535 Atlantic Boulevard fuel tanks permit `�f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL COMMERCIAL SEPARATE PLANS - HVAC
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MECH17-0001
Description: FUEL TANKS -ONE 30K, 2 15K, ONE 5K, PIPING, 7 DISPENSERS
Estimated Value: 288341
Issue Date: 10/23/2017
Expiration Date: 4/21/2018
PROPERTY ADDRESS:
Address: 535 ATLANTIC BLVD
RE Number: 170684 0000
PROPERTY OWNER:
Name: GATE PETROLEUM COMPANY
Address: 9540 SAN JOSE BLVD
JACKSONVILLE, FL 32257
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KC PETROLEUM INC.
Address: 533 17TH AVE 650 TALLEYRAND AVE
JACKSONVILLE BEACH, FL 32202
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.
s--4`if,� City of Atlantic Beach :beassigned
PPLICATION NUMBER
Building Department
T 800 Seminole Road (To by the Building Department.)
Atlantic Beach, Florida 32233-5445 _Phone(904)247-5826 • Fax(904)247-5845 �� l �( I U�,1
-V;; 9' E-mail: building-dept@coab.us Dauted: 3
City web-site: http://viww.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: � � ( —�-� 'IV� D
ment review required Yes No
Building
Applicant: K G) e Urn C (" Planning &Zoning
�(i�� �Qn �� Tree Administrator
Project: Public Works
u is i sties
U it Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
Florida Dept. of Environmental Protection of Permit Verified B Date
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: roved.
p ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING T�_T_k 5
PLANNING &ZONING �� 1
Reviewed by: -- Date:
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied.
❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date.-
FIRE
ate:FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
[]Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
.,751 UpCity of Atlantic Beach APPLICATION NUMBER
Building Department
800 Seminole Road (To be assigned by the Building Department.)
Atlantic Beach, Florida 32233-5445 er �1 r— 7
Phone(904)247-5826 - Fax(904)247-584 R 2017 �l �( I Iy�x,`
E-mail: building-dept@coab.us Date routed: 3
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: `-(C l cl. _ V D ment review required Yes No
Building
Applicant:
P� e A, C_ Planning &Zoning
�. Tree Administrator
�
Project: El t �� 5 Public Works
u is i sties
u Fc Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt
of Permit Verified B Date
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: [Approved. ❑Denied.
(Circle one.) ❑Not applicable
Comments:
BUILDING
PLANNING &ZONING '
Reviewed by: llll Date: l�
TREE ADMIN.
Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: QApproved as revised. @Denied.
❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road �n r ) H 1 I ` v
Atlantic Beach, Florida 32233-5445 SEP 1 2017 V—
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: E? /,3 IL /17
City web-site: http://www.coab.us _11
APPLICATION REVIEW AND TRACKING FORM
Property Address: S �(G(1'h C EIV d D ment review required Yes No
(} Building
Applicant: K� i���r�� eUrn �_ (`� Planning &Zoning
Tree Administrator
e ( �L1� Public Works
Project: E12
u is i sties
-P—UbTic Safety
Fire Services
Review fee $ � Dept Signature
y
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
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied. of applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by:` _ Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied. ❑Not applicable
4P LI WORKS Comments:
B C UTILITIES
PUBLIC SAFET Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. [—]Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845
.TOB ADDRESS: 535 DIVA PERMIT #
PROJECT VALUE$_ �-S$' , 3 ` , - ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
ALL OTHER GAS PIPING Elevators/Escalators
Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
JTHER: Fue ot•1 p1T_A ; yet d—lS hMer'S ( :l
ermit 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
its 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
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name Q e bb j'M Go Phone Number qDq gqy IVU
4echanical Company. `G V roleom -rV1L Office Phone k4�ZQU Fax S t-t
Lj
'o. Address: ( qp Ta W and Ade, City State 'r-L Zip �J ZZc�Z
icense Holder(Print): kh L, arm t,r
to Certification/Registration#ycc 2-�3(�
'otarized Signature o License Holder
ot',`n"r'P�ea,� LINDA A.EVANS efore me this y 20
r: ��: Notary Public-State of Florida da of
- Commission#FF 206123
; ignature of Not Public
4�FOFF���� My Comm.Expires Mar 10,2019 '
Bonded through National Notary Assn.
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RICK SCOTT,GOVERNOR
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
- t
PCC125688i
The POLLUTANT STORAGE SYSTEMS CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
4'0. .
Expiration date: AUG 31, 2018 ;,
CORMIER, KEVIN LAMAR " Q •�
K C PETROLEUM INCH
650 TALLEYRAND AVENI ;�
JACKSONVILLE 2202 ti
"::xiir.%«'..1•:. ":o�. v,.• `i''1''.. 'P,•'• .�?lc;!i's':c. 1
LZ
ISSUED: 07/13/2016 DISPLAYAS REQUIRED BY LAW SEO# L1607130001161
RICK SCOTT, GOVERNOR
KEN LAWSON, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INDUSTRY LICENSING BOARD
C13C1257753 �: e
The BUILDING CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2018
CORMIER, KEVIN LAMAR
K C PETROLEUM INC
650 TALLEYRAN D AVENIJ& X::
JACKSONVILLE •FLu32202
:.{ `.+.
.-�.j�,5. .•...,' r",:. ,fin` -r, 5 - ....j�F
ISSUED: 07/13/2016 DISPLAYAS REQUIRED BY LAW
SEQ# L1607130000622
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