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149 S Oceanwalk Dr 2013 bath remodel CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002614 Date 5/06/13 Property Address . . . . . . 149 S OCEANWALK DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc BATH REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SWAIM STEVEN A & TORI S BOSCO BUILDING CONTRACTORS 149 OCEANWALK DRIVE SOUTH 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-0320 --- Structure Information 000 000 BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00 Issue Date . . . . Valuation . . . . 10000 Expiration Date . . 11/02/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE DCA SURCHARGE 2 . 00 STATE DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total 50 . 00 50 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 154 . 00 154 . 00 . 00 . 00 PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 Office (904) 247-5826 Fax (904) 247-5845 JobAddress: dc*WALV- tv- �. Permit Number: 1-3—c� Legal Description 12-601 DR-,)5- 14E, Parcel # Floor Area of Sq.Ft. --Sq.Ft Valuation of Work$-/10 Propose( : heated/cooled non-heated/cooled Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door Use of existing/proposed structure(s) (circle one): Commercial eznM�� If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N /A Florida Product Approval # For multiple products use product app—row—al I-orni Describe in detail the type of work to be performed: r-)a4&roc� Property Owner Info rination: Name:f2itken� -T-or q i 5wCL4'rf1\ Address: 199 CtQjoux,0aAt Dr- ':_�i City ""CLDIC r�QacL­l StateF.0 Zip Phone E-Mail or Fax#(Optional) Contractor Information: Company Name: I A 11 1 r Qualif W&M y Agent: Addressa- 1.5k M�,� KkrI Of - city jj�C_ &a CA, State F-L_ Zip 3"Y�) Office Phone90_-1/_ 2v( (33;0 Jo 31tul ax# State Certification/Registration# J' REIM M- -D FOR CODE eOM - __11 Architect Name&Phone# UEAW"Vw __ — CMA A�OF ATLMqTj Engineer's Name& Phone 4 C BEACH Fee Simple Title Holder Name and Addres PERMITS PUR-AUD-17rIONAL rn I s AM CONDI-flONS. Bonding Company Name and Addres ILM L 7( 11, Mortgage Lender Name and Address REVMWED BY: El ATE a n a ca imenced prior to the 'Is �os'I la w ' " 'i s � ards a 0 k is s O�r A * at here made I la''n a ermit to do the work and i a f "c e io s by d h 0 0' 'k ill be e or ed to Z I the s a' f in I ;or, c s or (6 n f ipp'nc ' a permit an I at all 0 p Z I I c.Ire'd or Eject'.1ca and "d,'7'ok'_s not co""C'd"_thpi,six 0 on r' k is f "cd I"d 'd th t s p r I pr isimit be sec coin �j e'sta a e a ae e 'As andA"Cn i ine's,etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING9 CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ]here certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this 1�work will be com iedwithwhether ecift'iedherei n or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ofany otherfe e 1,slate, or loc lating construction or the peifo�mance ofconstruction. Signature of Owne Signature of Contracto& Print Name 4. Print Name ...................................................................................................................................... Sworn to and subscribed before me Sworn to and subscribed before me WILLIAM L.POP�Q this Day of W-1111AM1209!& this Day of NoWry Public,StateoT rJorlua 6 wmry FuNic,Do Oct 19,;015 Comm. pires Oct.19,721 Expires P ­rommissionNO-Cr- Notary ublic commission No.FT IBM:) Notary Public Revised 0 1.26.10 Doc#2013110458, OR BK 16353 Page 1 102, NOTUT Number Pages 1 011" CONINIFNICEMIFNIT Recorded 05/02/2013 at 03:57 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY Permit No. RECORDING$10-00 TaN Folio I t�NDF'RSI('N[:[) herchN 9j,t'N lwficc that improvenicllj�, %%ill be Milde to certain real pfoperty,wid ill a(Lordance\-.ith Section 713 13 4411it:Holitla's'latillet"the follm"ifue infornialion i�,Pro \ided in thk NOTICE I I)Cscf illtion ol'pioperIN (Irgal d,-.%(-rj[)1ion): -d �-a cir _Y,),-6 0/ 0 cle 0 C,- a) Street(joh) Address: 0 Cj2CL11 LK,)6L t K 2 �A;cneral description of improvements: eP977F 10-e---k .I.Owner Information a)Name and address: b)Name andaddress of fee simple fi- q1 0c12a-NwcL(f- 6(- S A6 3,U33 111cholder(if other thail owner) c) Interest in proPt,r(N 4.Contractor InIlbrination a)Name and address: OOSO DU l(0.4ejl 601`4 11-4MWVZ_� Ipc r_v;6 nivq�,vaeGrw A-rL+r,7(- h)Telephone No.: cic�'i 2,�q t -0 3 2-0- - Fax No. (Opt.) _ 19o4 24 1- 032-(, V�5 urety Information a)Name and address: h)Amount ot'llorld: c)'I'clephonc No.:. Fax No. (Opt.) 6.1.endcr a)Name and address: Phone No. 7. Identity of person within the Stateof Florida designated hy owner upon whom notices or other a)Name and address: b)l*c'l hone No.: —--------- Fax No.(Opt.) 8.1naddiflont, imself,owner designates the following person Ill receive a copy of the I.ienor's Notior.a_S provided in Section 713.13(l)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fa.x No. 1 0'pt.) 9.Fxpiration date of Notice one year from the date of recording unless P different dale isspecifted): WARNJNGTOOWNER. ANY PA VM ENTS M A DE BY Til E' OWNE'R Al,"I'll-1-11 TH E' EX Ill RATION Of-'THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS I)NDER CHAI-I-ER 713,PART I.SEC"I'llON 713.13. FL,ORIDA STATI)TES,AND CAN RESUUr IN VOtIR PAI'INGTWICE FOR IMpROVEMENTSTO N'()IIR PROPIERT'll'. A NOTICE OF(-'()MNlFN(.'VMFN'lr MI)ST BE RFCORDED AN17) POSTFD ONTFIF JOB SITE PFFORP.Tim PiRST -R Oil AN Al-[',ORNVV BEIFORE 1NSP1,.',CT1ON. Ill'V011 IN'I*FNI)'I*O OBTAIN FINAN( ING,CONSIA"ll.Volll� IANDE ('0MMF,N('1NC WORK Oil REC'01401INC V01IR NOTICE "ONIME.N('11 OF NIA'10:01,FLORMA MUNI I 01cl-INI-LIAN 10. '9n rc ill 1 01 0 1 sAts hi . lee RX njulel/managel 1k)a 1r -N Print Nanw The foregoing instriviient was acknowlOdgeA bellbre'Ile this 'Z— .(lay of 4� 20 /,7,by ,is 1 1 (type of sitilhorily,e.g.officer,frusite, allornes. in fact)for (na file or Im rty Oil liwIl 0 If of W Isom i fis I l-u Ille"t "34S C X C c U I ed). OR Produced Identil'i"tion Nolary Signsfurr Type of'Identification Pti.x1loced Name(print) OR WILLIAM L.POPE Vcrificafion pursmint to S(cli011 92 �2�, 1 lorlda ','tHluics. Lhidvi penalties of pc Wr), I (IcL hit(- Illal I the facis ill il ,,tl( ITLI(.1,(1, ll)eq of ilry lind beliuf'� My Comm,Expires Oct.19,2015 Commission No.EE 128745 cr 0 z 0 0 Z .0 Lu 055 Ch LLJ Z 0 [L—Uj IL EE A 0 a: 0 W Lu cc LLJ copf 0 uj on OZ Ow Ilk :r C.) I'-Lu Z 0: 0 IL I UJI z> I g I �2: 0 z z '0 10 z LLJ 3W z 0 z Lu z 2 Lu 910NUG ROOM LLJ z 0 W LLJ V4r 0 a z POSSIBLE CLOGW RAISED cfl w 0 FLOOR DATH CLOW :r 0 U)x 4-1 �-w 0 WAA-L -It x 0 W). a. 0 x 0 CL I.- pm X 0 (D W w () X C Cc 0 w 15+00tl 02 BEDROOM *3 (D ....... ... ........... ........... C"D 'a C.r .4W m 0 ------------- E 10 0 0:�LL CL 0 uj u z (n OFFICE 19 z>- 0 -Z 10-21,32" Oa 0 w w m uj U, 1�e7,e efl,7717 u"81 PROPOSED SECOND FLOOR PLAN L) 1/4'-1'0' (L z III 0 Ile (wa LLJ 00 "I'- z 1-- 00 z w Bosco O� Adh LLJ 0 w M 1- 11-j COMMERCIAL AND RESIDENTIAL 904-241-0320 ERE PREPARED FOR ONE SPECIFIC PROJECT FOR THE CLIENT LISTED IN THE TITLEBLOCK AND ANY OTHER USE IS PROHIBITED AND VIOLATES COMMON COPYRIGHT LAWS YW ir-c W-C k W-C BMUS ROOM I- CLOW CLOW MTH CLOW HALL 'r4r BEDROOM#2 BEDRIZM03 94r,*l opm,ro ISTPLoopt Wr ----7i4i EXISTING SECOND FLOOR THM PL" City of Atlantic Beach 181 Building Department "assig_ N L-Alal 800 Seminole Road Atlantic Beach, Florida 32233-5445, Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us Cityweb-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: .9tPgOnent review r' Oquired Y No Applicant: Planning&Zoning Tree Administrator Project: Public Works Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Rec'elpt Date of Permit Verified_By Florida Dept.of Environmental Protection Florida Dept of Transportation St Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacoo Other 7 APPLICATION STATUS Reviewing Department First Review: EApproved. FIDenied. (Circle one.) Comments: PLANNING&ZONING Reviewed by: Date: TREE ADMIN. Second Review: E]Approved as revised. F�DenieW PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SER\ACES Third Review: nApproved as revised. FIDenied. Comments: Reviewed by: Date: Revised 07127/10 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002614 Date 5/29/13 Property Address . . . . . . 149 S OCEANWALK DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc BATH REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SWAIM STEVEN A & TORI S BOSCO BUILDING CONTRACTORS 149 OCEANWALK DRIVE SOUTH 2158 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 24 1-0 3 2 0 --- Structure Information 000 000 BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor . . ERICKSON ELECTRICAL CONTRACTOR Permit Fee . . . . 63 .40 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/25/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 .40 63 . 40 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 67 . 40 67 .40 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, Fl, 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: Wk 0 Cf Wig Wa VL 9 PERMIT# 13 ,2� 14_ klOtkl\o_ VV-_�LA , jr-1— SZZ'7-53 WA4# I-U INT �5p) JEA INFORMATION REQUIRED ON ALL PERMITS Z�Q'0 AMPS \LVIZ,4 VOLTS PHASE VALUEOFWORKS �-Z_cv NEW SERVICE El Overhead nderground Underground up Pole 'Residential(Main)Service LA-100 amps �_1101-150amps -200amps amps #of Meters E Commercial(Main)Service F-1 0-100 amps 7--101-150amps �t !151-200amps Ll amps E CT Service amps Conductor Type Size y(Main)Service 'Multi-Famil #of Unit Meters 1-10-100 amps �'101-150amps 11 151-200amps I amps �Kj Nop "Temporary Pole amps SERVICE UPGRADE I CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) [1100amps 0150amps 0200amps 11 amps [�CT Service amps ADDITIONS,REMODELS,YXPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: __jeo��0-30amps 3 1-1 00amps 101-200amps Appliances: 0-30amps 3 1-1 00amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS -1 1 Swimming Pool Ll Sign 1-1 Smoke Detectors_Qty ri Transformers KVA []Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty_volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS I I Replace Burnt/Damaged Meter Can I I Safety Inspection I I Panel Change I IOH to UG -1 Other: ?a44404V1_% P4 44 0 r110 �Ocotb 0 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 'Me 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 Phone Number Electrical Company U�qaa0f&Office Phone ��A\-C(()0(0 Fax Co. Address: C)4 — V ID� City L�RCV00VA V�UW State F L Zip 7�Z ZA License Holder(Print): —State Certification/Registration# 0001;�Z_0 Notarized Signature of License Holder s Of d subsc bed bef is d of 2(43 0 KA'�G i-�A` ()mMlSS*N#0*%? �-MRES-February 1 2014 blic e fNo Pub=ic nded Thru NotarY Public e of No t st CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 - 19 Application Number . . . . . 13-00002614 Date 5/24/13 Property Address . . . . . . 149 S OCEANWALK DR Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 10000 ---------------------------------------------------------------------------- Application desc BATH REMODEL ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SWAIM STEVEN A & TORI S BOSCO BUILDING CONTRACTORS 149 OCEANWALK DRIVE SOUTH 21S8 MAYPORT RD. ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (9 04) 24 1-03 2 0 --- Structure Information 000 000 BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc 6 FIXTURES Sub Contractor COGBURN AND WAKEFIELD PLBG Permit Fee . . . . 97 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/20/13 ---------------------------------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97 . 00 97 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 101 . 00 101 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: 4 S 0(� L_)k I �_ PERMIT# NEW OR REPLACEMENT INSTALLATION: Project Value $ 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 Water Heater Other Fixtures Water Treating System RE-PIPE: 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 Water Heater Other Fixtures Water Treating System MISCELLANEOUS: [:i Sewer Replacement F-i Back Flow Preventer Ei Grease Interceptor (Trap) gallons(Requires 3 sets of plans) F-i Lawn Sprinkler System-Number of Heads Ei Well ** SJR WD Well Completion Form. Completed form to be submitted to the Building Department for final inspection. 1-1 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 C>_5 Cc) Z LA 11 d f-M �A Phone Number 016 1- 2,q 1'C)3 Plumbing Company 1� WAIISILU OUlt-n. OfficePhone ���Cl'ity State Co. Address: (0 01 +.&,,,�' L-) s;- - �Zip 3-22 (0 License Holder(Print): aA,% 0"C. �)L J PI-) State Certification/Registration FL 114 2-8t Lf 6 Notarized Signature OWISSON#EE0573413e re m/his day of 20 MY C 2 ,2015 . EXPIRM M . Underw nded Thru NOWY ure of N!tic C, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 arl I Application Number . . . . . 13-00002740 Date 5/28/13 Property Address . . . . . . 149 S OCEANWALK DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DUCT MODIFICATION ONLY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SWAIM STEVEN A & TORI S HAMMOND AIR CONDITIONING INC 149 OCEANWALK DRIVE SOUTH 3412 GALILEE ROAD FL 32207 ATLANTIC BEACH FL 32233 JACKSONVILLE (904) 626-6867 ---------------------------------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . - Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/24/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 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. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,Fl, 32233 Ph(904)247-5826 Fax(904) 247-5845 JoBAiDDRESS: hq L)�- - 5 , PERmrr# PROJECT VALUE $ GO0 .00— ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity_ Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED Duct Systems: Total CFM 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 scalators ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps 9 Vented Wall Furnaces Refrigerator Condenser BTU's 9 Water Heaters Solar Collection Systems Tanks (gallons) Wells OTHER: T�QcA- 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 Phone Number C104- '2�1 I-0 32-Q Mechanical Company Office Phone Fax city 11 Statet—L. Zip-3 -7 Co. Address: 11 GIL 2aQ— License Holder(Print): S teCertification/Registration# Q-K,�3'�lG�\'�-,C> FL--D W-A 55 3-0'15-1 H Notarized Signature of License Holder Before me this of 20 Signature of Notary Publi AL MYC SSION#FF011480 EX S-Aphl24,2017 Bonded Thru Notary Public