Permit Mech Fire 31 Royal Palm 2011 - j'U`1J
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CITY OF ATLANTIC BEACH
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� 800 SEMINOLE ROAD
'-� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
App . on Number . . . . . 11- 00002432
Prnrarty addr ®S: Date 8/02/11
3 1 ROYAL PALM° DR 01
RE number 177611 -0000- -
NCR OLD ACCOUNT NUMBERS . . AB20219
Application type description MECHANICAL FIRE PERMIT
Subdivision Name
Property Use
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
SEAFOOD KITCHEN OWNER
ATLANTIC BEACH FL 32233
Permit MECHANICAL FIRE PERMIT
Additional desc .
Sub Contractor . COMMERCIAL FIRE, INC.
Permit Fee . . . 85.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 8/02/11
Qty Unit Charge Per Extension
BASE FEE 55.00
1.00 30.0000 EA M COMMERCIAL HOOD INSTALL 30.00
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 89.00 89.00 .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
JOB ADDRESS: 1 1 L
•
PERMIT #
PROJECT VALUE $_41,Ca
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 Conditionin Unit ARI #
Heat: g' Quantity Tons Per Unit REQUIRED
Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating
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
1 (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
# Water Heaters Refrigerator Condenser B 's
TU
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 any other state or local law regulation construction or the performance of construction.
Property Owners Name ROSS �^
Phone Number(
Mechanical Company C
f 0 M trC' I c,\ t i r t. Office Phone ICO- ktifInlax Y
Co. Address: i, 0 -- S. 301 s 1 ., -0 N S City "5-6,?C State F I. Zip 3-Zkyc,
License Holder (Print): 74. zk S C , _ .�.G State Certification/Registration # 0.111 00000 (
Notarized J ......... I N (License Holder,_„ - �r �
1CN �
` � �� Q . \ , tiF ,
N •.� o 8 N ;1 ) .. , �Z Sworn and subscribed e ore me this
_ o� g day of ,-1-‘41 20 i 1
* . Signature of Notary ANS 1 J
'i : I*EE 038039 ; p
JUL Z5 2011
Nimifilloo
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