Permit Merch 372 10th St 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000495 Date 9/14/12
Property Address . . . . . . 372 10TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 50000
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Application desc
ADDITION AND REMODEL
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Owner Contractor
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FLETCHER JULIA TRUST EASTERN SHORES CONSTRUCTION
800 GRAYDON AVE B3 1015 ATLANTIC BOULEVARD
NORFOLK VA 23507 ATLANTIC BEACH FL 32233
(904) 545-7878
--- Structure Information 000 000 ADDITION AND REMODEL
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . MECHANICAL GAS PIPE PERMIT
Additional desc . .
Sub Contractor . . FERRELLGAS L. P.
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/13/13
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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
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.
Concrete driveway apron must be 5" thick, 4000 psi, with
fibermesh from the edge of pavement to the property line.
Reinforcing rods or mesh are not allowed in the ROW.
Full right-of-way restoration, including sod, is required.
PERMIT IS &.bVIDif6NIaOnt1TTQBUNC®WPaFIALLiMAtolbO LQRfiCitR a4tRgN1'KL:�d "S14HE FLORIDA
BUILDING CODES.
m.. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00000495 Date 9/14/12
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Special Notes and Comments
and container cannot be placed on City right-of-way.
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 4 . 00
STATE MECH DBPR SURCHARGE 4 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 8 . 00 8 . 00 . 00 . 00
Grand Total 103 . 00 103 . 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: 23 1,a /o �-` ,z e PERMIT# /010 y915-
PROJECT VALUE ARI#
REQUIRED
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 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) /A0
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 56'14wlPti Phone Number
Mechanical Company fr5 Office Phone/ r /�� a Fax
�
Co. Address: 2 5 c�.lk City �� State Zip
License Folder(Print): Skle Certification/Registration# 93
Notarized Signature o
SHIR`5YL.G20
=r' rrvCOMPdt5SI0NDD95776w rn and subscribed bef re this da of_ (G--
`* *" t_XPIRE&February 14,201 lic
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PubUnderwriters
-.:..• - pondedTtruNotary ture of Notary Public
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