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1175 Seminole Rd kitchen bath remodel 2014CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000816 Date 5/23/14 Property Address . . . . . . 1175 SEMINOLE RD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 44000 ---------------------------------------------------------------------------- Application desc INTERIOR REMODEL TO KITCHEN AND BATHROOMS Owner ------------------------ NAUMANN LIFE ESTATE, ANNELIESE KEITH NAUMANN 908 PRINCE PHILLIP DR VIRGINIA BEACH VA 23452 Contractor ------------------------ MACK BROTHERS GENERAL CTRS. 5521 BARKER STREET JACKSONVILLE FL 32207 (904) 237-0868 --- Structure Information 000 000 KITCHEN BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit RESIDENTIAL ALT/OTHER Additional desc . . Permit Fee . . . . 270.00 Plan Check Fee 135.00 Issue Date . . . . Valuation . . . . 44000 Expiration Date . . 11/19/14 ---------------------------------------------------------------------------- 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 4.05 STATE DBPR SURCHARGE 4.05 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 270.00 270.00 .00 .00 Plan Check Total 135.00 135.00 .00 .00 Other Fee Total 8.10 8.10 .00 .00 Grand Total 413.10 413.10 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 ]OB INFORMATION: Job ID: 14-ELEC-488 Job Type: ELECTRIC ONLY Description: Estimated Value: Issue Date: 11/20/2014 Expiration Date: 5/19/2015 PROPERTY ADDRESS: Address: 1175 SEMINOLE RD RE Number: 171890-0000 PROPERTY OWNER: Name: NAUMANN LIFE ESTATE, ANNELIESE, Address: 908 PRINCE PHILLIP DR 908 PRINCE PHILLIP DR GENERAL CONTRACTOR INFORMATION: Name: D & L QUALITY ELECTRIC INC Address: 2368 MILLS RD QA DANIEL F. STUMPH Phone: - - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Lighting Outlets, Including Fixtures $0.60 Trade Permit Base Fee $55.00 Total Payments: $59.60 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 .TOB ADDRESS: � � S� s1 tri Lc l� PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS %UD AMPS ` 0 VOLTS I PHASE NEW SERVICE ❑ Overhead Residential (Main) Service ❑0-100 amps 1101-150amps Commercial (Main) Service E0-100 amps -101-150amps Conductor Type _, Multi -Family (Main) Service 0-100 amps 101-150amps Temporary Pole 5 amps VALUE OF WORK $ 2,5-0 0 ❑ Underground ❑T Underground up Pole ❑ 151-200amps amps ❑ 151-200amps --i-amps Size ❑ 151-200amps amps SERVICE UPGRADE C_;' amps CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 100 amps-;150amps [7200amps F amps QCT Service # of Meters CT Service amps # of Unit Meters amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: 0-30amps 31-100amps 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 Swimming Pool J Sign -;Smoke Detectors Qty Ci Transformers KVA Motors FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK S REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can ISafety Inspection d -!Panel Change OH to UG Other: r/� /P/IeL1r AAA s(1'fLJ 4 Ci4fCL cc hp 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_ a c� Electrical Company Co. Address: License Holder (Print): Notarized Signature of License Holder 77'I e6. fi', � Jnc- RICHARD M. JANUSZ Sworn and subscribed before MV COMMISSION #FF067311 Signature of Notary Public _ �. EXPIRES October 30. 2017 (407)398-0153 FloridallotaryServicemom Phone Number 1 qo0 2- Still _Office Phone 0 Fax City Ja&k' &i, i ZAP State T/ Zie, State Certification/Registration # Ee do /d 1 /, of 20 o q� :D cyl j°' cC- .� = � ( m D(C) Q (D � 10" J .....• IV \ x O N X W D Ul C no Q Q < tai m n t Q Q 0 C7 d eon m x cn CM2 C= T o� co Z m v 3 o � m O Z O zt:� C- C- 0 0 CY Q 10" --74-6' zly n W C C7 = ( CD m� (V mm � (V ry oJ � O _x N x ou � OJ /= y c C/) D O Q Q � Q � CD O O O "' m N Q Q w J n.J 0-1 D T U) Z �m v �3 J 0 co T Q p 4 z I � Q m x - (D cna� ---l(Q QQ 0 w J n.J 0-1 D T U) Z �m v �3 J 0 co T Q p 4 z I E COPY, BUILDING PERMIT APPLICATION FIL :._ CITY OF ATLANTIC BEACH 9 2 O D »r.=�•.,.�-• u�, "`"'�" 800 Seminole Road, Atlantic Beach, FL 32233 I Office (904) 247-5826 Fax (904) LBY 247-5845 L Job Address: 1175 Seminole Rd. Permit Number: Legal Description Valuation of Work 23-4 16 -2S -29E Selva Marina Unit 1 Lot3 Blk P}arccl # tFloor Area of Sq.Ft. Sq.i~t Proposed Work 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 Residential If an existing structure, is a fire sprinkler system;! installed? (Circleone es N J Florida Product Approval # For multiple products use product approval form ��,,�pp Describe in detail the typeQf wo"y�� tQ be p rformed:-J�IClT M5 aJ . i . A AA , 11 I1 1 T /n. _ A 0-1 n Property Owner Information: Name: Phyllis Arnold Address:.._ P.O. Box 11508 City Jacksonville StateFLZip 32239 Phone 904-502-3414 E -Mail or Fax # (Optional) Contractor Information: Mack Brothers Building Contractors,In . Frederick W Mack Company Name: -.._ _Qualifying Agent: Address:1546 Girvin Rd Unit 1 City Jacksonville State FLZip32225 OfficcPhone An4-22n-2son Job Site/ Contact Number 904-237-0868 Fax # 9 0 4 - 2 3 7 - 0 8 6 8 State Certification/Registration #_CBC1258062 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 installation.! as indicated l certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This pernut becomes tell lined void tf work is not commenced within si.r (6j months, or if construction or r+,or•k is suspended or ahandoned fire a period of ser (6) months at anv time al er work is commenced. 1 trttdetstetnd that separate petvnits must be secuted.for Electrical Work, PlumbingPo , Signs, Wells, ols, Furnaces, Boilers, Heaters, Tanks and .4ir 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. / hereby certifv that / have read and e-ramined this application and know due same to be true and correct. All provisions type til work will he complied with whether sped ted herein or tot. The granting of a permit does not presume to l provisions gfany otherfptieral, state, or local law regulating co c{�ttetion or the performance of construction. Signature of Ow Print Name 1 ................. ..t. I.. ......... ....-....-............._........ ........... .............. ....... .... __ ._ _......... Sworn to and subscribedfore me this -hoDay of NDM, II // 20 Notary Public 0 a¢' ` .r,i PAMELA HRYNCEWICZ MY COMMISSION # FF 098164 •. EXPIRES' March 4,201a ~Rt„ttIry Bonded Thru Notary Public Underwriters Signature of Contractor— Print Name �fa 6t a 4% nit Swore} to and subscribed efore me this ILO -Day of I� � I PAMELA HFiYNCEWICZ MY CoMMIS80 N FF 098164 EXPIRES; March 4, tote 20";d fhm Wvy KIM n Zoverning ihA or cancel the Revised 01.26.10 uetaii by t~,nuty ivame rage 1 of 1 htt„•//caarrh zimh;7 nm/Tnrniiry/( nrnnratinr�Caarrh/CPar�hRPciiltTlPtail/T fititvNamP/flal_ll 5/7(1/7(lld iman Dy nnnry name 1 agt- /- v1 MOREAU, GARY 2353 ST. JOHNS BLUFF ROAD S JACKSONVILLE, FL 32246 Title MGR MOREAU, LISA 2353 ST. JOHNS BLUFF ROAD S JACKSONVILLE, FL 32246 Annual Reports No Annual Reports Filed Document Images 01/07/2014 -- Florida Limited Liability I View image in PDF for Coovrioht 'c and Privacy Policies State of Florida, Department of State httn•//cearnh c,rnhi7 oro,/Tncmirv/ComorationSearch/SearchResultDetail/EntitvName/flal-11... 5/20/2014 1. F+MMyt4�tR71��MRW,w"s+il!M.r _�nz_. jFFILE COPY State of Florida County of Duva 1 To Whom It May Concern: NOTICE OF COMMENCEMENT Tax Folio No. The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: -.,.2.3 - 4 16_ 2 S - 2 9.$ S e l v- ..._Ma-rLi a.._....Unit_1- . Lo_t-3—B l)-1-. Address of property being improved: 1175 Seminole Rd , Atlantic General description of improvements: +&0, _ /<4da, a, 5"'d, Owner: Phyllis Arnold Address: P.O. Box .115.08.,...Jaoksonville, FL 32239 Owner's interest in site of the improvement: Fee Simple Titleholder (if other than owner): Name: Contractor: Mack Brothers Building Contractors, Inc. Address:1546 Girvin Rd. Unit 1 Jacksonville FL 32225 Telephone No.:904-220-2500_ Fax No: 904-220-0520 Surety (if any) __---.--.--............ Address: Telephone No: Fax No: Amount of Bond $ Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Fxpiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): T11IS SPACE FOR RECORDER'S USE ONLY OR'NE Signori' Date: Beton; a thi day of , Ul n the Cou tyof Duval, State Doc # 2014110b74, OR BK 16784 Page'! 353, Of Florida, has personally appeared .____ (J ,' s H r Number Pages: 1 _......------....--- 9 Notary Public at Large, State of Florida, t (,-..:nl of Duval. Recorded 05119,2014 at 10:11 AM, My commission expires: 111 CL r C Ronnie Fussell CLERK CIRCUIT COURT DUVAL Pertionally Known: r — _ or RECORDING $10.00 COUNTY Produced Identification:. — -- ------ t�. AC' PAMEI.RHAYNCEWICZ ?ap11-YCQA4MISSION#FF 098184 ;EXPIRES: March 4, 2018 +It g ' Bonded Thru Notary public underwriters .ail• j� LIf� City of Atlantic Beach Building Department r `� 800 Seminole Road s� Atlantic Beach, Florida 32233-5445 V Phone (904) 247-5826 • Fax (904) 247-5845 E-mail: building-dept@coab.us City web -site: http://www.coab.us APPLICATION NUMBER (To be assigned by the Building Department.) ILl-ie) )(.0 Date routed: APPLICATION REVIEW AND TRACKING FORM Property Address: l �� , `d Applicant: i a 5rI Project: TKN_)- rt"I)Od e� lo� Ir Chinn Review fee $ Denartment review required Yes No uilding Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Dept Signature Other Agency Review or Permit Required Review or Receipt Dateof 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: Apps IC-ATION STATHS Reviewing Department First Review: PApproved. ODenied. (Circle one.) Comments: BUILDING PLANNING & ZONING Reviewed by: Date: 5"90 qE. Second Review: OApproved as revised. TREE ADMIN.= PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: Third Review: OApproved as revised. ❑Denied. FIRE SERVICES Comments: Reviewed by: Date: Revised 05/14/09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . .. . 14-00000816 Date 5/28/14 Property Address . . . . . . 1175 SEMINOLE RD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 44000 ---------------------------------- Application desc INTERIOR REMODEL TO KITCHEN AND BATHROOMS ---------------------------------- Owner NAUMANN LIFE ESTATE, ANNELIESE % KEITH NAUMANN 908 PRINCE PHILLIP DR VIRGINIA BEACH VA 23452 Contractor MACK BROTHERS GENERAL CTRS. 5521 BARKER STREET JACKSONVILLE FL 32207 (904) 237-0868 Structure Information 000 000 KITCHEN BATH REMODEL Occupancy Type . . RESIDENTIAL --------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc - . Sub Contractor SIMONEAU ELECTRIC LLC Plan Check Fee 00 Permit Fee 65.80 Valuation Issue Date 11/24/14 Expiration Date . . ------------------------------- Special Notes and Comments BUILDING CODE, 2008 NATIONAL ELECTRIC CODE 2010 FLORIDA *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. -- ------------------------------------------ STATE ELEC DCA SURCHARGE 2.00 Other Fees . . . . . . . . . STATE ELEC DBPR SURCHARGE 2.00 Charged Paid Credited Due Fee summary ---------- 00 Permit Fee Total 65.80 65.80 00 .00 .00 Plan Check Total •00 00 00 .00 4. .00 Other Fee Total 4.00 00 69.80 69.80 .00 Grand Total 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: PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS ) o 2 AMPS )'L/ 0 VOLTS / NEW SERVICE ❑ Overhead ❑Residential (Main) Service 00-100 amps ❑ 101-150amps ❑Commercial (Main) Service 110-100 amps ❑ 101-150amps Conductor Type ❑Multi -Family (Main) Service ❑0-100 amps ❑ 101-150amps ❑Temporary Pole ❑ amps VALUE OF WORK $ ❑ Underground ❑T Underground up Pole ❑ 151-200amps ❑ amps # of Meters _ ❑ 151-200amps ❑ amps OCT Service Size ❑ 151-200amps ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps 11200amps ❑ amps OCT Service 9 (� PHASE # of Unit Meters amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: /0 0-30amps 31-100amps 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 ❑ Swimming Pool ❑ Sign ❑ Smoke Detectors _Qty ❑ Transformers FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can [-]Safety Inspection ❑ Other: KVA ❑Motors VALUE OF WORK $ ❑ Panel Change ❑ OH to UG Q: amps 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 Electrical Company PJ"t 0/V PA et—e4— 2( C Office Phone PY- Y) V -O f '�J-Fax Co. Address: / (a 07 " S R � City _TA CVSdA14114-14 State 1'4- Zip 3 F,`y License Holder (Print): I" t «t4A? L J'(-tdN 'E/4`' State Certification/Registration # ea -1S o �� 7� CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000816 Date 6/02/14 Property Address . . . . . . 1175 SEMINOLE RD Application type description RESIDENTIAL ALTERATION Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 44000 --------------------------------------------- Application desc INTERIOR REMODEL TO KITCHEN AND BATHROOMS --------------------------------------------- Owner NAUMANN LIFE ESTATE, ANNELIESE % KEITH NAUMANN 908 PRINCE PHILLIP DR VIRGINIA BEACH VA 23452 Contractor MACK BROTHERS GENERAL CTRS. 5521 BARKER STREET JACKSONVILLE FL 32207 (904) 237-0868 --- Structure Information 000 000 KITCHEN BATH REMODEL Occupancy Type . . . . . . RESIDENTIAL ------------------------------------------ Permit . . . . . . PLUMBING PERMIT Additional desc . . Sub Contractor . . PROFESSIONAL PLUMBING SERVICES 00 Permit Fee . . . . 111.00 Plan Check Fee 0 Issue Date . . . . Valuation . . . . Expiration Date . . 11/29/14 --------------------------------------- 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 111.00 111.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 115.00 115.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. JOB ADDRESS: PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 %! 7cr Ph (904) 247-5826 Fax (904) 247-5845 ..S rte► , `,-10 /,Q- rc 6 PERMIT # it 914 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 Three Compartment Sink Floor Drain Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry TrayWater — Connected Appliances Lavatory Other Fixtures Water Heater 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 Three Compartment Sink Floor Drain Floor Sink Toilet Hose Bibs Kitchen Sink Urinal Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Other Fixtures Water Heater 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 ** ** SJR WD 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 'p/� I llr 5 1 /Zat/,6 Phone Number — k!Ulb� 11 PIJM 5"�q "'Office Phone Z37 -611V Fax Plumbing Company �24 / L q��,'� .� v v � ra 'tP) �L State Zip Co. Address: � License Holder (Print): Notarized S djrNotary Public State Shirley L Grahame this My Commission FF 086a exams o2i�arzo18 Sof Notary State Certification/Registration # C-,"" -7 y / "Z- of Z of I � I -L 20 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00001000 Date 6/20/14 Property Address . . . . . . 1175 SEMINOLE RD Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu 1 ahu ---------------------------------------------------------------------------- Owner NAUMANN LIFE ESTATE, ANNELIESE 96 KEITH NAUMANN 908 PRINCE PHILLIP DR VIRGINIA BEACH VA 23452 Contractor AVALONE HEATING & AIR 3665 SPRING PARK RD JACKSONVILLE FL 32207 (904) 245-1818 --------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . 103.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/17/14 -------------------------------------------------------------------- Special Notes and Comments STICKER FOR OVERCURRENT PROTECTION MUST BE ON A/C EQUIPMENT PRIOR TO INSPECTION. FAILURE TO COMPLY WILL RESULT IN A FAILED INSPECTION AND REINSPECT FEES. NO EXCEPTIONS. ----------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2.00 STATE MECH DBPR SURCHARGE 2.00 ------------------------------------------------------------- Fee summary Charged Paid Credited ---------- ----- Due ----------------- Permit Fee Total ---------- ---------- 103.00 103.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 107.00 107.00 .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 1�O .TOB ADDRESS: 7� �,y� / f)eoIG A -ye PERMIT # PROJECT VALUE $ 3a ARI # -53.578o2 7,27' 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 1 Tons Per Unit 3. � /3 Heat: Unit Quantity Z BTU's Per Unit O Seer Rating Duct Systems: Total CFM REQUIRED FIRE PREVENTION Fire Sprinkler System Quantity Fire Standpipe Quantity Underground Fire Main Value Fire Hose Cabinets Quantity Commercial Hoods Quantity Fire Suppression Systems Quantity FIRE PLACES Prefabricated Fireplace Qty Gas Piping Outlets ALL OTHER GAS PIPING Quantity of Outlets # Vented Wall Furnaces # Water Heaters OTHER: (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) (Requires 3 sets of plans) MISCELLANEOUS: Automobile Lifts Boilers BTU's Elevators/Escalators Heat Exchanger Pumps Refrigerator Condenser BTU's Solar Collection Systems Tanks (gallons) Wells 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 Mechanical Company Co. Address: License I�1►• �0EE10p494 N of Phone Number T/ti n,� lAl�r rT/yQOffice Phon ,4%S4�� Fax .3.3 ,,Iyq 49;&l ,eol City Ll- State Fl -Zip -sZZ o% v►u rst�SiGn State Certification/Registration # Holder Before me this H day of 20JLJ Signature of Notary Public