469 ATLANTIC BLVD # 5 SIGN 2015 11 SS\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIGN PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-SIGN-355
Job Type: SIGN PERMIT
Description: NEW SIGN
Estimated Value: $150.00
Issue Date: 2/27/2015
Expiration Date: 8/26/2015
PROPERTY ADDRESS:
Address: 469 ATLANTIC BLVD UNIT 05
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: TOUCHSTONE CONTRACTING SOLUTIONS INC
Address: 8654 Hilma RD
Phone: - -
PERMIT INFORMATION:
FEES:
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Sign Erection $65.00
Total Payments: $69.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://\wNw.coab.us
APPLICATION REVIEW AND TRACKING FORM
-r5'
D rtment review requiredj__Y_e_s7_No
Property Address: -461,
Buildin V
Applicant: lanning &Zoni
ml
ree AdMiFni—strator
JcW
Project: /141J 1�1'qAl Public Works
ic Utilities
a ri ic Safety
0 Services
t
C, -�J
.ceipt Date
By—
rni
w zbsk
ArVLIL;A I ILM b I A I Ub
Reviewing Department First Review: <pproved. [:]Denied.
(Circle one.) Comments:
E9
PLANNING &ZONING Reviewed by: Date:_J-,;l[-7_
TREEADMIN. Second Review: DApproved as revised. ElDenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
P,t CITY OF ATLANTIC BEACH
V/
800 Seminole Road, Atlantic Beach, FL 32233
FF I L F. _U L
Office (904) 247-5826 Fax (904) 247-5845
Job Address: -/0 044 Permit Number:
Legal Description 11)�& 21-25-2115 boo St z Parcel#
Floor Area ot Sq.Ft. Sq.Ft
Valuation of Work$ 60,6' Proposed Work heated/cooled non-heated/cooled 70
Class of Work(circle one): New Addition Alterat' air Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Residential
If an existing structure,is a fire spriWer system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product ap-p—roWa�orm
Describe in detail the type of work to be performed:
Property Owner Information:
Address: tog.I*Z A464"
Name:D4iA in and j
city 4111C State�FZ_ip=
5_Phone__10__4 -
E-Mail or Fax#(Optional
Contractor Information: CONTRACTOR EMAIL ADDRESS:- J0-34A4V,1t-(0 01A-As4r-on--d;41fCfeQwj.Xj�
Company Name: 10"C4_jfW Qualifyin �gent: !rz%,1jz
Address: 66C 5q _Timi, Kd city 'Ile Sta F I
oc n U� - —Zip S22qll
OfficePhone q0+32TiLli Job Site/Contact Number q0q-32*2-141,� —Fax#
State Certification/Registratio--n# C61L 1,51!Sb719
Architect Name&Phone#
Engineer's Name&Phone# or C:e -7 W 4—
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 commencedprior to the
issuance ofa permit and that all work will be performed to meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes null
and void ffwork is not commenced within six(6)months, or i(construction or work is suspended or dbandonedfor a period ofs!xj6,)months at anytime after
0
work is commenced I understand that separate permits must be securedf r Electricat Work, 0 Boileis,Heiriers,
Tanks andAir Conditioners,etc. Plumbing,Si0s, h'Ms,P6 Is, urnaces,
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 YOVIi NOTICE OF
COMMENCEMENT.
I herelb certify that I have read and examined this application and know the same to be true and correct. Allprovisions oflaws and ordinances gov=this
work will be co�nplied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or the
provisions ofany otherfeder cal law regulating construction or the pejfio�mance ofconstruction.
Signature of Owner Signature of Con actor
�t Sl .............................
3rint Name Print Nam 0
............5.at 5n.kn.xr)............................................................. e
................... ...
3eforg me
his t b DI Before we
Am WAWA this Day of
,)A da�
_%Of Ro� yp NOW State of Florida
lotakWc yftblic
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Commission#EE 172M
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EXPIrK, Sep%Mbol 2-6. 2016
A&J's Old Fashioned Ice C4eam -,..-, : -------,---111.
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469-5 Atlantic Blvd
Atlantic Beach, Fl 32233 FILE COPY
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Description:
The following page is a proposed fascia sign.
Index:
Page 1 cover page
Page 2 sign plan
Joshua A. Haver
(904) 554-7162
joshhaver@oldfashionedicecream.net
P.O. Box 331220
Atlantic Beach, FI 32233
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Q st J's Old Fashioned
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4 -5 Atlantic Blvd
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City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by th?e Building Due 7artment.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: ca
City web-site: hftp://vmw.coab.us - 1!
APPLICATION REVIEW AND TRACKING FORM
-#-5,
Property Address: ment review required Yes No
D
Buildina
lanning &Zo_n�i
Applicant: 4L C A c;572/7 L' I W
I ree Admini9trator
Project: A4/w <a'141\11 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: XApproved. [:]Denied-
(Circle one.) Comments:
BUILDING
PLANNING&ZONING Reviewed by: Z"--A��Date'. zzi 5 Z
TREE ADMIN.
Second Review: ElApproved as revised. ODenied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ElApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC 13EACH FFIrl,
800 Seminole Road, Atlantic Beach, FL 32233 LUI 7,
Office (904) 247-5826 Fax (904) 247-5845 Z3
Job Address: q6 , 044f'4 Ad Permit T�umber:
Legal Description ID-I6 21-25-2�E Z. Parcel#
r Floor Area of Sq.Ft. Sq.Ft
Valuation of Work$ )SO,0 Proposed Work heated1cooled non-heated/cooled 70
Class of Work(circle one): New Addition Alteratipa-.-Rcpair Move Demolition pool/spa window/door
Use of existing/proposed structure(s) circle one): Residential
If an existing sfruciure,is a fire sprin=system installed? (C=rcle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed:ALA Stsn It 8k-.1d:,5 fe"ce
Property Owner Information:
Name:D4 1AjnffAd ZJ Fskit Rrrf, Address: 1031Z A+644- "BIA
city 5acks6n ti-,I Le Staterlzip32225 Phone T041 - 1?4_5-�05
E-Mail or Fax#(Optional)__�_
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: 'jo,4�,Ow e C6AjAk1*'5 SCIt4j'045 101(_ Qualifyin Agent: J Oil
Address: U59 U m city �.IILJIU'Ile —State F 1
4 yj Zip 322 T1
OfficePhone qN-3221-10S Job Site/Contact Number qcq-37_7-141,� —Fax 4
State Certification/Registration# C61L 1,512)_6
Architect Name&Phone#
Engineer's Name &Phone 4 1/ y e C,.,# -1 W 4—
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 commencedprior to the
issuance cf a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and void i(work is not commenced within six(6)months, or if construction or work is suspended or abandonedfor a period of siXP6)months at any time after
work is commenced I understand that separate permits must be secured r Electrical Work, Plumbing,Signs, Wells,Pools, urnaces, Boilers,Heaters,
fo
Tanks andAir 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 FINANCING9 CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
Ihere certify that I have read and examined this application and know the same to be trite and correct. All provisions of laws and ordinances governing this
type 1�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 otherfeder cal law regulating construction or the peTformance of construction.
Signature of Owner Signature of Contractor
Print Name Print Name
..... ...... ... .... .......�0.�
Bef me Before me
thisow Day of ",I
AM this Day of
Wda� c-sti its of Flori0a
r 4 W-940—i
Ko-tait M78 falry; Pulblic to". Expires Feb i
My t-ommissYin (A- M camission 0 ff Inm
EXPIres; SoPwmbof 26, 2-016 Na"*Maik
AM's Old Fashioned Ice Cream
469-5 Atlantic Blvd
Atlantic Beach, Fl 32233
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Description:
The following page is a proposed fascia sign.
I ndex:
Page 1 cover page
Page 2 sign plan
Joshua A. Haver
(904) 554-7162
josh h aver@oldfash ioned icecrearn-net
P.O. Box 331220
Atlantic Beach, Fl 32233
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