Permit Addition 1959 Selva Marina 2011 6 ' , , CITY OF ATLANTIC BEACH
, : t �
)), ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00001889 Date 5/09/11
Property Address 1959 SELVA MARINA DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 27560
Application desc
CONVERT PORCH TO BEDROOM ADDL SQ FGT
Owner Contractor
ROBBINS THIS OLD BEACH HOUSE INC
1959 SELVA MARINA DR. 3869 GRANDE BLVD
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 249 -2904
Structure Information 000 000
Construction Type TYPE 5 -A
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit MECHANICAL GAS PIPE PERMIT
Additional desc .
Sub Contractor . AEI INTERNATIONAL CORP.
Permit Fee . . . 85.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date .. 11/05/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Roll off container company must be on City approved list
and container cannot be placec on City right -of -way.
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
PERMIT IS A r7GED SAC I 2C'CL)RDANCE Wail 'ALP'ITY OF ATLATtl'1I(9EACH ORDINANCEQ9ND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
0 4
800 SEMINOLE ROAD
0 ATLANTIC BEACH, FL 32233
_...."/ `� INSPECTION PHONE LINE 247 -5814
4 '- . rt11a
Page 2
Application Number 11- 00001889 Date 5/09/11
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 89.00 89.00 .00 .0
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
�g Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 1 9S% -SP/t/ - /27a4 -/ ) fr . PERMIT # // - /
PROJECT VALISE $ < ,
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
ARI #
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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 (Requires 3 sets of plans)
FIRE PLACES 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
# Water Heaters Solar Collection Systems _
Tanks (gallons) _wpb -' ' l Its
Wells
OTHER: 6 a s e Ja 7 1 / -- re7 4 7
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 1 have ? - e,M
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 •peci ed
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 consruction.
Property Owners Name Phone Number __._____T-.____ _ __. ____
Mechanical Company /9 -Z Gas Sera /ces Office Phone p137 Fax .?/ -33 Co
Co. Address: - 7-'9 , 4(/e , City Jn,r 5e>4v /l 4.. State . J Zip 3
License Holder (Print): i - f <i< `� 1 . to Certification/Registration # ! Zi ( � ' Ale
Notarized Signature of License Holder op yin
� � ' > , .r,
Sworn and subscribed before me this _ 9 ___ city or Ma. . -. _ - -. r, ll
4SY P1 .4 (, Notary Pub lic State of Florida Signature of Notary Public • l� d -_ - fir ! _ ___-_ _ -- ---
r `� Stephanie Renee McGu TTTT;���y�`- - - -�-
.I My Commission 0D906170
+ „ 0 , 0 ) Expires 08 /01/2013
,r' 9 r p `1 CITY OF ATLANTIC BEACH
, � - ) 1 800 SEMINOLE ROAD
0 tO ` ATLANTIC BEACH, FL 32233
_ � INSPECTION PHONE LINE 247 -5814
1 J;3i9"
Application Number 11- 00001889 Date 5/10/11
Property Address 1959 SELVA MARINA DR
Application type description RESIDENTIAL ADDITION
Property Zoning TO BE UPDATED
Application valuation . . . 27560
Application desc
CONVERT PORCH TO BEDROOM ADDL SQ FGT
Owner Contractor
ROBBINS THIS OLD BEACH HOUSE INC
1959 SELVA MARINA DR. 3869 GRANDE BLVD
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 249 -2904
Structure Information 000 000
Construction Type TYPE 5 -A
Occupancy Type RESIDENTIAL
Flood Zone ZONE X
Permit MECHANICAL HVAC PERMIT
Additional desc .
Sub Contractor . AIR SOLUTIONS HTG & COOLING
Permit Fee . . . 87.00 Plan Check Fee . .00
Issue Date Valuation . . . . 0
Expiration Date . . 11/06/11
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONALELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Roll off container company must be on City approved list
and container cannot be placec on City right -of -way.
Other Fees STATE MECH DCA SURCHARGE 4.00
STATE MECH DBPR SURCHARGE 4.00
Fee summary Charged Paid Credited Due
p PE
PERMIT IS APYRUD OAS' Il'P � C DANCE WITff 7 ALQ QITY OF ATONrIC° QEACH ORDINANCE 9ND THE FLORIDA°
BUILDING CODES.
`r ` `' ` CITY OF ATLANTIC BEACH
a AA 5-) 800 SEMINOLE ROAD
`� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
''' ,01119
Application Number Page 2
11- 00001889 Date 5/10/11
Plan Check Total .00 .00 .00
Other Fee Total .
8.00 8.00 .00 .00
Grand Total 95.00 95.00 .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 BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
Q
JOB ADDRESS: I ``51 S Mc( m anna T « PERMIT #
l 1
PROJECT VALUE $ cJ) (-(? 0 , 00
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit - ,
Heat: Unit Quantity BTU's Per Unit Seer Ratin (9 , 2—
Duct Systems: Total CFM g
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Unit Quantity ARI #
Air Conditioning: Q y Tons Per Unit REQUIRED
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 (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
ALL OTHER GAS PIPING Elevators/Escalators
Heat of Outlets Heat Exchanger
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. 1 hereby certify that 1 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.
Property Owners Name _T 1 016 r c u�
Phone Number9 CM- zyc(- 25a1-/
Mechanical Company A i r 11d:-iO((S ft-ea-ill-1 c : l e,DO 11 Office Phone 2.Z(Z7QgF ax 2.2.0-07 IS
Co. Address: 251 Ed i 5(/n Ave...... City j /60/ 1A /Mate It Zi p 52aY-i
License Holder (Print): - 6 r' 'H') fl 4't_ State Certification /Registration # 0.K /3/ 3 3
Notarized Signature of License Holder
SUZANNE M PLEMONS Sworn and subscribed before me, his day of CU/ 20
= `; ! c MY COMMISS # DD8 2013 600ei Signature of Notary Public �L1 qretin\..h/.----1-
EXPIRES bruar 10, y Pbli ; CO.
348-0153 _Lio Fh,_ridallolaryService.com