102 Aquatic Dr 17-SIGN-3789 sign permit Cl 1 \ , 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: 17-SIGN-3789
Job Type: SIGN PERMIT
Description: temporary sign - two 4x8-ft panels
Estimated Value: $1,000.00
Issue Date: 4/19/2017
Expiration Date: 10/16/2017
PROPERTY ADDRESS:
Address: 102 AQUATIC DR
RE Number: None
PROPERTY OWNER:
Name: Tribridge Residential Construction
Address: 1575 Northside DR
GENERAL CONTRACTOR INFORMATION:
Name: Tribridge Residential Construction
, CGC1504471
Address: 1575 Northside DR
Phone: 904-219-9934
PERMIT INFORMATION:
FEES:
Sign Erection $65.00
I
Total Payments: $65.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BI II.1)ING CODES.
asiAiF- City of Atlantic Beach APPLICATION NUMBER
6s -• ' e Building Department (To be assigned by the Building Department.)
,)f800 Seminole Road
-9 GA
Atlantic Beach, Florida 32233-5445
Phone (904)247-5826 • Fax(904)247-5845l t o Lt 4
•A".., 3 �� E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 1D4 Avi.0 Department review required Yes No
Building
Applicant: { 61t t; Ci-e-Si(t ,-r1u\ Czas-\ Winning &Zonis
Tree dministrator
Project: -k,t)in eO( -t L\ S�G'r T a -" '- 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: Approved. ['Denied.
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: / v � Date: `,,1A`!/ ,
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
J,
. '`' ,' Building Permit Application
�
� : City of Atlantic Beach
- /;� 800 Seminole Road,Atlantic Beach, FL 32233
'''•9;07.:;3 Phone: (904) 247-5826 Fax: (904) 247-5845
Job Address: 102 Aquatic Dr. Atlantic Beach, FL 32233 Permit Number: 16-SAFT-1793
Legal Description 1.67 acre parcel at the corner of Aquatic Dr. and Atlantic Blvd. RE#
Valuation of Work(Replacement Cost)$1,000 Heated/Cooled SF N/A Non-Heated/Cooled N/A
• Class of Work(Circle one): New Addition Alteration Repair 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 be performed:
A temporary construction sign(2)4x8ft panels in the form of a"V"is being installed at the corner of Aquatic Dr.and Atlantic Blvd.Construction fencing will
be moved behind the sign(between bldg. 1 and the sign),and mulch will be installed outside of the construction fencing(between the fence and the
property line-encompassing the sign).The sign will be setback a minimum of 5ft from the eastern and southern property lines.
Florida Product Approval# N/A for multiple products use product approval form
Property Owner Information
Name: TBR Aquatic Owner, LLC Address: 1575 Northside Dr. Bldg. 100 Suite 200
City Atlanta State GA Zip 30318 Phone 404-367-6520
E-Mail DavidW@TBRS.com
Owner or Agent(If Agent, Power of Attorney or Agency Letter Required) Owner
Contractor Information
Name of Company: TriBridge Residential Construction Qualifying Agent: Michael McPhail
Address 1575 Northside Dr. Bldq. 100 Suite 200 City Atlanta State GA Zip 30318
Office Phone 404-367-6008 Job Site/Contact Number 904-219-9934
State Certification/Registration#GCG1504471 E-Mail JimM@TBRS.com
Architect Name&Phone# N/A
Engineer's Name& Phone# N/A
Workers Compensation Wells Fargo Insurance _
Exempt/Insurer/Lease Employees/Expiration Date
Application is hereby made to obtain a permit to do the work and installations as indicated. I 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 the laws regulationg
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING,SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,and AIR CONDITIONERS,etc.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
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.
'
(Signatur67:441'
o Ow+�ner or Agent including Contract (Signature of Contractor)
Signed and sworn to(or affirm-d)before me this(¢ day of Signed and sworn to or affirmed)before me this I day of
7�<I 1 t �i.. ..4 ' (4.--t--
0 f 7RI . ,4017 `.s A , c iii
CP ;.�,JIotarY) �� .cO i .',7..- 0o1 Jotary)
c � NOT,g9' 'sem: z.�c�i��• NOT :0f
—t' Ii—• in:q - -t k.
X]Personally Kno' ' \•:2 eUG X]Personally Kno�un�. LIC •'
Z.
( ]Produced Identi%ati�t7 .?0. 2020.E Q..� ( )Produced Identififticly; ?o, 2020,.•'QU'
Type of Identification:-i,,,O,V..y..G --.,.%-`•
U `•' Type of Identification:', U� N•�
///111111"N' i1/111l110°
I NI 80 310NM NI 031400 210 033f1008d38 38 01 ION SI ONV 'ONI 83)I0lIA VY A113NNO3 JO AI83d08d 3N1 SI ONNlV80 SIN1
AwN1u3'a8
1YIIN30IS3H 30012i81w1 09269'ON '3'd
NOJ 0321Vd3Nd SYIVf11N1 A83113 NLLS1 6 3
U -U o
N`dld 31IS lJ `HOV38 OI1Ndlld a (.ci 3 Ci = S
g W _ CO
CI co
S3WOHNMO1 OI1`dflOV ft 5w x m o°o r
io
4,u2
23
n
0 00
WV W C i
Cn i m e m
.d-_ 8 130 - y
5U •,:; e 12 i _,-------,7- 4 - - .- — gg :u of a0 y
Fn 2? `urn E >
k' n 7- S2 c c
66 0{ i rc of
roc ale 9#; �,'a IT`S^ L p ,
li
l6oT RpW) G1S� /` ��- �ev.M.io � I jsegia ' :�
l�ii j 6�lu��. 'OS cu. 11 '
' I' il t-. di : I ' -'
I la Gi icie�- Lkg,
t .iii:440
Q:
RRm 111111/31
17:1!
' i
. . s • :, - E \ I I' I mil :,.., - ILI
. c., _..............--4 -- •':gl°t a3,_, Illn•-*I z—
a
i-iitt' �1 ~ 4L ..,0.940 �� , C WI r
\._____,...-0-,
'' _ . `� Y A z7 'I b a
.1 pR!VEWA 11 S.- D1 •s �,� �f- ��IX
Sg r�r� — • M.LZ.IY.ON17 � �w of "fin li§gbu
Y�`7.71' v"w• 8 1 �R i'l8 — JSa
-p7^ n< n as,,, Ol M-Z0,44LN _ • ,�� I: I c
.00'I0l _ f
Js r►i Vis'I!
} 4 1128a . I i
.JC e' 11 11
51 N'gSn <d hi8 ~ e
IE 11
v, i b ie b1 li
) 1 is
ll
15 t
•
z
0
• J P.
J bl
0 VI $
" 0 a.