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Permit Int. Remodel 368 7th St 2012 _r CITY OF ATLANTIC BEA .rte 511 800 SEMINOLE R ' . J , ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 c 9' Application Number 12- 00000082 Date 1/25/12 Property Address 368 7TH ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 15000 Application desc interior remodel Owner Contractor LINDLEY TOLBERT DESIGN INC BOSCO BUILDING CONTRACTORS 465 BEACH AVENUE 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241 -0320 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 125.00 Plan Check Fee . . 62.50 Issue Date . . . Valuation . . . . 15000 Expiration Date . 7/23/12 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 125.00 125.00 .00 .00 Plan Check Total 62.50 62.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 191.50 191.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Bd Department.) 14 'A i 800 Seminole Road /2 —ear Atlantic Beach, Florida 32233 -5445 . Phone (904) 247 -5826 • Fax (904) 247 -5845 E -mail: building- dept @coab.us Date routed: / Z0Z— City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM 7 T)/ Property Address: 8 d ent review required ley No Buil ' Applicant: reJI _ 1 A / _I)/, / I f Planning & Zoning /� i- ,�✓ Tree Administrator Project: / �t7 /4' it.CD U L L. Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First R " w: Approved. ❑Denied. (Circle one.) Comm BUIL'ING PLANNING & ZONING y /—.).-1-72._ Reviewed b : 1�°' Date: TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10 BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247 -5826 Fax (904) 247 -5845 Job Address: 3 (96 / " ST Permit Number: / " - 5 Legal Description 5 1091 - ZS -''V 11 44 11c Ord Parcel # Floor Area of Sq.F't. Sq.Ft Valuation of Work $ Proposed Work heated /cooled - non - heated /cooled ea d i Class of Work (circle one): New Addition ' Iteratioi Repair Move Demolition pool /spa window /door Use of existing /proposed structure(s) (circle one): Commercial Residentia If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use produ approva orm Describe in detail the type of work to be performed: e tN E, — I Cr — A4441 L+ SI 41Aw2wcit Property Owner Information: Name: r'ij C 1 Te3 + poi GV Address: 46 5 PcY C F,' t i i 1 C bC14I City 1-044-tTlC $ - StateGL -Zip 32233 Phone 96A -- 2.3' - 7140 E -Mail or Fax # (Optional) Contractor Information: Company Name: Bc.sSCo e , \lLotw ( i CO T) ci Z Qualifying Agent: . TODD 4,, paSca Address: 2 I 55 ('►'EY{XvCi 12-) City T1(- 6�` t+ State FL Zip 32-233 Office Phone 'FA:- 241- (5 Job Site/ Contact Number c lu{ -t33 - (- l o+- Fax # q04-- ZAt -03-2..(,, State Certification /Registration # C 3C ■"2. Cot -t2- Architect Name & Phone # Engineer's Name & Phone # C;E:tliiF G.TT'J Z 1 h COt -lcd lri ` '"" e . " Fee Simple Title Holder Name and Address l r - , Bonding Company Name and Address ' Mortgage Lender Name and Address <y' FILE COPY 2. Application is hereby made to obtain a permit to do the work and installations as indicated. / certify -: T* -': ,;,, nced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating cbnstrctrtion t'f3' IllkliterS'. "ti ` 1t'is p becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for aperiod of six (6) months al any time after work is commenced. / understand that separate permits must be secured for Electrical 'York, 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 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complfs with whether specified lie : in or i • • granting of a permit does not presume to give authority to violate or cancel the provisions of any 0 her fe ra , tate, or lo .1 lai reg lat i _ • struction or the performance of construction. Signature of Owner i 1 ilk Signature of Contract. Print Name � � Print Name t M!p ra CO� Sworn to a ■ subs ibex .e ore e Sworn , 1 ; :, . � j � +., LOid :hi- i�, of A _._.::..--, thi . ::" =� ► _— 20 ilf M ' 4,° d vgii/ ' GRAM __......eargArairl ...._ ___, A..4 ,, ..:Wtmlik. , . .. Notary Pubes a n r , n NutargPekitU dir niters I Notate T. - Revised 01 .26.10 J \ S ' 1 CITY OF ATLA -� BEACH 8 00 SEMINO F L L E R ATLANTI BEACH 14.4 INSPECTION PHONE LINE 247 -5814 Application Number Property Address . . . • • 12-0 0000082 P P o l e �tion type description 368 7TH ST Date 1/26/12 P y Zoning RESIDENTIAL ALTERATION __-- _Application valuation TO BE UPDATED --- suss 1 5000 Application desc - - - -- -- suss -- ________ interior_ remodel_ - - - - - - - - - --- suss- - - -___ Owner ---------------------------------------- LINDLEY TOLBERT DESIGN INC Contractor BOSCO BUILDING CONTRACTORS 465 BEACH AVENUE ATLANTIC BEACH 2158 FL 32233 MAYPORT RD. _______ ATLANTIC BEACH -- _____________ (904) 241 -0320 FL 32233 Permit sus -- - - - - -- ___ Additional desc MECHANICAL HVAC PERMIT --- suss - - Sub Contractor HAMMOND AIR CONDITIONING Permit Fee INC Issue Date 91.00 Plan Check Fee Expiration Date . Valuation .00 suss- --- suss -- 7 /24/12 • • . - --- -- suss -- ________ 0 Special Notes and Comments --- __________ *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE - -__ -- *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILD DEPARTMENT - IMMEDIATELY -- ING Other Fees - - - - -- __ • -_ . ' • • • • • STATE MECH DCA SURCHARGE ----- - -____ __________ STATE MECH DBPR SURCHARGE 2.00 2 e --------------------------- - - - - -- Fee summa- Char ge Paid Credited suss-- suss -- Fee summary Char d Permit Fee Total ---- --- - -- - - -__ Due Plan Check Total 91.00 91.00 --- -- 00 .00 .00 Other Fee Total 00 .00 .00 Grand Total 4'00 4.00 95.00 ' .00 95.00 .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: I' / 54re °_f 11-1 G 7C FL PERMIT # / 2--- a Z PROJECT 302423 $ NEW AIR CONDITIONING & HEATI 3 ado" Air Conditioning: Unit HEATING SYSTEM INSTALLATION Ar Quantity Tons Per Unit Duct Systems: Total QCFMity BTU's Per Unit Seer Rating REPLACEMENT AIR CONDITIONING & HEATING SY REQUIRED Air : STEM INSTALLATION Heat: ir Conditionin g Unit Quantity 1 Tons Per Unit a' ARI # -- 1 O 3 Lc�-3� Unit Quantity T— REQUIRED _ Duct Systems: Total CFM BTU's Per Unit d Seer Rating / C2 FIRE PREVENTION REQUIRED Fire Sprinkler System Fire Standpipe Quantity Quantity - (Requires 3 sets of plans) Underground Fire Main (Requires 3 sets of plans) Fire Hose Cabinets Value Quantity - (Requires 3 sets of plans) Commercial Hoods - (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) Quantity FIRE PLACES - (Requires 3 sets of plans) Prefabricated Fireplace Qty MISCELLANEOUS Gas Piping Outlets Automobile Lifts Boilers BTU's Elevators /Escalator ALL OTHER GAS PIPING Quantity of Outlets Heat Exchanger # Vented Wall Furnaces Pumps # 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 )r 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 ( V d (� 1 e & Phone Number ( foci -2 3c(_ 7 i 40 Mechanical Company all Mph II / a.# I+ro C Office Phone $-` ` n Fax 391f-605s -o. Address: _3%� 2 �de. C ?sj.2aQL City State��Ct—,, Zip3ZZV7 License Holder (Print): ' (^ :,, , 1 II 1A. .r1 State Certification/Registration #0.144 17 (a' SO Votarized Signature of License Holder L ,�'" " sH sub 760 ribed befo • •�e th i, , �� ;r :.= MY COMMISSION & DD 957 _ �� 2 41 EXPIA;: I, aN ary Publi t, ii Bemed Tin pu andermiters A RAM Arlo as id CERTIFIED TM www .ahridirectory.org Certificate of Product Ratin • • s AHRI Certified Reference Number: 1031837 Date: 1 /26/2012 Product: Single- Package Heat Pump Air- Source Model Number: RQNM- A024JK Manufacturer: RHEEM MANUFACTURING COMPANY Trade /Brand name: RHEEM RQNM SERIES Manufacturer responsible for the rating of this system combination is RHEEM MANUFACTURING Rated as follows in accordance with AHRI Standard 21 0/240 -2008 for Unitary Air-Conditioning an COMPANY Heat Pump Equipment and subject to verification of rating accuracy by AHRI- sponsored, independent, party testing: a and Air - Source third Cooling Capacity (Btuh): 23600 EER Rating (Cooling): 11.00 SEER Rating (Cooling): 13.00 Heating Capacity(Btuh) @ 47 F: 23400 Region IV HSPF Rating (Heating): 7.70 Heating Capacity(Btuh) @ 17 F: 13800 Ratings followed by an asterisk (') indicate a voluntary rerate of previously published data, unless accompanied with a WAS, which indicates an involuntary rerate. DISCLAIMER AHRI does not endorse the product(s) listed on this Certificate and makes no representations, warranties or guarantees as to, and assumes no responsibility for, the product(s) listed on this Certificate. AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s), or the unauthorized alteration of data listed on this Certificate. Certified ratings are valid only for models and configurations listed in the directory at www.ahridirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI. This Certificate shall only be used for individual, personal and confidential reference purposes. The contents of this Certificate may not, in whole or in part, be reproduced; copied; disseminated; entered into a computer database; or otherwise utilized, in any form or manner or by any means, except for the user's individual, personal and confidential reference. ERI CERTIFICATE VERIFICATION The infnmyTrt. V ERI ry. model cites on this certificate can be verified at www.ahridirectoorg, LIMP click on "Verify Certificate" link and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which is listed above, and the Certificate No., which is listed below. , Ai - Conditioning, Heating, and Refrigeration Institute 02012 Air- Conditioning, Heating, and Refrigeration Institute CERTIFICATE NO.: 129720767165583773