25 Sailfish Dr 16-SIGN-1089 sign permit 1-`27\1:/: -/, .
' I ''' \`S CITY OF ATLANTIC BEACH
- ""°'".' \9 800 SEMINOLE ROAD
!i 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: 16-SIGN-1089
Job Type: SIGN PERMIT
Description: NEW WALL SIGN
Estimated Value: $1,050.00
Issue Date: 5/18/2016
Expiration Date: 11/14/2016
PROPERTY ADDRESS:
Address: 25 SAILFISH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: NOVALUX SIGNS, INC
Address: 8550 Argyle Business Loop UNIT 1304
Phone: 904-329-9607
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.
5������r,J, City of Atlantic Beach APPLICATION NUMBER
is r , Building Department (To be assigned by the Building Department.)
< 2 800 Seminole Road n \ i
V /Atlantic Beach, Florida 32233-5445 l l0 `� l(3Iv - 108
Phone(904)247-5826 • Fax(904)247-5845
,!'1.01319%- E-mail: building-dept@coab.us Date routed: SA 0/
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM •
Property Address: �5 SAIL .( H -nt review required strifilo
Applicant: N d V P (—U 1.\_)& arming &Zo?thlg
Tree '" _ .
Project: 1\) 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: proved. EDenied.
(Circle one.) Comments:
UILDIN
PLANNING &ZONING Reviewed by: Date: C.!C '/b
TREE ADMIN. Second Review: ❑Approved as revised. ODeni 'd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
01.:Vlp,�� City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
` 800 Seminole Road ( _ O8c)
Atlantic Beach, Florida 32233-5445 lrJ v 'V
Phone (904)247-5826 • Fax(904)247-5845
�• !, -de t coab.us Date routed: S�l O / (40
0,3 �? E-mail: building p @
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
‘---(3
Property Address: Z5 SA 1 L Nstt-1 i � D ent review required Yes No
Applicant: I v Q V f L-O ) S RD tinning &Zftmg�_
Tree nistrator
Project: C 1\.) 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: SklApproved. ['Denied.
(Circle one.) Comments:
BUILDING ""
PLANNING &ZONING Reviewed by: q/� " Date: -.57/‘//
TREE ADMIN. 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 05/14/09
BUILDING PERMIT APPLICATION OFFICEt
CITY OF ATLANTIC BEACH . .
u yr
800 Seminole Road,Atlantic Beach FL 32233
—4011)9%-
Office:(904)247-5826 • Fax: (904)247-5845 •
AS 5 4,LF/sH DR l 43
Job Address: /4 Ti,Awn C ;e3 EmGi4 FL 3a a 3 3 Permit Number
Le al Descri tion ,38'—oZ.S—a R'F, (Eo a DF C r-Ad
g p Y FE'RR,R 6 .A. PT RECD c Cr
i7y301 RE# i f 7a�,-,
Valuation of Work(Replacement Cost70
c# ��
$1054.M Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): CD Addition Alteration Re air Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Commercial Residential
• If an existing structure, is a fire sprinkler system installed?(Circle one): Yes No N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to' bejperformed: .
IA1STALL.. NEW Wil Li-- S1 -J0
Florida Product Approval#
for multiple products use product approval fonn
Property Owner Information
Name: , c 7(S J SA/LF/Si/ DiZ LLC Address: & Y%' ScoTt nil s?itTES
City eitidSayUi/irt.LE' StaterL Zip 3a?a2S7 Phone ,2(V_ ,597_ '�R`
E-Mail 5 i*L�g.2A.11 7o wiwcro C.011 '3
Owner or Agent (1f Agent,Power of Attorney or Agency Letter Required)
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
Contractor Information:
Name of Company: VO ' LUX ,S S , Qualif yin Agent: HA-jic
Address:,34,ff8 W#fie tiNGToiJ • E EY City oAl 'lje°Sta ' "�'�2E S
Office Phonev[ to Zip �3o�a Sr
�d�/' 3ta2 9'-��o 7 Job Site/Contact Number
State Certification/Registration# F'r110)6 9'53 E-Mail NAR10 @ 1141/4411X SrSivs.Goner
Architect Name & Phone#
Engineer's Name &Phone#
Worker's Compensation
xetnpt Insurer / Lease Employees / Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I certibi that no work or installation has commenced
prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. lat
This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a 4$
period o fsix(6)months at any time after ork is commence,. 1 understand that separate permits must be se red for El•ctrical Work,P kin
Sign , Wells,Pools,Furnaces,Boilers, eaters, T' ,n•Air Cond'io,ers,etc. . _ li
•
nature of Property Own ( ignature of Contractor:
ca. i i ii a-.
B ore re r/�/ l
this JO Day of MCP( ` O Before me this o Da of . .. •
r�,
Notary Public: � ""� '.• --'_ /1' //Notary Public: L.�<. "
:.II'EAU
.i*,: ;'� i:_ Commission#FF 239347
I hereby cert 11 W-:' a�-c�t¢iteedutt Q c this a..lication and know the same to be true and correct. All provisions of law t�,�i
ordinances govet bel' t .; , itecti edl,, ied with whether specified herein or not. The granting of a permit does POI—
presume to give au tort . , . . "".. .visions of any other federal, state, or local law regulating construction or the
performance of construction.
Rev.3/14/16 '
ELECTRICAL PERMIT APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: a?5 Sl',/Ask A . *43 A-tl C $Clt,J 1%733 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS
PHASE
VALUE OF WORK$ /?1,,,2,2;
NEW SERVICE ❑ Overhead ❑ Underground FII Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps U amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps ❑ amps OCT Service amps
tDDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 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:
►THER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
Other: , . . ,.. ! - FXV;71;di> tP,.e. .4!GA- / Old'f et
nut becomes void if work does not commence within a six month perio or work is suspended or abandoned for six months. I hereby certify that I have
d this application and know the same to be true and correct. All provi o of laws and ordinances governing this work will be complied with whether
cified 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
struction.
>perty Owners Name $A- pyTcj , / ,`ri s, 4 t c C- Phone Numberc,-
rtria atCompany+ go-M--1-10‘ S7 .mss J - L. r Office Phone/ 'V1 92 Fax
Address:, (O .E-- (n J,Vrs- -5y J 2 e City a tisq'V�yi1,,, State fL ZipD5(14
:nse Holder (Print): C I1 ,k,p C A E SState Certification/Registration# E'7T"10/J6 1'53
'arized Signatu�_of icense Hol /
Cala
�/
, ` Notary Publo Before me thi day of T Z20 ] I I
* l9 * State of Florida k
\poimyConu aim Bores 04/2017 Signature of Notary Public j ,
Commission No.FF 8013 ' *�1
OFFICE COPY
LETTER OF AUTHORIZATION
To Obtain Sign Permits & Associated Electrical Permits
PURPOSE: All applications for sign permits must be submitted to the City of Atlantic
Beach for review and approval prior to permit issuance. Each application must include a
site plan and/or site sketch plan and all data necessary to show that the requirements of the
Sign Ordinance are met. The purpose of this form is to authorize an outside party to obtain
sign and electric permits on behalf of the property owner. By authorizing this letter, the
property owner acknowledges full understanding that complete ordinance compliance is
the responsibility of the property owner.
I
DATE: %- 2 2-c) I
To Whom It May Concern:
I, r-- 4A-AAL,---P41 '
, as the owner or agent of the property
listed as '6?-Lt P/5/4 r
4t „ geetei/i-ice_
3 2 i _3 . , Duval County, Florida do authorize
NOVALUX Signs, Inc., or their authorized agent, to obtain sign permits and/or
associated electrical permits for the above referenced property on my behalf.
� �L�
iLv71- ( L - $2/-/lam
wner or Agent Date
geYrj / . 030 €t 0yoa,
Telephone Number Email Address
r'
Sworn and subscribed to before me this ` day �/-/./ ,
2P :nd being personally kn. ? n to me as 4 'fl 4/ v k f '(_)1)
/ / yp i, Anna M Daly
lotarylow-
Public d�� My Commission EE 850790
orn Expires 01/25/2017
My commission expires: / Z-�/Z.1)/ for .
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Meets or exceeds all requirements
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