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973 Atlantic Blvd 15-SIGN-1457 sign permit i ,� ; /� ; ,< , CITY OF ATLANTIC BEACH �, _ ,A 800 SEMINOLE ROAD j „r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 SIGN PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMATION: Job ID: 15-SIGN-1457 Job Type: SIGN PERMIT Description: 16.6 SQ FT SIGN FOR SMOKERS BAY Estimated Value: $1.500.00 Issue Date: 6/29/2015 Expiration Date: 12/26/2015 PROPERTY ADDRESS: Address: 973 ATLANTIC BLVD RE Number: None GENERAL CONTRACTOR INFORMATION: Name: CNS SIGNS. INC. Address: 263 EDGEWOOD AVE QA KENNETH BRINGLE Phone: - - PERMIT INFORMATION: FEES: STATE DCA SURCHARGE $2.00 Sign Erection $65.00 STATE DBPR SURCHARGE $2.00 Total Payments: $69.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. IS- SIGN -1451 CITY OF ATLANTIC BEACH SIGN PERMIT APPLICATION ,.,k y r' JUN 19 -. . . By__ • _ Date: 6/5/2015 FILE COPY Job Address: 973 Atlantic Blvd Owner's Name: FQUITY ONF ATI ANTIC VII I AGF INC Address: 1600 NE MIAMI GARDENS DR, NORTH MIAMI BEACI-KE e33179 904-292-2212 Legal Description: Block Number: Lot Number: Zoning District: Contractor: _CNS SIGNS, INC State License Number:_ES0000258 Address:_263 EDGEWOOD AVE S. Phone: 904-425-3363 City:_JACKSONVILLE State:_FL_Zip:_32254_Fax: Electric Permit Required? ® Yes* ❑ No *Electrical Contractor:_CNS SIGNS, INC Dimensions and total square footage of sign: 20" x 120" = 16.6 soft Please provide two(2)copies of application and the following required information: 1. For all Freestanding Signs, include survey or site plan showing location of proposed sign(s), and all dimensions including height and distance from property lines or right-of-ways. For Wall, Fascia and other types of Signs, include elevation drawing showing location in relation to adjacent signs,mounting detail and type of illumination, if any. 2. Provide linear frontage of office, business or storefront,or entire building, as appropriate. 3. Provide completed owner's aut .'• ation orm if applicant is other than property owner. 4. Other information as may be r/.'red • r hapter 17 of the City of Atlantic Beach Municipal Code. I hereby certify that all inform. • t ro id • • ith lication is correct. Y f3 f/ P Signature of Owner: Date: h 116115 U ` / " / I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of 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 federal,state or local rules,regulations,ordinances, or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provid • as required. Signature of Contractor: /``441,1,/ Date: / 5 , 5 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised(/30/03 IILI COPY Address and contact information of person to receive all correspondence regarding this application(please print). Name: vA c`ss9% 14-056 'A SL L�{-�Q,,-1 ,,� � 1� �Q "1 Mailing Address: ItJ 0O — ` J�� 5ft `eAlk✓4. Jhl�S� V ite Phone: ( *) Q V F' : E-Mail: AS TO OWNER: G `11 Sworn to and subscribed before me this I`� day of VVt ,20 State of Florida,County of Duval Notary's Signature: ' MY COMMISSION EB a B 102 ►, '-rsonally known EXPIRES:February 24,2018 • Produced identification 440' Bonded Thru Notary Public Underwriters T+_F Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this 16 day of ,20 16. State of Florida,County of Duval otary's Signature: Personally known Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/30/03 BUILDING PERMIT APPLICATION • " CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 FILE COPY Office (904) 247-5826 Fax (904) 247-5845 Job Address: 973 Atlantic Blvd Permit Number: Si GN —I 4/57 Legal Description Parcel# Floor Area of Sq.Ft. Sq.Ft Valuation of Work$ 1500.00 Proposed Work heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial Residential If an existing structure,is a fire sprinkler system installed? (Circle 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: wall sign 20" x 120"(16.6 sqft) Property Owner Information: Name: Equity One(Florida Portfolio)Inc.,a Florida corporation Address: 1600 NE Miami Gardens Drive City N. Miami Beach State FL Zip 33179 Phone 904-292-2222 E-Mail or Fax#(Optional) Contractor Information: Company Name: CNS SIGNS, INC Qualifying Agent: Kenneth Bringle Address: 263 edgewood ave s. City Jacksonville State FL Zip 32254 Office Phone 904-425-3363 Job Site/Contact Number Fax# 904-425-4946 State Certification/Registration# ES0000258 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 to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced. 1 understand that separate permits must be secured for Electrical-Work, Plumbing,Signs, Wells, Pools, Furnaces, 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. 1 hereby ertify that 1 have read and 'min• t s a pl' ation and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied wi I ethr s eci ie erein or not. The granting of a permit does not presume to give authority to fviolate or cancel the provisions of any other federal, a :,or 1, a aw rng construction or the performance of construction. T , r310S2-515"� . Signature of Owner I ' l, Signature of Contractor .../ 416 , Print Name • , Ut I iv? Print Name kewie9-1(. _ be1/ Sworn o and subscrib b etfom e Swo ,0 subscribed b re me this Day of ( , ,1 20 this LA Day of , 20 15 440A1 o►�� VaL, Notary Public Note ublic , Revised 01.26.10 .{` USSETTE G.BAJRA i -=rv';;': 'r:iALM • ION M FF 011480 ;•: ,�� •., MY COMMISSION 4 EE 187102 _�. l EXPIRES:February 24, C • :�S.April 24,2017 Public U erWIilors 3C° Booded Thru Notary �'4 Bonded fora Notary Public Underwriters _ .�" JENNIFER OVER 4t4:1 \ 1�y rq�n�;�ISSION r FF 011480 4, ..• EXPIRES:April 24,2017 i± 8andsd trio Notary le Pubic untwan q}t: ` n FILE COPY EQUITY June 15, 2015 Owner: Equity One (Florida Portfolio) Inc., a Florida corporation 1600 NE Miami Gardens Drive N. Miami Beach, FL 33179 RE: Smoker's Bay 973 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: CNS Signs, Inc. & their authorized agents to secure permits for installation of a facade 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: (904 292-2 22. Thank you X Ken Choquette, Vice President of Construction As Authorized Agent for: Equity One (Florida Portfolio) Inc., a Florida corporation STATE OF F Lp4rtt COUNTY OF ,I Individual Before me, this ,,,4- day of June 2015, Ken Choquette, personally appeared and executed the foregoing instrument, and acknowledged before me the same was executed for the purposes therein expressed. 411141114111ro, NOTARY STAMP: Signat 1 of Nota My commission expires: 6 ?'-k 1il.f) Li550 £►. Sdyx/ ✓ Print Notary Name Identification Method: personally known Produced I.D. —Type: • °; LJSSETTE G.BAJRA t! 11 SAY COMMISSION A EE 157102 EXPIRES:February 24,2016 or.1;;Zo Bonded Trru Notary Potic Underwriters Equity One Inc. i 1600 NE Miami Gardens Drive i North Miami Beach,FL 33179 I Main 305.947.1664 1 Fax 305.947.1734 www.equityone.net I .I! E 0 0 ri env°o!lenby $ II!5' 7-r x ro ill V O p _ W O a illll ' II III . � N ^', = 14A N _ 14B 3 _ 15 m 11 I I I I I II•IIIIII III ) m la? 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I si 0Q0 s 0 ` 41 0V0 4100 Fitz Ei v c o r �ogc 73 ,p�Ta a z1 .'I z� m s,m� 24'MAX ss41s r. k <`= City of Atlantic Beach 7.,` '.Building Department APPLICATION NUMBER 800 Seminole Road (To be assi ed t e uil pe I� ' ment.) � µJ ' Atlantic Beach, Florida 32233-5445 � � Phone(904)247-5826 • Fax(904)247-5845 urt tr E-mail: building-dept @coab.us 0 City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM 3'% Ar.rn c q'13 ATt, , " b Property Address: -` ■ • • • 'lent review required q Ye�No Applicant: C i S SIGNS INC �- annin• &Zonin. t/ 3.Qi' ()S%6 Tree •.minis ra or Project: ' �Q . _ Public Works �� F O Public Utilities Public Safety Fire Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: pproved. ['Denied. (Circle one.) Comments: BUILDIN LANNING &Z6 Reviewed by: M C Date: 6')2°/S TREE ADMIN. Second Review: DApproved as revised. ❑Deni . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 City of Atlantic Beach Building Department APPLICATION NUMBER A• 800 Seminole Road (To be assigned t '�� Atlantic Beach, Florida 32233-5445 '�51 r ment.) Phone(904)247-5826 Fax(904)247-5845 , �•��r+, ��r E-mail: building-dept @coab.us City web site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: q"?3�T�� ,v '' • - • Of ent review required `'n No Applicant: C i s S%6i'.iS C • waft. �__�annin. &Zo nin. Project: I w • ( SQP? SI6 N Tree A.minis ra or 61111E Feak `� Public Works Public Utilities Public Safety _ 11111=111111111111111111111 Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt of Permit Verified By Date 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: Approved. ❑Denied. (Circle one.) Comments: BUILDIN LANNING &Z• Reviewed by:_„�?5 / TREE ADMIN. Date: Second Review: DApproved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 •