490 LEVY RD SIGN 2017 AML CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SIGN - WALL
MUST CALL BY 4PM FOR NE71T DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 18-SIGN-2899
Description: Install sign oon building(not free standing)
Estimated Value: 3931
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 490 LEVY RD
RE Number: 171074 0000
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
*A notice of Commencement is only required for work exceeding an estimated value of
$2,500.For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
sr Atlantic Beach, Florida 32233-5445 l0 JET
'":'� `• Phone(904)247-5826 - Fax(904)247-5B45
Fy y E-mail: building-dept@coab.us Date routed: 1163 laol�
City web-site: hltp:/lwww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Li9oz-eVV 02pAquiTentreviewre aired Yes No
Applicant: M-.�V\n �"4 %c..�_ nin .&Z
I_ , "Treeministrator
Project: 'S ,ta� c` ry Oh ,.1.a.v)Ohno 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 B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Amy 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: 5" A44 ^c(-d
BUILDING J
Reviewed by: 14ono!f 4.o Date:
TREE ADMIN. Second Review: Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES V
PUBLIC SAFETY Reviewed by: meirr L Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
it
pss-vir City of Atlantic Beach APPLICATION NUMBER
rat •a Building Department (To be assigned by the Building Department.)
800 Seminole Road ` 1 c
Atlantic Beach, Florida 32233-5445 I tq�,yT6N—AOM
Phone(904)2475826 - rax(9D4)247-5845
�uri g E-mail: building-dept@wab.us Date routed: I eZo
Cityweb-site: http://wuiw.mab.us
APPLICATION REVIEW AND TRACKING FORM
y
Property Address: "7 9 O z&V V Q� De ent review re uired Yes o
Applicant: ?_ �+ Pe-j- 'c..G. Planning BZonm
t�
Tree A ministmtor
Project: Public Works
J J Public Utilities
Public Safety
Fire Services
Peview fee-$_ Dept Sgnature
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
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ELy pproved. ❑Denied.
(Circle one.) Comments: n to / i W1
PLA G 'V l/. Reviewed by: I r Date: y• It.17
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: j
I
Revised 05/14/00
J11W�y..�i
'. CITY OF ATLANTIC BEACH OFFICE COPY
1OWNER/ BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPU ERVISE MM QDNSTRUCHON YO RSEIF YOU MAY BUILD OR IMPROVE A ONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOURUSE AND OCCUPANCY. ITMAY NOT BE BUU.T FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE,TIM LAW WILL,PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE,WBICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO TIE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN"OCCUPATIONAL LICENSE"IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
663 /� . 5 ��� y�Jdgts-o f Btd - ���/
ADDRESS PHONE NUMBER PRINTNAME
SIG NRE L DAM
m
Before etbis day of Ek/L41 `61a 2D& Mmecountyot
Duval,State of Flodd.,has personalty appearetl hern by himself theme#and affirms that
d119IdtBlllenf5 eotl IIQC82tIOn88R1N2 anE 8CCp2fe.
Notary Public atlatge,Stateof FlAej� Countyof ODUA(
ppe env Neo'an :pi3 GRACE MlCI
L4G aucaa Mentif�:n- {�6�VU"� L�CQ.Iy� ar NYCOMMISSION#G.ba_ 9
'*'18: 14NeE P1FwN Ocbber�,N20
Bary PUNk Mtlerwnpn
Notary SlgnaWre:
FRLD[downu-6uilav eaariSRev155d:41 Ni[M
CITY OF ATLANTIC BEACH
�` 800 Seminole Road
Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
Date: Received by: Resubmitted:
Permit Numbe .
Original Plans Ex er. Project N e:
Project Address: J�t
Contractor: Contact Name: Wol5,ffr)
Contact Pho Contact e-mail: MOIIV92b%Ofi��* I"
Revision lzlam ecl Permit Fee (s)Due: $ 50.00
Description of Proposed Revision to Existing Permit:
l 11
O e
ZAzwpcn
Additional Increase in Building Value: Additional S.F. --t�g—
Site Plan Revised: Public W/U Approval:
By signing below.I quintname) OII�fitn affirm that the above revision
is inclusive of th propose c ges.
✓I �OD� i3- a61,7
Signature o o CIO l Agen ommcmr must sign if inemme in valu pion) Date
Office Use Only
me: 4->'19-19 Approved: /Iy/ /_1_. Rejected: Notified by:
Plan Review Comments:
ent review required Yes o
Building
nning &Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities [-I
Public Safely Date CrtnMNO/Id Revs
Fire Services
?S' ZONING REVIEW COMMENTS
J
r ��, C® P� City of Atlantic Beach
v Community Development Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
�J1t19? Phone: (904)247-5826 Fax: (904) 247-5845 Email: dreeves@coab.us
Date: 1/24/17
Permit: 17-SIGN-2899 Applicant: Mark Russo Creations
Review: 1" Address: 331 Jackson Rd,Jacksonville, FL 32225
Site Address: 490 Levy Rd Phone: Not Provided
RE#: 171074-0000 Email: Not Provided
M,o��k @ haPPti�ra� (s 4x4 ,
Correction Comments CO rn
1. Building Width: Section 17-23(a)(1)(a) requires no more than one square foot of signage per linear
foot of building face with a maximum of 200 square feet. Please provide the length of the building face
that faces Levy Road. If the building face is less than 38.75 feet then the size of the sign will have to be
reduced.
Derek W. Reeves
Planner
dreeves@coab.us
�v
t �t BUILDING PERMIT APPLICATION
>a
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office:: (``9//0//4))/247-5826 • Fax: (904)247-5845
GVf"
Job Address: LI/ D r Permit Number: 16-51611J —9,�M9
Legal Description 7 RE#
Valuation of Work(Replacement Cost)$ 1 / 1.170 Heated/Cooled SF Non-Heated/Cooled
• Class of Work(Circle one): New Alteration Repair Move Demo Pool Window/Door
• Use of existmg/proposed structures)(Circle one): Commercial Residential _
• If an existing structure,is afire 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: 9��
�'.7"t . S. I W.i,J.
Florida Product Approval# for multiple products use product approval form
Prooerty Owner Information
Name: �/, »� /'�a� Address: O G7 I)�dAf S
City a tw State io ala �O Phone 0
E-Ma'
OwnermAgent (IfAgent,Powerof Anomtyor 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 NOTIEE OF COMMENCEMENT.
Contractor Informaatiion:
Name of Company: Qualifying Agent:
Address: 771 City_ A State Zip
Office Phone � Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Worker's Compensation
xempt i nsum se Employees xptmuon ate
Applicotion is hereby made to obtoin o permit to do the work and installations os itdicated. !certify that no work or insmf/atlan M1as rommeneed
ynor to the issuance ofo permit and that a!1 work will be performed ro meet the smndords ofa!!laws regulating construction in this jurisdiction.
This permit becomes null and void if workv not commenced within siz(6 months. or ijconstruction or work is suspended ar abandoned(or a
period o((six(d months at any fime after work is rommenred. Iundersta�lha(sepam[e permits must be securedfor Efectrica/Work,Plumbing,
Signs,Ire&,Pools,Purnaces,Baileys,Heaters Tonks andAir CondYianerg etc
Signature of Property Own Signature of Contractor.
Before me
this�"`Day of a.r b Before me this Day of
NotaryPublic: /�.,. if/l.�fiflxrH Notary Public:
I her
cc afy that I have re _ w the same to be true and correct. All provisions of laws and
ordinances governing this ty, < - mi e r spectlied herein or not. The granting of a permit does not
presume to give authariy to + mccd/t n- he+:fedderal, slate, or local law regulating construction or the
P
erformance ofconstrucnon. E%PnEa:a1•Nr1r,alm
�a rn„ Rev.3/14/16
Mark Rusco Creations Inc. Proposal
Phone 904 237-2926
Billing Address 9/28/16
331 Jackson road Date
Jacksonville FI. 32225 loft
Page
Proposal Submitted To 1.a°ka, Happy Trails 4x4 d"°°bus"
Na. Happy Trails 4x4 '°°a""Ad°"" 490 Levy Road
S1fe0t 490 Levy Road c"'a'a' ed!ZpOreO Atlantic Beach FI. 32233
cr shteandaipcode Atlantic Beach Fl. 32233 HO—Phone 110
904 222-8358
•aronww Decrease Baker Amhiblf geaWw Bema.Addre"ane rmne iw.nmr
Wk. Fax
We hereby submit specifications and estimates for;
ITEM
NO. F DESCRIPTION AMOUNT
1 Fabricate one(l ) sand blasted HDU single sided sign
anel with wood grain background. 60"w x 93"t x 1 .5"
3931 .00
7
NOTE: I WHOLE SALE SIGNS FOR SEVERAL SIGN COMPANIES.
F ONE OF MY CUSTOMERS CONTACTS ME FOR A BID ON THIS SIGN
THE BID WILL BE PULLED, AND NOT HONORED.
NOTE: A SIGNED PROPOSAL AND A DEPOSIT OF
50% IS REQUIRED ON ALL JOBS PRIOR TO STARTING WORK.
_NEW CONSTRUCTION REMODEL—FABRICATE ONLY _SUPPLY B INSTALL _SALE =SPEC.ORDER
TERMS: PRICING SUBJECT TO ACTUAL FIELD MEASUREMENTS
NI material la guaranteed 1.be to apecilind. All work to be completed in it workmanlike manner
xoording to standard practices. Unless othereise specified,finished work does not include any special
edge treatment.Any alteration or deviation from specifications involving extra costs will be executed only
upon written orders,and will become an extra omega over and above the estimate.Builder or owner to Authorized Signature Date
supply and install thick.wonderta am or similar where deemed neca°sary.Builder or owner responsible
M protecting marble or granite dudes contraction.All agreements contingent upon strikes,accidents.or delays Thefireava h h�upare Noriree to on Vework�i�acZy eM
beyond our control. builder or owner to carry fife, storm and other necessary insurance. On work Y ecoep e0
requiring sandblasting stitch n Time will not be responsible for clean up
prices are good for acceptance for 10 days only.Deposit is non-refundable.Payments are due at
completion.A 10%OW chase will he assess al an pest due balances.If the salter is required to engage
Ma services nt e ce knedon agency or an R.Y.athe h tmheser agrees to reimbume the seller for any Ali
amount expended in order to collect the unpaid balance.
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DEC 2 9 2016 D
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ZONING REVIEW COMMENTS
City of Atlantic Beach
Community Development Department
800 Seminole Road Atlantic Beach, Florida 32233-5445
Phone: (904)247-5826 Fax: (904)247-5845 Email: dreeves@coab.us
Date: 1/24/17
G
Permit: 17-SIGN-2899 Applicant: Mark Rusdo Creations
Review: pt Address: 331 Jackson Rd,Jacksonville,FL 32225
Site Address: 490 Levy Rd Phone: INeERravided owl
REN: 171074-0000 Email: Not Provided 9o. 1 -237- 292(0
rase688 a M5 •cow
Correction Comments
1. Building Width: Section 17-23(a)(1)(a) requires no more than one square foot of signage per linear
foot of building face with a maximum of 200 square feet. Please provide the length of the building face
that faces Levy Road. If the building face is less than 38.75 feet then the size of the sign will have to be
reduced.
Derek W. Reeves
Planner
dreeves@coab.us
A44
_
�D U !CITY OF ATLANTIC BEACH
800 Seminole Road
G
APA '17 2017 Atlantic Beach,Florida 32233
Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS/TOO ?REVIEW COMMENT
Date: Received by:._/. J" j Resubmitted:
PermitN ber. 19—SZ4 N—d$`1q C� 1Ip
Original Plans Ex 'ner: Project Name:`( 10 4 Vy �Q �Sj Q(')
Project Address: �—
Contractor: Contact Name: S '
Contact Phone Contact e-mail: /4't
Revision/Plan Check/Permit Fee(s)Due: $-3�
Descri tion of Proposed Revision to Existing Permit:
{1 512
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I&at.) (,((7 all=that the above revision
is inclusive of th o ed c . rges.
Signature0 tniract# gent nhec[or must sip ifieomece m veWation) Datd
Office Use Only
Date: �/ Approved: Rejected: Notified by:
Plan Review Comments:
Buildin review required Yes No
!/
annin &Zonin
Tree Administrator Plans Examiner
Public Works
Public Utilities 7_s�617
Public Safety Date c�..uaaunc ar.a
Fire Services
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Mark Rusco Creations Ince Proposal
Phone 904237-2926 OFFICE COPY
j Billing Address pate 9128116
331 Jackson road
Jacksonville A. 32225 Page Ioft
Proposal Submitted To Happy Trails 4x4aed "
Name
Happy Trails 44 'cabbWA,lumse 490 Levy Road
Street 490 Levy Road arsenals anal ZIP Once Atlantic Beach FI. 32233
Atlantic Beach FI- 32233 Home Plane '(464) 222-8358
ielepMne fm0aela l Sudan/AabMC/pmlpner Name.Addres, Rpm munMr
Wk. Faz
We hereby submit specifications and estimates for;
INE DESCRIPTION AMOUNT
1 Fabricate one(l) sand blasted HDU single sided sign
— panel, with wood rain background. 60"w x 93"t x 1 .5"
thark Prire includes installation. and permitting 3931 .00
r
(VOTE: I WHOLE SALE SIGNS FOR SEVERAL SIGN COMPANIES.
F ONE OF MY CUSTOMERS CONTACTS ME FOR A BID ON THIS SIGN
THE BID WILL BE PULLED, AND NOT HONORED.
NOTE: A SIGNED PROPOSAL AND A DEPOSIT OF
50% IS REQUIRED ON ALL JOBS PRIOR TO STARTING WORK.
_NEW CONSTRUCTION REMODEL—FABRICATE ONLY _SUPPLY B INSTALL _SALE —A-SPEC.ORDER
TERMS: PRICING SUBJECT TO ACTUAL FIELD MEASUREMENTS
dl material is guaranteed to be as specified. All work to be completed In a workmanlike manner
ccording to standard practices.Unless othmwlse specified,finished work does not include any special
dge treatment.Any alteration or deviation from specifications involving extra caste will be executed only
pon written ordlem,and will became an extra charge over and above the estimate.Builder or owner to Authorized Igna ure Date
upply and install durok,wonderboard or similar whore deemed necessary.Builder or owner responsible
a protecting marble or granite during construction-All agreements cantingenl upon stokes,accidents or delays =tanllsrerawgl spedflce0ana aid con Me worlra°elisfeclory and
iwreby axepled.lou era eulhw¢e0 to do Ma Work dE Specified
eyontl our control.builder or owrrer to carry tire,storm and other necessary insurance. On work
rcuirmg sandblasting Stitch n Time will not be rasponsable for clean up
Irices am good for acceptance for 10 days only.Deposit Is non-refundable.Payments are due at
ompletion.A 10%Isle charge will W assessed on past due became.lithe sager is redulred to engage
is services of a collection agency,or an agomey,the purchaser agrees to raimbume the seller for any
mount expended in order to Riled the unpaid balance.
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