1500 Mayport Rd SIGN18-0009 Hardee's 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 NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: SIGN18-0009
Des,,iption: install illuminated sign on existing pole foundation
Estimated Value: 2550
Issue Date: 5/30/2018
Expiration Date: 11/26/2018
PROPERTY ADDRESS:
Address: 1500 MAYPORT RD
RE Number: 1720530030
PROPERTY OWNER:
Name: Star Realco LLC
Address: 17633 GUNN HWY#123
Odessa, FL 33556
GENERAL CONTRACTOR INFORMATION:
Name'
Address:
Phone:
Name: TAYLOR SIGN & DESIGN, INC.
Address. 4162 ST AUGUSTINE RD 4162 STAUGUSTINE ROAD
JACKSONVILLE, FIL 32207
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,them 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 govennutental 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[)apartment.)
800 Seminole Road S
Atlantic Beach,Florida 32233-5445 —16�10�0
Phone(904)247-5826 Fax(904)247-5845
E-mail: building-dept@wab.us Date muted:
City web-site: hftp:/Avww.wab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I.SVO M:CL4 p014 i ment review required Ye No
41—ing,ff
Applicant: 4-U'S�qio 4'TP
Public Works
Project: V) S�_Qkk kli`llX(n1AaJW Public Utilities
Pat --T;,bl,,—Safety
Fire Services
Rqj1qWbpe $__ -,Jlll&Pept,Signature--��
Other Agency Review 0 Permit Required Review or a Date
of Permit VerifZ11M
L
Florida Dept.of Envaonmental Protechon
Florida Dept.of Transportation
ohns River Water ManagemantDIstnet
_�._ y Corps—ofE.gn-.
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
t er:
APPL�QATION STATUS
Reviewing Department First Review: [dApproved. [-]Denied. ONot applicable
(Cincle one.) Comments:
PLANNING &ZONING Reviewed by: Date:
TREEADMIN. Second Review: []Approved as revised. E]Daried. E]Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:—
FIRE SERVICES Third Review: []Approved as revised. oDenied. E]Not applicable
Comments:
Reviewed by: Date:—
Revised 0611912017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road �QDC7
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826- Fax(904)247-5845 '711
E-mail: building-dept@coab.us Date muted:
Citywet-site: httipX�.coalb.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Do entreviewrequi d Y-es-TNO]
i ing ')
Applicant: -ii-wk
Project: � os-�-Qtk kllIun, na d :�kvi on Public Works
Public Utilities
POLL Public Safety
Fire Services
Review fee $_Dept Signature
Other Agency Review or Permit Required Review or eceip' Date
of Permit verified By
Florida Dept.of Environmental Protection
Worida Dept.of Transportation
St.Johns River Water Management District
Amy Corps of Engineers
Division of Hotels and Restaurants
ivision of Alcoholic Beverages and Tobacco
Other:
-be a
Data m
4
APPLICATION STATUS
Reviewing Department First Review: pproved. E]Denled. E]Not applicable
(Circle one.) Comments: ep,
BUILDING
Reviewed by: —Date:5--li-Is
TREEADMIN. Second Review: ElApproved as revised. E]Denied. ONot applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: E]Approved as revised. ElDenied. E]Notapplicable
Comments:
Reviewed by: Date:—
Revised 0511912017
Building Permit Application MAY - 8 2018
CRY of Atlantic Beach
FFICE COemYs.minole Road,Atlantic Beach,FL32233 -----------
Phone:(904)247-SS26 Fax:(904)247-5845
_j
Job Address:1500 MAkipola VA. Permit Number:
Legal Descriptionli-u-zlii�-1146 PI-bollfr Lof I 9SLOKU"REII 1-1
Valuation ofWark(Replacement Cost)$ 2� t6�.5V.QQ Heated/Cooled SF-Non-Heated/Cooled-
• Class of Work(Circle one): New Adclitiond�;��Repair Move Demo Pool Window/Door
• Use of existing/proposed structure(s)(Circle one): Residential
• If an existing stnucture,is afire sprinkler System installed?(Circle one); Yes Nc�N'A)
• Submit a Tree Removal Permit Application if any trees are to be removed or Affid. 'to No Tree Removal
Describe in detsill the typ f rk Vto Wo
OW&III'vW14 0y)
OAi4 -?I ot t;V-rHAr 61414 V19i OPPI
L44 1, �.'" 4
Flo�,ra Product Approval# for multiple products use product approval for.
Prooertv Curtner
Nzm6 MA 0 U16 Addreg
City I -T
star. fl`� ZIP fa -6b -0
ail
ier ormt(if Agent,Power of Attorney or Agen y Letter Required)
Contractor Info mat
Name fq a lhi, hillivii!Wrlab 111(e Ctualify,ng Agent: -TA 10 V,
r 0 4 a 'A
Addre If -Star Zip -I
jj"'� - b �t .4 -
Office Phone 41PIII-3010- �jVgk Job Site/Contact N at- I
State Certification/Registration If EZI'1_QI)VrI C QrQV1
jj��
Architect Name&Phone# y
Engineer's Name&Phon7i
Workers Compensation 11, pliwUrd
- - Exeropt/insurer/wase Employees/EardrationDate
Application is hereby made to obtain a permit to do the work and installations as indicated.I cartify 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 regular long
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 AFFIDAVIM I cartify 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
RECORDINGVR.OT!F`6F( MM EMENT.
J$i,n. fO r., including onor I) (SignaturmCo4ractorl
nd rn to(ct I befo a a is Or to or affir befo e me tills 1:�day of
Signed a _Lla_day of �ndL-
2me .0 Cie =bMaq 7awlil,
�(*Z'u_ QM4Q1 0 �QW6�
�lure of NOW �DignaWre of iytiuv)
�'W 0 Pion" Crystal Johanson
jw'.j'w *NOTARYPUBLIC
M Personally Kno I I Personally Kn TATE OF FLORIDA
n OR, C
I
I ]Produced Iden I tior� I ]Produced =n omn*GG093696
Typeof identification Type of Identiffic, xPInas 4112/2021
OFFICE COPY
TAYLSIG-01 H R
DATE arm �)
CERTIFICATE OF LIABILITY INSURANCE 1113OF17
THI
1SUE1 AS A IR IF FORMATION ONLY AND CONFERS NO RIGHTS UPON ME CERTIFICATE HOLDER.THIS
I "ATE " I I By E POLICIES
"RTF T AFFIRMATNELY OR NEGAITVELY AMEND, EXTEND OR ALTER ME COVERAGE AFFORDED BYTHEPOLICIES
CERMIFICAI E DOES N ER(S)'AUMORUDEG
ML.
T 11. CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUMORURED
REPRESENTATIVE OR PRODUCER,AND Me CERTIFICATE HOLDER.
IMPORTANT: if the Emiticatep hoWe,Is an ADDITIONAL INSURED,the Wicy(ks)must IMPHS ADDITIONAL INSURED provisions or be endorsed.
State
SUBROGATION IS WANED, subject to the terms and conditions of the policy,"Min Policies Main,mWIve an and�eft A ment on
this Certificate does not confier rights to Sea ceeffficalaI holder in lieu of such mallorsament(S).
TA
PRODUCER License 0 OES77N ME
Insurancs Office&America,Inc. PHONE
"...W:(904 44"777 W,�,-(904)448-9788
1 Slaincen Parloway
Suite 130 65
Jacksomille,FL=16 IN 9 AINFORDIVINGOOVERAGE HAD,
INSURER A Weriffield Insurarax,ComPany 24112
..no mulem. Bridgelleld Employers Insurgaim Corn2any 10701
Taylor Sign&Design Inc
4162 St.Augustine Rd NSURFIR D —
J..kLWViIIE,FL 32207 INSUMERE:
INSUMERI
C VERAGE CERTIFICATE NUMBER-
THIS IS TO CERTIFY TI-IAT THE POLICIES OF INSURANCE LISTED BELOVY HAVE BEEN ISSUEDTOME INSUREDNAINUEDABOVE FOR"HEPOL C11PH
INDICATED. NOTVVITHSTANEMN. ANY 1EIUMBIEN'r, TERNI OR CONDITIM OF ANY CONPIR&CTOROTFIERODOUINSINT"THFIESFETTO N THIS
CERTIFICATE MAy' BE ISSUED OR WY PEMAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUILIECTTON-L'I'METERMS,
EXCLUESIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHO'hN MY HAVE MEN WORDED BY PAID CI-AdMS.
HER AWL WIN POLICY EFF POLICY EUP
WPE OF UNSUMNCE POLICY NUMBER LIM"
A X EACH OCC 1,000,000
rx]OCCUR rmwaw ONIW2017 ON1012018 INUMADE TO 130,000
LED ID0, 1,000
PERSONAL&AW INDURY 1,000,000
QENaAGEUR Her V`P,IES PER GENERALAGGIREGATE 2,000,000
2'0w'0N
PR& PRODUCTS-COLIMP A
IE
OTHER COMBINED SINGUE UMUT 1.000.000
A �l.UASULrT
03f,W,ly 031"1 Ole
X T:�174202 70YI�17 OXIW2016 accomPuDaw Per
OVMNED SCHEDULED BOWLY PLU" Ps Modar
AUTOS ONLY AUDOS fLO,�WMUDGE
X RM UNIX X MKi?
x COUP-$1= X COLL41,000
X OCCUR 000,0
A X UMERELLA.. EACH�URFNENCIE
EXCESSLIMUS M5114202 031IM2011 03MINIS 1,000,000
DED X
B PHONE"COPPERSMITH)
AND EMPLOYERS UAIN YIN 930�M 0811112017 DBFII12018 UL-EACH ACCIDENT
.1 PROPPI
8f. ETOFUF�NTNE E FIE —1 MIA
=F=g�q'M'U F ? Fy
�Wl MID
DEWREPTON OF OPERAPONS I LOCATIONS I VEHICLES 0WHO 101.asrsea,as�r��W., M athchwi IF morP qwas 1.MMwIFNS
CERTIFICATE HOLDER CANC I-LATION
SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELILED BEFORE
THE EXPINATION DAM THEREOF, NOTICE MLL BE DELPFERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTMORGEED FIRREWITATIVE
City of Atlantic Beach
NO Seminole Read
Atlardi,B...h,EL
ACCIRD 25(2016103) 0 19N-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
LETTER OF AUTHORIZATION OFFICE COPY
Affidavit
To Whom It May Concern:
This letter authorizes Taylor Sign & Design,Inc.(or their Agents or Subcontractors)to act as
Agent, to secure permits or variances required by the local governing body, and to perforin sign
or a�ing installations,removals,or maintenance at the property located at:
Property Address: 1500 MaYPOrt Road,Jacksonville, FL 32233
Company Name: Star Reaico, LLC Phone Number: 813-918-3355
Name: John Kemp -Title: President
Address: I rl nCircle, ampa, FL33626
S, OWNERIAGENT
STATE OF Florida
COUNTY OF Hillsborough
Sworn to and subscribed before me this 18 day of April 2018
Sigd;tWof Notary State of Florida
Timothy W.Johnson
Print or Type Commissioned Name of Notary Public
Personally Known(X) OR Produced Identification ( )
Type of Identification Produced: Commission Expires 3-21-2022
(Notary Stamp or Seal Required)
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17-EOI-20
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1 of 3
10815 RANCHO BERNARDO RD..SUITE 260
SULLAWAY SAN DIEGO,CA 92198
PROJECTMANAGER@SULLAWAYENG.COM
A ENGINEERING PHONE:1.058-312-5150 FAX:I.BWT77-3534
PROJECT: HARDEES,1500 MAYPORT RD,ATLANTIC BEACH.FL DATE: 513118
PROJECT#. 17916 ENGINEER: MF
CLIENT: DESIGN TEAM SIGN COMPANY LAST REVISED:
j2,_jT3
6
-S. 3-3?6.
4
... RD.HSS
(E)12"X12")0"
SO.HSS
(E)FTG.
BY OTHERS
C OMMUNITY DEVELOPME
APPROVED
-0--o
ELEVATION MAY 0 4 2018
GENERAL NOTES
t DESIGN CODE:IBC 2015,FBCB 2011(6TH ED.) 7 267
2, DESIGN LOADS:ASCE 7-10
WIND VELOCITY 130 MPH EXPOSURE C
3
4, SOIRECT.HSS STEEL ASTM A5DO GR.B,Fy=46 KSI MIN.
:4u
5. ROUND HSS STEEL ASTM A500 GR.B,Fy=42 KSI MIK STAT
6. PROVIDE PROTECTION AGAINST DISSIMILAR METALS
7. LATERAL SOIL BEARING PER IBC CLASS 4(150 PSF/FT) ... ..... ..
B. EXISTING CONDITIONS MUST BE VERIFIED IN FIELD
9. GENERAL CONTRACTOR SHALL VERIFY THAT ALL EXISTING CONDITIONS ARE #08 fill sit
ADEQUATELY SUPPORTED AND CONNECTED BEFORE INSTALLATION
2 of 3
10815 RANCHO BERNARDO RD.,SUITE 260
SULLAWAY SAN DIEGO,CA 92198
PROJECTMANAGER@SULLAWAYENG.COM
ENGINEERING PHONE:1-85B-312-5150 FAX:1-858-777-3534
PROJECT: HARDEFS,1500 MAYPORT RD,ATLANTIC BEACH,R. DATE 5IT18
PROJECTM 17916 ENGINEER: MF
CLIENT: DESiGN TEAM SIGN COMPANY LAST REVISED:
Dl y.CAP
2
PLATE
Y2"MIN 3116
4 AT 9d-45'
2" FROM
SIGN FACE
RING PLATE
-t"THICK
BASE--
"t"THICK D2
1 TYPIC LUMN SPLICE DETAIL
I �NOTES:
1.THIS DETAIL MAY BE USED FOR PIPE
AND SQUARE TUBE SECTIONS.
2.L=1.5xDI OR 12".WHICHEVER IS LARGEST
THICKNESS(t)
FOR D1 THRU 16"DIA.,USE I=1/2'PL.
FOR 16'DIA.-Dl -30-DIA.,USE I=3/4'PL.
FOR Dl ,30"DIA.,USE I=1"PL.
3 c1`3
44 10 SUL LAWAY 10815 Raircho M�o M,SD,CA 92127
ww�hhshafik.@sullur.�.
�ib 0 ENGINEERING Phone,858-312-5150 Fas, 858.r7-3534
PROJECT: FIARDEE'S DATE: 5/3118
PROJ. NO.: 17916 ENGINEER: MF
CLIENT: DESIGN TEAM SIGN COMPANY
.1 ourds,�G; IBC 2015 uruls;pounds,feet unless noted othersase
Applied Wind Loads; from ASCE 7-10
F=q,*G*C,*A, with q,=0.00256K,,KaKdV (29.3.2&29.4)
Cp 1.424 (Fig.29.4-1) masc height= 8.0
Kd= 1.0 (26.8.2)(,io unless unusual lanoscalse)
Ki= from table 28.3-1 Exposure= c
K,= 0.85 for signs(table 26.6-1)
V= 130 mph
G= 0.85 (26.9) might= 0358 kips
,lh= 1.000 VrLm 0.0 k-ft
Bls= 1.51
Pole struduie height at pressure Wind
Loads component section c.g. K. qz*G*Cf Af shear moment Aw
1 1 0.85 31.3 37.05 16.5 624 624
2 2,54166667 0.85 31.3 37A5 8a 338 860
3 5p2083333 0.85 31,3 37.85 46.9 1774 Bog
4 T47916667 0.85 31,3 37.85 3.5 131 978
sums 75.8 28M 11.37 ft) k-ft arm= 4.0
forsibml,add 10%hisce fig.29.�1): x 1.10 12.51
P�= 0.91 kip V= 12.51 k-ft 10=10�-M.
M,12MuL+IoMyr= 12.51 k-ft
Pole Design section; pipe
M.1+M, with M,=fZ f,= 42 dii 0.9
H M.fik-ft) Z req'd.(in) Sure(in) t(in) Z USE
at grade 12.51 3.97 4 0.237 4.1 (E)1r'X12"X114"$0. HISS,+Mn=126k-ft
splim at 2 ft 6.3 2.0 3 0.216 2+2 4.V'X1/8"Rl). HSS.,#Mn=7.02k-ft