2321 Mayport Rd Undergrd Fire It CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FIRE ALARM
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MCHF-966
Job Type: MECHANICAL FIRE PERMIT
Description: UNDERGROUND FIRE MAIN
Estimated Value: $100.00
Issue Date: 4/28/2015
Expiration Date: 10/25/2015
PROPERTY ADDRESS:
Address: 2321 MAYPORT RD
RE Number: 169398-0410
PROPERTY OWNER:
Name: AMERADA HESS CORP.
Address: PO BOX 696419 PO BOX 696419
GENERAL CONTRACTOR INFORMATION:
Name: THE LANEY COMPANY
Address: 2905 CORINTHIAN AVE APT 3 QA ASHLEY LANEY
Phone: - -
PERMIT INFORMATION:
FEES:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $59.00
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) 24j�7-5826 Fax (904)247-5845 15—mLHF�S�
OB ADDRESS: )3 1�a V - PERMIT#
PROJECT VALUE $31,000 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
TIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value $31,000 (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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers Bim'
Elevators/Escalators 2
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU'
# Water Heaters Solar Collection Systems
Tanks(gallons)
Vells
)THER: Fire Hydrant, Fire Main Riser
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
its 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
x. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the fiance of construction.
roperty Owners Name Dollar Tree Phone Number
Mechanical Company The Laney Company LLC Offic hone 904-389-6752 — ax904-381-9125_
o. Address: 2905 Corinthian Ave#3 City Jacksonville State FL_Zip 32210
,icense Holder(Print): Ashley Laney State Certifc tion/Registration# CUC1224248 Class V 212381-0001-2011—
,� 1
lotarized Signature of License Hold
Before me this r'day f
20
.� Notary Public State of Florida
' Beth-Ann K Werre Signature of Notary Public �-
'y My Commission EE 182882 gn to�J
orn Expires 0312512016
tt„Lyj City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Buildingpartme�.)
800 Seminole Road / �' '/'y`�Cl/7� 9
;� r' Atlantic Beach, Florida 32233-5445
Phone(904) 247-5826 • Fax(904)247-5845
J,i >
E-mail: building-dept@coab.us Date routed: Z y
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: a3a d nt review required Yes No
Buildi
Applicant: Hf- Planning &Zoning
L / Tree Administrator
Project: L V Public Works
Public Utilities
/ ��✓/���� �� Public Safety
'V �" 7 ire Service T
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
n of Alcoholic Beverages es and Tobacco 9
Other:
APPLICATION STATUS
Reviewing Department First Review: 'Approved. ❑Denied.
(Circle one.) Comments:
t'.0 J_9 - UFt=
BUILDING `
PLANNING &ZONING Reviewed by: Date: ` L2_4
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 07/27/10