725 ATLANTIC BLVD UNIT 9 - MECH FIRE �� CITY OF ATLANTIC BEACH
,;::*:„ S2800 SEMINOLE ROAD
_ 5-) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FIRE SUPPRESSION SYSTEM
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHF-2526
Job Type: MECHANICAL FIRE PERMIT
Description: unit 9 CANTINA LOUIS
Estimated Value:
Issue Date: 10/26/2015
Expiration Date: 4/23/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD
RE Number: 171363-0000
PROPERTY OWNER:
Name: ATLANTIC PENMAN LLC
Address: 500 S 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: LIFE SAFETY DESIGNS INC
Address: 3038 LENOX AVE DARRYL ELKSNIS
Phone: - -
PERMIT INFORMATION:
FEES:
Trade Permit Base Fee $55.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $59.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 77IE FLORIDA
BUILDING CODES.
31.
Y¢
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
`Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: ( - 0*`Ctn`i\L f. (-) d q PERMIT#
PROJECT VALUE $ (,, S 30 Q`� 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 1 (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER:
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
us 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
at. The permit does not give authoriinto viol to the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name 'AN ltn°l `,0(A( Phone Number
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Holder(Print): b-ennP License r. State Certification/Registrationn �8 (oo 11
Totarized Signature of License Holder
Before me this ' day .. OCt �0
Signature of Notary Pub _ %VANE' Illir dir'"
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