1672 Atlantic Bech Dr PLRS22-0063 Plumb Permit Of;''~q'9 • MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
"'°'- t ACRS22-0139
PERMIT ISSUED:4/29/2022
rdr CITY OF ATLANTIC BEACH EXPIRES: 10/26/2022
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.
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: I VALUE OF WORK:
MECHANICAL RESIDENTIAL HVAC ON ROOF FOR 2
360 EAST COAST DR BUILDING 2-A/C, 2 AHU, $19000.00
HVAC
3.5 TON EACH
TYPE OF REAL ESTATE, BUILDING USE'
ZONING: SUBDIVISION:
CONSTRUCTION:_ _ NUMBER: GROUP:
169810 0000 ATLANTIC BEACH
COMPANY: ADDRESS: I CITY: I STATE: ZIP:
CHARLIE'S TROPIC 750 MAYPORT ROAD ATLANTIC BEACH FL 32233
HEATING &AIR
OWNER: ADDRESS: CITY: I STATE: I ZIP:
BARROW JOHN M 82 MAGRO DR NORTH BABYLON NY 11703
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.
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 7 $56.00
FURNACES AND HEATING 455-0000-322-1000 84000 $28.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.09
Issued Date:4/29/2022 1 of 2
_ . . _ .
4r. echanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
f M
800 Seminole Rd, Atlantic Beach, FL 32233
''r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 1-Q- 2-6/3�
JOB ADDRESS: AGO 3‘2- ��S>/ Cepa 5/ '- PROJECT VALUE$ /7 00c.)
0 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION AR!#(REQUIRED)
0 Air Handling Equipment Only 0 Condenser Only 0 Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
11 REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION ARI#(REQUIRED) 26259€ c( 4/ 2$
0 Air Handling Equipment Only 0 Condenser Only , *Air Handling Unit& Condenser
Air Conditioning: Unit Quantity 2 Tons per Unit Z e(_v
Heat: Unit Quantity 2 BTU's Per Unit 5'2o? Seer Rating(REQUIRED) / V
Duct Systems: Total CFM /1/420
LJ 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 ElMISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
fALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
It Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
•OTHER: /.--CAC-,C-Ci -( OA r Ouv F`C 2 Ra& �6 0( L O(&D C
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
coconstruction or the performance of construction. G�
Owner Name: �J o An Oct-rroci./ Phone Number: /Uocf-'71 Cy- ..74(-2
Mechanical Company: Chc -/i 'c f /%o re... Office Phone: yO V-297-/N'eax
Co.Address: 75-0 �� ,12 c t c. City:4164e, . &A State:/--t- Zip: -7 Z 3.)
License Holder: ( hccr/•..t / / S State Certification/Registration# CI CO 5-2 3I
Notarized Signature of License Holder 1 L
The foregoing instrument was acknowledged before me this,' .-y of . ' -,I , 20 , in a State of Florida,
County of D.1.1-6,. I 1 (9/
Signature of Notary Public '
i4Fli4z� :Fli AMYO'GRADY [ Perstldu =d Identification
ai 'i :.: MY COMMISSION#HH0849g7 Type of Identification:onallyKownOR [ ]
•�,• o F` EXPIRES.March 1,225 Updated 10/9/18
••' Bonded Thru Notary Public linden/fittersPro
NOTICE OF COMMENCEMENT
State of rid V I .C1°4 Tax Folio No. f2 E ) Cc( 2_ V 0
County of P1A..VO. I
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: l 0—/6 2 J' /— —7 R' E y Sez `dam 1 v-
g22-(exPd.) ��3, JZ41 Ihif cz iraL) w y to-1
Address of property being improved: 1/2/74./k..4,41;r8Ar,D S-)e /446.04,-.13,-)e)PL 3 2-23 3
General description of improvements: 120L420wei ja>rtc�/v' .k›Lcel� (3j es/cL14/c 1��p; ov,,i 0r�,A f[z4
�0 �revl417 f4)rA1)5t� e)e/'r�U7,- J C.l4 C r hiv✓L/4(47 // tt��1 /r''c r
Owner:1•�lk l,axH1l ota R. ET 4)- Address: 1/i 7 � ail) G�At D d'te 3r -L,47L ai j P,2
Owner's interest in site of the improvement: Oam.erl/ 0 CLO T
Fee Simple Titleholder(if other than owner):
Name: •,
Contractor: 4 n15 dill 4c .�1 c e'e#4 /)7677 —
Address: 411Q 4-1/146iv 4 ' PtI tic ,✓d pc 1j�
Telephone No.: 1� 7S-6 3 Fax No: 9O L-..V rQ /A0 0
Surety(if any)
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
m o2 c i00
Address: o0zaa
Phone No: Fax No: z P o d F
Name of person within the State of Florida,other than himself,designateda� by owner upon whom notices or other documen! 8 S
be served:Name: gj vt! ii/y,S C'w 1 IaIPp o f N
fo
Address: Y247 N-� 1e: p).„4?,q,t3 Iltt. A.
Telephone No: C'ay 247'C Z/1 Fax No: ey64 20-616 T D
c- c
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as providedo
713.06(2)(b), Florida Statues. (Fill in at Owner's option) o a
Name:
c
o
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a differe
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
;, NraReyOTA Paulsen Before tf is ""'�, z �'Y` Date:
NOTARY PUBI:IG•. Before me M is� day of in the County of Duval,State
STATE OF FLORIDA Of Florida,has personally appeared
Comm#GG212743
Notary Public at Large,St Nola,County of Duval.
Expires 4/394012
My commission expirer•
• Personally Known: or
Produced Identification:
t.Sl'FL`I,
1r PLUMBING RESIDENTIAL PERMIT PERMIT NUMBER
Y r = = CITY OF ATLANTIC BEACH PLRS22-0063
ISSUED: 4/29/2022
800 SEMINOLE ROAD
44"*`'3'''`' ATLANTIC BEACH. FL 32233 EXPIRES: 10/26/2022
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.
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: 1 PERMIT TYPE: I DESCRIPTION: 1 VALUE OF WORK:
1672 ATLANTIC BEACH DR PLUMBING RESIDENTIAL PLUMBING FOR REMODEL 4
FXTU RES $3500.00
TYPE OF REAL ESTATE BUILDING USE •
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1725 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: I CITY: I STATE: 1 ZIP:
MIKE SANVILLE PLUMBING 5627 Verna Blvd. #3 JACKSONVILLE FL 32205
INC
OWNER: I ADDRESS: I CITY: I STATE: I' ZIP:.
CALDER M ATTHEW 1672 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
ALEXANDER
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.
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
PLUMBING BASE FEE 455-0000-322-1000 0 $55.00
PLUMBING FIXTURES 455-0000-322-1000 4 $28.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:4/29/2022 1 of 2
F Plumbing Permit Application **ALL INFORMATION
r�. HIGHLIGHTED IN
•F. City of Atlantic Beach Building Department GRAY IS REQUIRED.
'? = -1 800 Seminole Rd, Atlantic Beach, FL 32233 p LRSZ Z-ooX3
"'� Phone: (904) 24 -5826 E71
ail: Building-Dept@coab.us PERMIT#: 0 9\ CC..)(,({/(e7
,
JOB ADDRESS: _e,cid-2/2 PROJECT VALUE$ ' d
❑NEW OR REPLACEMENT INSTALLATION and/or ❑RE-PIPE
TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet ,11
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory / Water Heater
Other Fixtures Water Treating System
❑MISCELLANEOUS
❑ Sewer Replacement
❑ Back Flow Preventer
❑ Lawn Sprinkler System (number of sprinkler heads)
❑ Grease Interceptor(Trap) gallons (Requires 3 sets of plans)
❑ Well **SJRWD Well Completion Form.Completed form to be submitted to the Building Department for final inspection.**
❑ 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: (Ji /C��� Phone Number:
Plumbing Company: `I " /it U ' Imo; / e ice Phone: ' Fax
u Fax Tel —7�q-
Co.Address: CPQ �'(NC� fi r��1 City: T
State:r�i Zip: �oQ C�.�_
License Holder: G " ( L S at/ertification
;-gistration# Cao>i3Y�
Notarized Signature of License Holder ' - 0'
The foregoi 'nstrument as acknowledged before me this r'' 'tday of t , 20� the State of Florida,
County of (.UV'
Signature of Notary Public
Z..____- --
..5,..m.., TONI GINDLESPERGER rsonally Known OR [ ] Produced Identification
l _,� '':,; MY COMMISSION#GG 353178 -
i..A. EXPIRES:October 6,2023 Type of Identification:
i "'''f• F,F��;' Bonded Thru Notary Public Underwriters
Updated 10/17/18