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363 Atlantic Blvd #4 15-SIGN-1328 sign permit CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD U ATLANTIC BEACH, FL 32233 Y INSPECTION PHONE LINE 247-5814 - rii SIGN PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-SIGN-1328 Job Type: SIGN PERMIT Description: sign-elec Estimated Value: $2,400.00 Issue Date: 6/16/2015 Expiration Date: 12/13/2015 PROPERTY ADDRESS: Address: 363 ATLANTIC BLVD UNIT 04 RE Number: None GENERAL CONTRACTOR INFORMATION: Name: JAX ELECTRICAL CONTRACTING INC Address: 1839 LANE AVE SUITE 110 PAUL KEANE 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 j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOBINFORMATION: Job ID: 15-ELEC-1380 Job Type: ELECTRIC ONLY Description: electrical for sign Estimated Value: Issue Date: 6/16/2015 Expiration Date: 12/13/2015 PROPERTY ADDRESS: Address: 363 ATLANTIC BLVD RE Number: 169730-0000 PROPERTY OWNER: Name: SHOPPES OF NORSHORE LLC Address: P O BOX 330106 GENERAL CONTRACTOR INFORMATION: Name: JAX ELECTRICAL CONTRACTING INC Address: 1839 LANE AVE SUITE 110 PAUL KEANE Phone: - 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 CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Road,Atlantic Beach,FL 32233 Office(904)247-5826 Fax(904)247-5845 Job Address: -M3 5,,;te-"f M4,rficMd., Ailuerlis &4 CA Permit Number: 15--S(6/V —/32 Legal Description Parcel# �4 730 -0000 Floor Area o q. t. ii t Valuation of Work S zr y00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): t4 ee Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/pru osed structures)((circle one):, ommerc Residential � If an existing structure,is a fire sand ler system nista ed?(Circle one): Yes Na C �Y Florida Product Approval# For multiple products use product approval form Describe in detail the type of work to be performed: Sn sfd L ;q 44-a Prooerty Owner Information: D Name: Sti�2n ; d) Novf SAA LLC Address: 0. 30 330 g)UN 5 CiTy R{LsiG 6..cG, State Ft Zip 3�a33 Phone 1- E-Mail or Fax#(Optional) B Contractor Information: Company Name: Qualifying Agent: Pau /j",, Address: xol7 Lw sem- City Zr .> Staterl Zip 37�/6 Office Phone Moll) o - O Job Site/Contact Number C964)s'io--n.7-o- Fax# State Certification/Registration# C? 13,9 IN Z3 9 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. l cert that w wark or installation has commenced prior to the issuance ofa permrl and that all work will be performed to meet the standards ofall laws regulating construction in this jurisdiction. This permit becomes null and void ifwork is not commenced within sir(6)months, or ifcorutruction or work is=s a ded or abandoned for a period ofsu/6)months at any lime after work is commenced I understand that separate permits must be securedjor EkoWco/Wank,Plumbing,Sig., Weft;Pools, Furnaces,Boilers,H , ranksandA1r Cond1 iomem,ea 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 YMi NOTICE OF COMMENCEMENT. l hcmb certify that I have read and examined this plication and know the same to be true and correct. All provisions of laws and ordiwwes governing this type of work will be complied with whether sppeeci red herein or wt. The granting of a permit does not presume to grw authority to violate or carrel the provisions ofany other federal.state, �or7local Imv regulating construction or the performance ofcanstruction, Signature of Owner / `� Signature of Contractor Print Name __..f..LtQ...I........r-).P_Q.n_e......._....______..._......_............ Print Name Sworn tt2�and subscribbefore me Sworn((qq and subscribed before me this_ S'`Day of o n_ P .201 this ' `^Day of�Ml r'1 e .201 G Notary PublicoA�lic Revised 01.26.10 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH FILE COPY 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904) 247-5845 JOB ADDRESS: S,;fe Ad'?.f i. 61,41 , A /C,safe 6=,cA 37.733 PERMIT /S7S/Lrv' v JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole [Residential(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps L7___---amps #of Meters ❑Commercial(Main) Service 00-100 amps 7101-150amps ❑151-200amps ❑ amps CT Service_amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps C 101-150amps .151-200amps ❑ amps #of Unit Meters Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps 7 CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑I00 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-I00amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL P$OJECTS ❑Swimming Paol Sign ❑Smoke Detectors_Qty [Transformers KVA ❑Motom_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG COther: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for sin 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 None Agw,s OFAloe-ibAere( U `C Phone Number Oy7Z /— //,S Electrical Company k1Qu G'-eC'MC01 Crwl"rt'JQ-WCOffice Phone�o�)a65-SRaax a/`FaOr� Co.Address: &011 ane AoL S_ City rj Rn to I 1t,State_E-�_,Zip License Holder(Print): State Certification/Registration# Notarized Signature ofLicense Holder Sworn and subscribed before me this day of t 1 On 2 20]5_ Signature of Notary Public `� ` FE'"'�7 C^PY Letter of Authorization To whom it may concern: This letter authorizes Jax Electrical Contracting, Inc. to act as agent to sign and notarize sign permit and/or electric permit applications as agent for owner/owner, and to perform sign installation, removals or maintenance.All work done by said contractors will meet or exceed code requirements. This authorization is for the following lesseeltnitenant: 1 1 Tenant: "GM1k�n 7 ` � YiG11( C-)Ct\nn Street#: 3b3 Suite#:Street Name: K-k\otffti2c _ Zip Code;�j3_Zoning: Real Estate* \\DCL - 0000 Notification of Electric Permit Requirement I confirm that I am aware that an electric permit is required for connecting all illuminated signage and that it is my responsibility to ensure that the permit is obtained. I understand that failure to do so could result in fines and/or loss of electric power to the facility. Owner/Agent Name: t7 1 K hConne 0: 43LA au\ \\5\ Owner/Agent 9 ,G . ( V pL, 32Z33 1 Signed: Dater/—a/yamC The foregoing insWment was acknowledged before me this ID7 kday ofI I ` 20�by herein by himself/herself and affirms all statements and declarations herein are true and accurate and who is[]personally known to me or[] produced identification. Notary Public at Large, State of o r,' &,k . County of �li U 4 Signed: (Notary stamp or seal required) Please note:This letter must be notarized to be accepted by the building and zoning department. Revised:07/10/09 'ii!i�"•y, MARVANNEDUPONT } OgmmissionAFF081349 Etges January 19,2018 e.m n.uy rw t.r.o mra.mn � ° \ � & / / R@ » @Pe9 ¥ a m � * E ° ° m rm—rm— w § \ E@CD ' 00C &—M ¥ o � o g , 2mr \ 7 © m CD % [ \ $ aM :3 a) ¥ \ 0 § & a = ®(a = 00 § go C, � t = t C- � R $ E ?� k ) ® 3 ■ $ ƒ F / gym a ; 6 \ f EQ / 8 m r Ex E \ \C 2\ / 0 ;:w § \ E § CD 3 j CD � \ \ \\ i 8m E � CL � ° � / EXHIBIT 'A' SITE PLAN i 52 WYW � add a E i a , re v—=— -- rFi u.•. •�_ ' �. 1 wide 3 (Q t S 44 t 10' wide Suite 4 Sign Size 10' wide x 2' high = 20 sq ft Total Actual Signage Size = 20 sq ft Exposed Area - wide x high = Ltw sq ft Maximum Signage Allowed - x 10% = L J sq ft Letter of Authorization To whom it may concern: This letter authorizes Jax Electrical Contracting, Inc. to act as agent to sign and notarize sign permit and/or electric permit applications as agent for owner/owner, and to perform sign installation, removals or maintenance. All work done by said contractors will meet or exceed code requirements. This authorization is for the following lesseettenant: 1 1 Tenant: lltAx11111 U) P ` (3. tl D t f EC (if\ Street#: 3b�iSuite#:�_StreetName: Zip Coder Zoning: Real Estate#: I\D4130 _ ocoo Notification of Electric Permit Requirement I confirm that I am aware that an electric permit is required for connecting all illuminated signage and that it is my responsibility to ensure that the permit is obtained. I understand that failure to do so could result in fines and/or loss of electric power to the,facility. �l Owner/Agent Name: 12.t O(• N� Stlpone#(�qON o.L]1 k�5� Owner/Agent Addr94ho . t-t-r � �jQ(�� Signed: . The foregoing inshument was acknowledged before me thisday of 20_L by �.. IQ .a r r herein by himself/herself and affirms all statements and declarations herein are true and accurate and who is[]personally known to me or[] produced identification. Notary Public at Large, State of r (u r d a, County of '-I)(. v Signed: kA'-C (Notary stamp or seal required) Please note:This letter must be notarized to be accepted by the building and zoning deparbnent. Revised:0]/10/09 MARYANNE DUPONT _ Cpmmisaionp FF 881313 i Expires Jawary 19,2018 emaie n..rarraa. aaaa»e LED Sign Shop Drawing 1. 4 3/4"deep aluminum returns 2. 1" vinyl trim cap O 3. 1/4" thick acrylic 4. .090 aluminum backs 5. LED Lighting ® b 6. Transformer 7. 6"x24"deep continuous .063 aluminum raceway • top access doors &welded frame, paint to match facia 8. 4" x 1/2" stainless lag bolts or toggles thru frame into lead exp. anchors 9. Location: Centered in sign band facia area 10. wall City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road /s Al .. /�Z 8 Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 Fax(904)247-5845 E-mail: building-dept@wab.us Date routed: --, City web-site: hllp:l/www.wab.us APPLICATION �7REVIE /W AND TRACKING FORM Property Address: C36 3///A/ i u -p�✓d � � D rtment review re aired Yeso ,,..�r.--�rpp �e nBuildin Applicant: 6 CCl A nee mmistrator Project: o , n /C' `-' Public Works Public Utiliges Public Safety Fire Services Review fee $ JONEW Deptag Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Any Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: (Approved. ❑Denied. (Circle one.) Comments: - BUIL I PLANNING&ZONING Reviewed by: Date: TREEADMIN. Second Review: ❑Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised drnne City of Atlantic Beach APPLICATION NUMBER ,A"991k Building Department (To be assigned by the Building Department.) 800 Seminole Road / (' Atlantic Beach, Florida 32233-5445 /� /,?,z/,?,z8 Phone(904)247-5826 Fax SM)247-5845 E-mail: buildmgAept@coab.us Date routed: Qr .7 City web-site: http://w .coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: .36 -31k 4J. llral n VT nt review required Yes No Applicant: I E� �n J /t/r L,f1/1� o CC /� resnistrator Project: �7 n dcstiesetyes Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Flonda Dept.of Trensportation 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: ❑Approved. Denied. (Circle one.) Comments: sts {��sJrey BUILDING PLANNING&ZONING Reviewed by: TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES /, / PUBLIC SAFETY Reviewed by:�y/t_/ Date: e P f FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07127/10 ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 JGBADDRESS: Ali-3 r;. /S1�dl Me, a lS• / 32133 PERMIT JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK S NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole jResidential(Main)Service 10-100 amps a 101-150amps ❑151-200amps F-1-amps # of Meters jCommercial(Main)Service ..J0-100 amps u101-150amps ii-151-200amps ❑ amps I-CT Service amps Conductor Type Size 'Multi-Family(Main)Service ❑0-100 amps -101-150amps 151-200amps amps #of Unit Meters -'Temporary Pole u amps SERVICE UPGRADE a amps '.7 CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ;100 amps LSOamps ❑200amps - amps uCTService_amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-I00amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL P$1 JECTS ISwimming Pool F-? Sign -Smoke Detectors_Qty -Transformers KVA uMotors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK$ REPAIRS/NHSCELLANEOUS 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 Named� y(N,s OF/1/n AS, ( LGrrL Phone Number �afi7z'Jl- oi. i Electrical Company kJClK E(eAiCn I CRlliYYl 4'Igi— Office Phone (�La 'ax 37-f�Yot Co.Address: ��'� ( o P �C- City �qAr, -gM-Ql11C-State-ELZip �( License Holder (Print): &I State Certification/Registration# E91�;pl Lfaas Notarized Signature of License Holder Sworn and subscribed before me this }� day of -L/ t)Y)P 20L Signature of Notary Public BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach, FL 32233 Office(904)247-5826 Fax (904)247-5845 Job Address: 3 S,.r.-�y fiflQrriic �l-d /dila -l.i- &Q eA Permit Number Legal Description Parcel# �4 730 -0000 nor ea o Wit;—S� Valuation of Work S , 40e, Proposed Work heated/cooled non-heated/cooled Class of Work circle one): ' ( ) XCI Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s)(circle one): (Commercjid Residential If an existing stru ure,is a firesprinkler system installed?(Circle one): Yes No i N/9J Florida Product Approval# For multiple products use prmdoct approve orm Describe in detail the type of work to be performed: Sn s{e// Ne, Z- A±e4Z Pronerly Owner Information: Name:�� �a„ OF/Uc�r'h S�iarc . LLC Address: �0, lJ0 .3 0 SJUN 5 City l�ilnN�„ fs..cG, r State LtZip3zs33 Phoner- E-Mail or Fax#(Optional) B, Contractor Information: -- CompanyName: TqY_c Qualifying Agent: Paul 9",, t, Address: 7`y-7 City lar State FL Zip 3azfp Office Phone I eiblj)1a3 - rs6 O Job Site/Contact Number 0960 s"so— 96 7-E Fax# State Certification/Registration 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 mode to obtain operant to do the work and installodans as indicated I certify that no work or installation has commenced prior to the issuance%opermit andehat all work will beper/ormed to meet the standards ofall laws residuagconstruction til lhisjurksdiclian. This permit becomes null and void i�j work is not cammereced within six(bjj months,or i construcfion or work is suspended or abandoned for ayeriod ofsix/6J months at any time alter work n commenced. I understand that separate permits must be secured for ElecMesl Work,P/umbing,Sigm, Wefts,Pools,Furnaces,Rollers,ll, en Tanks and Air Condldonen,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 hereby certify that I have readandexamined this !(cation and know the same m be true and correct All provisions oflows and ordinances governing this type of work will be complied with whether speci�herein or not. The granting of a permit does not presume to give authority to violate or conceit the orovisnons ofany other federal,stale, or local law regulating construction or the performance ofconslrucdan. Signature of Own�er7 f � Signature of Contractors Print Name YLiJ.1 ..!..._IK.L'.L2.o-t 9.--........... ........ _..._..._....... Print Name ,5......_. _._. Sworn%tgand subscrNd before me Sworn[[qq and subscribed before me his- S'`Day of )O 67P_ .20 Jthis ^Day of LZ z,l P_ 201 4otary Public Notary Public Revised 01.26.10