Permit Mech 1979 Selva Marina Dr 2012 f `4 r .
, CITY OF ATLANTIC �.� BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
of
Application Number 12- 00000185 Date 2/15/12
Property Address 1979 SELVA MARINA DR
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 10184
Application desc
1 CU 1 AHU
Owner Contractor
CARSTATER SERVICE EXPERTS
1979 SELVA MARINA DR. 8475 WESTERN WAY STE 100
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 641 -2333
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 107.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/13/12
Special Notes and Comments
NEED NOC
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 107.00 107.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 111.00 111.00 .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
p, Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: / / -7 9 Set I / /27 4-�2/ A/4 ,Q ie PERMIT #
PROJECT VALUE $ /0 12 y
NEW 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
REPLACEMENT MR CONDITIONING & HEATING SYSTEM INSTTALLATION
Air Conditioning: Unit Quantity Tons Per Unit `� ' � y
Heat: Unit Quantity / BTU's Per Unit �l,F Seer Rahn
Duct Systems: Total CFM / - ' D
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 Bb'
Elevators/Escalators
ALL OT ll+'R GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrierator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER:
R:
Petmit 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 0,4 V 117 On- /. S 7 re-4_ Phone Number a V 9- "! Y
Mechanical Company - 1S f' . ` C ' -x P« /s- Office Phone 109) Fax
Co. Address: f 75 t.S fl ` tiotA nu; Fe. 100 CityJf ta...)CIU;I to Staten zip 3
License Holder (Print): • ' State Certification/Registration it
Notarized Signature of License Holder
Sworn and subs ribed before me this day of 20 /
Signature of Notary Public •
o ;� aYP e CAROL A. BRESSLER -jam —
?: 1 * Notary Public - State of Florida I
My Comm. Expires Jul 5, 2014
'"74:17 Commission # EE 36112
FEB -15 -2012 10:53 FROM:CLERK OF COURTS 904 270 1512 TO:92475845 P:1/1
NOTICE OF COMMENCEMENT
(PREPARE IN D)PLICATE}
S l No. Tx No
State late of f Lt7 /I� ,U� County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and In
accordance with Section 713 of the Florida Statutes, the following Information is stated in this NOTICE OF
COMMENCEMENT. �}
Legal description of property being Improved: N / 4P 5—'f • /% r 1
�, �"T"_ .� -ICJ i r I .! — 3
AP AO Address of property being improved; • �/ -I' „,(. ' ./ f
17) 4- w 7 r c 13 t%�.!7�._ _ a- s.,...3_.
General description of improvements: Ai if 4 C.
Owner 04 V f [ ` fi 45 �17 �y T / � r. _
Address / 5 q. S t' s G V /9` rr /71 /h / N A- 29 /- s j 3
Owner's interest in site of the improvement f�1,t) /11
F e e Simple Titleholder Of other than owner) ._
Name
Address ,
Contractor .,. , X 7 -�2- S
Address �l - 7 -C /.4ie -- 7`P L�+ ' W j UGC / ! -:t°” - -J 7 - -
evv- Phone No, ;' a.3 Fax No. (6 ,2 ova a...2.2 6
Surety (if any)
Address - Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name
Address ' •`'.$ „ + ,,,N'
Phone No. Fax No. s; °
Name of p within the State of Florida, other than himself, designated by owner upon whom notices or other
7 , - 3
documents may be served; 1 '• "�" "`
Name _ .. - . r n o
Address 1 5' o m
Q n
3 - b r,
C7 Q
Phone No. Fax No. _ f -
1 g 9 n .
In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in ik ° ' A
m u n —
Sect 713.013 (2) (b), Florida Statutes. (Fill in at Owner's Option). rn t 1r, CO
Name t d, (o r
- ' �cn Tm
Address A
r'v
Phone No. - Fax No. IT
Expiration date of Notice of Commencement (the expiration date Is one (1) year from the date of recording unless a '
different date is specified):
TI-11S SPACE FOR RECORDER'S USE ONLY Oaccit7):ANN ER 2 Si gned: F art DATE„_,, /J ' i Brfnrc me W aY in tit!
CoiJn of •oval, 1.;e has • spnafly ppoar
• ! — / .4' ,;..._ herein by
- hi .e / hrrsrtf and - affirms that all statements and delarations herein
are [rue and accurate
' Doe p 2012032913, OR BK 15851 Page 1924,
Number Pages: 1
Recorded 02/15/2012 at 10:12 AM, _ v `
• JIM FULLER CLERK CIRCUIT COURT DIJVAI„ Nato • ub fic at La Large, Slate or
COUNTY My commission oxpirc. County or /j /�� Z__
RECORDING $10.00 Poronatly Known or
Produced Identification .,---
" - C 60 - 3r --MI ! --0
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