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59 Shell St (vault) t y. CITY OF ATLANTIC BEACH ti SIS 800 SEMINOLE ROAD r } ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 `j_�t rJi31�r 06-00033785 Date 8/24/06 Application Number 59 SHELL ST Property Address . • . • - Application type description MECHANICAL ONLY Property Zoning - TO BE UPDATED 0 Application valuation . . • ---- Application desc - 1 CU 1 AHU - Contractor Owner __ ---------------- --------- - ------------ OCEAN STATE HEAT & AI SCHANZ 1476 ATLANTIC BLVD. 59 SHELL STREET NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL 32233 (904) 249-8251 --___------ Permit --------------------------- _ MECHANICAL PERMIT Additional desc Plan Check Fee .00 Permit Fee 79 . 00 0 Valuation Issue Date 2/20/07 -----Expiration Date __ ---- ------------------------Paid---- Charged Credited Fee summary ---------- ------------- ---Due--- _ ------------ -----79 . 00 79 . 00 .00 .00 Permit Fee Total 00 00 . 00 Plan Check Total 79 . 00 . 00 . 00 Grand Total 79 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANC[C BEACH ORDINANCES AND THE FLORIDA BUILDING CODES- Rug 24 06 09: 08a Ocean State A/C 904-249-8949 SL 3 'TIC BEACE CITE' Off' ATLATN MF.C.UANICAL PERMIT APPLICATION Date: te- (51 Property Address. W -"'o Co 11tracto r-.D.Qe Teiephone Cotitr:tcto i- address: L4131D-aaL1J d La F a In cotlSidamcilin of perm Sive .her dQW0. d,c-),k as dLziarfb in the at)ove AutcMent,wc vi:Tct v ugee m pf--nr=said Work in accot-daricz with Chi:amchvi plaUs atid SpecificaTiOUS which are a pall hereof and in accotclan=with the of Mande Beacb rndittaues and i1alldacds If _flood_pr=ire listed therein. Type fiflitatinw.ruiel: It other CMMUUiun-is being done nn tH.4 h6lHi.tjsz or site,fist the building permit number. Cl 6as; —TJ' —Natural Z-=-4 Utility * oil * Otber-Specify ECHANICA,L EQIrDK;NT TO 13E INSTALLED NATUM OF'v WORK Heat w Space Recessed V'Celatral —FICUT a �AIT Conditioning: Room izitntrul 0 Duct Spaem: Material Thickness Q Commercial Maximuin capuci.tv cf3l, ,Z1 Xeffi2erutloa New Buil(fing, Cooling Tower Capacity ")-Pm E;usting BuildtT.iqq Tire Sprinkler s:�Nvmber of'Re=z Nfa)jift- —'Escatular (Number) SVbICIT! 1Z Gasoline 1:'TL7mps _(Number.) • Tanks (Number) a New Ins:;Iuan on • LPG Couvimers (Num be-) !No sn-tem.prcv01;41Y imtallccll C1 Unfbred Prozssure Vessel 0 Extension or Add-ori to&xibUngjyyMem C1 Gas Piping 0 "(D iT 16i.-speull Q Other-Specify LIST ALL E,0 ,UIMENT AM CONDMONING,RZI,-IUGI-:XATI()Ci.IEQUD'MZi-T&CQNMMUR'ti AppOviag Number Units EitsCrit' n Model 41 Manufacturer Tim'5 Agent H&1. M;-1-7.rRNACF ,111)(1,ERS.FIRLPLACES&AM HANDLER'$ Approving Nuinhe-, Uairs Desmipriou .'agency 1/6 fit ii& Fd y ro 0Z TAtVtCs Nuavinal C`*4civy Typc Liquid Dinlcnsinns 1"41mitacturcr - --Av�nv, Soo 5emijikike Runa - Atiatittic Beach!Florida 322.33-34415 .1'hone: (904)24-1-5800 - Fat; (904)'147-5345 - ft SL 3 e na+� CITY OF ATLAT'vTIC BEACT �J 1YMECHAN-ICAL PERMIT APPLICATION Date: Property Address: �/ v� Owner: Telephone#: �41 - 3 �3 n m Contractor: oCean caune— , C Telephone 9: E - O Contractor Address: t4-7[p (�TL _�r, Fax4:p4q-q�A- 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 Atlantic Beach ordinances and standards of Qood practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: O/Electric Iv Cl Gas: LP Natural Central Utility ❑ Oil ❑ Other-Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK r9o' Heat Space _Recessed . _✓Central _Floor 3--"Residential Air Conditioning: —Room Zentral ❑ Duct System: Material Thickness Cl Commercial Maximum capacity efin ❑ New Blinding ❑ Refrigeration ❑ Cooling Tower:Capacity gPm ❑ F--dstins Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) wl"Replacement afE.xisting System ❑ Gasoline Pumps (Number j ❑ Tanks (Number) C1 New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ----------.___-- ---- _--- ❑ Gas Piping — ❑ Other-Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Descniron Model# Manufacturer Ton's Agency 1 � HEATING—FURNACES,BOILERS,FIREPLACES&.MR HANDLER'S Approving Number Units Description Model Mania BTUs Agency l Ahit �o o� rw,u, 0 6V TAi`fKS Nominal Capacity Type Liquid Serial Approvmg How Ivlanv &Dimensions Contained Manufacturer No. Aeencv 800 Seminole Road • Atlantic Beach, Florida 321233-5445 Phone: (904)24;-5800 • Faz: (904) 2-47-5345 . http:!/www.ei.atlantic-beach.fl.us MEMORANDUM Yage i or i Hanson, Jim _ From: Ford, Don Sent: Wednesday, May 21, 2003 8:00 AM To: Hanson, Jim Cc: Kosoy, Robert Subject: Shell St-TreeBoard.doc CC .13fity commission ❑City Manager ❑City Attorney MEMORANDUM ❑Press ..P-riie Date: Wednesday, May 21, 2003 To: Jim Hanson From; Don C. Ford Subject: Tree Board letter to Commission concerning trees on Shell St. I have met with the Tree Conservation Board Chair person, Barbara Mears, and reviewed the location of two oak trees approximately0 tast,of Seminole Rd. on the south side of Shell St. The board was concerned that the paving ofNeIRTaywill cause damage to the trees. The design of the street shows the pavement has been curved to the north side of the ROW. After discussing the possibility of moving the pavement further to the north we determined due to the location of a power pole on the north side of Shell St. it would not be feasible to move the pavement any further to the north. The plans indicate the pavement will be 1 to 2 feet from the nearest oak( 8 inch DBH). Ms. Mears agreed that the city had taken appropriate steps in the design to cause as little harm as possible to the two oak trees. Cc: Bob Kosoy 5/21/2003 City of- Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. ___BATHROOM GROUP CONSISTING OF _____SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET VALVE WATER CLOSET, TANK OPERATED (4) ^VALVE OPERATED (8) BATHTUB/SHOWER (2) -----URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) -----FLOOR DRAIN ( 1 ) SHOWER STALL DOMESTIC (2) -_-_-LAUNDRY TRAY (2) LAVATORY ( 1 ) ___-_COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) -----POT, SCULLERY SINK (4) DISHWASHER (2) -----WASH SINK EACH SET OF FAUCETS (2) __KITCHEN SINK (2) DENTAL LAVATORY ( 1) _____KITCHEN SINK WITH WASTE GRINDER (3) -____DENTAL UNIT OR CUSPIDOR (1) BIDGET (3) _____URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) _-___COMBINATION SINK AND TRAY WITH ----- FOOD DISPOS. (4) _____URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) --___DRINKING FOUNTAIN ( 1/2) LAVATORY, BARBER/BEAUTY ----- LAVATORY, SURGEONS (2) SHOP (2) ----- SURGEONS SINK (3) _____URINAL STALL, WASnOUT(4) 0 TOTAL FIXTURE UNITS___z�___- @ X10. 00 EACH $ / / 0.0_-_-_-- JOB INFORMATION - APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME ------------------ MAILING ADDRESS __/Z27__ r/ ------------ PHONE HUMBER__ � _ J7C)T�-------- DATE_/L:.:�--3 --------- SERVICE REGUESTED - -------------------- -------------------------- SERVICE LOCATION_: C� ------- ------------------- ----------------- ----------------------- ----------------------------------------------------------- DATE SENT TO DATE RETURNED PUBLIC WORKSTO BUILD. DPT. ---------------- DATE OWNER NOTIFIED_____________________ -� -, APR 2 3 1992 Building and Zoning P id 5345 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION -- - - - - ----- LOCATION INFORMATION - Permit Number: 5345 address: 59 SHELL STREET permit Type: UTILITIES ATLANTIC BEACH, FLORIDA- Lot: Block : Section:3223 , Class of Work : NEW ---------- LEGAL DESCRIPTION - Constr. Type; CONCRETE Township: RNG: 0 Proposed Use: SINGLE FAMILY Dwellings: 1 Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees: $344. 33 Amount F';: $344. 33 n 7Address : 1927 R INFORMATION -- --- ---- APPLICATION FEESRANDYPERMIT $0. 00 EACHIDE COURTWAI,ER IMPACT FEE $0. 00 ;EWER IMPACT FEE $C3. a�'IC BEACH, FLORID, WATER METER SBS• 00 •-1`x-':'7C RADON GAS-H. R. S. $0. 00 RADON GAS - 5% $0. 00 L�}p�`t`,?ACT��i INFORMATION WATER TAP 5259. 33 Name: PUBL.TC WORKS DEPARTMENT SEWER TAP $0. 00 Ad jre.:y HYDRAULIC SHARE 50. 00 L.i :�zne. Type: RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHF,R. $0. 00 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'ILDING IMPROVEMENTS,LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR B 55 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND 0 A R VIOLATION OF APPLICABLE PROVISIONS OF LAW. MAY 1 ATLANTIC BEACH BUILDING DEPARTMENT Building and Zoning By: DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT !N1-'UR!' AI -------- LOCATION INFORMATION --- eer-mit Number : 4778 Address: 59 SHELL STREET Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA Class of Work : NEW ---------- LEGAL DESCRIPTION Block : Section : Constr. Type: WOOD FRAME Lot: Proposed Use: SINGLE FAMILi Township: RNG: 0 Dwellings: I Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total -Fees: $45. 00 Amouft-t. $45. 00 '1/92 ROOF WITH ---- APPLICATION FEES OWNER INFLJHMATION PERMIT $45.00 5EURC-E GRANDY WATER IMPACT FEE,,_, $0.00, 59 SHELL STREET SEWER IMPACT FEE $0. 00 A 1,TLANTIC REACH, FLORI WATER METER 40.00 03(:}4.)2,1149-7' 04 RADON GAS-H. R. S. $U. 00 NFORMATTO�l RADON GAS - 5% $0. 00 CONTRACTOR I WATER TAP $0. 00 Name: PROPERTY OWNER SEWER TAP $0. 00 Address; HYDRAULIC SHARE $0. 00 Type: RE-INSPECT FEE $0. 00 Licenses SEC. H IMPACT FEE , $0. 00 OTHER $0100 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." OVEMENTS.55 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE._ t REVOCATION FOR h" VIOLATION OF APPLICABLE PROVISIONS OF LAW. iEN6*ERs 946363 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING owner(s) : CS i- Address: S 61 Phone: 24 -7 Lot # Block or Unit # Subdivision Contractor: Address: Phone: State License No. Describe work to be done: NF \f f 1..0,0 P Materials to be used: Signature OWNER: Date: �q Iq 2- Signature Signature CONTRACTOR: OWNER BUILDER PERMIT AFFIDAVIT--`"" State of Florida City of Atlantic Beach > BEFORE ME, the undersigned authority, personally appeared - (�1/�1Y72vI- 2 ......... who uponfir,ot being duly sworn, deposes an says: I� h� l,t Gt bJ' --, and the legal -- - -- -------------- owner of the ;following property: Subdivision __ ------ --- -- ---- ------- Block --------------- Lots,_ AKA „j.�� t.L1c_`�T.---_fes -- I am applying for a building permit pursuant Lo %.he Owner Builder exemption not forth in Florida Statute, Section 483. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENTS DISCLOSURE STATEMENT •State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of 925, 000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to wake sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. L1 Property finer -� --- Savor o and subscribed o me this ------ day unr.ov o�rnr Tr CITY OF j 444---- Bwzc4-414 ' Office of Building Official REQUEST FOR INSPECTION �1 (j Permit No. `t '7/ Date t0 Time �, P District No. Received 59� Locality Jo Ad rens Owner's Con S Name PLUMBI G ECHANICA BUILDING CONC ETE Rough ❑ Air.Cond.& ❑ Framing ❑ Footing ❑ Rough Wiring El Rough Re Roofing ❑ Slab ❑ Temp Pole Tap Out ❑ Fire Piece ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. W __---P.M. Mon. Tues. ed. rs. A.M. Friday. InspectionMade ��� �--" Finallnspectio ❑ Inspector Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Acv'owdby APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:—�� 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC. P. 0. BOX 50398 JACKSONVILLE BEACH, FL 32240=0398 ELECTRICAL FIRM: MASTER ELECTRICIAN14"ATURE JOURNEY NAME.,��C,- ADDRESS: Sf / > % RFD BOX BLDG.SIZE 7BETWEEN: RES.'r,4- APT.( ) Comm.( ) PUBLIC I ) INDUS.( ► NEW( ) OLD REW. ( ) ADDITION( ) TRAILER ( ► TEMP.f ► SIGNS ( ) SO.FT. SERVICE: NEW( ► INCREASE REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ALUM.De4 SWITCH OR BREAKER �S ��AMPS PH >W 4 LrCVQLT RACEWAY , EXIST.SERV.SIZE AMPS PH • �W ;VOLT RACEWAY l �� FEEDERS 1118. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES _ BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0'1 OVER MOTORS N.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MIS ELLANEOUS , 77 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 194 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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 ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC. ���� -)0'5W) R 0. BOX 50398 h c^ , , , ELECTRICAL FIRM:' MASTER ELECTRICIAN GNATURE NAME Q UA2P. ADDRESS: F� S c \\ S+def i-RFD BOX BLDG.SIZE BETWEEN: RES.(') APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SQ. FT. FEE SERVICE: NEW( 1 INCREASE ( 1 REPAIR (z CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. 1 1 SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W DOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-30 AMPS. 31.700 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW HEAT 0.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ' 4691 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION LOCATION INFORMATION -------- ��ddress: 59 SHELL STREET Permit Number: 4691 T�dd A 3223-- r.-S ATLANTIC BEACH, FLORIDA 32232 Permit Type: MECHANICAL ..... ----------- LEGAL DESCRIPTION -------- - Class of Work : ADDITION L. Block: Section : Constr. Type: WOOD FRAME Lot : Township: RNG: 0 Proposed Use: SINGLE FAMILY Dwellings: I Code: 0 $0. 00 Subdivision: Estimated Value: $0. 00 Improv. Cost : $43. 00 Total Fees : $43. 00 Amount Paid : APPLICATION FEES INFORMATION ------- PERMIT $43. 00 Name: GRANDY WATER IMPACT FEE $0. 00 'ame e 59 SHELL STREET $0. 00 Address: ATLANTIC BEACH, 22 SEWER IMPACT FEE $0. 00 WATER METER 0. U0 (gC)4 )249-8251 FLORIDAR.1 DA- 32 RADON GAS-H. R. S. $0. 00 APPLICATION FEES -- -- $43- 00 'EE $0. 00 ,r F T FEE " I i1r, RADON GAS - 5% $0. 00 ------- CONTRACTOR INFORMATION WATER TAP $0. 00 Name: OCEAN STATE HEAT & 7AIR SEWER TAP $0. 00 address: 1476 ATLANTIC BLVD. 2 HYDRAULIC SHARE $0. 00 NEPTUNE BEACH, FLORIDA 322-3 RE-INSPECT FEE $0. 00 ,icense: MHAR-786 Type. 3 SEC- H IMPACT FEE $0. 00 OTHER $0. 00 NOTES: ��7 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 LAW CRESULT 6'FAILURE TO COMPLY WITH THE MECHANICS' LIEN IMPRAN IN OVEMENTS.53 THE PROPERTY OWNER PAYING TWICE FOR BUILDING HIS PERMIT AND SUBJECT TO FOR ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF T REB $43.00 VIOLATION OF APPLICABLE PROVISIONS OF LAW. �:­,';=- RECEIPT NLKR: 045226 ATLANTIC BEACH BUILDING DEPARTMENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORI.A 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN N BER IMPORTANT — AAp__plicant to complete all items in sections I, II, III, and IV. I� Street Address: ���LL� �,,,]f LOCATION —" OF Intersecting Street$. Between And BUILDING Subdivision _. . --- --.---- II. IDENTIFICATION — To be completed by all applicants In consideration of permit given For doing the work as described in the abcve statement we hereby agree to Fe,fc,� said wo•i e.:c oe :e with the attaclLed plans end specifications which are a pert hereof and in accordance witn the C ty of Jacksomv.Te ordnamces a^o s e^oe as of qood practice listed therein. Name of Mechanical Contractors Contractor (Print) Master �� 0 Name of Property Owner Signature of owner Signature of Architect or Engineer or Author4ed Agent Ill. GENERAL INFORMA `'- A. Type of Mating fuel: (3. IS OTHER CONSTRUCTION BEING DONE ON 0 Electric THIS BUILDING OR SITE? ❑ Ges—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT �----- Q Other — Specify IV. M mANWAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complex list of components on beck of this form) Residential or (] Commercial Heat ❑ Space ❑ Recessed 19, Central O Floor New Building A;r : ❑ Rooms Condtt;on;n9 Cemtref Existing Building (U � Duct System: Material ' ;ckmes� ❑ Replacement of existing system [ ' New Installation(No system previously installed) Ma1;m4m capacity �'� C.f.m. ❑ Extension or add-on to existing system s ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capec;ty 9 P ms• Q Fin tprinklen: Number of It" - Q Elevator ❑ Monl;ft ❑ Escalator Inumber) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline Pumpe (number) ( ,) i ❑ Tenkt (number) Remarks ❑ LPG containers_ —(number) -- ❑ Unfired pressure visual Permit Approved by De'I+ Q 50;16" Permit Fee [] Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION FQUIPMENT Capacity Approvlr4 Number Units Description Model Number Manufacturer ('i'ocra) A�aney cz 7 74 i2 A2