1600 Selva Marina Drive 16-MCHF-1902 (Fire sprinkler)CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
FIRE SUPPRESSION SYSTEM
MUST CALL BY 4PM FOR NEXT DAY INSPECIION: 247-5814
JOB INFORMATION:
Job ID:
16-MCHF-1920
Job Type:
MECHANICAL FIRE PERMIT
Description:
PETE'S TURN FIRE PERMIT - ALREADY STAMPED BY
COJ FIRE MARSHALL -
UNDERGROUND FIRE MAIN
Estimated Value:
$6,000.00
Issue Date:
8/24/2016
Expiration Date:
2/20/2017
PROPERTY ADDRESS:
Address:
1600 SELVA MARINA DR
RE Number:
169399-0000
PROPERTY OWNER:
Name: Atlantic Beach Country Club, Inc.
Address: 1600 Salva Marina DR
GENERAL CONTRACTOR INFORMATION:
Name: WHITESTONE CONSTRUCTION GROUP LLC
Address: 3827 Poinciana BLVD
Phone: 904-476-6655
PERMIT INFORMATION:
Fire Sprinkler System $35.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax
�,(X9004)A247-5845
JOBADDRESS: �PERMrr# 10 n—
Fj?a)
PROJECT IAL UE $ 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'sPerUnit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning:
Unit QuantityTons Per Unit
Heat:
Unit Quantity BTU's Per Unit
Duct Systems:
Total CFM
FIRE PREVENTION
Fire Sprinkler System
Fire Standpipe
Underground Fire Main
Fire Hose Cabinets
Commercial Hoods
Fire Suppression Systems
FIRE PLACES
Prefabricated Fireplace Qty
Gas Piping Outlets
I ALL OTHER GAS PIPING
Quantity of Outlets
# Vented Wall Furnaces
# Water Heaters
OTHER:
Quantity
Quantity
Value SEL
Quantity
Quantity
Quantity
Seer Rating
REQUIRED
(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
-wand occomes vola it work does not commence winds, a six moon period or work is suspended or abandoned for six months. I hereby certify that I have read
his application and know the same to berme and correct All provisions of laws and ordinances governing this work will be complied with whether specified or
tot. The permit does not give authority to violate the provisions of any other/^State or local law regulation construction or the performance ofconstruction.
'roperty OwlATi�,
Owners Name a, i,, � ,�ag 6.1P Phone Number QL1 3—?11 ZiiZ'1/'
vlechanical Company (fF5'Pt CWTkMVt t) &lap �LC Office Phone l-1l.°r( Fax_&4
:o. Address: to 804- d City l•Ik I,lr State Zip3-110
Acense Holder (Print): �. Q 9- 64UL State Certification/Registration # DUO -W=21
dotarized Signature of License Holder
;w:y DAYNA".w"1n eforer lils 023RD day 20 1(o
?'.1 AIV Comm10N YFF 11 TOO -
EXPIRES August r. 1J19 lgnature of Notary Public
17 , . 6oMeJ inry NuupfuOlu VN�m4n 4w
Payment Receipt
Duval County Tax Collector
Transaction Date:
Name:
Payment Type:
Items:
Confirmation Number.
Authorization Code:
Amount:
Convenience Fee:
Total Payment Amount:
Signature
8/19/2016
CLARK CHRISTINA
American Express - 379776'•""008
Michael Corrigan, Tax Collector
Duval County/City of Jacksonville
Comments - taxcollector#coS.ret
Inquiries - (904)630-1916
www.col.net/tc
Date: 08/19/2016 Time: 10:15:23
Location: P03 Clerk: NJS
Transaction 0529815
Thank you for visiting the Duval County Tax Collector
Michael Corrigan, Tax Collector
Close
CREDIT 489.60
Total Tendered 489.60
Paid By: HORACE BOBBITT CLARK I
Thank You
jc QAywen+lU CV -3 se,
►I�s Fre eeft&:+,�rcaerkactzyr,
AUG p 3 2016
Miscellaneous
Item: CR - BIDS -3685271
8920611
Receipt 0529815.0003-0004
164.80
568278
Miscellaneous
Item: CR - BIDS -3685273
$489.60
Receipt 0529815.0001-0002
164.00
$12.24
.. Miscellaneous
Item: CR - CR381316
Receipt 0529815.0005-0005
160.00
4501.84
Total Paid
489.60
Thank you for visiting the Duval County Tax Collector
Michael Corrigan, Tax Collector
Close
CREDIT 489.60
Total Tendered 489.60
Paid By: HORACE BOBBITT CLARK I
Thank You
jc QAywen+lU CV -3 se,
►I�s Fre eeft&:+,�rcaerkactzyr,
AUG p 3 2016