1737 Seminole Rd (vault) i
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
{ — � S Permit No.
Date
A.M.
Time / a ! Q RM
Received
cality
Job Add es-
Owner's Contractor
Name MECHANICAL
BUILDING CONCRETE ELECTRICAL P UMBING
❑ Rough Wiring ❑ Air Cond. & ❑
Framing ❑ Footing Role ❑ Top Out r Heating
Re Roofing ❑ Slab ❑ Temp ❑ Sewer Fire Place ❑
Insulation ❑ Lintel ❑ Final Pre Fab
READY FOR INSPECTION A.M.
Mon. Gi
Wed.
Thurs. Friday PM.
`&
A.M.
� Q P.M.
} Inspection Made
Final Inspection ❑
' Inspector
Certificate of Occupancy❑
# Date
� u
PSR-3844 10168
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- - PERMIT INFORMAT i1DN - ___ _ __. .-._ LOCATI(;)N INF`:)R1,1ATION -----
cer'mit Number : 101EI? Address ' 1137 SEMINOLE RCAD
Permit Type : PLUMBING ATLANTI,_" BEACH , FLORIDA
Class of Work : NEW ------ ___ LEGAL DESCRIPTION
Constr . Type : WOOD FRAME Lot : Block ; Section ;
Proposed Use : SINGLE FAMILY Township : RNG: p
DweIlings : 1 Code; (11 Subdivision:
Estimated Value : $0 .01_•
Improv . Cc^st ; $0 . 00
Total Fees : $25 .0x,
Amount id: 525 .01
1EF
--- OWNER INFORMATION ---_ APPLICATION FEES --- --
` ane 'i1, PERMIT 2`
� _
i
1131 SEM r NOLE ROAD WATER IMPACT FEE
A`I`LA.NT!
REACH ,, FLr'RIIi� SEWER ?MFFs<11T FEE
WATER ME'1"ER 'TAF Sn .o
RADON GAS-H .R . S . $0 .00
----- - CONTRACTOR INFORMATION - RADON CAB 5%
Name 1 1 F::a F LUMB Z N,3 CAPITAL IMPROVE',
Add res._ . 1 MAIN STREET SEWEF TAS
iTIC BEACH FLORIDA 3�.. CROSS CONNECTION $0 .00
; 719E Tyle . SEC H IMPACT FEE
CONST . SURCHARGE
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT 000000000 000000000 #25.00 14
Date:
� 5/19/95 01 Rcpt: 0055571
By:
000032'21000 11324
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION : /Z-
OWNER OF PROPERTY :
PLUMBING CONTRACTOR (U _17,n c
CONTRACTOR' S ADDRESS: /��� ��`/�^' `'' ' "
TELEPHONE:
STATE LICENSE NUMBER:
•� �- ��
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER-6a2-11
TOTAL FIXTURES: x $3 . 50 + $15 . 00
MINIMUM PERMIT FEE - $25 .00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: �/-----------------------------------
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
i
PSR-3844 10139
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION - ------- LOCATION INFORMATION
Permit Number ! 10139 7.ddr�,ss : 1737 SEMINOLE ROAD
Per-mit Type,* UTILITIES ATLANTIC BEACH , FLORIDA 321:
Class of Work : NEW ----------- LEGAL DESCRIPTION
.on5tr . Type: WOOD FRAME Lot : Block - Section:
Proposed Use : SING'LE FAMILY Township : RNG:
Dwellinas : I Code: 0 Subdivision: ATLANTIC' BEACH
Estimated Value : $0 , 00
Improv . Cost , S0 . 00
Total F-e- 51250 , 00
Amouf—
D,-,
NFORMATION ---- APPLICATION FEES ----
PERMIT 8.0 . 00
,
fA4,INOLE ROAD WATER IMPACT FEE $0 .00
AT)140 T tC H , F L 0 R I L SEWER IM,,PA,,CT FEE
TrER iT A P
RADON GAS-H .R - S .
CONTRACTOR INFORMATION RADON CAB 5% $0 .00
Name:. PUBLIWORKS DEPARTMEN" CAPITAL IMPROVE .- $0 . 1
5P g1
`RCS
S C,0NNECT I 10N
Tvrr SEC H IMPACT FEE
CONST , SURCHARGE SCJ
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner(s) : ��LLl3Yh �L001�
Address: l�3� S�VY� t no�� t`�. Phone: « 3S�( - 3�45
Lot # Block or Unit # Subdivision-
Contractor:
ubdivisionContractor: AVLIKfoMVA 'RF-aQ-1AES RW r 10
Address: 144 sP r�� (3 _,Q_ Phone:_
State License No. CIG,23q L a _ t -1 4-�
Describe work to be done:
Materials to be used: Sc� 1V
Signature OWNER: Date: �s
Signature CONTRACTOR 21 �� t2 4M aeg,
CITY OF ATLANTIC BEACH
Y A 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-00032911 Date 5/03/06
Property Address . . . . . . 1737 SEMINOLE RD
Tenant nbr, name . . . . . . INSTALL 1 CU & 1 AHU
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
FLOOD, WILLIAM W. OCEAN STATE HEAT & AIR
1737 SEMINOLE ROAD 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 79. 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
it
Fit-
BUIlAfNG O IAL '
,ztyuf �� a�3
rr�,l
s '•r '
" =� CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date: S--
Pro perty
-Property Address: 1737 Ad
Owner: el 1 Telephone#: 0?4 -& �02
Contractor: oceja Z b--TC ULC ( Q 1C Telephone #: tip- t 51
Contractor Address: `4-7(p O nn C`(N%'r r E) Fax#:
Ln 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 Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Beating Fuel: If other construction is being done on this building
-/ or site,list the building permit number:
R Electric
❑ Gas: LP Natural ✓central Utility
❑ Oil
❑ Other-S ecifv
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
]� eat _Space —Recessed L6ntral _Floor 9"Residential
®' Air Conditioning- _Room central
❑ Duct System: Material Thickness ❑ Commercial
Maximum capacity cfin
❑ Refrigeration ❑ New Building
❑ Cooling Tower:Capacity gpm ❑ Existing Building
❑ Fire Sprinklers:Number of Heads
❑ Elevator: _- Manlift Escalator (Number) �Replacemetrt ofE;;sting System
❑ Gasoline Pumps (Number)
❑ Tanks • (Number) ❑ New Installation
❑ LPG Containers (Number) (No system previously installed)
❑ Unfired Pressure Vessel E] Extension or Add-on to Existing System
❑ Boilers
C1Gas Piping - --- --offer=specify ---- - - - ----
❑ Other-Specify
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQTJIPN ELT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
Twn 3()34�-
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model rc Manufacturer BTU's Agency
TANKS Nominal Capacity Type Liquid Serial - Approving
How Manv &Dimensions Contained Manufacturer No. Aeency
300 Seminole Road • Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800 . Fax: (904) 247-5845 . http:!/www.ci.atiantic-beach.fl.us
J2 06 11 : 33a Ocean State R/C 904-249-8949 p. 1
CITY OF ATLANTZC BEACH
�.,
MECHANICAL PEP
APPLXCATIOLN
- gate:
Property Acidress: 3
1-70) ._..._.._.y..._._.___.".
) '�,p p
nwncr: _ -
tC Teiepltone :�qQ- OLS
Contrac:tor:_OC.eL n �lcae �l'C C �..�
Lontnictur.address: � WC, �_n8
1--.
i (u,:,msWt-mdun of permit given for doing the worst as described in the ahove statement.we hereby 34ce ro pertixm said Wok is accordance
with the atlaahed plans and spec:ifiwtivas which area part hereoraad rn accordance with the t_:tly rrt.+.n:tntie Stich crrditkldce;:unit 3=00409'If
tuU pruaioe listed therein. _ -
Type of Heating Ciel: If other ounstructiun is being done:on this building
nr site,liar the tmildittb iwrmit number:
l� Electric `4-
p &;: LP _Natural %/Centrad Utiltty
0 Oil �-
❑ Other-Sesmty
i MECHANICAL EQ[!'I.PNLENTTO 8F MSTALL>ED NATURE OF W0RK
s-,',Heat _space _Recessed 'Central _Moor ttcsttlentdal
Air Conditioning: _.Roometttral
❑ Duct Syswrm: Material Thickness ❑ coamiercial
a Refrigeration hikaxKltnum capacity, cfnz
❑ New Building
❑ Cooling Toyer:Capacity -'Pm ❑ L-dstiaa Ruilaine
❑ Fire Sprinldcra.�lumbe•r of Reads -
O Elevator: _ Maulift Escalator ._.,,.,_,(Number) k__.,_,ReplaC Hent of Existing Systeal
13 Gasoline Pumps_ (:lumber)
' o Tata (Nutnber) J Ncw Installation
D LPG Containers tNumber) (No system previously itistaued)
❑ Qtzb.red.Pressure Vesyt:l Q &-,tensioll or Add_in to ExL%14 System
❑ Boilers
r0 Gas piping I ❑ Other-Specify
❑ Other-Specify
LIST A..t.,L EQUIPMENT
:1IIt _0KDLTIOPItNG.RUFRIGLR.ITION EQUI?%U:1'r&CONDUMOW.' rr,yproviuvs
`umber Units Uc3crrptlon Model%• NlantkMMYr• liras Agddey
aTWR3033
HF„uZING GTJIiNt�t= I�1R1:PL kCES&Ai'lt 14ANDLER.' Ap�viu�
4umbci Units
Ovicriptiull Mudel6' Mankit'.turer t3l'V':; Agernw
T.VOK3 Numrrt:tl r:apat CV Type LirluiJ � v letul �ppro+iuR
Hr)w bluuv .v,pinrnosiruc; :nntnined _T. Auriulhuum--
-- 300 Seminole Road• Atiatttic Ile-tell. Florida 321:33-5445
Mine: (1)04) 247-5.31)0 . FAX. (null) :a”-5345 • http:!/w�vw.ci.aHantlo-brac!i.1Lus