303 Atlantic Blvd FIRE19-0004 roof deck sprinkler permit FIRE PERMIT PERMIT NUMBER
' FI RE19-0004
CITY OF ATLANTIC BEACH
yr 800 SEMINOLE ROAD ISSUED: 8/7/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 2/3/2020
MUST CALL INSPECTION PHONE914 • PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' ! + 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: f VALUE OF WORK:
303 ATLANTIC BLVD FIRE SUPPRESSION INSTALL 10 SPRINKLERS FOR $1500.00
ROOF TOP DECK
TYPE OF
ZONING: : ! •
• • GROUP:
169729 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
FIRE SPRINKLER SERVICES PO BOX 23787 JACKSONVILLE FL 32241
NE FLA
• �,� ADDRESS: •
JUNKSHIRLEY 915 13TH ST N JACKSONVILLE FL 32250-3653
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 • .
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
I
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ADMINISTRATIVE FEE 455-0000-322-1000 0 $35.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 4S5-0000-208-0600 0 $2.00
TOTAL:$39.00
Issued Date: 8/7/2019 1 of 2
FIRE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH FIRE19-0004
ISSUED: 8/7/2019
800 SEMINOLE ROAD
EXPIRES: 2/3/2020
ATLANTIC BEACH, FL 32233
Issued Date: 8/7/2019 2 of 2
rS!:U����. City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 • Fax(904)247-5845
E-mail: building-dept@coab.us Date routed: C� tin
City web-site: hftp://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: Z C 3lanfi� ����� Department review required Yes No
Building
Applicant: r`I f Sot.n k l.t.'� Svc L Planning &Zoning
(� Tree Administrator
Project: f r) �� JS ljf Public Works
Public Utilities
-L� Public Safety
Fire Services
Review fee $ _ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
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: PjApproved. ❑Denied. ❑Not applicable
(Circle one.) Comments:
BUILDING
PLANNING &ZONING Reviewed by: Date: i
TREE ADMIN. Second Review: ❑Approved as revised. EVenied. ❑Not applicable
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied. ❑Not applicable
Comments:
Reviewed by: Date:
Revised 05/19/2017
ALL
Mechanical Permit Application **HIGHLI HIGHLIGHTED
ON
f HIGHLIGHTED IN
t,
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233F ILL-, ',,-I 0 -
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:Corinm 16- yv Z5
JOB ADDRESS: .S 03 A Ho,_, T? PROJECT VALUE $
❑NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ❑ Air Handling Unit& Condenser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTUs per Unit Seer Rating (REQUIRED)
Duct Systems: Total CFM
❑REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION ARI#(REQUIRED)
❑ Air Handling Equipment Only ❑ Condenser Only ��-l�nr��gunser
Air Conditioning: Unit Quantity Tons per Unit
Heat: Unit Quantity BTU's Per Unit eer Rating (REQUIRED)
Duct Systems: Total CFM
FIRE PREVENTION JUL - 8 2019
Fire Sprinkler System Quantity /0 (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 f epartmerit
Underground Fire Main Value (Requires 3 s y I
Fire Hose Cabinets Quantity (Requires OiWS tic Beach, F�-
F
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
F-]FIRE PLACES ❑ MISCELLANEOUS:
Prefabricated Fireplace (Qty) Automobile Lifts
Gas Piping Outlets Boilers BTUs
Elevators/Escalators
❑ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTUs
#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 any other state or
local law regulation construction or the performance of construction.
Owner Name: <�oUP 3D3 Phone Number:
Mechanical Company: PYr'e SD(-t4 S'c��� c•�t��.t�L Office Phone: Fax
Co. Address: V, City: PUl_C State: P( Zip: -?-Z4-(
License Holder: St ertification/Registration# (02_20 Coot 4,)GZ
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this A—day of a 20_0 in the State of Florida,
County of j)LLy •I l
Signature of Notary Public
JENNIFER JOHNSTON I ] Personally Known OR [Produced Identification
MY COMMISSION#GG 042984
A.
EXPIRES:October 27,2020 Type of Identification:
"••.Fuc F�q.• Bonded Ttvu Notary Public Underwriters
Updated 10/9/18
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EXTERIOR PATIO RCP A-106
SCALE:
Fre Sprinkler of
N.E-Fl.,Inc.
P.O.Bac 23787
Jacksonville,R 32241
T,6- TiAr Cndp Res+