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1021 Atl Blvd #979 and #983 2014 Build out Salon CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000740 Date 6/18/14 Property Address . . . . . . 1021 ATLANTIC BLVD Tenant nbr, name . . . . . . UNITS 979 AND 983 Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 425000 ----------------------------------------------------- Application desc new salon comm build out ------------------------------------------------------------- -------- Owner Contractor - ------------------------ ----------------------- EQUITY ONE ATLANTIC VILLAGE, RON ALDERMAN CONSTRUCTION 16 NE MIAMI GARDENS DR 2801 76TH ST ATTN: TREASURY DEPT TAMPA FL 33619 MIAMI BEACH FL 33179 (813) 431-0090 ----------------------------------------------- Permit . . . . . . COMMERCIAL ALTERATION/OTHER Additional desc . Permit Fee . . . . 1455 . 00 Plan Check Fee 727 . 50 Issue Date . . . . Valuation . . . . 425000 Expiration Date . . 12/15/14 ---------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE ------------------------------- Other Fees . STATE DCA SURCHARGE 21 . 83 STATE DBPR SURCHARGE 21 . 83 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 1455 . 00 1455 . 00 . 00 . 00 Plan Check Total 727 . 50 727 . 50 . 00 . 00 Other Fee Total 43 . 66 43 . 66 . 00 . 00 Grand Total 2226 . 16 2226 . 16 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. City of Atlantic Beach APPLICATION NUMBER ;y Building Department (To be assigned by the Building Department.) 800 Seminole Road /T �} Atlantic Beach, Florida 32233-5445 Phone(904)247-5826 • Fax(904)247-5845 ��Js c�• E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACING FORM J f 0 3 Property Address: /04Z/ Ik ISlV6 Depart.nent review required Yes No J / uil Applicant: lL��/"/'�I /�T� ON rnnint `t: Zonin c� ree �n iiao t� strtr Project: -d Q, a24Ft&,n _.--�i1 D1c, Public V orks Public Utrities Public&,,f. ty re Serrtcces Review fee $ Dept Signature; 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 6� Division of Alcoholic Beverages and Tobacco 1100 to Other. APPLICATION STATUS v Reviewing Department First Review: ❑Approved. �en (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. ❑Denie Comments: Reviewed by: Date: Revised 05/14/09 Graham, Shirley From: Ratliff, Bob [BRatliff@coj.netj Sent: Thursday, May 29, 2014 3:54 PM To: Graham, Shirley Cc: Walker, Jennifer; Jones, Mike; Hubsch, Jeremy Subject: RE: 1021 Atlantic Blvd The resubmitted plans for Sola Salon are approved. Captain 33oligZatW, CFPS Jacksonville Fire & Rescue Department Fire Prevention Division Office of Plan Review 214 N. Hogan Street Room 281 Jacksonville, FL 32202 (904) 255-8320 Office (904) 255-8559 Fax CONFIDENTIALITY NOTICE: Please note that under Florida's very broad public records law,e-mail communications to and from city officials are subject to public disclosure. From: Graham, Shirley [mailto:syraham(&coab.us] Sent: Thursday, May 29, 2014 9:19 AM To: Ratliff, Bob Cc: Walker, Jennifer; Jones, Mike; Hubsch, Jeremy Subject: RE: 1021 Atlantic Blvd Bob,We have received the revisions for the Sola Salon for you to pick up and review. Thanks, SKrLeU etrahavu. Building Permits Technician 800 Seminole Rd Atlantic Beach, Fl 32233 904 247 5800 saraham@coab.us From: Ratliff, Bob [mailto•BRatliffabcoj. !et] Sent: Wednesday, May 14, 2014 11:08 AM To: Graham, Shirley Cc: Walker, Jennifer; Jones, Mike; Hubsch, Jeremy Subject: RE: 1021 Atlantic Blvd Attached are plan review comments for Panera Underground Fire Main and the Sola Studio building permits.The revision for the underground fire main for ABCC is approved as revised.We hope to have the plans returned to you by close of business tomorrow. Thanks, eapfCilfZ 90,6 irlatW, UPS Jacksonville Fire & Rescue Department Fire Prevention Division Office of Plan Review 214 N. Hogan Street Room 281 Jacksonville, FL 32202 (904) 255-8320 Office (904) 255-8559 Fax CONFIDENTIALITY NOTICE: Please note that under Florida's very broad public records law,e-mail communications to and from city officials are subject to public disclosure. 2 y BUILDING PERMIT APPLICA'T'ION 150-00,6 a t7 CITY OF ATLANTIC B EACU / 800 Seminole Road,Atlantic Beach,FL 32233 /�� yy� /QZ! Office(904)247-5826 Fax(904)247-5845 06 /I J � f I�n r s Jolt 4ddress b2'fAtlantic Blvd Ste 1'9i2'l- ✓ Legal Description Sola Salon Parcel# oor ea o q• q.1-t Valuation of Work$ 425,000.06 Proposed Work heated/cooled 4725 non-heated/cooled 4 Class of Work(circle one): New Addition-x Alteration Repair Move Demolition pooL/spa windowidoor Use of existing/proposed structure(s)(circle one): x Commercial Residential If an existing structure,is afire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use pro uct approva orm Describe in detail the type of work to be performed: Interior remodel of commercial space. property Ehvner Information: Name: Haynes Chi4Ley Address:1300 Baxter St.Ste_421 City Charlotte State NC Zip 46017 Phone 704-900-77: E-mail or Fax 4(Optional) Contractor Information: Company Name, Ron Alderman Construction Qualifying Agent:Ron Alderman Slate FL.Zi 3361 Address: 2801 76' St.N City_Tampa P-- Office Phone Job Site/Contact Number 813-431-0090 Fax§ State Certification/Registration 9 CBC 1251830 Architect Name&Phone# Kevin Conrad 317-501-3544 Engineer's Name&Phone#Matthew Holbrook 317-679-8543 Fee Simple Title Holder Name and Address N,` Bonding Company Name and Address N/A Mortgage Lender Name and Address _N/A — Application is heneI made to obtain a permit to do rhe work and installations as indicated. I certify that no work,or installation has commeacer/prior to the issuance of a permit and Brat all work-will 6e per ormed m meet the standards of a/f lmvs precgulating constru:lian to thin iurisdictinn. This permit becomes null and Enid tf work is not commenced within sir(6�monaLs.or+f cora:ruerion or work is soca(Rao kl PlnntbinW Si f sr a la rrooLs,=FAr swees,s8oifun}•s.time l�es Tanks andwarl-is Air need. tiI uun,�etc d that separate permits must 5e secure"-(for Electrical g, A Con 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 BEMENFORE E REI,CORDING YOUR NOTICE OF COMN . 1 hryethis ,1,certify that/have rvvd and ezomined ibis_applicatiuA and,Errow the same to 5 rue aid pat it Fume t xivions��vcornhoriN+o`x mid tR lul exor cancer the type o.work will be complied with whether s r ted herein or not. The ranting n a pe Pr pravisrom o/any atherfederol,"-tate,or focal regulating crnrutruetbn or the performance ajconstractian. i;. Signature ofOwner G�•'C+ Signature of Contractor: L1fL1..� Print Name Print Name _ �_ _ • __—__.._�_--____�_,.-------—_.... �hs o to and subscrib before me 20 /(� Sworn to and subscribed before me �0 ,/Day of st / this Day of 'Z Notary Public I.Jbfary Mine Revised 01.26.10 tiYo,; Pk1R1C!HAHECKEL 'O'iiWTAW Marion County LINDA WILSON =., My Commission ]VOTARY PUBLICy res '„rp;, •+` November 6,2021 *1 STATE OF FLORIDA Comm#!EE156451 Expires 12/29/2015 Z•d L L£-58£-£l.8 uoilonilsuo0 ueul.lapiy uoy e617:60 b 6 90 AeN Ysk VI--- City of Atlantic Beach II APPLICATION NUMBER Building Department o be assigned by the Building Department.) ` 800 Seminole Road # D � v �r Atlantic Beach, Florida 32233-5445 / Phone(904)247-5826 - Fax (904) 247-5845 / E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM q7� /ov4 1",T3 Property Address: lozl /4a 1-51✓a 4(,/)1T Department review required Yes No / uil Applicant: /� `Q��� /�� 06fiJ 'dh �nnin Zonin / ree inistrator Project: e_A / 1172'Ft&/� �f! 01( r PublicV:urks Public Utilities Public S-`ety re Se, >S Review fee $ Dept Signature Review or Receipt Other Agency Review or Permit Required of Permit Verified By Date 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. ❑Denis (Circle one.) Comments: / v 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. ❑Denie. Comments: Reviewed by: Date: Revised 05/14/09 y BUILDING PERMIT APPLICATION CCG D' CITY OF ATLANTIC BEACH ^ g 800 Seminole Road,Atlantic Beach,FL 32233 0/` f�/� m, n- S /QZ! Office(904)247-5826 Fax(904)247-5845 lJ " Job Address: Atlantic Blvd Legal Description Sola Salon Parcel# t Valuation of Work S 425,000.00 our Proposed Work heated/cooled 4725 9 non-heated/cooled 0 Class of Work(circle one): New Addition x Alterationer Repair Move Demolition powspa windowldoor Use of existing/propused structure(s)(circle one):, x Commert sal Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use pro uct approve arta Describe in detail the type of work to be performed: Interior remodel of commercial Gpace. Property Owner Information: Name: Haynes Chidse Address:1300 Baxter St.Ste.42l State NC Zig 46017 Phone 704-900-77. City Charlotte E-Mail or Fax#(Optional) Contractor information: Company Name: Ron Aldernian Construction Qualifying Agent:Ron Alderman f�pa State FL.Zip_361 Address: 2801 7b' St•N C`ty— Office Phone Job Site/Contact Number 813-431-0090_ Fax State Certification/Registration 9 CBC 1251830 -- Architect Name&Phone# Kevin Conrad 317-501-3544 Engineer's Name&Phone#Matthew Holbrook 317-b79-8543 Fee Simple Title Holder Name and Address N/A Bonding Company Namc and •Address N/A Mortgage Lender Name and Address _N/A .4pplicatian is hereby made to obtain a permit m do the work and installations as indimted. 1 certiry that no work w injurisdi ti has hiy p enlft bee m to the ssuatce of a permit and Irtat all work will be per armed rn meet rhe smadartic ofall trove�rxeguJaring co2strL !inn in th�irsejurisdictinn Thspermit.becomw null! J' Ysr N'ork,Plgmbin Si as, wpells.Pools,Furnaces,Sailers,treaters, and w�id 'work is nqr comrnenred within six(6J months,or ijcoru!recrion or work is sus nded nr ubanda+redJor o rind of siz/6)months at airy time after Tanks and Ab workiycomff,anceditif and r ti d that sepatwe petmiis must he securer!joy E/cern g, A WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COENTS FOR YOURCPROPERTY. FMAYRYOU INTEND TO OBTAIN F NSULT IN YOUR PAYINGtANCING ICE CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORZERECORDIIS�' YOUR NOTICE OF COMMENCEn a omit does not presume tq•gtve authority to violate or Cance. the I hereb•certify that I have read and eritmined this aj p.d c rein and know the same to 5e true and w es n Ap esumeiu.+.t of lrnts and ordinances governingr is oPe of xnrkWI be Com with whenc�r sppeeCff��ut ngncoaTtracr!onortheperan �ofman�cenjrnas+radian. procmons rk be Co edera1.state.or Iuca1 Jaw Signature of Owner G��'�+ Signature of Contractor: Print Name --- Print Name i_�•_.�_�__.._�-.-------.--.------�-- Swo to and subscri before me 20 /(� Sworn to and subscribed before me Da of st / this Day of /�)' � V lois Y Qin —_- ary u is Votary Public Revised 01.26.10 ;�a •., RAiRIUA R HECKEL f WILSON Marion County NOTARY PUBLIC My Corn inimon Expires STATE OF FLORIDA y, a Nott6rttber 6,2021 Comm#EE156451 &LINDA Expires 12/29/2015 Z d l E-9gE-£L8 uoi}ona;Suo:D ul=uuapjV 1-10-de6b:60 b L 90 ABN Vit!avf�J City of Atlantic Beach APPLICATION NUMBER Js Building Department (To be assigned by the Building Department.) 800 Seminole Road D � v Atlantic Beach, Florida 32233-5445 /d 0 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: City web-site: http://www.coab.us -1 - A'A APPLICATION REVIEW AND TRACKING FORM q7q � X83 Property Address: 1021Am /S/VO/ kl)l.r Department review required YNo ';Q6'n � il &Applicant: W nn ree inistrator Project: 1 eM a24EP&d IQ f Public Works Public Utilities Public Safety re Services Review fee $ Dept Signature Other Agency Review or Permit Required Review or ReceiptDate 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 PLANNING &ZONING Reviewed by: Date: '2 TREE ADMIN. Second Review: ❑Approved as revised. ❑De ied. 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 Building Department r •`� 800 Seminole Road FILECOPY Atlantic Beach,Florida 32233 ' .......... (904)247-5800 k+ PLAN REVIEW COAD ENTS Permit Application #.. /,Y- 2 YC Property Address: Iodl Applicant: rcOn 14161 Prmah Cy�r S7l/�ic�,U�rJ, Project: 'Lpe,-''7 X-77 PLC/ a- �[�� lG�av f This permit application has been: 0 Approved 0 Reviewed and the following items need attention: P' C 0 - 0 -P U i-P L., Pd IN 4 A e A n -e/-,-T, Please - re submit your application when these items have been completed. Reviewed By: ./oqj 4k Date: 5---F-ao1 y y BUILDING PERMIT APPLICATIONfILE COPY CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach,FL 32233 C6 yy� m h T• S „��,, ;• -_ QZ/ Office(904)247-5826 Fax(904)2�47-5845 Job AddressAtlantec Blvd Ste F9t2'1` • Legal Description Sola SalonParcel# t Valuation of Work$ 425,000.00 11:1 Proposed Work heated/cooled 4725 9 non-beatedlcooled 0 Class of Work(circle one): New Addition x Alteration Repair Move Demolition poollspa windowldoor Use of exisdng/propUsed structure(s)(circle one): x Commercial Residential If an existing structure,is a fire sprinkler system installed?(Circle one): Yes No N/A Florida Product Approval# For multiple products use pro uct approva orm Describe in detail the type of work to be performed: Interior remodel of commercial space. Property Owner information: Name: Haynes Chidsev .Address:1300 Baxter St.Ste-421 State NC Zip 46017 Phone704-900-77: City Charlotte L-Mail or Fax k(Optional) Contractor Information: Company Name: Ron Alderman Construction Qualifying Agent:Ron Alderman Address: 2801 76' St.N City—Tampa State FL.Zip_3361 Oftice Phone Job Site/Contact Number 813-431-0090 Fax so State Certification/Registration# CBC 1251830 Architect Name&Phone# Kevin Conrad 317-501-3544 Engineer's Name&Phone##Matthew Holbrook 317-679-8543 Fee Simple Title Holder Name and Address NIA Bonding_Company Name and ,Address NIA Mortgage Lender Name and Address N/A .gppii,arian is hereby made to ubtarn a permit to rlo rhe work and installations as indiatred, 1 certify that nu wruk w s iurilatiorr n. coF rmit hecom to the ssuatce of a permit and ti,at ail Work will be peJr�ormed font eer the s47ndarris ojali laws rpccbalating cansrru l+rrf)r thpue furisdictinn Tho per0.1 affly mit becomes fuer worl(YUdComm ncefl 0 COMM en tun dersrandMt i sepai6 perMonmifsem st be secured jo rwrucrion orle uricrk is ar R'rk,Plafrbusp, Jas,aWells.Poo 1s,Fiutm�acea,s8aiieia,ill�ters, Tanks arrd Ab 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 EFORZERECORDING YOUR NOTICE OF i here ob erlli wt!labe mampir ed w/h hW Rey sth ci0edihe ein or no The�Granting to of a permit does not e irue and correct. ipresume, 99vve authorityrioi r uia<eKor •Cance!he nPe.J provisions of any other federal.state,or 1aca1 regulating comisrruction or the performance ojrnnvractian. Signature of Owner Signawre of Contractor. Print Name Print Name Swo to and subscn�fj�before me Sworn to and subscribed before me 20 / this Day of t t 20 this Day of '7 _lotary Public Wary u tc Revised D 1.26.{0 r ,w�o PAiRK!A N HECKEL .WTMY;; MahanCouttty LINDA WILSON •: ;•p My Cottrnission Expires NOTARY PUBLIC '+•••• STATE OF FLORIDA +?+pr November 6,2021 *- 1 Comm#EE156451 Expires 12/29/2015 Z•d L L 6£-98 L8 uoi;onaisuoC)uewaaPiy uo�j 136b:60 Vl 90 AeA 1 May 27, 2014 Attn: Fire Ran Examiner Atlantic Beach Re: Sola Atlantic Village Atlantic Beach FL 32233 To Whom it Concerns, This letter is in response to the Fre review of the drawings for the subject space. All comments applicable to the 'Fre' have been addressed per the plan check comments. The sheets to which changes have been made are at the end of each response. FIRE PLAN CORRECTIONS 1. Comment: NFPA 101-7.10.1.3 Exit door Tactile Signage. Tactile signage shall be provided to meet criteria, unless otherwise provided in 7.10.1.4. Reply: Added note to drawing. (See Sheet A1.1) 2. Comment: Per Rorida Administrative Code 69A-60.0081 Notice required for structures with light-frame truss-type construction. Provide light weight truss identification signage or state on plans if not required. Reply: Added note to sheet. (See Sheet A1.10) It is our intention to have responded properly to all of your concerns and we hope you find the above acceptable and are able to approve the submission with the above explanations and information. Thanks in advance for your time and consideration. �W D. Signed, �� '� LICENSE•e�QO': No.60531 --L_ Kevin Conrad/Project Coordinator STATE OF •' �///,/'ONAL CIS a� r, SE.F PERM'- RFOT TIPF��F�,-�' } � � tIT TONA] �\rnMONS REVJEWED B':----------__ DATE. T � � Florida Energy Efficiency Code For Building Construction EnergyGauge Summit® Fla/Com-2010, Effective Date: March 15, 2012 -- Form 506-2010 .,.r..-..,may=.ivn.Y+fM-..f.•^awwR--... ,. �" `•' TotalBuilding Performance Method for Commercial Buildings FILE COPY PROJECT SUMMARY Short Desc: New Prj Description: Sola-Atlantic Village Owner: Haynes Chidsey Addressl: 1021 Atlantic Boulevard City: Atlantic Beach Address2: Suite 19/21 State: Florida Zip: 32233 Type: Retail Class: Renovation to existing building Jurisdiction: ATLANTIC BEACH,.DUVAL COUNTY,FL(261100) Conditioned Area: 4688 SF Conditioned&UnConditioned Area: 4688 SF No of Stories: I Area entered from Plans 4725 SF Permit No: 0 Max Tonnage 5.8 If different,write in: \0`tI111 •`�,��w.D•.HO�e%. No.60531 � • �� �0 STATE OF 47, �• ` 10NAL EnergyGauge Summit@ Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 1 of 9 r , Compliance Summary Component Design Criteria Result Gross Energy Cost(in$) 180.0 261.0 PASSED LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS PASSES PIPING SYSTEMS None Entered Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE Info 5009 -- -- --An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit®Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 2 of 9 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code ry� Prepared By: Matthew Holbrook Building Official: Date: l ` J ' Date: 5 �` Y I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Date: If Required by Florida law, I hereby certify(")that the system design is in compliance with the Florida Energy Efficiency Code Architect: Matthew Holbrook Reg No: 60531 Electrical Designer: Matthew Holbrook Reg No: 60531 Lighting Designer: Matthew Holbrook Reg No: 60531 Mechanical Designer: Matthew Holbrook Reg No: 60531 Plumbing Designer: Matthew Holbrook Reg No: (on—3 / (`) Signature is required where Florida Law requires design to be performed by registered design professionals. EW..D• • No.60531 STA7-S OF '•��ORIDA X1111111 EnergyGauge Summit®Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 3 of 9 Project:New Prj Title:Sola-Atlantic Village Type:Retail (WEA File:FL JACKSONVILLE INTL ARPT.tm3) Building End Uses 1)Proposed 2)Baseline Total 545.40 534.80 $180 $326 ELECTRICITY(MBtulkWh/$) 509.40 469.60 149242 137592 $0 $0 AREA LIGHTS 115.80 146.90 33918 43047 $0 $0 MISC EQUIPMT 68.60 68.60 20104 20104 $0 $0 PUMPS&MISC 0.20 0.40 49 112 $0 $0 SPACE COOL 108.80 128.20 31872 37551 $0 $0 VENT FANS 216.00 125.50 63299 36778 $0 $0 NATURAL-GAS(MBtultherml$) 36.00 65.20 360 652 $180 $326 SPACE HEAT 36.00 65.20 360 652 $180 $326 EnergyGauge Summit®Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 4 of 9 Credits Applied: None PASSES Passing Criteria =261 Design (including any credits) = 180 Passing requires Proposed Building cost to be at most 80% of Baseline cost. This Proposed Building is at 55.2% External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (W) (W) (Sgft or ft) NonE::::] Project:New Prj Title:Sola-Atlantic Village Type:Retail (WEA File:FL JACKSONVILLE INTL ARPT.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance PrOZolSpl 25,001 Sales Area 1,050 3 1 PASSES PrOZo2Spl 25,001 Sales Area 1,104 4 1 PASSES PrOZo3Sp1 25,001 Sales Area 1,464 3 1 PASSES PrOZo4Sp1 25,001 Sales Area 1,070 3 1 PASSES PASSES EnergyGauge Summit®Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 5 of 9 Project:New Prj Title:Sola-Atlantic Village Type:Retail (WEA File: FL_JACKSONVILLE_INTL ARPT.tm3) System Report Compliance PrOSyl System I Constant Volume Packaged No.of Units System I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 13.00 PASSES <65000 Btu/h Cooling Capacity Heating System Warm Air Gas Furnace< 80.00 80.00 PASSES 225000 Btu/h Air Handling Air Handler(Supply)- 0.80 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 0.80 0.82 PASSES System-Return Constant Volume PrOSy2 A.C.Unit#2 Constant Volume Packaged No.of Units System I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 11.20 13.00 11.40 PASSES 65000 to 135000 Btu/h Cooling Capacity Heating System Warm Air Gas Furnace< 80.00 80.00 PASSES 225000 Btu/h Air Handling Air Handler(Supply)- 0.80 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 0.80 0.82 PASSES System-Return Constant Volume PrOSy2 A.C. Unit#2 Constant Volume Packaged No. of Units System I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 11.20 13.00 11.40 PASSES 65000 to 135000 Btu/h Cooling Capacity Heating System Warm Air Gas Furnace< 80.00 80.00 PASSES 225000 Btu/h Air Handling Air Handler(Supply)- 0.80 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 0.80 0.82 PASSES System-Return Constant Volume EnergyGauge Summit®Fla/Com-2010,Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 6 of 9 PrOSyl System 1 Constant Volume Packaged No.of Units System I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.23 13.00 PASSES <65000 Btu/h Cooling Capacity Heating System Warm Air Gas Furnace< 80.00 80.00 PASSES 225000 Btu/h Air Handling Air Handler(Supply)- 0.80 0.82 PASSES System-Supply Constant Volume Air Handling Air Handler(Return)- 0.80 0.82 PASSES System-Return Constant Volume PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Project:New Prj Title:Sola-Atlantic Village Type: Retail (WEA File:FL JACKSONVILLE INTL_ARPT.tm3) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss liance Water Heater 1 Gas Storage water <=75000 Btu/h; 80.00 0.51 PASSES heater >=20 Gal Water Heater 2 Gas Storage water <=75000 Btu/h; 80.00 0.51 PASSES heater >=20 Gal PASSES EnergyGauge Summit®Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 7 of 9 Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp [Btu-in/hr Thick[in] Thick[in] IF] SF.FI None EnergyGauge Summit®Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 8 of 9 r a Project-New Prj Title:Sola-Atlantic Village Type:Retail (WEA File:FL_JACKSONVILLE_INTL_ARPT.tm3) Other Required Compliance Category Section Requirement(write N/A in box if not applicable) Check Report 506.4.2 Input Report Print-Out from EnergyGauge FlaCom attached Operations Manual 303.3.1, Operations manual provided to owner 503.2.9.3, 505.7.4.2 Windows&Doors 502.3.2 Glazed swinging entrance&revolving doors:max. 1.0 cfm/ft2;all F other products:0.3 cfm/ftz Joints/Cracks 502.3.3 To be caulked,gasketed,weather-stripped or otherwise sealed Dropped Ceiling Cavity 502.3 Vented:seal&insulated ceiling.Unvented seal&insulate roof& side walls HVAC Efficiency 503.2.3 Minimum efficiencies:Tables 503.2.3(1)-(8) ❑ HVAC Controls 503.2.4 Zone controls prevent reheat(exceptions);separate thermostatic control per zone; Ventilation 503.2.5 Outdoor air supply&exhaust ducts shall have dampers that ❑ automatically shut when systems or spaces served are not in use. Exhaust air energy recovery required for cooling systems (Exceptions). ADS 503.2.7.5 Duct sizing and Design have been performed HVAC Ducts 503.2.7 Air ducts,fittings,mechanical equipment&plenum chambers shall be mechanically attached,sealed,insulated&installed per Table 503.2.7.2.Fan power limitations. Balancing 503.2.9.1 HVAC distribution system(s)tested&balanced.Report in ❑ construction documents. Piping Insulation 503.2.8 HAC and service hot water.In accordance with Table 503.2.8. Water Heaters 504 Performance requirements in accordance with Table 504.2.Heat trap required. Swimming Pools 504.7 Vapor-retardant or liquid cover or other means proven to reduce heat loss on heated pools;Time switch(exceptions);readily accessible on/off switch. Motors 505.7.5 Motor efficiency criteria have been met Lighting Controls 505.2,502.3 Automatic control required for interior lighting in buildings>5,000 ❑ s.f.;Space control;Exterior photo sensor;Tandom wiring with 1 or 3 linear fluorescent lamps>30W EnergyGauge Summit®Fla/Com-2010.Section 506.4 Compliant Software.Effective Date:March 15,2012 4/28/2014 Page 9 of 9 1 y ❑ ❑ ❑ ❑ L O M M O C;Z O O .X O O Q > 00 00 7 00 ,N bA U y i o oD b W a 4° E COO F' V s 0 0 0 0 0 Q Q Q Q 0 0 0 0 ct U U U U oOq O c N U 7 v) cd N O N c z w M x N M d V N N u N N N N N +, u b O •O R. 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LL :3 Q -6 Q R7 Q 'O U) (D O >S O U O U O U _ = Z = Z = Z L CD � 7 O O N O Cl) O o cNoU o -0 o .n o-0 00 Q n Q n Q ri Q N CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 <u INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000740 Date 6/30/14 Property Address . . . . . . 1021 ATLANTIC BLVD Tenant nbr, name . . . . . . UNITS 979 AND 983 Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 425000 -- ------------------------------------------------------------------------- Application desc new salon comm build out -- ----------------------------------------- Owner Contractor _ _ _ -------------- ---------- EQUITY ONE ATLANTIC VILLAGE, 80 ALDERMAN CONSTRUCTION 2 16 NE MIAMI GARDENS DR 2801 76TH ST TAMPA FL 33619 ATTN: TREASURY DEPT MIAMI BEACH FL 33179 (813) 431-0090 ---------- ----------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Sub Contractor TIDWELL ELECTRIC COMPANY INC 00 Permit Fee 165 . 00 Plan Check Fee 0 Issue Date Valuation Expiration Date . . 12/27/14 --------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE --------------------------------- Other Fees STATE ELEC DCA SURCHARGE 2 • 48 STATE ELEC DBPR SURCHARGE 2 .48 _ ________ --- Fee summary Charged Paid Credited ----Due--- _ _ ------ . -- ----- ---------- ---------- - . 00 Permit Fee Total 165 . 00 165 . 0000 00 . 00 Plan Check Total • 00 . 00 Other Fee Total 4 . 96 4 . 96 . 00 Grand Total 169 . 96 169 . 96 . 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 ll i'4_Ph(904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: �oa.i }�1��(�.Aic h PERMIT## r aO JEA INFORMATION REQU[RED ON ALL PERMITS D D AMPS 14-0,1 _ ' PHASE 7� VALUE OF WORK S NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole ❑Residential(Main) Service 0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters - Commercial(Main)Service ❑0-100 amps ❑101-150amps 11151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ��0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps 11 amps ECT Service 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 ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can Ll Safety Inspection El Panel Change ❑OH to UG 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 /l C Office Pone? Electrical Company l Co. Address: (olb� P0.O � ` City State& Zip License Holder(Print)• FfAax� (� State Certification/Registration# EC� SOS Notarized Signature of License Holder Sworn and subscribed befo e this day of 20 Signature of Notary P blic CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 V INSPECTION PHONE LINE 247-5814 -e C 14-00000740 Date 7/09/14 Application Number . 1021 ATLANTIC BLVD Property Address . . • • • Tenant nbr, name . . . . . . UNITS 979 AND 983 Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 425000 ---------------------------- Application desc new salon comm build out ---------------------------- Contractor Owner _ _ _ ------------------------ EQUITY ONE ATLANTIC VILLAGE, RON ALDERMAN CONSTRUCTION 16 NE MIAMI GARDENS DR 2801 76TH ST TAMPA FL 33619 ATTN: TREASURY DEPT MIAMI BEACH FL 33179 (813) 431-0090 ----- ------------ PermitPLUMBING PERMIT Additional desc 77 FIXTURES FOR SALON Sub Contractor B & C PLUMBING . 00 Permit Fee 594 . 00 Plan Check Fee Valuation . 0 Issue Date . . . . Expiration Date . . 1/05/15 -------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE ------2008 NATIONAL ELECTRIC CODE -------------------- ---------------------------- STATE PLBG DCA SURCHARGE 8 . 91 Other Fees • • • ' ' ' STATE PLBG DBPR SURCHARGE 8 . 91 --- ------------------------ ------- ----------- Paid Credited Due Charged Fee summary g ---------- 00 . 00 Permit Fee Total 594 . 00 594 . 00 00 . 00 Plan Check Total • 00 ' 0082 17 17 . 82 . . 00 . 00 Other Fee Total 00 . 00 Grand Total 611 . 82 611 . 82 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0710912014 09:31 Fairchild, Addison & McKone (FAX)813 685 8610 P.0021004 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph (904) 247-5826 Fax (904)247-5845 — JOB ADDRESS: F/ NEW OR REPLACEMENT INSTALLATION: Project Value TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Shower Pan Dishwasher Slop Sink Drinking Fountain Three Compartment Sink Floor Drain Toilet Floor Sink Urinal Hose Bibs -- Kitchen Sink � Vacuum Breakers Laundry Tray _ Water Connected Appliances Lavatory Water Heater Water Treating System Other Fixtures [2E-PIPE: TYPE OF FIXTURE QTY TYPE OF.FXX'TURE QTY Septic Tank&pit - - Bathtub Shower Clothes Washer Shower Pan Dishwasher Slop Sink Drinking Fountain Three Compartment Sink Floor Drain Toilet Floor Sink Urinal Hose Bibs Vacuum Breakers Kitchen Sink Water Connected Appliances Laundry Tray Water Heater Lavatory -- Water Treating System Other Fixtures -- VUSCELLANEOUS: allons(Requires 3 sets of plans) � Sewer Replacement ❑ Hack Flow Preventer O Grease Interceptor ell (Trap) ** g � Lawn Sprinkler System-Number of He ds OW #* be submitted to Well Completion Form. Comp.:ted form to a Suf unal inspection.* ig Department for final S,IRWD s.i hereby certif�that I have yermit becomes void if work does not commence within a six month ons of laws rwork is suspend ordinances govern ng this�d-—or abandoned work wr sLK ifi becompliedwith whether specified d his application and know the same to ri true and cornet. All provions o )r not. The permit does not give authority to violate the provisions of any other state or local law regulation constructioN���o��c°of construction. Phone Property Owners Name ► , Office Phone Ut7 J �1 �,�, Plumbing Company. City V State iL Zip moo. Address: 105.35" ' �� tA� er State ertification/Registration# LFA D°' License holder(Priv ): - r Votarized Signature of.License Folder 94'' day of �1 20-- M7q ANNA M.PATTERSOftworn and subscribed before me t 's �f Notary Publk.Sut$of FWO& y Comm.NNo.EV20322 s 27,20�lSignatwre of Notary Public Bonded thru pairchN,Addison ",''11 CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 4X IT Application Number . . . . . 14-00000740 Date 8/12/14 Property Address . . . . . . 1021 ATLANTIC BLVD Tenant nbr, name . . . . . . UNITS 979 AND 983 Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 425000 ------------------------------------------------------- Application desc new salon comm build out ------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- EQUITY ONE ATLANTIC VILLAGE, RON ALDERMAN CONSTRUCTION 16 NE MIAMI GARDENS DR 2801 76TH ST ATTN: TREASURY DEPT TAMPA FL 33619 MIAMI BEACH FL 33179 (813) 431-0090 --------------------------------------------------- Permit MECHANICAL HVAC PERMIT Additional desc . . Sub Contractor . . HEAVEN' S BREEZE AC HEATING Permit Fee . . . . 355 . 00 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/08/15 ----------------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE ------------------------------- Other Fees . _ STATE MECH DCA SURCHARGE 5 . 33 STATE MECH DBPR SURCHARGE 5 . 33 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 355 . 00 355 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 10 . 66 10 . 66 . 00 . 00 Grand Total 365 . 66 365 . 66 . 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 Jos ADDRESS: 1 Qa( t�a.�� c. y�y 5�i� ��.�c cl►.�� �So� PERMIT# / - -7 . l► , PROJECT VAL UE $ 3 5 0 @° ARI# 3©I�$l�J REQUIRED Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity 5 Tons Per Unit S Heat: Unit Quantity — BTU's Per Unit e °On 4Seer Rating f3 Duct Systems: Total CFM (00--0 REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer RatingREQUIRED 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) I 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 to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Mechanical Company 1 Cp K. 4 %atf--4J� -kit- 1 kF-kT iNG LAc- Office Phone&3-911-6-NWax Co. Address: AVSyZk�L Wxk -bt . City w► o- Statek\ zip 33 ScA�- �r��� �µ�C State Certification/Registration# Com- License Holder(Print): 0 Notarized Signature of License Holder LEEJONES B ore me this�_day of 20 MY COMMISSION#EE 183030 EXPIRES:March 26,torsi ature of Notary Public `•'o of�.$•' Bonded Thru Notary Public underwrit CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD s) ATLANTIC BEACH, FL 32233 J INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000740 Date 9/08/14 Property Address . . . . . . 1021 ATLANTIC BLVD Tenant nbr, name . . . . . . UNITS 979 AND 983 Application type description COMMERCIAL INTERIOR BUILD-OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 425000 ---------------------------------- Application desc new salon comm build out --------------------------------- Owner Contractor _ _ _ -------------- ---------- EQUITY ONE ATLANTIC VILLAGE, 80 ALDERMAN CONSTRUCTION 2 16 NE MIAMI GARDENS DR 2801 76TH ST TAMPA FL 33619 ATTN: TREASURY DEPT MIAMI BEACH FL 33179 (813) 431-0090 __ ---- -----Permit . MECHANICAL GAS PIPE PERMIT Additional desc . . Sub Contractor CLASSIC SERVICES OF JAX INC 00 Permit Fee 99 . 00 Plan Check Fee Valuation Issue Date Expiration Date . . 3/07/15 -------------------------------- - ----------------------------------------- Special Notes and Comments 2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE 2008 NATIONAL ELECTRIC CODE --- 6 . 81 --- --------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE STATE MECH DBPR SURCHARGE 6 . 81 ____ _ ______ ------------ Fee summary Charged Paid Credited _ ------ . 00 ----- ---------- - . 00 Permit Fee Total 99 . 00 99 . 00 00 . 00 Plan Check Total • 00 . 00 13 . 62 13 . 62 . 00 Other Fee Total 00 . 00 Grand Total 112 . 62 112 . 62 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 JOB ADDRESS: 10 2 ( 4/%,,, //,c R/ 1z / PERMIT# /`( ' �' 7YO PROJECT VALUE$ 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 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 eil Quantity of Outlets 6 Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Z 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 to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name Phone Number Mechanical Company C 1,1.srSc/,d.ce-zr Office Phone 000yam'Fax(1003 f y-c y i-q( Co. Address: ��, /I�,� SSG?S cityU y x State�Zip 3 22 q/ License Holder(Print): ----&ate Certification/Registration# /?/",-!fa/G`>7�1 Notarized Signature of License Holder Before m th' day of 20 Signature of Notary Public