1175 ATLANTIC BLVD - HVAC CITY OF ATLANTIC BEACH
,---' _ S 800 SEMINOLE ROAD
—. yr ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814 .."-1
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1838
0 Job Type: MECHANICAL HVAC ONLY
Description: HVAC - COMMERCIAL HOOD
0 Estimated Value: $6,800.00
Issue Date: 8/30/2016
Expiration Date: 2/26/2017
PROPERTY ADDRESS:
Address: 1175 ATLANTIC BLVD
RE Number: 170709-0000
PROPERTY OWNER:
Name: ROBBINS NEST FARMS LLC, *
Address: 1560 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: RIVER CITY FABRICATION INC.
, CSC1110258
Address: 2911 BURKE ST
Phone: - -
PERMIT INFORMATION: 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.
FEES:
Commerical Hood Installation $30.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $89.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�i�a,v 1 City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
.. \`2 800 Seminole Road CO -m - I 8
�' ') Atlantic Beach, Florida 32233-5445
\� _ r Phone (904) 24,7-5826 Fax(904) 247-5845 C
/�� E-mail: building-dept@coab.us Date routed: C )
c,
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: I ("75 RTL,RN7 t C&LVp De artment review required Yes No
uilding
Applicant: k tVER. C l i Li FI/ 8RL 0 A7/Oti tarrang &Zoning
� Tree Administrator
Project: e_CipAiY\ E- @kA (
HOC t_ ) Public Works
Public Utilities
Public Safety
Fire Services
Review fee $ _ Dept Signature
Review or Receipt Date
Other Agency Review or Permit Required 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: Wiezaroved. nDenied.
(Circle one.) Comments:
BUILDING
PLANNING & ZONING Reviewed by: Date: (...5(2-1 1i f7
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:
L
Revised 05/14/09
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 322331 �D_ ��_ ��$
Ph(904)1247-5826 Fax(904) 247-5845
JOB ADDRESS: // S /416yo74C (? Iv9L /PERMIT# 15-C N eW-22i
PROJECT VALUE $ Co 6�- 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
nual=J documentation required on residential 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 I (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: �Q l — 8 -7 —oe l 1
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 authori to viol to the provisions of any ler state local law regulation construction or the performanc of construction.
11n
Property Owners Name OI? i•r1�.S Nes-r- i-'jc L L C Phone Number ?CR/ )4.5-9 1-/...VZ,
Mechanical Company 12 t v--e,r CAy FA-6 is i'frE- , Office Phone3 r01°1 J'8 ' Fax 3819 t/ O i
Co. Address: ), U <<e- ST City State RLzip 3225 /
License Holder(Print): 3 , " _„,.4 ler S ate Certif ation/Registration# C3e, /1 l O U
EL
Notarized f o Signature License Holder - / # , / I' /
g
41.!:',/, GABRIEutwANAMMOER Before me this • ''' day o -, �►' 4 20 j
MY COMMISSION t FF 049070 ,�
J
* EXPIRES:August 27,2017 Signature of Notary Public •
'440,,fos• Bonded ThN Budget Nohry Services
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