1543 MAIN ST - FIRE SPRINKLER SYSTEM i--
1._J-- 1.i:--
rj
'' \1, CITY OF ATLANTIC BEACH
,ti> J 800 SEMINOLE ROAD
j _______}."" . c ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
<4J;319�
MECHANICAL FIRE SPRINKLER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MCHF-1921
Job Type: MECHANICAL FIRE PERMIT
Description: FIRE SPRINKLER SYSTEM
Estimated Value: $1 ,000.00
Issue Date: 8/30/2016
Expiration Date: 2/26/2017
PROPERTY ADDRESS:
Address: 1543 MAIN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: FIRE SPRINKLER SERVICES NE FLA
, 102209-0001-2002
Address: PO BOX 23787
Phone: - -
FEES:
Fire Sprinkler System $35.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $39.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII 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 I
Ph(904)247-5826 Fax (904)247-5845 Co -IN"C k r- 1 9 z l
JOB ADDRESS: I 5 4 3 kvt&t 5 ) PERMIT # ( ‘-6:1N11( 3613
PROJECT VALUE $ ( G D 0 ,.' 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 1 (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
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 authoritytoviolate the provisions of any other state or local law regulation construction or the performance of construction.m
Property Owners Name Tie. 11"( C o Phone Number
Mechanical Company Pre S/NIC , `JQ r'�, OCNA L;/7Office Phone 26'2-fe ja
Co. Address: p.a. Ot' K 2.3 767 City : x. State 4 Zip (.?2 2¢/
License Holder(Print): I�� L- �>. . e Certification/Registration# (G2? oc,
( ) �l Q 5 g �7 at2cb
Notarized Signature of License Holder I(:::::, Z
A!'%, TONIGINDLEEPERGER efore me this �j day o `0_
,a MY COMMISSION t FF 924951
w• EXPIRES:October 6,2019 `��
' tie;: Bonded TbNNotary PubricUnderstaers ignature of Notary Public _ �.