363 ATLANTIC BLVD 6 MECH23-0001 ISLAND DONUTS �s"'" MECHANICAL COMMERCIAL PERMIT NUMBER
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SEPARATE PLANS PERMIT MECH23-0001
� �" ISSUED: 1/6/2023
,:�,;i„r CITY OF ATLANTIC BEACH EXPIRES: 7/5/2023
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
jthat 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:
363 ATLANTIC BLVD 06 MECHANICAL COMMERCIAL COMMERCIAL HOOD $5000.00
SEPARATE PLANS HVAC
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169730 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
Southern Technologies of 270 US Highway 90 East Baldwin Fl 32234
Jacksonville
OWNER: ADDRESS: CITY: STATE: ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32606
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
COMMERCIAL HOOD INSTALLATION 455-0000-322-1000 0 $30.00
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
TOTAL:$89.00
Issued Date: 1/6/2023 1 of 2
Mechanical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
�' Cityof Atlantic Beach BuildingDepartment GRAY IS REQUIRED.
(r: p
�' ) 800 Seminole Rd, Atlantic Beach, FL 32233 N C b-1 2 ` 000
"'-f' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: 2Wh1 1 aV '0033--
JOB
0D3TJOB ADDRESS: J&3 4�L,4Nr?G FGI/Q. I PROJECT VALUE $ 6000
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only `i Condenser Only LI Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
n REPLACEMENT 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 BTU's Per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
El 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 I (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
pi FIRE PLACES n MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL 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: Sl Cl(\ d '.--> c__,,,,,L----- Phone Number:
Mechanical Company: sco1'777 V, /f4) 0 /rr Office Phone: 70V'�0/`o,./ep ax9�5�� •a2/7,
Co. Address:,.?7<9 U ,e-vi' � 92 & City: ,232/9 /// State:n. Zip: (72.0"2-1,
License Holder: ;4 2 4 X,/ State Certification/Registration# Ci4C0c 75/x"
j Notarized Signature of License Holder /11.0!,---- Aryt;,-..
' The foregoing was as acknowledged bef.a me this (�day , ��C:` 202 the State of Florida,
County of `�V`S
Signature of Notary Public - c-
,'i•.a; r•"�kc: TONI GINDLESPERGER [ I Personally Known OR [ ] Produced Identification
tl .: 4, :, MY COMMISSION#GG 353178 Type of Identification: ],L___.
EXPIRES:October 6,2023 Updated 10/9/18
L °F";°P.. Bonded Thru Notary Public Underwriters