUE OF WORKS I )) .0
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
[]Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps []-amps #of Meters
❑Commercial(Main) Service
110-100 amps ❑101-150amps ❑151-200amps LI-amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100 amps ❑150amps i 1200amps ❑ amps I-]CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool IySign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
':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 CAla 1t"!-EV Cry I CA C V I I I C ne (Y_Phone Number
Electrical Company k ig `7 r Office Phone C)by: 7� fax� 3`fib�f4,�•
Co.Address: ?)U(oO �eM1L ��n.-l� _ City �lAL 5C7rU1II6tate l�95
License Holder(Print): ��r4 oM tate Certification/Registration# � X� 7 .
Notarized Signature of License Holde
jI.L M.HUMPAGE S rn and subscribed before a this�_day of 20
C�'M
Notaryotic State of FlaldaMy CcinR..Expires Jun 5,20A afore of Notary Public
Commission 8 FF 129649Bon ted Through NationalNotary Assn.
A
FILE COPS ❑
EQUITY ONE INC.
December 5, 2014
Owner: Equity One (Florida Portfolio) Inc., a Florida corporation
1600 NE Miami Gardens Drive
N. Miami Beach, FL 33179
RE: Sunrise Smoothie
1013 Atlantic Blvd
Atlantic Beach, FL 32233
To Whom It May Concern:
This letter serves as confirmation that Equity One (Florida Portfolio) Inc., a Florida corporation
hereby authorizes: Advanced Sign Company dba Prestige Signs & their authorized agents to
secure permits for installation of a fagade sign, provided said work meets all building code requirements.
Please be advised the property owner(s) approve sign offset.
Should you have any questions, please contact Property Manager, Kevin Hollenbeck, of our Jacksonville
office at: (904) 292-2222.
Thank yo .
X
Ken c4quett6, Vice President of Construction
As Authorized Agent for: Equity One (Florida Portfolio) Inc., a Florida corporation
STATE OF FLORIDA
COUNTY OF
Individual
Before me, this day of December 2014, Ken Choquette, personally appeared and executed the
foregoing instrument, and acknowledged before me the same was executed for the purposes therein expressed.
NOTARY STAMP:
Signat re of Notary
My commission expires: a
LiS�c� 'Ei •
Print Notary Name Identification Method: �`personally known
Produced I.D. —Type:
LISSETTE G.BAJRA
* •: My COMMISSION k EE 157102
EXPIRES:February 24,2016
Bonded Thru Notary Public underwriters
Equity One Inc. 1600 NE Miami Gardens Drive North Miami Beach, FL 33179 1 Main 305.947.1664 1 Fax 305.947.1734 1 www.equityone.net
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LOW VOLTAGE CABLE
PRIMARY ELECTRICAL
CONDUIT
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FOR BUILDING SUBSTRATE
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LED MODULE
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City of Atlantic Beach APPLICATION NUMBER
Building DepartmeL-'-
800 Seminole Road o be assigned by the Building Department.) if
N /V
-sl -
Atlantic Beach, Florida 322:33-5445 1
Phone( 904)247-5826 - Fax(904)247-5845
City web-site: http://wvifw.c,3ab.us
�date routed:
APPLICATION REVWW AND TRACKM FORM
Property Address: De ent review Yes 0
naynn-1- required
u-ildin
Appflcan-L bz4In Al anning Zoni
I reeE_A_V,nn;n1s1rator
Project: c--67 qA1 Public VVo,-.,ks
Public Utilities
Public S_ae_ty
Fire
Review fee $ Dept Signature --_
CONTRACTOR EMAIL ADDRESS
CONTRACTOR CONTACT #
APPILICATION STATUS
Reviewing Department I First Review: & Approved. 11DenJe-;
(Circle one) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date.-
TREE ADMIN_
Second Review: []Approved as revised. []Denie
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
FIRE SERVICES
Third Revic-ILC ElApproved as revised. []Deniee..
Comments:
Reviewed by:
Dare:
ASED 0925201 '
9 cd V H t H(0 Li-6 0;a C 01i APPLICATION NUMBER
uilding Deparhne `6 be assigne
800 Seminole Road by the Building Department.)
Atlantic Beach, Florida 32233
4W -5445 i
/V -S I'V
Phone(904)247-5826 - Fax(904)247-5845 /7 /V
z City web-site: hftp://www.coab.us
Date routed:
APPLICAT90h" REVNEWAV AN DO TRACKNG FORM
I�Toperhf Address: Do
ar'"u-nent revie
TV00 r uired Yes No
Uildinc )
A p p I i c a 0)t.' 0 rr �lfIn Al anninc :Zoni
i ree Adnn;nistrator
Pro eck:
Public Wo-'L-c --
Public Utilities
Public Safety
Fire Services,—
Review feeDePt Signature
ONTRACTOR EMAIL AIDDRES�
CONTRACTOR CONTAC-r
APPUCATMN STATUS
------------
Reviewing Department First Reviei.or: DjApproved. DDenier!
(Circle one.)
BUILDING
PLANNING &ZONING
Reviewed by:
.1
TREE ADMIN. Date:
Sea and Re�rie��r: DApproved as revised-
PUBLIC WORKS Corarnents:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed
FIRE SERVICES Date:-----
, Re
--
T Chiro ,
hirdvier-if. []ApP'-Oved as revised. ODenied.
Cornn-ients:
Reviewed by:
---. Date:
ED 09252014�