501 Atlantic Blvd, Beach Diner MCAC21-0040 HVAC MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
MCAC21-0040
DETAILS LS PER BUILDING PLANS ISSUED: 10/19/2021
PERMIT EXPIRES: 4/17/2022
MUST CALL INSPECTI• 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.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
MECHANICAL COMMERCIAL
501 ATLANTIC BLVD HVAC DETAILS PER BUILDING Beach Diner, HVAC: 5 Tons $4960.00
PLANS 60K BTUs
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170678 0000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
KNAUSS SUPERIOR 1015 ATLANTIC BLVD APT 84 ATLANTIC BEACH FL 32233
SERVICE, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
GATE PETROLEUM
COMPANY 9540 SA NJOSE BLVD JACKSONVILLE FL 32257
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
AC AND REFRIGERATION 455-0000-322-1000 5 $40.00
FURNACES AND HEATING 455-0000-322-1000 60000 $28.00
MECHANICAL BASE FEE 45S-0000-322-1000 0 $55.00
Issued Date: 10/19/2021 1 of 2
i
iIAP.i MECHANICAL COMMERCIAL HVAC PERMIT NUMBER
rSss
, MCAC21-0040
�� -4) DETAILS PER BUILDING PLANS ISSUED: 10/19/2021
,m„/ PERMIT EXPIRES:4/17/2022
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$127.00
Issued Date:10/19/2021 2 of 2
TION
O
INFRMA
Mechanical Permit Application HIGHLIGHTED**ALLLL INFORMATION
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 n
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: GCA C2I0040
JOB ADDRESS: co I 14-f-t,. ,.l-- i r 7, w b PROJECT VALUE $ 6r.),22-
A_-1-4.,(.,4-T-1
.
AT4.,n,J iL V,-P-(1-1-. ft-. 3vL33
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED) "t;tb Ur>A03b3
❑ Air Handling Equipment Only ❑ Condenser Only ,Air Handling Unit& Condenser
Air Conditioning: Unit Quantity i Tons per Unit 5
Heat: Unit Quantity I BTU's Per Unit ( to,or Seer Rating (REQUIRED) 14.
Duct Systems: Total CFM
1 I 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)
I )FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
BALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters 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: ah-it. a Pry rL"Ej Phone Number: (9a4) t u, S -,),,:
Mechanical Company: t[a en,) S S%)1,CZ +Op t itC-4Office Phone: go vat 4812_, Fax
Co. Address: il1t.5 e"rt— ,..1 Ti t 3l,_N)c- 1r"PA City: Jai!tisl-!tr t„ NO-I State: - L., Zip: 3 1.1_1;3
License Holder: 1 - --)„_, ,mac r-, --f K 4 f' SS or State Certification/Registration# C ( L v<8.`72,.5
Notarized Signature of License Holderel
The foregoing ins�tCument was acknowledged before e this )oi day of OCTOBER, 20 2-1, in State of Florida,
County of D t/VA L �C�J/
Signature of Notary Public (/
( [ ] Personally Known OR [ Produced Identification
••�•!�i;: CHRISTIAN GILES h
:41, MYCOMMISSION#HH117153 Type of Identification: FL. v L -
Updated 10/9/18
'•::=;;_—:47,W EXPIRGS:Ap�ri+l 1.3-,2025 Type
'•Oµ° BondedThru Nolan/Pubes Underwriters