Permit 1635 W Park Ter CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000314 Date 3/22/10
Property Address . . . . . . 163S W PARK TER
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9200
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Application desc
1 cu 1 ahu (replacement)
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Owner Contractor
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SHELDON, DONALD C. OCEAN STATE HEAT & AIR, INC.
1635 PARK TERRACE WEST 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
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Permit . . . . . . MECHANICAL-HVAC-PERMIT----------------------------
Additional desc . .
Permit Fee . . . . 107 . 00 Plan Check Fee
Issue Date . 00
Expiration Date 9/18/10 Valuation . . . . 0
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 107 . 00 107 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 107 . 00 107 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BFAcH L �cuj
800 Seminole Rd Atlantic Beach, FL 322133
Ph (904)247-5926 Fax (904) 247-5945
JoB ADDRiEss: Z/O-�S- &-,L PERmrr#
PROJECT VALUE S 2oo- oo
NTW 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 REQULPED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
1ARI# _,kq Sr:Zq,3
.Air Conditioning: Unit Quantity TonsPerUnit L/-TK)vk REOULkED
Heat: Unit Quantity BTUs Per Unit Z Kza Seer RatiiTg I
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)
Commf-.rcisl Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIREPLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
4 Water Heaters Solar Collection Systems
Tanks (gallons)
W
e
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 cerffy that I h=
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.
Property Owners Name grvc,�, 4A Phone Number 2-q ko -02-06,
Mechanical Company Office Phone Z Y6-2as-t Fax 2-V�--;�5YF
Co. Address: tY7(-, city State Fz- Zip 32-z&(.
License Holder (Print): 6--k, 17 eC cation/Registration#r_,4ccgcl,?Ic,)
Nota#jzod- sNPIder
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0312212010 07:52 FAX 9042498949 OCEAN STATE
-A/C ATLANTIC-BEACH la 00 1/001
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC ]BEACH 5L
800 Semin0le IW Atlantic Beach,FL 3223-3
Ph (904)247-5926 Fax(904),247-5845
i JoB ADDREss: -44." 4
PROJECT VALUE S zw. no
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: unit Quantity Tons Per Unit
Hw: Unit Quantity— BTU's Per Unit Seer RAUng_
DucT Systems: Total CFM REQZMtjX_
REPLACEMENT AIR CoNDITiONING &HEATING SYSTEM INSTALLATION
A)U
Air Conditioning: Unit Quantity—_L Tons Per Unit Y-Too #,-W�Ej
Hear Unit Quantity BTU's Per Unit 'y ' "I
Duct Systms: Total CFM a 940 Seer Rating_ 1(0
P.EQV7RZD
FM PREVETNMON
Fire Spdnklar System QuaUlity (Requires 3 sob of p 6)
Fire Standgpi e Quantity (Requires 3 sets of
Undergro Fire Main value (Requires 3 sets of plans)
Fire Hose Cabinets Quanttty (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Syst=.s Quantity (Requires 3 sgu of plans)
VMPLACES MISCELLANEOUS:
Prefibricated Fireplace Qty_ Automobile Lifts
On Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTEMR GAS PIPING HeatExchauger
Quantity of Outlets Pu�nps
4 Vented Wall Furnaces Retrigwator Condenser Mrs
#Water Heaters Solar Collection systmus
Tanks(gallons)
Wells
,01MR:
=t b=mcs void if wwk does um cmmace widdi a Six nionib period or work is vxpmdtd or ad r
lb Imed bi-six Months.I catify thK I bxvc read'
this apphandm and)mow the SUM to be UM ad ConVOL AV provisins of laws and ordinaWS govLning tbb wak WiD bc comPlied wft wbetcr specified
or not 110 pumh docs not give wtho�jo violen the pf"W=Of lay Othw 9=or 10041 15w rwAzfim coumaton or the perfmcom of omutmcdz.
Property Owners Name ruc"C' 3t'.2,ijim Ph0AeN=bcr 2_�t( -OzD&
__ o
Mechanical Compauy 6,_)� :54-cl c- 4-e o, rtrq a,.d ce Phone Z_!!j-2arj Fax_��5�f
Co.Address. N76 A+j&",e- ALyd City state &
Zip-12.4 64
License Holder(Print): CL crtification/Registration# aAe. ,c 4o 9,7 1p
Not
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AUG-3-2001 02:55 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Parmli No. Tax Folio No
State Of County of
To Whom It May concern:
Cr The undersigned hem-by Informs you that improvernorits-111 be made to certain real property,and in
accordance with 56ttlon 713 of the Florida Statutes,the followinginfomation Is stated in this NOTICE OF
10
C13MMENCEMENT.
I.Agal description of propeny being Improved: r2- 0
M Cr
g
Address of property being improved: A�,rg Ts,
'A
cj
Ir General desCription of impTovements: zvrire-�
E
0
w fr., Owner ru C,�, 'Alg2do 64
Address Ilic A&ff�( T'�na.&. W A
3r L33
Owner's intereal In a&of the improvement
Fee Simple Titleholder(V other than owner)
Name
Address
Contr,ftr 14
Address iY-716 A (&�Au-
Phone No. Civil:ze- V-1 lk
Surety(it any) Fax P-9
Address _Amount of bond
Phone No. Fax No.
N,jme and address of any person maiting a loan for the consmiction of the Improvements.
Name
Address
Phone No. --2x No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be cowed:
Name
Address
Phonwf4o, Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice or.Provided In
Section 713.06(2)(b).Florida Statutes,(FAl in at Owner's option).
Name
Addras
Phone No. Fax No.
Expiration date of Notice off Comlmenoemwil:�ha expiration date Is one r�ear from the date of recaftft unless a
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