303 Atlantic Blvd refrigeration permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL COMMERCIAL SEPARATE PLANS - OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MECH18-0002
Description: reinstall walk-in cooler& existing refrigeration equipment
Estimated Value: 14967
Issue Date: 2/22/2018
Expiration Date: 8/21/2018
PROPERTY ADDRESS:
Address: 303 ATLANTIC BLVD
RE Number: 169729 0000
PROPERTY OWNER:
Name: JUNKSHIRLEY
Address: 915 13TH ST N
JACKSONVILLE BEACH, FL 32250-3653
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HOWARDS REFRIGERATION PLUS,INC
Address: 9434 SANDLER RD QA ROBERT SCOTT HOWARD
JACKSONVILLE, FL 32222
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 _ 0 ooc -
JOB ADDRESS: -30 , yzic & O. PERMrr#
PROJECT VALUE $__ 5(01 7 ' " 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 ! S
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM s—H JP 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
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: 5.1-0�, tJ 41 K - Gu�1 .f�"� �s !�✓. r��r n�
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 &A941WAM J9 sNrr/ems Phone Number AW 7-694 Q
Mechanical Company /I13 , —Office Phone
Fax
Co. Address: /V3y-S4J#,A A4�7 City .-1✓/lla State F/ Zip 3a-7x
License Holder(Print): r..9v State Certification/Registration#
Notarized Signature of License Holder
Y P/''• JENNIFER JOHNSTON r
MY COMMISSION#GG 042984 Before me this day of 1 Q 20
-'f EXPIRES:October 27,2020
?F i�� Bonded Thru Notary Public Underwriters Signature of Notary Public
S rj�-LJr�r
Receipt Number
•
sh Register ReceiptON City •
• Beach •
DESCRIPTION • QTY PAID
PermitTRAK $67.00
MECH18-0002 Address: 303 ATLANTIC BLVD APN: 169729 0000 $67.00
MECHANICAL $63.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 2 $8.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
• RECEIPT: $67.00
Date Paid:Thursday, February 22, 2018
Paid By: HOWARDS REFRIGERATION PLUS,INC
Cashier: LE
Pay Method: CREDIT CARD 9
/[1
Printed:Thursday, February 22,2018 4:13 PM 1 of 1 1�
7PMT