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1021 ATLANTIC BLVD UNIT 1011 - MECH DUCT REPLACEMENT ,(I, CITY OF ATLANTIC BEACH = 2 800 SEMINOLE ROAD J / r ATLANTIC BEACH, FL 32233 // INSPECTION PHONE LINE 247-5814 MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-MECH-281 Job Type: MECHANICAL HVAC ONLY Description: MECH - DUCT REPLACEMENT Estimated Value: $2,400.00 Issue Date: 2/5/2016 Expiration Date: 8/3/2016 PROPERTY ADDRESS: Address: 1021 ATLANTIC BLVD MAIN RE Number: None uv l `0J01C GENERAL CONTRACTOR INFORMATION: Name: COOL CLIMATE HEATING AND A/C Address: 3653 REGENT BLVD EAST PARK QA ROBER GUTZWILLER Phone: 904-641-9307 PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to inspection. Failure to comply will result in a failed inspection and reinspect fees. No exceptions. FEES: Air Duct System $20.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $79.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION KD-2- --1 CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 �� Ph (904)247-5826 Fax (904) 247-5845 1 i�—�C�_ 28 i U (J'i J JOB ADDRES`• 10 1 I 1 1 U h c \ V ' R e,W(Z_) PERMIT# PROJECT VALUE$ oc "i 00 • 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 f(�,0 0 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) IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators LLL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells THER: �ve Re_F ke.CtrVle v l r U v C • -mit 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 >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 . The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. )perty Owners Name E..) , 0(Ne , Phone Number Wy) -2 2 Z Z chanical Company C�e.D 1 C I , rn G T d7 Office Phone�,1/-95 Fax 6 Y I -7 30 . Address: 36,S RectL v1/- GI kd ' City Th)( State F 1 Zip 3 2-2-a-14 tense Holder(Print): A ..•- — kLc )4,erti 1 . ' •. ' :istration# (° / 1 �� tarized Signa ...__2.._•......-:--- f/sir_�•M:; TONI GINa�sPER i ,., MY ca`AwssIt 9�9, g y " - EXPIRES:Oc Er a is S da lag et 20 I • pi fiQ Bonded Ttw NotaryubGt Underwriters — - _ - • — . Notary Publ. _ g.MAL MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH l 800 Seminole Rd Atlantic Beach, FL 32233 / A U�� Ph (904)247-5826 Fax (904) 247-5845 1 &1 v `C�_ - I JOB ADDRES`• 10 1 U \c S\ Vol ' ( ç? ev Z) PERMIT# 1 PROJECT VALUE$ c y 00 , 00. 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 no 0 0 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 ILL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks (gallons) Wells THER: _.)e___\-- cZ(F\nce x(1/)e v �- U v l mit 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 >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 . The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Dperty Owners Name EV v ,}� 0 rxe . Phone Number 9dY C -2 22_ Z chanical Company C Oc�� G T •(, Office PhoneG,ct#-9367 Fax 6 ((i -4 36 . Address: 3C)5 Reci G ,•, I \ k) ' City SA )( State F 1 Zip 3 11,9-1-1 , !ewe Holder (Print): A ■-• -/- � k4 .. S . - 'erti 1 . ', •.k' -.istration# CAC /9 I $ / 7 tarized Signature of License Holder, ��r� Before me this day of ' 20 Signature of Notary Public