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1021 ATLANTIC BLVD #1,2,3 - MCRS18-0009 FIRE SUPPRESSION SYSTEM JUMPING JAX %; .----''6 FIRE PERMIT PERMIT NUMBER ' � MCRS18-0009 �t:.t,. , CITY OF ATLANTIC BEACH .).V' r ISSUED: 11/26/2018 �;� 800 SEMINOLE ROAD \tort 9''' ATLANTIC BEACH. FL 32233 EXPIRES: 5/25/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 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. JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK: 1021 ATLANTIC BLVD 953 FIRE SUPPRESSION FIRE SUPPRESSION SYSTEM $2000.00 975 TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 177602 0040 SECTION LAND COMPANY: ADDRESS: CITY: STATE: ZIP: LIFE SAFETY DESIGNS INC 3038 LENOX AVENUE JACKSONVILLE FL 32254 OWNER: ADDRESS: CITY: ; STATE: ZIP: EQUITY ONE ATLANTIC NORTH MIAMI 1600 NE MIAMI GARDENS DR FL 33179 VILLAGE INC BEACH WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 1 DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT FIRE DEPARTMENT FEE 45500002080800 0 $35.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $39.00 Issued Date: 11/26/2018 1 of 2 01...upti� City of Atlantic Beach APPLICATION NUMBER �s A� Building Department (To be assigned by the Building Department.) ' ` 800 Seminole Road n + V / ,., se Atlantic Beach, Florida 32233-5445 ' �J �,Q 4 VQ 7 Phone (904)247-5826 • Fax(904)247-5845 �j tJ;31c1' E-mail: building-dept@coab.us Date routed: 1 0(?i�i (O City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: 102—l •RTtj \:y11(( LLD D tment review required Yes No �` r Building Applicant: L t p-1,= : F.--&l y E (,C�(l� Planning &Zoning Tree Administrator Project: r--(, RE S u pP�'C=-mss ,,oPublic Works Public Utilities t,�✓V\ pt/v �pre Public Safety 1-ire Services) Review fee $ Dept Signature i Other Agency Review or Permit Required Review or Receipt Date 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: 'Approved. Denied. ❑Not applicable (Circle one.) Comments: c- A ,,-eQ f�� ( IN ) �'C PLANNING & ZONING Reviewed by: Date: '% 1`'t '� TREE ADMIN. Second Review: Approved as revised. ❑Denied. Not applicable PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES )Third Review: El Approved as revised. ❑Denied. ❑Not applicable Comments: Reviewed by: Date: Revised 05/19/2017 0IAN:I-41 City of Atlantic Beach APPLICATION NUMBER .4 iliefrk,x31 Building Department (To be assigned by the Building Department.) jA 800 Seminole Road -,„ x Atlantic Beach, Florida 32233-5445 QRS —0067 Phone(904)247-5826 • Fax(904)247-5845 '"�0;3 �? E-mail: building-dept@coab.us ' �1n Date routed: I of ?..-Z-/(P7 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: I CMZ.l RrcJVr LLVD D ment review required Yes No L Building , Applicant: l�l P-E S 4reZ'y .es.tG 1l.) Planning &Zoning Tree Administrator Project: F:-.--( R.0 S U P P 12e Ss (0 Public Works + C Public Utilities J L) P if J )L Public Safety C1-ire Services^;) 7 ,c�'� Review fee $ Dept Signature Other Agency Review or Permit Required Review or Receipt Date l of Permit Verified By ��y Florida Dept. of Environmental Protection Florida Dept. of Transportation ` \.8) St.Johns River Water Management District V Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: roved. ❑Denied. ['Not applicable (Circle one.) Comments: BUILDIN ` PLANNING &ZONING Reviewed by: Al//, Date: // -3--/6". - TREE ADMIN. Second Review: I 'Approved as revised. ❑r ••Hied f L PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: S4t1 _ • FIRE SERVICES Third Review: III Approved as revised. L Comments: !N -e-*c.-- IA" .e, L WVS � c1►o Reviewed by: I v\c .r {K Revised 05/19/2017 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904)247-5845 NA C R S`8 _v 00 JOB ADDRESS: \dal Ani t C ..0 al uP;A S a y PERMIT# Ut)iTS -- 9 S3 - 1')15 PROJECT VALUE $ a 100040-) 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 (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 1 (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 authority to violate the provisions of anyother stateorlocal law regulation construction or the performance of construction. Property Owners Name Lq `1 04t C (� G/14 ( (.1\401e Phone Number Mechanical Company \.f e irt.rA1 n:'Sc Q(1 S i r\ Office Phone61°-S 1ST Fax 3b'$ -(71 Y Co. Address: 1338 Ler\oIc wP city-S-04, Stat- Zip 103 11 License Holder(Print): °MAIN hi ' State Certification/Registration# 00/N$0�0 I t Notarized Signature of License Holder LL , 1 efore me this 1 g' day of ��,,� ,�+ ;: JAMIE D.SMITH - ..1 :t MY COMMISSION#GG 255331 =. .4. EXPIRES:September 5,2022 ignature of Notary Pubh� jtX)a S •• ds n,,.. Bonded Thou Notary Put*Undonwttors Printing :: CR482961 Page 1 of 1 Duval County,City Of Jacksonville Michael Corrigan ,Tax Collector 231 E.Forsyth Street Jacksonville,FL 32202 General Collection Receipt Account No:CR482961 Date: 11/5/2018 User:Prevention,Fire Email:FirePrev@coj.net FIRE MARSHALL FEE FOR SERVICES PROVIDED Name:House of Jax Food Address: 1021-0000 Atlantic Blvd Description:Atlantic Bch Plan review Fee MCRS 18 0009 TranCode I IndexCode I SubObject I GLAcct I SubsidNo I UserCode I Project I ProjectNI I Grant I GrantDtl I DocNo I Amount 701 I FRFP159FI I 34222 I I I I I I I I I 125.00 • Total Due:$125.00 Michael Corrigan , Tax Collector General Collections Receipt City of Jacksonville,Duval County Account No:CR482961 Date: 11/5/2018 FIRE MARSHALL FEE FOR SERVICES PROVIDED Name:House of Jax Food Address:1021-0000 Atlantic Blvd Description:Atlantic Bch Plan review Fee MCRS 18 0009 Total Due:$125.00 http://financeweb.coj.net/TCCR/printing.aspx?cr=CR482961 11/5/2018 FIRE SUPPRESSION SYSTEM ADP ADP ADP Restaurant: 1 .. I I #;j 11 )±� • -1 / House of Jax Food 1021 Atlantic Blvd. Ill / Atlantic Beach, Florida 32233 Fire Equipment Contractor: • • • • • Life Safety Designs, Inc. Remote Pull GRW GRW R F F 3038 Lenox Ave. Jacksonville, Florida 32254 (904) 388-1700 Phone /�A (904) 388-1718 Fax o c::, ira. 00 (904) 610-5153 CellCS) 1.Z_L____V Drawn by: Ken King ate License NumberKenneth G. King 1 Gas valve 22474800012011 4HOOD SIZE: 11'x 4' State Permit Number: 11DUCT SIZE: 14"x 12"With 2-ADP Nozzles 22583800012011 PLENUM SIZE: 11'x 12"with 2-ADP Nozzles Authority Having Jurisdiction: 1-48"x 24"R/H,CB With 2-GRW Nozzles JFRD 2-14"x 24"Fyrers With 2-F Nozzles 1-24"x 24"4 Eye Range With 1-R Nozzle Remote manual pull to be located in an area of exit or egress. I HAVE REVIEWED AND •� APPROVED DRAWING ink.Ss w Customer Name (print) F- •BRAND OF SYSTEM IS: Kidde WHDR 600 , `- o ' CM ? cn Customer Sign: • Flow points available- 18 Flow points used -11 "' f3 Q *Pipe: schedule 40 black iron. 1/2" & 3/8" Gly ' 't' = z Date: •All hood penetrations shall be liquid tight utilizing Quick Seal adapters. y a *Electrical done byothers. �. ':-77' ' U 'Above done in accordance to UL300, NFPA#10, #17A,#96, Manufacturers ivid a Ce g 1r, • Specifications, and all local codes and standards. - *Appliances gas operated co