Permit #01 Mech Fire 363 Atl 2011 �+ ' ,NI f
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C' ` : `� CITY OF ATLANTIC BEACH
a 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
i
Ap• - o n Number 11- 00002331 Date 7/21/11
'PrnrArty Br1rirAag _ 363 ATLANTIC BLVD UNIT 01
RE number . . 169730- 0000 -1 -
NCR OLD ACCOUNT NUMBERS . .
Application type description MECHANICAL FIRE PERMIT
Subdivision Name
Property Use
Property Zoning TO BE UPDATED
Application valuation . . . 2000
Owner Contractor
SHOPPES OF NORSHORE LLC COMMERCIAL FIRE, INC.
PO'S RESTAURANT 2465 ST JOHNS BLUFF RD S
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 613 -4884
Permit MECHANICAL FIRE PERMIT
Additional desc .
Sub Contractor . COMMERCIAL FIRE, INC.
Permit Fee . . . 71.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 7/21/11
Qty Unit Charge Per Extension
BASE FEE 55.00
2.00 8.0000 THOU M MECH FEE BY VALUATION 16.00
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 71.00 71.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .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.
MECHANICAL PERMIT APPLICATI 0
CITY OF ATLANTIC BEACH °'
800 Seminole Rd Atlantic Beach, FL 32233 ����
Ph (904) 247 -5826 Fax (904) 247 -5845 JUL 1 3 2 li_li
JOB ADDRESS: 3(o �j (�- t' J 1// T f
tt pp r�^ �� ,./0,1( L / v / / e y PERMIT #
•
A•k. \ cx v\, , L �erzc.t, ; r- ( 3 22 3 3
PROJECT VALUE$ 0 2,00 0
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit ARI #
A ir g' Quantity Tons Per Unit REQUIRED
A
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 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 goveming 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 Phone Number
an
Mechanical Company 1tco - r - se? - qv- g( /7s
p y l�e,„ww�arc,e, i=ce Office Phone Fax
Co. Address: r9 S S1, LTA,ns r�j'�r ,eT City j .i7(e..to State r/ Zip 37Z ti
License Holder (Print): i\A c(,tn„o(s Scd Qui Q f(5 State Certification/Regi .. # O (o0o00(c
Notariz ��
.... �' f License Holder �J ---
,N,. 8N F /� � i
�o ? o � 9 ; Sworn and subscribed before e this S day o -3 u- l 7 20 / /
= * t N .* _ Signature of Notary ublic — • 0 _
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I v :51v il City of Atlantic Beach
Building Department
APPLICATION NUMBER
r 1,: 800 Seminole Road (To be assigned by the Building Department)
�. Atlantic Beach, Florida 32233 -5445 r L
\. Phone (904) 247 -5826 • Fax (904) 247 -5845
'c:,yr3 ' E -mail: building- dept @coab.us AZIY/
City web -site: http: //www.coab.us Date routed:
APPLICATION REVIEW AND TRACKING FORM /� • �3f
Property Address: p . r9 /177/02 A 6 Kid .:. .
_..� ent review required Yes No
Applicant: L /Y> - /eas QZ ii.' � - Bu
---.-- ng &Zoning
! Tree Administrator
Project: fil E- dili( �`"� S �j 4 7) 3 7 Public Works
/ 1 Public Utilities
Public Safety
Fire Services
rhi Other Agency Review or Permit Required Review or Receipt ��
of Permit Verified By Date
Florida Dept. of Environmental Protection
Florida Dept. of Transportation ArP"
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants w I
Division of Alcoholic Beverages and Tobacco
obacco
Other:
APPLICATION STATUS
Reviewing Department First Review: LeApproved.
(Cir - • -. ❑Denied.
Comments:
UILDI
PLANNING & ZONING �-
/ (
Reviewed by: / C I Date: 7 /3 r
TREE ADMIN.
Second Review: approved as revised. ['Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by:
Date:
FIRE SERVICES Third Review: f Approved as revised.
❑Denied.
Comments:
Reviewed by: Date:
Revised 07/27/10