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5500 FleetLanding Blvd Nancy Hse Fire Main 2014 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000572 Date 4/24/14 Property Address . . . . . . S500 FLEET LANDING BLVD Tenant nbr, name . . . . . . NANCY HOUSE Application type description MECHANICAL FIRE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------- ------------------------------------------------------------- Application desc UNDERGROUND FIRE MAIN -------------- ------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NAVAL CONTINUING CARE OWNER RETIREMENT FOUNDATION, INC 1 FLEET LANDING BLVD ATLANTIC BEACH FL 322334S99 ---------------------------------------------------------------------------- Permit . . . . . . FIRE SUPPRESSION SYSTEM Additional desc - - Plan Check Fee . 00 Permit Fee . . . . 295 . 00 Valuation . . . . 1SO00 Issue Date . . . . Expiration Date . . 4/24/14 ----------------------- ---------------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE --------------- ---------------------------------------------------- ------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 4 .43 STATE MECH DBPR SURCHARGE 4 .43 - -------- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 295 . 00 29S . 00 . 00 . 00 Plan Check Total . 00 * 00 . 00 . 00 Other Fee Total 8 . 86 8 * 86 . 00 . 00 Grand Total 303 . 86 303 . 86 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION FILE COPY CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 OB ADDRESS: /C/�—e �&& PERMIT# oc�f-C66,) PROJECT VALUE $ ARI# REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 4EW 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 UEPLACEMENT 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 4RE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value OeI6�_aC) (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) in Fire Suppression Systems Quantity (Requires 3 sets of plans) 4RE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts — Gas Piping Outlets Boilers BTU's Elevators/Escalators �LL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser RT—us #Water Heaters Solar Collection Systems Tanks(gallons) Wells )THER: ermit 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 iis 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 at. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. roperty Owners Name PhoneNumber Fax ail 4echanical Company e`,d!2 :5 Office Phone ;Zg f -,z22— -Z� at o. Address: I'Z City St e—azip-2� ucz=?.2 .2� icense Holder(Print): ya j5��24-- State Certification/Registration# e iotarize I e Ider eoo,�- - NMary Public StatWe&F"f-o- me this ay of Shirley L Graham My Commisoion FF Nag ExpireA02M412018 tgn ureofNotary� Frinting CK281633 Page I ofI Duval County, City Of Jacksonville Michael Corrigan ,Tax Collector OPI , 1 231 E.Forsyth Street FILE Jacksonville,Fl,32202 General Collection Receipt Account No:CR281633 Date:3/17/2014 User:Prevention,Fire Email:FirePrev@coj.net FIRE MARSHALL FEE FOR SERVICES PROVIDED Name:4K Construction Address:6927 Distribution Ave.Jacksonville,FL Description:Underground plan review and up to 3 inspections for Nancy House project in Atlantic Beach,FL. TranCode IndexCode I SubObject 1_!iLA�ct bsidN UscrCode Project ProjectDti _Grant GrantDti DocNo Amount 701 150.00 FRFP159FI 34222 Total Due:$150.00 Michael Corrigan , Tax Collector General Collections Receipt City of Jacksonville, Duval County Account No:CR281633 Datc:3/17i2014 F RE MARSHALL FEE FOR SERVICES PROVIDED Name:4K Construction Address:6927 Distribution Ave.Jacksonville,FL Description:Underground plan review and up to 3 inspections for Nancy House project in Atlantic Beach,FL. Total Due:$150.04) http://fmanceweb.coj.net/TCCR/printing.aspx?cr--CR281633 3/17/2014 MECHANICAL PERMIT APPLICATION 6 LE COPY CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 OB AiDDREss: Z:� 7a PERMIT# A� PROJECT VALUE $ ARI# -REQUIRED —Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only 4EW 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 tEPLACEMENT 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 4RE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value 4!;7,0664_W (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) JRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators �LL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Reffigerator Condenser BTU's 4 Water Heaters Solar Collection Systems Tanks (gallons) Wells )THER: ermit 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 iis 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 ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Iroperty Owners Name d/_e2 6Za Z L a 2�2'4 4 41'du XZ�e/— Phone Number e) 7 X Office Phone Wq2-c3j!ZFax Z�- 4echanical Company 7. r,42 7 Z)15 44, 2�'a,,q City State F)' Zip .o. Address: L. 0 ,icense Holder (Print): X/7� 2!�- o�j�, Z7/,—,ejV State Certification/Registration 4 e-,cley-.?.2 s--614 Totarize kiW H, I d _,e Ho er f mary 'Iblic Sta d F 0 me this �day o4f 20 re of Notary 'Model 350DA WILKINS. a 10&4 company Double Check Detector Assembly APPLICATION Designed for installation on potable water connections in fire sprinkler systems to protect against both backsiphonage and If backpressure of polluted water into the potable water supply. Model 350DA shall provide protection where a potential health hazard does not exist. Incorporates metered by-pass to detect leaks and unauthorized water use. STANDARDS COMPLIANCE(Sizes 2 1/2"-10" Horiz.&Vert.) FEATURES (12" Horizontal Only) Sizes: 0 2 1/2" 0 3"0 4" 6"Ll 8"Ll 10" 0 12" ASSE@ Listed 1048 (Sizes 2 1/2"thru 12") Maximum working water prej,/Ur6e 175 PSI CSA&Certified B64.5(Sizes 2 1/2"thru 8") Maximum working water temperature 140'F Hydrostatic test pressure 350 PSI AWWA Compliant C510(Sizes 2 1/2"thru 12") End connections (Grooved for steel) AVVVVA C606 0 ULO Classified (Sizes 2 1/2"thru 12") (Flanged) ANSI 1316.1 Class 125 0 C-UL@)Classified (Sizes 2 1/2"thru 12") OPTIONS (suffixes can be combined) 0 FM&Approved(Sizes 2 1/2"thru 10") El - with OS &Y gate valves(standard) 0 L - less shut-off valves(fianged body connections) 0 NYC MEA 147-99-M Vol 4(2-1/2"- 10) Ll LIVI - less water meter 0 Approved by the Foundation for Cross Connection Ll - with remote reading meter Control and Hydraulic Research at the University of 0 - with gpm meter(standard) Southern California(Sizes 2 1/2"thru 12") LJ CFM - with cu ft/min meter MATERIALS U G - with groove end gate valves Main valve body Ductile Iron ASTM A 536 Grade 4 Ll FG - with flanged inlet gate connection and grooved Access covers Ductile Iron ASTM A 536 Grade 4 outlet gate connection Coatings FDAApproved fusion epoxy finish 0 PI - with Post Indicator Gate Valve(3"-10") Internals Stainless steel, 300 Series NORYL TM, NSF Listed ACCESSORIES Fasteners Stainless Steel, 300 Series Ll Repair kit(rubber only) Elastomers EPDM(FDA approved) El Thermal expansion tank(Model XT) Buna Nitrile(FDA approved) Ll OS&Y Gate valve tamper switch(OSY-40) Polymers NORYL TM, NSF Listed C3 Test Cock Lock(Model TCL24) Springs Stainless Steel, 300 Series J— Attention: Model 350DA(flange E body) and Model E 350ADA (grooved body) have different a 0 0 0 '0 lay lengths. 0010), jD— F B J_D� F MODEL 350DAG SHOWN ABOVE DIMENSIONS&WEIGHTS(do not include pkg.) MODEL DIMENSION(appr imate) WEIGHT 350DA B LESS E WITHOUT WITH OS&Y A GATE C D E OS&Y F GATES GATE SIZE VALVES OS&Y OPEN CLOSED VALVES VALVES in. mm in. I n1m in. mm in. I mm in. I Mm in. n1m in. I mm in. I mm lbs. I kg lbs. kg 21/2 65 31 787 15718 403 33141 95 9 1 229 163/8 416 13718 352 3 1/2 89 68 30.9 178 80.8 3 80 32 813 157/8 403 33/4 95 9 229 187/8 479 155/8 397 31/2 89 68 30.9 198 90 4 100 375/8 956 1191/2 495 14112 114 9 229 223/4 578 181/4 464 6 152 106 48 296 134.4 6 150 443/4 1137 1231/2 597 5 1/2 140 101/2 267 301/8 765 233/4 603 7 178 180 81.7 480 217.9 1 8 200 60 314 1543 1373/4 959 10 254 12 305 373/4 959 291/4 743 8 1/2 216 374 170 850 385.9 10 250 633/4 1619 137314 959 10 254 12 305 45314 11621 35318 , 899 8 1/2 216 404 183 1222 554.8 - ____T_ - _�6—1/4 1683 38 965 10 254 12 305 53118 13491 405/8 1 1032 87/8 226 463 2' 16231 736.2 , DOCUIVIENTM REVISION: (patent No. 5,913,331) BF-360DA 81111 Page 1 of 2 WILKINS a Zurn Company, 1747 Commerce Way,Paso Robles,CA 93446 Phone:8051238-7100 Fax:8051238-5766 In Canada:ZURN INDUSTRIES LIMITED,3544 Nashua Dr.,Mississauga,Ontario L4V 11-2 Phone:905/405-8272 Fax:9051405-1292 Product Support Help Line:1-877-BACKFLOW(1-877-222-5356) - Website:http://www.zurn.com City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 !--w* 2. Phone(904)247-5826 - Fax(904)2;4f_�ZC�Rlv I E-mail: building-dept@coab.us Date routed: APR 2 1 City web-site: http://www.coab.us 2014 APPLICATION REVfew4mD.TRACKING FORM Property Address: C��dd review required Yes No Buildi Applicant: T-r99-Atr*rmtrator-- P bliC Works Project: "u a Klcr Utifities _U� _ _A Fire Services 41 1117 Review fee $ Dept SignatucQ��___.' 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: 04'p-roved. [_]Denied (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date:-q—/f 4 TREE ADMIN. Second Review: F F nied. ]Approved as revised. -JEU P p WON — Comments: 01, U LI UT LI Reviewed by: Date: 4PLZCUi&ETY7 FIRE SERVICES Third Review: FlApproved as revised. []Denied. Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH Boo SE�UNOLE ROAD AUMTIC REACH9 1% 32233 .5814 WSpECnON PHONE LINE 247 COPY FIL Application Number . . . . . 1340003673 Date 2/14/14 Property Address . . . . . . I FLEET LANDING BLVD Tenant nbr, name . I I I I I NANCY HOUSE Application type description COMMERCIAL NEW CONSTRUCTION Property Zoning I I I PLANNED UNIT DZVF�LOPMENT Application Valuitio� : . . . 5400000 ---- Application d@oc new commerical building owner Contractor NAVAL CONTINUING CARE ELKINS CONSTRUCTION INC FLEET LANDING P 0 BOX 2396 1 FLEET LANDING BOUL RD JACKSONVILLE FL 32203 ATLANTIC BEACH FL 32233 (904) 265=5565 Structure information 000 000 26000 SQ FT NEW BUILDING "NANCY HOUSE" Construction Type - - 1 2 1 TYPE S=A occupancy Type . . . . . . BUSINESS Flood Zen@ . . . . . . . . ZONE X Permit . . . . . . COMMERCIAL NEW Additional dome - - plan check Fee 5740.00 Permit Fee . . . . 11480 -00 Valuation . . . . 5400000 Issue Date . . . . 9/13/14 Expiration Date Special Notes and Comment@ Bond backflow prevant@r test results to Malcolm Clemons at Public Utilities Dept. , 902 Ammisi Lan@, Atlantic B"Chf FL 32233 , 2010 FLORIDA BUILDING CODE, FLORIDA FIRE pREVENTION CODE 2006 NATIONAL ELECTRIC QQDE A oow@r cl@anout must be installed at the property line, Cl@gnout must be covered with an RT1 concrete box with metal lid. Cl@anout to be met to grado and visible, *SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST CONTROL COMPANY PRIOR TO C-0, WINDOW AND DOOR INSPECTIONi *INSTALLATION INSTUCTIONG REQUIRED NDOWS *ALL STICKERS ARE TO REMAIN ON THE WI *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Roll off container company must be on City approved list and container cannot be placed on City Right=of-way. (Approved; Advanced Disposal, R@41CCI Shappelle' D and Want@ PERMIT is HaoubS9WM*,* ACCORDANC19 WITH ALL CITY OF ATLANTIC DjACH ORDINANCFA AND THK FLORMA BUILDING CODES. CITY OF ATLANTIC BEACH Soo SV�MoLz ROAD 32233 ATLANTIC BYACH9 FL ZCTION pjj0NE LINE 247-5814 INSp Pago Date 2/14/14 Application Number 13�00003673 special Note@ and Comment@ t be installed and measures Mug pull erosion cOn"01 [inning, any oarth disturbing approved Prior to b@q jorks (247 5834) for Erosion activities. Contact Public V rior to @tart of and Sediment Control Inspection P -=--= .. construction, 172.20 STATE DCA SURCHARGE 150.00 other Fees DZV RZVIXw=PUBLIC/INSTITU 150.00 ENO REV COMMERCIAL BLDG 172 .20 STATE DBPR SURCHARGE 75 .00 UTIL REV COMMERCIAL BLDG ...... ------ Credited Due Charged paid Fee summary . 00 100 .....=--=== 11460 ,00 11460 ,00 100 100 Permit Fee Total 5740 ,00 5740 ,00 100 100 Plan Check Total 719 ,40 719 .40 . 00 V00 other Fee Total 17939 ,40 17939 .40 Grand Total -Z% AND THI yLORMA CITV OF ATLANTIC, 1119ACH ORDINANC pr,RMIT Ig AVpjt0VZjD ONbV IN ACCORWCK WITH ALL WILDING COPP, APPLICATION NUMBER ATI�N City of Atlantic Beach PPL'C y t� Building Department (To be:assigned by the Building Department.) 72-.,800 Seminole Road Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 - Fax(904)247-5845 E-mail: building-dept@coab.us LDate routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: rtment review re uired Yes No Buildin Planning &Zoninq Applicant: Tree Administrator p ' orks Project: A/R)el_�,r6 47 Public Utilities Fire Services Review fee $ Dept Signature Affimm 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: EK-p-roved. nDenied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date- TREE ADMIN. Second Review: nApproved as revised. []Jnied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: FlApproved as revised. nDenied. Comments: Reviewed by: Date: Revised 051114/09