Permit 321 1st Street CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000471 Date 4/20/10
Property Address . . . . . . 321 1ST ST
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 8040
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Application desc
1 cu 1 ahu
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Owner Contractor
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MADDEN OCEAN STATE HEAT & AIR, INC.
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 . . . . 91 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/17/10
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Special Notes and Comments
NEED NOC VALUE 8040 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91 . 00 91 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 91 . 00 91 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
LuujiSo3
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 32-1 ' rSf S,+ro--+ PERMIT'#
PROJECT VALUE S R O4O.CXR
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit oeA
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARi# 1-32 339 1
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity—1 BTU's Per Unit Seer Rating 15
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 pla ���
Commercial Hoods Quantity (Requires 3 sets of plans "
Fire Suppression Systems Quantity (Requires 3 sets of plans) /
C
FIRE PLACES MISCELLANEOUS: l�
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
#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 anyother state or local law regulation construction or the performance of construction.
Property Owners Name �G` G G. M Ccj d e pi- Phone Number
Mechanical Company C- 41��'�,Xc . r~ Office Phone Z tit-2ari Fax 2-its-.z5 y r
Co. Address: t 4 7(L City State FL Zip 3 z 4,6
License Holder(Print): JI 1 e Certification/Registration# Gy4c 6 y,?IZi
Notarized Signature of License Solder
'rrrrrrrrYVETTE P.rMORALESrrrr r�
a Sworn an fore me this IL- day of AV r; 1 20 10
_ �,a�'y'Yp"'..,� Comm#DD08605
-- - tyre of- ._ __P-ublic.
__.
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fm�§V Fbdda Notary Am.,A1C —
Mnnrour o unrrr.aurn run nngnnd
04/20/2010 13:09 FAX 9042498949 OCEAN_STATE-A/C ATLANTIC-BEACH IQ001/001
NOTICE OF COMMENCEMENT
(PREPARE IN DUPIJCATE)
PemtR Na. -O WO O y 1 ( Tax Folio No.
State of County of t1 s 1
c To whom It may concern:
n The undersigned hereby Irrf M5 you that Improvements will be Made to certain res{property,turd In
4 accordance with Section 713 of the Florlds SWtutas,the following;,information Is stated In this NOTICE OF
COMMENCEMENT. c
1 00 :90 Legal description of property being improved: 3.21 1 St Ji"Ie'+1-
_
Address
✓ of property being Improved: 32- 1 1 5 1Z C
A+)revi-i G Lied _ E.. 37.233
: 0 General description of Improvements:
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v V t� G 1d53Crrr ;��;i'.G �►w.�
e E o'Z cc
0 Owner a,+ri C4 C—
93-3
2 0 a Address 32.1 1 S S tr r.�)- A-M Cry K�r- 9 c.c�-+, u
Owner's Interest In site of the Improvement
Fee Simple Titleholder(if other then owner)
Name
Address
Contractor OCC441n 5 Y
Address I L4 V h N LG�r' it' 6 tr[t 1 Nl p (i— 5 2 =�4
Phone No. C( Li I Fax No, 0104—2qA- qq t4
Surety(K any)
Amouot of bond 5
Address
Phone No. Fax No.
Name and address of any person making a loan for the construction of the Improvements.
Name
Address
Phone No. Fax No.
Name of person within the state of Florida,other than himself,designated by owner upon whom notless or other
documents may be served:
Name
Address
Phone ft. Fax No.
In addition to himsett,owner deslgnaias the following person to receive a copy of the Llences Notice as provided In
Section 713.06(3)(b),Florlde Statutes.(Fill In at Owner's option).
Name
Address
Phone No. Fox No.
Expiration daft of Notice of Commencement(the expiration data is one(1)year from the date of recording unkrss e
THIS SPACE FO 11 C DER'S USE ONLY
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