Permit Mech 1420 Mayport 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002823 Date 10/27/11
Property Address . . . . . . 1420 MAYPORT RD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 cu 1 ahu
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SPECIALTY MARINE & IND SUPPLY DONIS AIR CONDITIONING INC
POST OFFICE BOX 330478 2403 KELLOW CIR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 398-4972
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 103 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
Expiration Date . . 4/24/12
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 103 . 00 103 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 107 . 00 107 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,"L06G: EMTZPUCAnON
P
CITYOFA BF.AcH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRFss: Z/' A4^-t/q*J_ /3 z;wezx FL PERMIT#
NEW OR REPLACEMENT INSTALIATION: Project Value$ -3/0 0 010
TymoFftamw Qff TYPE oF FbxuRs QTY
Bathtub S &Pit
Clothes Washer S=OTR*
Dishwasher Shower Pan
Slop Sink
Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Water Heaw
=1ryts Water Treatmg System
RE-PIPE:
TYPE OF F)XTURE QTY TYPE oF FmTvRE Qry
Batfitub Scoc Tank&Pit
Clodies Washer Shower
Dishwasher Shower Pon
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Water-Heater
=cro2yxtures Water Treating System
MISCELLANEOUS:
0 Sewer Replacement o Back Flow Preventer o Grease Iriterceptor(Frap) gallons(Requires 3 SOS of plans)
Ei Lawn Spriulder System-Nuniber of Heads 0 Well
**SJRWD Well Completion Fonn.Completea-form to be submitted to tFe-Building Department for final inspection."
J,other ft_V
Permit becomes void if work does not commcnce within a six month period or wmk is suspended or abandoned for sk montim I hereby certit thid I have read
this application and know dw same to be true Pad correct. Ali provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give authority to violate te provisions of any other sWe or local law7regalation,construction or the perfomance of construction.
Property Owners Name M &r&- �v It Phone Number0o Y,-�-(,c 7—
)qv-, C tt3 7-L
Aimbing Company Office Ph6ne FZ��_o 7 L 0
city 3_,.fk
Co.Address: 6-;�q 3 C) K L-F 0 ev C/ Sta it
Zip
44
License Holder(Print): A , State Certification/Registration# 4!C�0_
Molarked Signature of Ucense HoNer L�,6,_"� a,- a
o m and subscribed before me this Z" day of _Uav 11 20_Lt
M ELL&
KAYLA BERTOLET
Notary Public-State of Florid pature of Notuy Public fy I
!8 0 XX
MY Comm.Expires Mar 28,2014
1.11t..... Commission#DD 975488
a6ed J0 AVO l,4dF_l,4 �WZ ZZ qaJ