967 ATLANTIC BLVD TENT CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
19' INSPECTION PHONE LINE 247
TENT -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TENT1 8-0002
Description: category C temporary tent
Estimated Value: 3600
Issue Date: 3/14/2018
Expiration Date: 9/14/2018
PROPERTY ADDRESS:
Address: 967 ATLANTIC BLVD
RE Number: 1776020040
PROPERTY OWNER:
Name: CULHANE'S IRISH PUB, INC
Address: 967 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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 'T
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: -AAUAnA�L_ ellluj Department review required Yes No
-T--
uiIdin_g"-,,,
Applicant: LA, Lt -P_Lanning_!�/2oning
Tree Administrator
Project: tb_y',P0F&4�::J M=Ok Ck_AL��1 0 Public Works
Public Utilities
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: 04pmved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING & ZONING
Reviewed by: Date:
TREE ADMIN. Second Review: FlApproved as revised. F]Denied. F]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: DApproved as revised. [:]Denied. []Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
'�51 ki City of Atlantic Beach APPLICATION NUMBER
Ll
Building Department (To be assigned by the Building Department.)
800 Seminole Road -T
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
11 r �119 E-mail: building-dept@coab.us
,119 City web-site: http://vmw.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM
Property Address: I D6- ) -A-(Aa(y)�L_ 16�jjj �*%_J - Department review required Yes No
Applicant: 21anning &&oning
Tree Administrator
Project: tL0A9Qfa4-( Y=Ok Public Works
Public Utilities
(rFR7 Service�s
-----------
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: El�pproved. [:]Denied. [:]Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: 3 - 1-( -2-oty
TREE ADMIN. Second Review: nApproved as revised. F_11�enied. []Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by.- Date.-
FIRE SERVICES Third Review: []Approved as revised. []Denied. [:]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
Building Permit Application Updated 12/8/17
City of Atlantic Beach
800 Seminole Road,Atlantic Beach,FL 32233
Phone:(904)247-5826 Fax:(904)247-5845
Job Address: T_(C_ tm_y 0 _J:k <1 6 '1 -Permit Number:
Legal Description k-t-.T-S(� \/.L_-.t\(--E: -RE# tl_� 60Z- 00 4C
Valuation of Work(Replacement Cost)$ 5 6 00 Heated/Cooled SIF Non-Heated/Cooled 4-e)00 5F-
• Class of Work(Circle one):(i�w�dclition AlteratioCnepair-A4,ove Demo Pool Window/Door
Comm I
• Use of existi ng/p ro posed structure(s)(Circle one): Commercial Residential
• If an existing structure,is a fire sprinkler system installed?(Circle one): Yes (,Lo)N/A
• Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal t-41,/ir
Describe in detail the type of work to be performed:
t
Florida Product Approval# for multiple products use product approval form
Property Owner Information
Name* F-- Address: 1 7 6 1
City K,:�C_7��,A--r-t C_ C2 C-4 State lj�� Zip 3 7-2- 1 '�s Phone L4 I - 15-75- -
E-Mail C_,JL_tkk.4&b-A I " 0- �kvr-t,&&�,_ . Co-A
Owner or Agent(if Agent, Power of Attorney or Agency Letter Required) ir-A e--,Z-
Contractor Information
NameofCompany: Qualifying Agent: A-
Address -L 6?--1 �t LA,,A e--e- City State Zip
Office Phone 9 1 'L, C'-JA —Job Site/Contact Number
State Certification/Registration# E-Mail
Architect Name&Phone#
Engineer's Name&Phone#
Workers Compensation
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. NOTICE: In addition to the requirements of this
permit,there may be additional restrictions applicable to this property that may be found in the public records of this county,and
there may be additional permits required from other governmental entities such as water management districts,state agencies,or
federal agencies.
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
RECORDI G YOUR NOTICE COMMENCEMENT.
(Signature of OwnerW_Agenit) (Signature of Contractor)
(including contractor)
Signed and sworn to(or a irme e ore me this c� day of Signed and sworn to(or affirmed)before me this day of
- - - ---- 0k�L bl- C�\Pkk D k by
JENNIFER JOHNSTON
MY COMMISSION#GG 049084
EXPIRES:October 27,2020 (Sri na?tj"Notary) (Signature of Notary)
Swd.d Thru Notary Public Underwriters
-.y."—� [ ]Personally Known OR
roduced Identification [ ]Produced Identification
Type of Identificatiow rL D,I 1�1_1�S�ZIL-C46SL Type of Identification:
AFFIDAVIT FOR ELECTRICAL WORK IN OR AROUND A TENT
B --------------
(permit number)
To: City of Jacksonville, Building Inspection Division
214 N. Hogan Street,Second Floor
Jacksonville,FL 32202
From:
Before me the undersigned,personally appeared
(name of owner)
Who being first duly sworn deposes and says:
1. That the tent to be erected at 0 2- k
will not have any electric lighting or electric service. This includes electric
rmnnLnZ off of a generator.
2. If an electric service or generator is used for lighting or electric power it will
be installed in accordance with the National Electric Code.
3. All electric work will be performed by a licensed electrical contractor and
permitted through the Building Inspection Division.
'W--------wmz;==Z�
I understand that if any electric service is used that has not been permitted that I am subject
to the City of Jacksonville revoking my tent permit and ordering the premises immediately
vacated.
Signed:— KA(dqu Date:
Print Name: RA—1C_aC-tLJ_-- CLt'L_[+Ay"c-
Before me this—day of in the county of Duval,State of Florida,
has personally appeared
herein by himself/herself and affirms that all statements and declarations herein are true and
accurate.
Notary Public at Large,State of County of
Personally Known or Produced Identification
ID Type
U
4^__ A
Lfco
)O�e
DEPARTMENT OF PLANNING AND DEVELOPMENT
August 27,2010 Where Florida Begim.
Yif
MEMORANDUM
Bulletin G-06-10
(Revision of previous Bulletins G-16-99 and G-21-02)
TO: All Permit Applicants
FROM:Thomas H.Goldsbury,P.E.,C.B.O.
Chief,Building Inspection Division
RE: Tent Permit Processing
There are varying procedures depending on which of the three(3)categories your tent falls into:
• Cateaory A-Tents less than 800 square feet that are not used for cooking,fireworks,or storage or sales
of combustible material(see Bulletin G-07-01.). No Permit Required
• Catep-ory B — Tents over 800 square feet, not used for cooking, fireworks, or storage or sale of
combustible material,and not considered an assembly occupancy per the Florida Building Code(FBC).
• Cateeory C—Tents over 800 square feet and are to be considered an assembly occupancy per the FBC;
or any tent used for cooking,fireworks, or storage or sale of combustible material.
Below are the requirements for issuance of permits for tents for Categories B and C.
CATEGORY B
1. Site plan showing location of tent(two copies).
2. Completed Building permit application.
3. Affidavit for electrical work signed by owner. (Must be signed by proverty owneE, and
notarized).
4. Zoning's approval on Building permit application.
5. Fire Marshal's approval on Building Permit application.
6. Process application at Plan Review counter.
7. Pay Tax Collector for permit.
Details
I The applicant will need to complete a Building permit application obtained from the building counter on the
2 nd floor, 214 North Hogan Street, Jacksonville, Florida. On the application under !Yl)e of Improvements
use "Other", then print "tent" under BRIEF DESCRIPTION OF WORK, and put the start date and stop
date. The electrical affidavit statement states that you need an electrical permit for any ctrical lighting or
electrical service to the tent. The affidavit needs to be attached to the permit wh4
2. Verify the zoning designation of property. Zoning will only allow tents for outside act a CCG2
zoning designation. Please have both the address and RE#if possible.
00
P
214 N.Hogan Street,Room 273 Jacksonville,FL 32202 Phone:904.630.1100 Fax:904.255.8552 I www.coj.net
3. The applicant will then need to go to the Fire Marshal's Office, located next to the building counter for the
Fire Marshal's approval. They are open 7-4,Monday-Friday. The Fire Marshall will need the Certificate of
Flame Resistance for the tent in order to sign off on the permit.
4. Next to last stop is Building Permits counter to have the permit application processed and typed. Here you
will be given a transmittal,which you take to the Tax Collector's Office(located in the same building,same
floor,out by the escalator)and pay the$100.00 fee. The Tax Collector's Office will give you the permit.
5. The tent permit will be valid for a maximum of 30 days or within the lesser date range as noted on the
application. The process will need to be repeated for each renewal.
CATEGORY C (First four items same as Category B)
1. Site plan showing location of tent(two copies).
2. Completed Building permit application.
3. Affidavit for electrical work signed by owner. (Must be signed by property owner, and
notarized).
4. Zoning's approval on Building permit application.
If the tent is considered an assembly occupancy, the permit application and plans must be submitted
to the building counter for review, this will NOT be a walk-thru permit. The counter will generate a
plan review fee transmittal which must be paid prior to the plans being reviewed. The project will
follow the traditional plan review/permit issuance process as any typical building.
If the tent is not considered an assembly occupancy,continue the steps below.
5. Process the application at the Plan Review counter to obtain a permit number.
6. Proceed to Fire Marshal's office for approval on Building Permit application.
7. Complete processing application at Plan Review counter.
8. Pay Tax Collector for permit.
Details
I First four items same as Category B.
2. Proceed to one of the Plan Review counters to have permit information entered and receive a temporary
permit number.
3. The applicant will then need to go to the Fire Marshal's Office, located next to the building counter for
the Fire Marshal's approval. They are open 7-4, Monday-Friday. The Fire Marshall will need the
Certificate of Flame Resistance for the tent in order to sign off on the permit.
4. Return to the Plan Review counter to have any additional permit information added. Here you will be
given a transmittal, which you take to the Tax Collector's Office (located in the same building, same
floor,out by the escalator)and pay the permit fee. The Tax Collector's Office will give you the permit.
5. The tent permit will be valid for a maximum of 30 days or within the lesser date range as noted on the
application. The process will need to be repeated for each renewal.
0)lk