Permit 985 Atl Remodel LA Fitness 2012 .. ��` r� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
y f 3. INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000066 Date 5/16/12
Property Address 1021 ATLANTIC BLVD 985
Tenant nbr, name 1021 LA FITNESS
Application type description COMMERCIAL INTERIOR BUILD -OUT
Property Zoning TO BE UPDATED
Application valuation . . . 3382748
Application desc
LA FITNESS INTERIOR REMODEL
Owner Contractor
EQUITY ONE ATLANTIC VILLAGE, IMPACT CONSTRUCTION
16 NE MIAMI GARDENS DR MANAGEMENT LLC
ATTN: TREASURY DEPT 11513 EAST 116TH ST
MIAMI BEACH FL 33179 FISHERS IN 46038
- -- Structure Information 000 000 INTERIOR REMODEL
Construction Type TYPE 5 -A
Occupancy Type BUSINESS
Permit PLUMBING PERMIT
Additional desc .
Sub Contractor . CAMPBELL PLUMBING
Permit Fee . . . 853.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 11/12/12
Special Notes and Comments
SEPERATE PERMIT REQUIRED FOR SWIMMING POOL ISSUED TO
LICENSED POOL CONTRACTOR
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
FLORIDA FIRE PREVENTION CODE
NATIONAL ELECTRIC CODE
REQUIRED INSPECTIONS:
*POOL STEEL
*ELECTRICAL GROUNDING AND BONDING
*FINAL (PUMPS MUST BE RUNNING FOR FINAL)
SWIMMING POOL SAFETY INSPECTION REQUIRED
*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 W
PERMIT IS * A� TP { OI�I N4' VII gPACLA 'CIC'BL?ACH AND THE FLORIDA
BUILDING CODES.
r. "\\!?.. CITY OF ATLANTIC BEACH A
J Z. 800 SEMINOLE ROAD
� ��� , : ATLANTIC BEACH, FL 32233
r,. INSPECTION PHONE LINE 247 -5814
Page 2
Application Number 12- 00000066 Date 5/16/12
Special Notes and Comments
*Florida State Health Department shall inspect and sign off
on the new indoor pool before a CO can be issued.*
Provide chemical details (MSDS Sheet) and amount of
chemical.
Where are racquetball courts (A.3.2)?
Provide voice e -vac fire alarm system. Fire alarm shall
take precedence over any stereo or sound system.
Other Fees STATE PLBG DCA SURCHARGE 12.80
STATE PLBG DBPR SURCHARGE 12.80
Fee summary Charged Paid Credited Due
Permit Fee Total 853.00 853.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 25.60 25.60 .00 .00
Grand Total 878.60 878.60 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
4
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: /d2/ 4"727 G &vd & ' r 9fSPERMJT#Ja- Oo<, (,
NEW OR REPLACEMENT INSTALLATION: Project Value $
TYPE OF FIXTURE QTY TYPE OF FIXTURE
Bathtub QTY
Clothes Washer Septic Tank & Pit
Dishwasher Shower Y
Drinking Fountain Shower Pan
Floor Drain a 0
Slop Sink 3
Floor Sink Three Compartment Sink /
Hose Bibs / y Toilet / �I
Kitchen Sink Urinal 3
Laundry Tray / Vacuum Breakers
Lavatory Water Connected Appliances
Other Fixtures Water Heater
Water Treating System i
RE -PIPE: 1 f/
TYPE OF FIXTURE QTY TYPE OF FIXTURE
QTY
Bathtub Septic Tank & Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory
Other Fixtures Water Heater
Water Treating System
MISCELLANEOUS:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor (Trap) gallons (Requires 3 sets of plans)
❑ Lawn Sprinkler System- Number of Heads ❑ Well * *
** SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. **
❑ 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 I. l ' i n
L cf-5-5
Phone Number
Plumbing Company Ci mob /'/ PII .4 l S, 6, Office Phone goy 3$7 51 Fax 3 87 • 9 0 6, 8
Co. Address: / /1$a -vl l:ol,,>4,,ia a, ./C 13 /6, , J,.,/, City 3 A State FL- Zip 3 s - a
License Holder (Print): �j�(:; f * /'f?, C', ,,, - % State Certification/Registration # CFL / 'L, (,/7)
Notarized Signature of License Hol � 4------ _ J
�d,Ypyp s - ••• • • subscribed be of -- m: / 0 1
: . HIRLEY L. GRAHAM d ay ��� 20g,
' *; *? MY COMMISSION ,
�: ' � r' • f Notary Public �� IF i
'' •� EXPIRES: Febr;
Af h Bonded Thai Notary Public Underwri ers J