469 Atlantic Blvd #5 17-SIGN-3331 sign permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
SIGN - FREE STANDING
MUST CALL BY 4PM FOR NEXr DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 17-SIGN-3331
Description:
Estimated Value: 2200
Issue Date: 8/28/2017
Expiration Date: 2/24/2018
PROPERTY ADDRESS:
Address: 469 ATLANTIC BLVD UNIT 05
RE Number: 1706900000
PROPERTY OWNER:
Name: DIAMOND REAL ESTATE PROPERTIES
Address: 6517 LOU DRIVE S6517 LOU DRIVE SOUTH
JACKSONVILLE, FL 32216
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$7,500.
City of Atlantic Beach APPLICATION NUMBER
Building Department (ro be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 FaX(904)247-5845
E-mail: building-dept@mab.us Date muted:
Cityweb-she: hffp:/Aevwcoab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: 4(�29 A-TLPdo LVD itreviewre uired Ye No
Applicant: C, lanning &Zoning
Tree minis rel or
Project: Public Works
Public Utilities
Public Safety
Fire Services
'Rev ew fe
--e.$_ Dept.Signature
Other Agency Review or Permit Required Review or P'
of Permit Verified By Date
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johm;River Water Management Dishict
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Bevere
Other.
APPLII;ATiON STATUS
Reviewing Department First Review: EprApproved. ElDenied.
(Circle one.) Comments:
(9:�;>
PLANNING&ZONING Reviewed by: Date:923viz
TREEADMIN. Second Review: E]Approved as revised. 013enlVd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [—]Approved as revised. ODenied.
Comments:
Reviewed by: Date'.
Revised 06/14/09
BUILDING PERMIT APPLICATION OFFICE COPY
CITY OF ATLANTIC BEACH DATE
800 Seminole Road,Atlantic Beach FL 32233
Office:(904)247-5826 - Fax:(904)247-5845 1 -7
Job Address:. qj�q &T-)A. -kc- glyo- 46 Permit Number:
Legal Description
Valuation of Work(Replacement Cost) $-=42Wo0�7 Heated/Cooled SF�No,-Heated/Cooled
• Class of Work(Circle one): 11�3!i Addition Alteration Repair Move Demo Pool Window/Door
• Use Of exisfing/PrOPOsed structure(s) (Circle one): Residential
If an existing structure,is a fire sprinkler system installed?(Cirele one): Yes No QD
Submit a Tree Removal Permit Application if any times we to be removed or Affidavit of No Tree Removal
Describe in detail the type of work to be performed: awn'404 -(e-ffe-es 0,? AACO"At, xp(
Florida Product Approval# r multiple products use product approval race
Property Owner Information
Name: DAM",.A ReeCIL-tk Address: 651-7 La" OL
city ;fie State EL-Zip_XL�= Phone
E-Mail sxmlc,&L��a e--L,.05 .e--� _
OWnermAgent (IfAg.LP..ci-.fA�."OrAgmcyL�rP�uimd)
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 NOTIC`E OF COMMENCEMENT.
Contractor Information:
Name of Company: -.rdr---Qualil�iLng Agent:
Address: �A 14at City --1CLe4"~-He StateMp
Office Phone
-tlI�- �Job Site/Contact Number
State Certification/Registration# C5M"4:2Vr E-Mail tfc an 5!6* 6*m
Architect Name &Phone#
Engineer's Name &Phone
Worker's Compensation
F,Rempf / insurer / LeaseEmpioyces i xpeatum ate
listiltion
ne 01.
A. . ,
0
I hereby certify that I have read and examined this a 7c tionandknowthe same to be true auselcorrect Allprovisionso and
ordinances governly this thype a work "
presume to give out, orhy to v ther sqe�jied herein a not
performance ofconstraction. 0w., a 0 erje eral, state, r F 'c i or the
ISS N#FFG2e51
&'--1WISSIQK4FF924951 MY oa,
EXPIRES.00-Mer 6 2019 EXPIRE b
OFFICE COPY
LETTER OF AUTHORIZATION
AFFIDAVrr
TO Whom It May Concern,
This letter authorizes CNS SIGNS,INC. (or their Agents or Sub-Contrauctors)to act as
Agent to secure permits or variances required by local governing body,and to juarfmr
sign and/or awning installations,removals,Or maintenance at the property located at:
Signature of Owner/Autb6hzed
e sr"VT'K 15-�-
Printed Name of Owner/Audiori
NOTARY
State of Florida
Comfy of Duval
SWqm to=it subscribed before!me qs- day of 20 (7.
\L" (-4u - agz�� --
Signature Of No"-Suite of Florida
4M IM. Fle-A-S+�r
Print or Type Cordnissufued Narre of Notary Public
Personally grown:F I Or Produced Identification:[>0
Type of Identification Produced: (1,/RL- Comatissim Expires:
Nota�Pubru
State of NA
MI CmWm B#ris 1124=
ZONING REVIEW COMMENTS
City of Atlantic Beach
U Community Development Department
800 Seminole Road Atlantic Beach,Florida 32233-5445
-5826 Fax: (904) 247-5845 Email: dreevft@coab.us
Phone: (904)247
Date: 03/23/17
Permit: 17-SIGN-3331 Applicant: CNS Signs, Inc.
Review: lst Address: 263 Edgewood Avenue South,Jacksonville,FL 32254
Site Address: 469 Atlantic Blvd. #5 Phone: (904)425-3363
RE#: 170690-0000 Email: info@cmsign.com
Correction Comments
1. Tenant Frontage: Please provide the linear foot frontage of the tenant's unit. Note that sign square
footage is limited to one square foot per linear foot.
Derek W. Reeves
Planner
dreeves@coab.us
City of Atlantic Beach APPLICATION NUMBER
Building Department (Fo be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 1 -7-StGiQ - �3S I
Phone(904)247-5826 - Fax(904)247-5945
E-mail: building-dept@wab.us Date muted:
Cityweb-site: hftip:#�.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: .462q PicTuAQyt LV De artment review required Yes No
Applicant: t 15'—Planning&Zoning">
tam Tree Ad miriffstiator
Project: 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
Amy Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: E]Approved. RDenied.
(Circle one.) Cornments: .$:, 4A(�.4�rj
BUILDING
PLANNING &ZONING Reviewed by: e:
TREEADMIN. Second R vie pproved as revised. E]Denied.
PUBLIC WORKS Corm=
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed>00'0'.Z
Date: fl,00V
FIRE SERVICES Third Review: DApproved as revised. E]Denied.
Comments:
Reviewed by: Date:
Revised 0511CO9
LETTER OF AUTHORMATION
AFFIDAVIT
To Whom It May Concern,
This letter authorizes CNS SIGNS,INC.(or their Agents or Sub-Contractors)to act as
Agent to secure permits or variances required by local governing body,and to perform
sign and/or awning installations, removals,or maintenance at the property located at:
/za
Signature of Owner/Au*&ized Agent
�Gkt,�, e �C'V'CA�' lj'�-
Printed Name of Owner/Authorized Agent
NOTARY
State of Florida
Courny of Duval day of 20 (7.
SWqM to and subscribed before me V 1 -0
\Ujj-4A "U - aa_�
Signature of Notarik-State of Florida
�� K. FeCLS-�AW
Print or Type Combissioned Name of Notary Public
Personally Known: Or Produced Identification:P<l
Type of Idernification Produced:11�I/V)U Commi sionExpircc—L4q
K*K NO
Notay Pubro
litate of Polds
My Cm�slm Exp[res 1124=
Coxmdw k FF 951270
Mel I,
A"A
1.7m
1:(D,
u,
mom
Fill ,
N 21 2 jlii�
:V, it; 41.j Billy
1110 I'M
17
I M
38.
plijil
if
HIn
it
H iiIf
fill
21 T
c
9
six
r!l