Permit Solar for Pool 377 4th St 2011 CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 11-00002834 Date 10
Property Address . . . 377 4TH ST /31/11
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Application desc
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solar heat for pool
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Owner Contractor
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FOPPIANO THOMAS D AND DANA H WAYNE 'S SOLAR, INC.
377 4TH STREET 287 S YONGE STREET
ATLANTIC BEACH FL 32233 ORMOND BEACH FL 32174
------------------------------------------- (386) 673-9720
Permit . . . . MECHANICAL HVAC PERMIT----------------------------
Additional desc . . SOLAR
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date Valuation 0
Expiration Date . . 4/28/12
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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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 f 7 j Zi
Ph (904)247-5826 Fax (904) 247-5845 Q P
JoB ADDRESS: 7 -7 S7— o
PERMIT#
PROJECT VALUE $ ARI#
REQUIRED
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 Quantity Tons Per Unit
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)
Wells
OTHER: Q ,e dd L /V&/ --,
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 //"� I,A-T) 4 Phone Number
Mechanical Company G(Jp�/� j �� �� �v
Office Phone Fax
Co. Address: =?, F 7 0/7 City-4QC/717w �C#Stato Zip
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder
Sworn and sc bef m i
C_-- Y f 20
Signature of Notary Public
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: r� ? eE, J i 3�a 3 3
Permit Number:
Legal Description 5--619 �(D--,�S-a9E X08(0 �N-.L��� �e� ,
Parcel#
Valuation of Work$ j o 0 Floor rea o q. t. t
Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed struc ure(s) (circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Approval#
For multiple products use product approval form
Describe in detail the type of work to be performed: S o pw Pcso t 40_.� ns
Property Owner Information•
Name: m fFS i Address: 3'7?
City. Fk StateZl
E-Mail or Fax#(Optional) P 33 Phone 3B -7 3
Contractor Information:
t
Company Name:.. 5 `L Qualifying Agent:
Address: a 7 S. � fu c S
Office Phone Cit t'��^� State__Fl_zip ��
—9 Job Site/Contact Number 9— 3`t('9 Fax#
State Certificatio egistration# ✓C 0(097, l`'�F�[D� h7 3 --V'y"(0
Architect Name& Phone#
Engineer's Name&Phone# W r b a r c r,? 1 �, c
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(6)months, or if construction or work is sus ended or abandoned for a�period of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing,Signs, Wells, Pools,Furnaces, Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereb certify that 1 have read and examined this a plication and know the same to be true and correct. All provisions of laws and ordinances governing this
type ofYwork will be complied with whether sped 0 herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contractor
Print Name Print Name
....................................................................................
r.\�......... ........................... .....................................................
Sworn to and subscribed before me
this Sworn to and subscribed b fo e me
Day of 20 this,;�5 ay of
20
Notary Public oly
Nola ' *CMY OOMMISSION N DD M3 01
N, EXPIRES:j"U ry"'E01a
''gofF�oa`O BondedThruAu , Revised 01.26.10