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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 12-00000332 Date 7/11/12
Property Address . . . . . . 1647 W PARK TER
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 125000
------------------------------------------------------------
Application desc
addition
-----------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
MARTIN, WILLIAM YOUNG AMERICAN HOME INC
1647 PARK TER W PO BOX 24076
ATLANTIC BEACH FL 322335609 JACKSONVILLE FL 32241
(904) 759-9302
--- Structure Information 000 000 ADDITION
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
---------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc NEW FOR ADDITION
Sub Contractor AIR FLOW DESIGNS INC
Permit Fee . . . . 87 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/07/13
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAL ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
SITE PLAN, SHOWING STRUCTURE AS PROPOSED, DRAWN TO SCALE,
CORRECTLY ORIENTED ON THE PARCEL, AND FULLY DIMENSIONED,
INCLUDING ALL SETBACKS FROM PROPERTY LINES, REQUIRED.
Full right-of-way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
Contact Public Works (247-5834) for Erosion and Sediment
Control Inspection prior to start of construction.
Full right-of-way restoration, including sod, is require-d.
PERMIT ISFA9"VP&&NLG4C)IlR � ANf?LQ�.LIWAtOIbWLIR?�FIF��AVC1fiiR4�RNPA "SANE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
1 ) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number -__ _ - _-_--12_00000332-------------Date---7/11/12
------------------------ - -
Special Notes and Comments
and container cannot be placed on City right-of-way.
Contact Public Works (247-5834) for Erosion and Sediment
Control Inspection prior to start of construction.
------------------------------------------------------
Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
--------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- -
Permit Fee Total 87 . 00 87 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 91 . 00 91 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
QDC)�ui C-- r ;d0-�j -- I IS � 1/)
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(9004) 247-5826 Fax (904)247-5845
JOB ADDRESS: 1 I '� 1� �C �•. W PERMIT# �
PROJECT VALUE $
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity�_ Tons Per Unit �+
Heat: Unit Quantity BTU's Per UnitSeer Rating__
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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:
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 b�h r'j Phone Number Z l - 59
Mechanical CompanyfA It uk) Office PhonZys` Z-
Co. Address: l -'! City tate
(1 zip-7�-QP
License Holder(Print): 7z-�4 Sta ertification/Registration#
Notarized Signature of License Holder
lf
Sworn and subscribed befor e this day of 20
Donna L.Thomason J io
o,......
Commission#DD60908
y,......
Expires Nov�mb�r 2,2���ignature of Notary Publ
�0�� c `'` 9ondedTroyFain-Insurence Inc 3C6•�d,`ip�''