363 Atlantic Blvd Unit 6 MECH23-0006 Island Donuts 2 outlets permitOWNER:ADDRESS:CITY:STATE:ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32606
COMPANY:ADDRESS:CITY:STATE:ZIP:
Elite Plumbing Contractors
LLC 54646 Wildlife Way Callahan FL 32011
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
169730 0000 ATLANTIC BEACH
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
363 ATLANTIC BLVD 06 MECHANICAL COMMERCIAL
SEPARATE PLANS HVAC
GAS PIPING - 2 OUTLETS (
FRYER & GRIDDLE) ISLAND
DONUTS
$2500.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
GAS PIPING OUTLETS 455-0000-322-1000 2 $10.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 1/25/2023
PERMIT NUMBER
MECH23-0006
ISSUED: 1/25/2023
EXPIRES: 7/24/2023
MECHANICAL COMMERCIAL
SEPARATE PLANS PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
TOTAL: $69.00
2 of 2Issued Date: 1/25/2023
PERMIT NUMBER
MECH23-0006
ISSUED: 1/25/2023
EXPIRES: 7/24/2023
MECHANICAL COMMERCIAL
SEPARATE PLANS PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
eclMechanical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email:Building-Dept@coab.us
*'ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT g:
JOB ADDRESS:PROJECT VALUE $
AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)a Air Handling Equipment OnlyAir Conditioning:Unit QuantityHeat:Unit QuantityDuct Systems:Total CFM
o Condenser Only
Tons per Unit
BTUs per Unit
o Air Handling Unit & Condenser
Seer Rating (REQUIRED)
ÜREPLACE MENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI # (REQUIRED)Air Handling Equipment Only
Air Conditioning: Unit Quantity
Heat:Unit Quantity
Duct Systems:Total CFM
o Condenser Only
Tons per Unit
BTU's Per Unit
O Air Handling unit & Condenser
Seer Rating (REQUIRED)
DFIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire HOSe Cabinets
Commercial Hoods
Fire Suppression Systems
CIF IRE pLACES
Prefabricated Fireplace (Qty)
Gas Piping Outlets
OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
Quantity
Quantity
Value
Quantity
Quantity
Quantity
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
(Requires 3 sets of plans)
CIMISCELLANEOUS:
Automobile Lifts
Boilers BTUs
Elevators/Escalators
Heat Exchanger
Pumps
Refrigerator Condenser BTUs
Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby
certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this
work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or
local law regulation construction or the performance of construction.
Owner Name:LLC
Mechanical Company:
Co. Address:
License Holder:SherÖ Ahdcrso
Notarized Signature oe«EBldd
Phone Number: 017
Office Phone: Fax
City: State: C l Zip: 32-01 J
State Certification/Registration # CCC-I q
The foregoin me this Æday of JO'IUO 20 in the State of Florida,County of y omm. Expisghatu& of Notary PubliJuly 08, 2023
No. GG 341 Gally Known OR [ J Produced Identification
B dentification:
Updated 10/9/18
MECH23-0006