Permit 387 - 389 4th St (vault) CITY OF ATLANTIC BEACH
z 800 SEMINOLE ROAD
.. ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027257 Date 11/17/03
Property Address . . . . . . 387 389 4TH ST
Tenant nbr, name . . . . . . HVAC
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . 0
Owner Contractor
- ---------- ------ -- ----- --- -- --- ----------------
IVERSON, KIM OCEAN STATE HEAT & AIR
389 4TH STREET 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
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Permit MECHANICAL PERMIT
Additional desc
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . 0
Fee summary Charged Paid Credited Due
- --------------- - ---------- -- - ------- - --------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
s CITY OF ATLANTIC BEACH Y,Ct(0 3
J t�
' MECHANICAL PERMIT APPLICATION
Date: IQ D
(,, �, 1-
Property Address: 4t-, l E � (.o LL
Owner: iv&rsoyl ( f1'1 _ Telephone#:?q-7'7 C.,1
Contractor: G Telephone#:
Contractor Address: l x mp Q,TL �_ Fax#:
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
)Q(
or site,list the building permit number:
Electric Gas: JLP — N Natural Central Utility ' ,1 n
❑ Oil �.Jl.
❑ Other-SpecifZ
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Heat _Space _Recessed ^_Central _Floor Residential
Air Conditioning: _Room Central
❑ Duct System: Material Thickness ❑ Commercial
Maximum capacity cfm
C3 Refrigeration ❑ New Building
❑ Cooling Tower:Capacity 91nm
- Existing Building
❑ Fire Sprinklers:Number of Heads Ix
❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System
❑ Gasoline Pumps (Number)
❑ Tanks (Number) ❑ New Installation
❑ LPG Containers (Number) (No system previously installed)
❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System
❑ Boilers
❑ Gas Piping ❑ Other-Specify
❑ Other-Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
4-1 y Z.5 UIL,
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
F 1AIL
TANKS Nominal Capacity Type Liquid Serial Approving
How Many &Dimensions Contained Manufacturer No. Agency
800 Seminole Road-Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fag: (904)247-5845- http://www.ci.adantic-beach.fl.us
ulty of Atlantic Beach
CUSTOMER RECEIPT
Types O: hams 1
Wt ;1!17193 91 Receipt not 11267
owriftion 272 kantity "-