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Permit 366 Royal Palms Drive CITY OF 716 OCEAN BOULEVARD P.0.BOX 25 ATLANTIC BEACH,FLORIODA 32233 TELEPHONE(904)249-2395 December 28, 198e3 Memorandum To: Community Development Board From: nene' Angers, Community Development C Subject3 366 Royal Palms Drive - Carport Ad t by Allen R. Salfer Dear Board Members, Upon extensive research, we have located evidence that Mr. S81fer did obtain a building permit prior to enclosing his carport in 1972. Mr. Salfer states that the plans he submitted and the permit Issued by the city, included the carport addition as well 813 enclosure of the original carport. He 8180 states that the plans indicated a side yard of 4', and he believes the City Manager wrote on the permit that a variance had been issued. In that there are no minutes of the Board of Adjustment for the year 1972, and we can not locate the plans Mr. Salfer submitted or a copy of the building permit, I feel Mr. Salfer's address should be removed from our survey. N O.M.B,No. 411-112025;Approval Expires June 1975 TR -V 'RI'M ITIC 11 FORM C;404 Permits Issued jj!;f,!j 22 7 T M 7 1 In month Ofm �Iei j, ARCH 1972 U.S.DEPARTMENT OF COMMERC U..A.OF TH![CRI%Isus PLEASE MAIL ON OR BEFORE THE 4TH DAY OF THE MONTH 8 ease correct any error in name and address Including ZIP code) 1A 4N� R P' E 0 T OF lt 44-'11; BUILDING PERMITS ISSUE-6 AN6 J1 F, !I:; J LOCAL PUBLIC CONSTRUC 10 1 + Al 4 0 ik v!,; 444 m �j­I `Tffli� �vl' Y 0 U R F I L IE-' C Oi'P`1'Y �Y. j If no permits were Issued this monthjj' ;P enter"X" In box and *turn fan". PUBLICLY OWNED PRIVATE PRIVATE Y OWNED Section I -HOUSEKEEPING k Number Number - Cost of Item !- � Cost 0.1 RESIDENTIAL BUILDINGS,,, No Build-, lous ng construction Build- Housing construction ings (Omit cents) ings units (Omit cents) EXCLUDING ADDITIONS AND ALTERATIONS (C) (d) (e) (f) (g) One-family houses includin ta r 0 8 r,i�,V.f.,� . I ;Tv q.'2 7 k S 469,500 0 semidetached, ow: and t wn', 4 1:: 00 002 6 Two-family buildings .34 I ij, 4� I I ,,, �,�: 00 Three-and four-family buildingsrff��-�j, 003 0 04 z Five-or-more family buildings.,�p TOTAL (001-004)0! i� 559,500 30,v�t: 094 Moved or relocated buildinis 6� ;twllk, 005 300 Mobile homes PRIVATELY OWNED PUBLICLY OWNED Section 11 - NEW NONHOUSEKEEPING Item --Cost a-- - _�umber_ Cu,,t,of— Number RESIDENTIAL BUILDINGS N , construction construction �uild- Rooms (Omll cents) ings (0 mit cents) d 0. 'd H Ui U 0' (b)'T j r', I (d) 1!.1, e 3'�'i �i' (a) (b),f (c) Transient hotels, motels, abins 006 tourist courts, and c 007 '4Q 4. Other shelter Section III - DEMOLITION AND RAZING Item PRIVATELY OWNED PUBLICLY OWNED Nq Number N.Irnbl, OF BUILDINGS Buildings Housing units Buildings Housing units (a) (b) (c) (d) (e) One-family houses including �,: , '1�'11,;.��).,i _j semidetached, row: and town 231 OIL,,�,:t N 0, o X 7- Two-family buildings 232 tu �idi is' U;i Three-and four-family bui n 233 A to ad Five-or-more family buildin,�Iilil, 234 d 240 All other buildings an structures PRIVATELY OWNED PUBLICLY OWNED Section IV -NEW NONRESIDENTIALh. Item BUILDINGS ,i'l No. Number of. Cost of construction Number of Cost of construction 44 ass, 11) (Onift can:.) (Omil C:nts) b ildings buildi (b) (c) (d) Amusement and recreational buildings 008 Churches and other religious buildings 009 �,4 Industrial buildings Olo Parking garages. Oil 5esidential garages d cariz�­_ 012 an 013 7 an Service stations it repair garages Hospitals and other institutional buildings 014 Office, bank,and professional buildings 015 Public works and utilities buildings , 016 Aj,19.41" Schools and other educational buildings. Oil iiji, 6'j,, Stores and other mercantile buildings —18 77 7,"'V:1 Other nonresidential buildings 019 1�1� 4,�� 1 I Structures other than buildings 020 61; CONTINUE ON REVERSE SIDE Section V ADDITIONS,ALTERATIONS,AND CONVERSIONS PRIVATE PUBLICLY OWNED Ire construc: tion,7� umbe!0!, C Nu �st o at of construction Nom mber -,q - , (omit ce .0! A,permits nts) P TYPE OF BUILDINGS (Omit c is),., jl� (d) (e) onn" (b) (c) 4 9450*,,`,� ir 021 Housekeeping residential buildings f-", oel, All other buildings and structures Section VI - INDIVIDUAL PERMITS- $100,000 OR MORE ow permits issued for new buildings and for new additions and alterations with a construction cost Please list bel iA:i of$100,000 or more. 'the maior use of floor area of- ombination residential-nonresidential,building according to Classify a permit for a c the building;enter number of housing units in column(f).:, Also list all permits for buildings omitted from Sections 1,11,IV, and V bec use I a s fy th 4, 'you cou d not cl a i em; enter a dash under item number in column(it). Cost of Number of P �construction housing Name and address of ownershi Item Kind of building No. owner or,ouildet,,o (A I far*one) (Omit cents) units (a) (b) (C) (d) (e) —1=AIC--T U qA i arag� into :Onvert g $200.00- Walter Dunbar room and ff t et parking area� CaPublic om and 0 eet area 6Public 0't r-sr ir -handler fo P-ra Ard-plla--Rd a a ro m 1_2 0 t porc� one room ddltio 12 x 12 -front.1porch 000 0 F I I_ v eps, i _ t e . $2,000. Joe Fech j-1-09-Beacir'*ve�-.-;-, &��ii!-ItSfindows, doors, sti 1_9 h S C '000. rm D A A b uster, 380 1,-9th5 St. .' jEjft!L1k roof,lalum. siding $1,000. D.A.Armb -rcaf--wi--t d%� LOW took L Lit-W 5 Se L-ULL, 08 j;I g s e th $500.00 J.C.KirkFA�ift4��L in! screen .)orch wi _1242 Beach A j� single hang windows I ED Pubikc 950,00, Allen R,,calfer, 366 Royal Palos Dr.-Enclose-carport— $400.00 Allen M. Scott, 1925. Frances c,t.-,re-roof house $200.00 Charles AWlighed roof above araged(or IlDse carport aid pave $1,500. B.R.Caudill, 7 Forrestal Circli:�%W& parlting-speee ------- EJ Private --------------- Public t Or F-1 Pri!ate P --------------- Pubt 1vste --------------- -------- lie, p c ate iv U 11A re E, ------------ lo, Public k -I f Wate A�f Comments, 7 0Z j� NarrRof jerxo"&*j1ct regarding this report Telephone 21 ode Number TitICity Manager. 49-2 ��03 FORM C-404 111-22-711 j 41 4,i Z Z 4;0,, �o- p 1 41 1 OF ATLA -'BEACH' x OR TTW W ------ LOCATION INFORMATION W Addros'S'. 366 ROYAL PALM DRIVE Fle'rMit wuml)�4r­l Permit lype:MicaWl CAL TIC� BZACN, FLORIDA 32233 ATLO "I AS f W6A ALI TION ­�-_-­ LZOAL DESCRIPTION ---------- S 0 ConlAt . :Ty' e,`CONCR T ' r B Lot t Twp.* 0 Sootiow , -0 Subd:o �pvqpo,40d,, US'4, Rnq: 0 DlW I I il A los, 01 , Su�bdivixion.,ROTAL PALM � , 0.00 Est val, I rov. 'Cott : 0.00 MP, 37' 00 Vota 17 ft"o 100f 9 I lilk CJTTGF' � --------- ION APPLICATION FEES P -MIT ER 37 .00 DRIVE LORIbA Pho ' C ------ Add 47.6,�A TU rLORIDA, �2233 Up". j, ee AND F0aMGS'UtW Nft=90� "ilowli MURM 1�01 PERM SIX MONTHS AFTEk DATE Ofr issue WJU�'Olit4GM'ATIERM.�.iiUMSi�At4d�,ESAIdP T+iIS WORKMUST NOT BE PUSLIC SPACE AND MUS BE �&7 Rom PLAC IN T JEAREDUPAW�A�J!W�l CONTRACTOR OR OW04 eR, T -MEC -SULT IN HE, H -1 WC l' 'UEN: LAW ,:=lll_ I At ,!S TWIG VIR 19MENTS" C-0 PLAN ACCORDMTO. ARE PART OF THIS PERMIT AND SuBjECT FOR: OLE 0 flsxm�i Wl OF APIO 6 AW. ENT, VLANTIC-WACHL*&owG OEM" 1�Ir Sy: 01— BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 39233 APPLICATION FOR MECHANICAL PERMIT ---�—ALLWNUMBEFi IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. WCATION Sttisol Address: 44" — ZG(P RGYPL -P,9Lf1-1 0 R - OF Intersecting Street$: Between And WILDING sub-464104 11. IDENTIFICATION — To be completed by all applicants. I- COAS;darat;0A of Permit given for doing the work as described in the above Statement we hereby agr 0 to Perform said work in accord M Vh f0%* istfachod plans and spociLcoGons which are a Port hereof and ;A accordance wish the C;1Y of'sJocksonvillo ordinances and standsorciss good woct-ce listed the,*;ri. Na�* *4 Mocitemkol contreaters I co.*64tw (Isriat) OCERk) S-r-A�T E 19/(- Molter a# 40 I'v*p" O-m*r &*4tvre *4 Owaist signature of Aartliorintl Atiess A - Architect or Engineer 6434EM M5NE—M—�� - � I . i'�- - " — A. Type &I kled N B. socif 4��J- 1 18 OTHER CONSTRUCTION ICING DON N fm—0 LP [3 Netvrol 0 C4m#nj Utlity THIS OUILDING OR SITE?_ 40 0 04 if YES, GIVE HUMIER OF CONSTRUCTION PERMIT 0 00— — S#06#f V- W*CK4`NCAL MUV~ TO " *MALLID NATURE OF WORK (is"Ovids' ce"Peosessh 00 boa of tkits"I Residential or 0 Commercial Neet 0 spece 0 Recos"d �* C401,11111111 now Now Building A;t C**d4;**6j: C3 Rom A coeholl Existing Building 0 D"t 4-000: Molloriel..= Riplaostnitont of existing system weaiinteft "pocity cAft 0 Now Installation(No system Previously Installed). C) to; 60111 Q Extension or add-on to existing system 0 C09409 ftwel copselty C1 Otheir— Specify (3 F;m qvialtion: Num4w of C3 ('*-at- 0 l,""k 0 C3 G*oellroo TM $PAC* �04 OpM ilia ONLy 13 T"kL—(w-bwj (3 LPG to 0 U&&W ppe"We V"w 0 &*am Fon%0 Appmved 4,_. C3 09ho, — specify ..... Per"*44------ LJlrr ALL 9QUIPMENT AM CONIXMMMG AND REFRMRATION EQUWMERr Model Number 9-7 HEATING - F LEM PHILEIPLACIES NImabor Vumo -7 4; /�7 CITY OF Te4d - 74%4& 8W SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-SU5 TELEPHONE(904)247-SM FAX(904)247-5W September 26 , 1995 Mr . Allen R. Salfer 366 Royal Palms Drive Atlantic Beach, FL 32233 Dear Mr . Salfer : The structure at ;1,,.6.&&j0ANR0d6w was reinspected on September 26 , 1995 and with the removal of the roof cover was found to be in compliance with City ordinance. Your cooperation is greatly appreciated. Sincerely , a I d7� Code Enforcement officer KWG/pah cc* city Manager Iq CITY OF 9&UW4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5W5 TELEPHONE(904)247-5800 FAX(904)247-SM5 September 6 , 1995 Mr . Allen R. Salfer 366 Royal Palms Drive Atlantic Beach, FL 32233 Dear Mr . Salfer : our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 366 Royal Palms Drive a/k/a Lot 21 , Block 25 , Royal Palms Unit 2A RE#171713-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach ordinance Section 24-65 (Building Permit Required) i . e. , unpermitted structure in front yard . You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board . Under Florida Statute 162 .09 , the Code Enforcement Board may impose fines of up to $250 . 00 per day for a first violation and $500 .00 per day for a repeat violation. Sincerely , Ile--1 �arl W . Grunewald Code Enforcement Officer KWG/pah cc : City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED 0002132 40TO -SUILWNG T TPC f ACH, LOCATJO XUPORMATION 00 0V. Adore0j*i e3i66 'ROYAL PALK J>RIVE .......... ATLA##Tr(; BEACH, FLORZOA 32233 ---------- - 4k 10 LZIMM, VESCRIPT close, IL t_ Section% lit RHO 0 .,fro a�s ,,ROYAL' PALII viol 11110 zc- A ji, 7 50C APPLICATION FEE WOW, 0, 7 5 4A!f" r"PACT FEE *-%v 00 rr, Addim lk olel ko,U?��90' FEE 'o 40.00 AVON 'GAS *0.00 0 TA' IRA", R -AI TAP -tc SHARE 00: go LIVE m-v, P, NcTes�i AN Al V� 'w 14 "KIN Wa6eg Og*$P'S�pTg,p,SEPORE POURING d 'fl DATE�O W, F IS SU I'ILDINGWATERI kLj', X MUST,NOT BE PLACED IN PUBLIC,SPACE,AND MUST BF- �:OWN E,RI ,, bL EAAEDr U PA 0�_A 111611"2", j f_pAILU,- Mot 1ANICSsItEN tAW, .CAN:,RI5SULT IN ', IMP ROV8 f"TRE, IU MENTS. ING ED' I BJ REVOCATION FOR _A T�i �,PERMT ND SU ECT TO Asu �r, V f ATLANTIC BEA' sUILDtN6)6]EA 4- ft, CITY OF ATLANTIC BEAC11 APPLICATION FOR BUILDING PE14,aT Owne Addres,§_�, Architect Phone Address Qxitractor,dk��_� Addresig CxAitractor's License Nuiber 7 Expiration Date ropy on File Lot # Block or Section # Subdivision Street Between ' oning.— Valuation --------------- and side $ /�Sl�10. Of Construction Purpose of Building Nu:vber of Uni f Uni ireplaces Utility Service: Water Sewer If the City if providing water or sewer service,' do we need to make taps? Dimensions: Building— . Lo.t Size Footings Sz. Piers Sz.. Sills Greatest Span Sills Sz. Ceiling Joists Distance an Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span �Tethod of fleatin 9L�Solid-Filled Ground Roof Flood Zone I ------- -If located within a FLOOD HAzARD conplete page 2 SUBtHT: Wo coil,-).1ete r ,et.q Of I)ID[Is including a detailed site plan. Florida Energy Efficjeii�y Code Sheets Recent Survey Inspections Required: I. Mien steel is in place Lind ready to pour footings ' 2. Mien steel is in place and ready to pour columns/lIatel. 3. Mien steel is in place and ready to pour bean. 4. Mien franing, niechanical, Plunbing, electrical, .fireplace to cover up. is completed and ready 5. Final inspection. No INSPECTION WILL BE' MADE IF BUILDING CAR� IS NOT POSTED ON JOB.. SE TBACKS In case of rejection, reLtispection MUST be called for after Rear Lot Line corrections are made. In consideration of permit given for doing the work as described in the above statement we F11 fliereby agree to perform said work in accordance MO. with the attached plans and specifications, wilich are a part hereof, and in accordance With the building regul rt ations of Atlantic Beach. rt Signature Owner Signature Qmtractor BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: 3&& LOCATION VAcsv-, OF Intersecting Sfr*efs: Between And BUILDING Sub-division_... ZO;�� -t 1 rc- Ac_ry 11. IDENTIFICATION To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement iwe hereby agree to perform said work in accordance with the attac4d plans and specifications which are a part hereof and in accordance w th the City of Jacksonville ordinances and standards of good-practice fisted therein. Nome of Mechanical Contractors Contractor (Print) Master Name hoperty Owner !=of Owner signature of izod Agent Architect or Engino!r_L III. 664NALIfiNIP OW61ION A, Typo of heating W: El. IS OTHER CONSTRUCTION BEING DONE ON sectric THIS BUILDING OR SITE? /Jo 0 648-0 LP C3 Natural E3 C44tralUtility IF YES, GIVE NUMBER OF CONSTRUCTION CI on PERMIT 13 Other — specify IV. MWHANCAL SOUIPMONT TO K INSTALLM NATURE OF WORk (Frovkto complete fist of compo @ ft on beck of this farm) Residential or Commercial Neat 0 Space E3 Receftec! A central 0 ploor 0 New Building AirConditlioning: C3 Room Control 0 Existing Building X �f 0 Doc� System: Matorliar--- Thick Replacement of existing system M441mum capacity cf.m. 0 New Installation(No system previously Installed) 1771 Extension or add-on to existing system Reftigerstion C) cooling tower- capacity 0 Other— Specify C) Rre sprinklon: Number of heads 0 Elevator 0 Monlift 0 EWA1610 ("umbor) THIS SPA= 00111t OFF= US*my 0 r"W"ne pumps —(nvmber) 91 Tankii .(number) It"arks LM Centel (number) unfired pro"Wre ve" Permit Approved %IIM d Other — Specify Permit Fee PST ALL EQUIPMENT AM COND171OMNG AND UFRIGERATION EQUIPMENT capeaft N=bft'Unft 1116"riptil" Ko"NUMbW DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMITNO. 9746 PERMITTOBUILD THIS PERMIT MUST BE POSTED ON JOB Date MAY 2-%- 19 88 Valuation$ $ 20.00 A This permit not valid until above fee has been paid to City Treasurer,and is 644,9 9 7 4 5 subject to revocation for violation of applicable provisions of law. 644111 This is to certify that OISEAWFATE has permission to lAd ctbm 0" SYS175M Classification Ff!A16 —Zone Owned by SALFEV Lot-- ---Block S/D_ House No. 566 ROM PALM PRIV4 According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 0 Building material,rubbish and debris z I from this work must not be placed t I in public space, and must be cleared up and hauled away by either con. tr ner. Building Official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRA-��O PLUMBING ELECTRICAL SEWER kTE __EA R CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001205 Date 8/24/09 Property Address . . . . . . 366 ROYAL PALMS DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SALFER, ALLEN R. OCEAN STATE HEAT & AIR, INC. 366 ROYAL PALMS DRIVE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/20/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 08/24/2009 08:01 FAX 9042498949 OCEAN-STATE-A/C ATLANTIC-BEACH la001/001 CITY Of ATLANTIC BEACH NO 6FmINQL6 ROAQ,ATLANTIC BEACH.FL 32213 OFFICE!(M)20_5825 a FAX N0.14160247-156" aulLamo-capTeCoA&US MECHANICAL PERMIT APPLICATION DUVAL COUNTY JfN0 13 YES PERMIT*: of P-2�&l 10111111111 i L Fir NMI 4.NAM K 0.AOIMSS If DIFFERENT FROM JOS ADDR166t P" ME, 4vf- .L4,too.' 7 NAME OF COMPANY., 0.ACME$.; 6 C,, a.& /V7 )011 0 SlArs Of FLOWOA LICENSE W IM CELL PHOM' 2 Yf-JV" CACWA I D lz EMA&ADOIRESS: J3 OFM PHONE Y1-,Rz T/ Appkstlon is hereW moo to OWMIn a Parftt w do 6%work and instaltations as Indicated. I canIfy vw all work vAl be pwfoffmd to rnest te &UrWgrdg of 09 Wm ngWa*V corwirudotl in vo Jurisdiction. INS permit void If WOFk is riot commeficilld v*Nn six(6) months,or If cw%vucoom or weft Is suspended w abond0rod fw 9 perfWad loyr CONTRACTORS W4 p-7m 0 NEW 114STALLATION Q'06 FLORIDA BUILDING CODE- ff EXIST NG eomjMfE!��__KCKANICAL OrkSPLACEMENT OF EXISTING SYSTEM 'S ALTI!RATION I AD04TION TO EXIST SYSTram 0 OTHER --0 REPAIR 13�7. .17, "ME I'm Norma "T.F.,-' r ill.HEAT- 0 SPACE 0 RECESSED CENTRAL D FLOOR BURNF_RS: 20.AIR CONDITIONING: 0 ROOM IrCENTRAL MAX CAPACITY: 21.DUCT SYSTEM: WA--TERLAL &Xa,&P..fsFi4rrHiCKNESS;,= _L22jD__Cfm 21 REFRIGERATION: MAX CAPACITY:-_dm 23.COOUNG TOWER: CAPACITY: Qpm 24.FIRE SPRWXLER: NUMBER OF HEADS: 29.LIFT SYSTEM-. ELEVATOR: MANLIFT: ESCALATOR; AUTOLIFT: 26.COMERCIIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATEO:mmm=­_ MASONRY'- 28.IRRIGATION: D PUMP 0—WELL 0 PIPING 29.GAS PIPING: OF OUTLVS.* a GAS AHU: u c;As w%TER HEATER: 30.OT141ER-SPECIFY: sam mAnw. vOKERG.UWIREO PRESSURE MERL NEAT EXCHANSER IVALUE FOR OT"FA lyfMS! 2-1 APPROVING NUMBER MODEL# MANUFACTURER TONS AGENCY OF UNITS DESCRIPTION eras -�p-1 ir m' ; Z!, DftQRIPTtON MODEL# MANUFACTURER BTU AGENCY Tud lavywoe0e, JA14w 303 Z-f'Q3 Will NUMIKR mLLOM CONITAINED MMUPACTURIER SERIALS A_.QfI!CY SLOW4 P%M*APPI10W MO*REVIGM-i2M&ON CITY OF ATLANTIC BEACH L C 0 U N TY 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US MECHANICAL PERMIT APPLICATION :2.18-THIS A SUB VE—RMIT, 3,DATE: —i—.JOSADDRESS: ,16 NO DYES PERMIT#: /19 6.PHONE: 4.NAME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: ,A(e V 7N, ZONTRACTOR; WVCHANICAIL� 7.NAME OF COMPANY: 8.ADDRESS.: 41 TT&,,,r7 C, 11'.FAX NO.: 9.STATE OF FLORIDA LICENSE NO 10.CELL PHONE. 2 YF_J9 (!:'�409 310 12,EMAIL ADDRESS: 13,OFFICE PHONE. Z yJ -2 2 7f 14. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null nd void if work is not, CommenCe7d within six (6) 'It months,or if construction or work is suspended or abandoned for a period of six My ime a er r is d. CONTRACTORS SIGNAT E: 16.'#U �—ILDING-: 77777 6.1�CLASS'OF WORK. 13'06 FLORIDA BUILDING CODE- 0 NEW INSTALLATION [I NEW [IL'R XREPLACEMENT OF EXISTING SYSTEM 1A EXISTING 0 COMMER _M�CHANICAL El ALTERATION/ADDITION TO EXIST SYSTEM 0 OTHER [I REPAIR tANITTO�,BE1 S 7mF-c NICAL-,F_QUIPNlENTT013E,I 19. HEAT: 0 SPACE CRECESSED KCENTRAL El FLOOR BURNERS: 20.AIR CONDITIONING: El ROOM OFCENTRAL 21.DUCT SYSTEM: - MATERIAL: IWO-III,'W�_r-14THICKNESS:_ MAX CAPACITY.-ZDP-Q CfM 22. REFRIGERATION: MAX CAPACITY:-CfM 23.COOLING TOWER: CAPACITY: -- 9PITI 24. FIRE SPRINKLER: NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28. IRRIGATION: 13 PUMP 0 WELL 0 PIPING 29.GAS PIPING: #OF OUTLETS:— 13 GAS AHU: 11 GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS: 'k 4. U�IUPME ..... .. G T JPM CONDENSORS.zETb':':' GER E T,� it' APPROVING NUMBER MODEL# MANUFACTURER TONS AGENCY OF UNITS DESCRIPTION (42; le 2_J-H-Cj!!S-Z 0 .3 0 2�H EQUIPMENT; L "Aw ',BOI APPRL)VIN(3 NUMBEK BTU AGENCY OF UNITS DESCRIPTION MODEL# MANUFACTURER I A 03 Z_1/0-3 7� 77 7-, ......... I'r.LIUUIU AHI`NUVIN NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Appliraton Mech:REVISED:12/18/2008