1671 Francis Ave 2013 remodel . 1
CITY OF ATLANTIC BEACH.
J 800 SEMINOLE ROAD
s)
ATLANTIC BEACH, FL 32233
' v INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002859 Date 7/12/13
Property Address . . . . . . 1671 FRANCIS AVE
Tenant nbr, name . . . . . . JORDAN PARK REC CENTER
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 32000
----------------------------------------------------------------------------
Application desc
interior remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF ATLANTIC BEACH BEACHES HABITAT
800 SEMINOLE RD 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 322335428 ATLANTIC BEACH FL 32233
(904) 241-1222
--- Structure Information 000 000 INTERIOR RENOVATION
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit COMMERCIAL ALTERATION/OTHER
Additional desc
Permit Fee . . . . 210 . 00 Plan Check Fee 105 . 00 f
Issue Date . . . . Valuation . . . . 32000
Expiration Date . . 1/08/14
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
-------------------------------------------------------------------
Other Fees . . . . . . . . . STATE DCA SURCHARGE 3 . 15
STATE DBPR SURCHARGE 3 . 15
----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ------
Permit Fee Total 210 . 00 210 . 00 . 00 . 00
Plan Check Total 105 . 00 105 . 00 . 00 . 00
Other Fee Total 6 . 30 6 . 30 . 00 . 00
Grand Total 321 . 30 321 . 30 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH I -'*M*' � � 0 T
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845 i JN 2 ;
/6TJ FrANusy4ve- 1044NXrc pAc L 2
Job Address: i� ��33 Permit Nu qr:
Legal Description Parcel# ' 1722�7-Oy/O
Floor Area of sq.Ft.
Valuation of Work$ rop sed Work heated/cooled non-heated/cooled
e& `3 2,6M.
Class of Work(circle one): New A dition Alteration Repair Move Demolition o
Use of existing/proposed structures) (circle one): Commercial Residential j
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No NFILE COPY
Florida Product Approval#
For multiple products use product approval form R - -
Describe in detail the type of work to be performed: / 7-,e/'&(2 2!Ke E 1. r
Property Owner Information:
Name: Ct'ty of i471,4Hric Address: (l o S / o
(;!�,
City /a CLAN��c f2,�A_J\ State Zip Phone
E-Mail or Fax#(Optional)
J�
Contractor Information:
Company Name: Qualifying Agent:
Address: 797 -%f/gypa, r (20 City gy-4gR f1, 1irACh state�--L- Zip 123
Office Phone qGg :2q1 /z2.2 Job Site/Contact Number 90�'/ 23,�t SI Wl Fax#
State Certification/Registration#
Architect Name&Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work well be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six(b)months, or if construction or work is suspended or abandoned for apereod of sex 6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs, Wells,Pools, urnaces, Boilers, Heaters,
Tanks and Air Conditioners,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 FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
1 hereb certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
type ojywork will be complied with whether sppeci eed herein or not. The granting of a permit does not presume to give authority to violate or cancel the
provisions of any other federal,state, or local lmv regulating construction or the performance of construction.
Signature of Owner Signature of Contractor �-
Print Name �� Q Print Name XRI✓o2D 6-uSTI�FS(e r
. ... .....f�......Cl...........�.................. ..
S to and subscribed before,me Swornt�and subscribed before me
is i Day of " this jL Day of 3UrVC, 120 13
:.r YI 953093
2014 REEVM
No ry Public - o '^� Notary Pubic Underwriters o ry Pu 11 S
NMay tiMe-pib of"No
Rr5Qr\(,l1Y kv\ten +zj ry\,—
i
NOT OE,�CQ MENT
Permit No. 13-2 k-5-2 "' Tax Folio No.
State of Florida, County of Duval FILE O E.
THE UNDERSIGNED hereby give notice Ifte'theirnprovemett v SIJ made to certain real property in accordance with
Chapter 713, Florida Statutes, the'following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
!67/ F" -& ci5 /five- t4-04H'tic Seneh . f—L- 31235
2. General Description of improvements:
ReQe5i',H of 1),tckerr,4HD 2aFFY2es Tc/ (-fe,aTe New FitzpL/vZ N i/,few/tr72(er�
3. Owner Information:
a)Name and Address: _3e,4c4 eS //a 6,74T F-" Hu-,ml Nr ry (!,r/ F-n►+c t s Aye 1744,y Nc 13 Pick
b) Interest in property: Q zv Ne2
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information:
a)Name and Address: 3I McL3 /ya31YwT F-ez /L27i F'i-AK«s jve At-L,4KT)c t3e��l�, r-L, 32133
b) Phone Number: qDy 2 y( 12-2,2-
5.
22zz5. Surety Information:
a)Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a)Name and Address:
b) Phone Number:
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a)Name and Address: o t,,i r4-e2,
b) Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates of to receive
a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a)Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement(The expiration date is one (1) year from the date of Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
The foregoing instrument was acknowledged before me this day of J ver e , 20 13
QJ 4,
�.FAEEWIM OTARY PUBLIC, STATE OF FLORIDA, /
T •>11MU�!lN�11! Print Name: Vii.r,S.
�i11AMN,r>t�lil�ilrt�.1�1
' aloft�tE iri11'► �
Ua ersonally Known
❑ Identification/Type:
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief.
Doc#2013147475,OR BK 16405 Page 460, Signature of/Property Owner
Number Pages:1
Recorded 06/1112013 at 11:02 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING$10.00
Revised 10/1/2009
City of Atlantic Beach APPLICATION NUMBER
800 Seminole Road
Building Department (To be assigned by the Building Department-)
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
p E-mail: building-dept@coab.us Date routed: /..J
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: )&7/ FKlitlej6 177Noent review required Yes No
,, /�/Applicant: At�br-A PXI�gn �7-A: ZoningnistratorProject:/Qr �>f[Q�, rkstieses
Rev,eW fee$ Det Sl 'Hexane
�►
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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 Tobacco
Other.
APPLICATION STATUS
Reviewing Department First Review: []Approved. Keied.
(Circle one.) Comments:
=BUILDING
PLANNING &ZONING Reviewed by:
TREE ADMIN. Second Review: []Approved as revised.)?T6/ ed.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY eviewed by: /°�. L � �" z � Date:
FIRE SERVICES Thi Review: Approved as revised. ❑Denied.
Comments:
14e— '
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
js? l • � Building Department (To be assigned by the Building De artment.)
800 Seminole Road 2 �
Atlantic Beach, Florida 32233-5445 ✓ ??
Phone(904)247-5826 • Fax(904)247-5845 Date routed:
x� lit E-mail: building-dept@coab.us
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: &71F <`-Department review required Yes No
Building
Applicant: �a
hl!:& Tib","' Planning &Zoning
/ Tree Administrator
Project: ����/Q �� �Q/C L, Public Works
Public Utilities
P
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt 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 Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: ❑Approved. ❑Denied.
(Circle one.) Comments:
=BUILDING
PLANNING &ZONING Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j .�.. . ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002859 Date 7/22/13
Property Address . . . . . . 1671 FRANCIS AVE
Tenant nbr, name . . . . . . JORDAN PARK REC CENTER
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 32000
----------------------------------------------------------------------------
Application desc
interior remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF ATLANTIC BEACH BEACHES HABITAT
800 SEMINOLE RD 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 322335428 ATLANTIC BEACH FL 32233
(904) 241-1222
--- Structure Information 000 000 INTERIOR RENOVATION
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------------------------
Permit ELECTRICAL PERMIT
Additional desc MISCL REMODEL
Sub Contractor CLAYTON' S ELECTRIC SERVICE INC
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/18/14
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION 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 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 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
r
Ph(904) 247-5826 Fax(904) 247-5845JOB ADDRESS: /9 /�fllte PERMIT #/2gZ� �(
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
[]Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps — amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps El—amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 1110 1-1 50amps ❑151-200amps El—amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE El—amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
El Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA [I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can / ❑Safety Inspection []Panel Change El OH to UG
N ther:�/ .5 r✓ 105 0 t-1 d r.
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
se
P P
construction. 1
Property Owners Name 'T -t Phone Number
T
Electrical Company_ 1a_4 / to i^l/I'droffice Phone – 06 9 Fax
Co.Address: City � ,State�,ZiPF,
License Holder(Print): ate Certification/Registration#>✓��(3GG[�/G
Notarized S
SHIRLEY L GRAHAM —�
COMMISSION#OoB60rfre
e this of
=;• ,a, EXPIRES:February 14,2014c Un
�;o„�.•' bonded Thru Notary Publi
of Notary Pub —
r �S j•L`J,rJv�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 13-00002859 Date 7/23/13
Property Address . . . . . . 1671 FRANCIS AVE
Tenant nbr, name . . . . . . JORDAN PARK REC CENTER
Application type description COMMERCIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 32000
-----------------------------------------------------------------
Application desc
interior remodel
----------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
CITY OF ATLANTIC BEACH BEACHES HABITAT
800 SEMINOLE RD 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 322335428 ATLANTIC BEACH FL 32233
(9 04) 241-1222
--- Structure Information 000 000 INTERIOR RENOVATION
Occupancy Type . . . . . . BUSINESS
----------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Sub Contractor . . ADVANTAGE PLUMBING
Permit Fee 76 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 1/19/14
-----------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION 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 76 . 00 76 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 80 . 00 80 . 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(9!04) 247-5826 Fax(904) 247-5845
JOB ADDRESS: ! & els , �`{ PERMIT
NEW OR REPLACEMENT INSTALLATION: Project Value$ i
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:
❑ Sewer Replacement ❑ Back Flow Preventer ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
❑ Lawn Sprinkler System-Number of Heads ❑ Well
**SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.*'
❑ 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 Phone Number zfl, 2. Z
Plumbing Company�Q�V Ati,l � yrti'►�ma Office Phone Y7` q9`�9 Fax Y /
y�� City State Zip 7 33
Co. Address: D ��t
License Holder (Print): tate Certification/Registration 4 6rC
Notarized Signature of License Ho. er
Sworn and subsc ' before me this day of 20
Signature of Notary Public
CITY OF ATLANTIC BEACH
1 s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ISA INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003281 Date 8/26/13
Property Address . . . . . . 1671 FRANCIS AVE
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
COMMERICAL HOOD
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CITY OF ATLANTIC BEACH RIVER CITY FABRICATION INC.
800 SEMINOLE RD 2911 BURKE ST
ATLANTIC BEACH FL 322335428 JACKSONVILLE FL 32254
(904) 389-9888
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 85 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/22/14
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85 . 00 85 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 89 . 00 89 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
LL.L. -W'�AU�
1
til red s4yr-AA)
t
kjV tAlh �
--
r50Gr
O
REVIEWED
ri I Jacksonville Fire Prevention Div
So�o 55 f-poi e �0 UG 2 2 2013
NO EXCEPTIONS
--- ❑ EXCEPTIONS AS N0TED
SHEET#
�r F.
RECEIVED
Plan rcveiw and issuing of permit does Date By
not relieve c-o:tractor of complying with all �'�
s
State Fse Codes
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EXHAUST P NUM H C NF .
HOOD MAX• IS ) TOTAL HOOD
NO. MODEL LENGTH COOKING TOTAL SUPPLY CONSTRUCTION END TO ROW
TEMP. EXH. CFM W]DTH LENG. DIA. CFM S.P. CFM END
1 D
4824 4' 0.00' 4e 640 50 600 l0' 800 -0.290' 430 SS
ND-2-PSP-F g• Where Exposed ALONE ALONE
I CS) I LIGHT(S) UTILITY C N ( ) FIRE HOOD
HOOD WIRE SYSTEM H SYSTEM ANGIN
NO. TYPE gTY.HEIGHT LENGTH gTY. TYPE GUARD LOCATION TYPE SIZE MODEL N QUANTITY PIPING WGHT
I SS Baffle with Hondles 3 1 16' 16' 2 Incandescent NO Right Ansul R102 1.5 SC-111110FP 1 Light YES 343
1 fon LHS
ojvs INCANDESCENT LIGHT FIXTURE-HIGH TEMP
HOOD NO. I OPTION ASSEMBLY, INCLUDES CLEAR THERMAL AND
1 FIELD WRAPPER 18.00' High Front, Left, Right SHOCK RESISTANT GLOBE (L55 FIXTURE)
BACKSPLASH 80,00' High X 60.00' Long 430 SS
FIELD WRAPPER 18.00' HIGH
HOOD "IS""')
(SEE HOOD OPTIONS TABLE)
NO,. POS. LENGTH WIDTH HEIGHT TYPE WIDTH LENG. DIA, CFM S.P. 48'
I Front 60' 12' 6' MUA 8' 1 36' 1 1636 0.155'1 EXHAUST RISER 7
ATTACHING SUPPLY RISER
HANGING ANGLE PLATES WITH VOLUME DAMPER
4' 23.5% OPEN STAINLESS
16' SS BAFFLE WITH / _T STEEL PERFORATED PANEL
HANDLES AND HOOK 6'
3' INTERNAL STANDOFF
24' NOM.
IT IS THE RESPONSIBILITY
010' OF THE ARCHITECT/OWNER TO Ile
ENSURE THAT THE HOOD CLEARANCE
FROM LIMITED-COMBUSTIBLE
AND COMBUSTIBLE MATERIALS
48' InCanoWscont
Asunblypht IS IN COMPLIANCE WITH
LOCAL CODE REQUIREMENTS.
��
GREASE DRAIN 48.0' MAX
WITH REMOVABLE CUP
Utllity
36' ---�Cablnetl BACKSPLASH 80.00' HIGH
.... ...• .... X 60.00' LONG
12, 8 _ _ 80' AFF TYP.
6'
24' --�— 24' EQUIPMENT
BY OTHERS
30' —►�-- 30'
4' 0.00'Nom./4' 0.00'OD 12'
5-0.00' Overall Length
PLAN VIEW — Hood #1
4' 0.00" LONG 4824ND-2—PSP—F SECTION VIEW — MODEL 4824ND-2—PSP—F
HOOD — #1
JOB Hobi ax
a LOCATION JACKSONVILLE, FL
DATE 7/12/2013JOB#I 1802911
Interlek O DWG# 1 DRAWN BY
REV. SCALE 3/8' = 1'-0'
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.aCity of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Builciinn nepartment.)
800 Seminole Road
�r Atlantic Beach, Florida 32233-5445 lJ —
Phone(904)247-5826 • Fax(904)247-5845 Q;
�;�� E-mail: building-dept@coab.us LDate routed: cv�
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I LO
'1 I F (V-an l 5 V-t , D ent review required Yes,/go
Suildin
Applicant: 1 �l� G ECALYA'C Planning &Zoning
�C- Tree Administrator
Project: brYIY�MC A �-�oC� Public Works
Public Utilities
PLair fety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt 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 Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one.) Comments:
BUILDIN
h1.
PLANNING &ZONING row G'
Reviewed by: Date:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: nApproved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Buildina Department.)
_rj-:•. 800 Seminole Road
1 3— 3�Fj
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed:
J;3
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I La1 FYa11YA S Ate' ent review required Yes No
� AA Building
Applicant: gl� � vl
' . F�y1C-A�� �C Plan g Zoning
Tree Administrator
Project: ('p,�-�m� Public Works
Public Utilities
Public Safety
Fire Service
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Dateof 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 Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: QApproved. ❑Denied.
(Circle one.) Comments:
(BJUPLANG l�� G^ Date: �?f�
Reviewed by:
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. []Denied.
Comments:
Reviewed by: Date:
Revised 05114/09
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 24d7-5826 Fax (904) 247-5845
JOB ADDRESS: , ('&V Cl S /T tJ 441xNAik A�• .32;t33 PERMIT# 13 -l)AM
PROJECT VALUE $ 12 14 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
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
Manual J documentation required on residential change out
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)
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 toviolatethe provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name -T' � Ci c &A^ Phone Number a y 1112.2—
Mechanical
122.2.Mechanical Company Kver ie- 10 h T O ice Phone 3W1W�' Fax �3F"y1/91
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a EXPIRES:April 24,2017 Signature of Notary Public
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