301 Seminole Rd (vault) BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, H, III, and IV.
LOCATION Street Address: �'�/ ��'M vn'1`C' Ad
OF Intersecting Streets: Between And
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) ae/4^ S"fA7 Q Master CA co 1.3lo
Name of
Property Owner ?? t G✓e 6 .e'
Signature of Owner t Signature of
or Authorised Agent �� Architect or Engineer
III.
GENERAL •RM TI N
A. Type of heating fwt: B IS OTHER CONSTRUCTION BEING DONE ON
X. Electric – THIS BUILDING OR SITE? C S-
❑ Gas—❑ LP ❑ Natural ❑ Central Utility J
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT 3 5-90
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO IE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) Residential or ❑ Commercial
, J Heat ❑ Space ❑ Recessed g Central 0 Floor ✓ New Building
14 Air Conditioning: ❑ Room 0'/Central ❑ Existing Building
40 Duct System: Materi l,a,sJC�a;eiRev cT[hickness/// ❑ Replacement of existing system
Maximum capacity // /r Dr0 c.f.m. y New installation(No system previously Installed)
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other — Specify
❑ Cooling tower: Capacity g.p.m.
❑ Fire sprinklers: Number of heads
❑ Elevator ❑ Menlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Received)
❑ Tanks (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure vessel
Permit Approved by Date
❑ toilers
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
capacity Approving
Number Unit/ Description Model Number Manufacturer (Tons) Agency
HEATING - FURNACES, BOILERS, FIREPLACES
Capacity Approving
Number Units Description Model Number Manufacturer (BTU) Agency
e win/ . CA ':p.-L 5/..2,,aO*0 /Z.•
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
and Dimensions Contained Manufacturer No. Agency
PSR-3844 13585
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION -- - - - ------ LOCATION INFORMATION --- -
Permit Number : 13585 Address : 301 SEMINOLE ROAD
Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 3223
Class of Work:NEW LEGAL DESCRIPTION
constr . Trv :WQa FRAME Block: Lot : 282 Twp :
Proposed J -e: SiNLE FAMILY Section : 2 Subd: Rnq :
Dwellings : 0 Subdivision: SALTAIR
Est . Value: 0 .00
Improv . Cost : 0 . 00
Total Fees : 64 . 00
Amount Pail ! 64 nn
D'at
NLiN
C:WNEF INFORMATION -- - --- APPLICATION FEES
Name OLIE & TC,M WEBBER PERMIT
Add: LORA STREET
NEEJUNE 32 :
Phone: 904241- 98
';H:ATFACTOR INFORMATION -
Name: B & G FLUMLIN
Addr : 13997 EEACH EL1E
JACKSONVILLE FL : 2224
Lic: . F02293 Exr :
Type:
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 3/26/97 I1 Rucipto
CHECKS 3A9 /
ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION : 30/ 5Fn, n.►0LE A!d.
OWNER OF PROPERTY : WEgIVSZ-
PLUMBING CONTRACTOR ,acf 6 ('L u M C3i N G (:0
CONTRACTOR' S ADDRESS: I-1907 S /IG/J 8 L$1a•
STATE LICENSE NUMBER: c i=c0 2.2 59,3 TELEPHONE: 223- 3S8S
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
I SINKS SHOWERS
LAVATORY I WATER HEATERS
I BATH TUBS ( DISHWASHERS
URINALS I DISPOSALS
3 CLOSETS ( WASHING MACHINE
FLOOR DRAINS I SHOWER PANS
OTHER LAt#4p2-/ TrA/
TOTAL FIXTURES: / x $3 . 50 + $15 .00 G . o°
MINIMUM PERMIT FEE - $25 .00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: A
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - ( 904) 247-5834
pare "` ,, itY Op
Re e��e 7 RFQuOrf ce of k
<�� -�-j� �`4'T FOR,11hg°tf;�;
owner Job qav M\ NSP�cT/
e s Tess ., 5.___, RM ®r�
8 Cp�NC Perini'N, �'.
Re R
ot, , i"
ng 7 Co S
ti ° ANC / O
ab �\
° �� �te! F<F TCOntract°r °ciity /
/
c 67,-•
761'101%09-h qG J
! ns0ecti°n��a loes�� P°eiryn9 PCU t
,p crO` aE ` RFApy �pR TPi.% �ej�G \
- ---------„,itb I
p
♦ / Wec �NSpCT SeweCh MFCy
`^- ��/�t - Air 44f•C
'+ n %au ci' 8 qG
\\ A re cab ce
FPM Rrl. O
\ pi/7
a!
,,,,9,0e rnat oo cupan
cY l O
rq c:op
'date ®fficg of B rZ..G Time\ REQUFS ng o
Received `� r F1c%8i
_ OR I NSPFCT/O
�'6 1, A.M.
N
Owner's
Job Aadres �'' M Permit N0 /'
lL pING
Frain n9 _ ��-* -1- .0 / .110
IR u a4onn8 CONCRETE'• �_c0,, °cality \
Slab EL Contractor �0•
�IjI Lintel Ro FAR/CqL
4„....::,111,•-11, Te ugh Wirin p /
di � \ "'p POIe g G LUM @/ '
Final NG 4110 R @qp 0 ROU9h
inspection, V r' Te Out MECH
Inspector it 2 Q�
Wed.FOR�NSpFCT�ON Sealer Meat°na &1 CqL
� Fire',a
e� � ,mss. pre Fatice
� Friday
--------____Q-74
Final
Inspection C)
Daletificate of Occupancy I r