1021 ATLANTIC BLVD # 977 PET SUPPLY - HVAC CITY OF ATLANTIC BEACH
ss
. 800 SEMINOLE ROAD
j 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-1076
Job Type: MECHANICAL HVAC ONLY
Description: 4 units total 36 tons `�
Estimated Value: $35,000.00 l
Issue Date: 5/12/2016
Expiration Date: 11/8/2016
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD
RE Number: 177602-0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE,
Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT
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:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Furnaces and Heating $28.00
AC and Refrigeration $288.00
Total Payments: $375.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION 41
CITY OF ATLANTIC BEACH �f
800 Seminole Rd Atlantic Beach, FL 32233 ? &L ) . 1
I
Ph(904) 247.5826 Fax (904) 247-5845/�
l�j (� ' 9 1 l PERMIT# k
3 ADDRESS: 1 0.)} P.-'\0\f\l-iC-, .t t•►n t_ I
PROJECT VALUE S_ 5 C/ 000 , ° ARI # t ee c O oS C . REQUIRED
Air Handling Equipment Only Air Han ling Unit ndepser Conden ,r Only
W AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit I
Heat: Unit Quantity BT'U's Per Unit Seer Rating REQUIR ...
Duct Systems: Total CFM I,
,PLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 2 , Tons Per Unit /5.-- Jv
_. '� //,` G
Heat: Unit Quantity D - BTU's Per Unit /$Qf• v Seer Rating ' (�
Duct Systems: Total CFM _4 2,,x.Q_Q REQUIR:,:aiP
Manual J documentation required on residential change out
2E 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) ; I'
Commercial Hoods Quantity (Requires sets of plans) :1
Fire. Suppression Systems Quantity _ (Requires 3 sets of plans) ii E
1E PLACES MISCELLANEOUS: :I/
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's Elevators/Escalators �i
,L OTHER GAS PIPING lleat Exchanger
Quantity of Outlets Refrigerator Condenser BTU's
# Vented Wall Furnaces `_
Water l leatcrs • Solar Collection Systems k
Tanks (gallons) w !I
Wells 11.
:HER: G C73 G.,
•
tit becomes t aid if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify tat I have read
application and knots the same to he true and correct. All provisions of laws and ordinances got orning this work w ill he complied n ith tt li her specified or
The permit does not give authority to violate the provisions of any other state or lucid law regulation construction or the performance ore: strut:Lint%.
Name �Lr -�I Cf�� l hone l�tllmber 7v!r I a— P pert} Owners Name S- - AKiOffice. ' Phone 6 ( lax
chanical Company . t'
' ' •VC?• . + �' .3r City, t-,r-StrVille_ State � 1 p .3,9 .,
Address: �� fir ► i�
ease Holder(Print): 12 r _r
e), 1' State if :tion/Registra '•n# C A
•
r e of License Holder � /'_, 4 i�I' r — '''
�rrrzed Stirlati r f ii
"• I 0
Before me this ��Y of I Argh K���'"� �'gnatttr'e of Notary Publ' iA l i —
=o it Notary Public State of Florida
Shirley L Graham , I
\ !1 >"; My Commiaaion FF 086990 l;
�'`of n.' L ptrea 02/14/2018 �A' i{,
t 0 f%� • 0)6 Uv 0 XVA CS:00 TTOZ/TO/T0
4
MECHANICAL PERMIT APPLICATION ''
CITY OF ATLANTIC BEACH ,"�
800 Seminole Rd Atlantic Beach, FL 32233 C Pv Ge.,
Ph(904)247-5826 Fax(904) 247-5845 n
oft ADDRESS: IC)21 A-. '\ l�Cr g v4.4 _ Wt 14".� _ ERMYT# . ,
PROJECT VALUE $ ji-4-- �r�...4. ' _ ARI# (P 3 V 5-1 I t REQUIRE ;'
i
Air Handling Equipment Only Air Handling Unit & Condenser Conden �jer Only
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
, Air Conditioning: Unit Quantity Tons Per Unit i
Heat: Unit Quantity BTU's Per Unit Seer Rating , ;�A
Duct Systems: Total CFM l;;
EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION '1
Air Conditioning: Unit Quantity A Tons Per Unit . . — '': e
Heat: Unit Quantity - 3 BTU's Per Unit 3 / be'0 Seer Rating 1 /i
Duct Systems: Total CFM 4411.a._, • REQUI'a;,A
Manual J documentation required on residential change out I^
• RE PREVENTION II:
Fire Sprinkler System Quantity (Requires 3 sets of plans) I;;•
Fire Standpipe Quantity (Requires 3 sets of plans) ' ''
3 sets of plans) ,i
Underground Fire Main Value (Requires- p )
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) : i
RE PLACES
MISCELLANEOUS: p
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators l
LL OTHER GAS PIPING Huai Exchanger _. :I
•Quantity of Outlets Refrigerator Condenser BTU's alp
#Vented Wall Furnaces • Solar Collection Systems
# Water Heaters _
Tanks (gallons) _.. ;i
Wells p
THER: M o 41 .'• C - : - -- i
mit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certi a h at I have read
;application and know the same to he true and correct. All provisions of laws and ordinances governing this work will be complied with x thcr specified or
. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perfortnancc of 1)hstruction.
operty Owners Name /,'
e Phone Number 90
' r eD �''
F
2chanical Company t a , ,,
,, 11 Office Phone AL-930x
.7 , /. r i � e. 2 ,.........„._,
r. Address: .7 -� . . 11t�. City �51� i1 _State _ >■:P j
State Certific�• on/r egistrati+ # . '�: • - I
ccnse Holder(Print): .0 // ,f, ,;:,..,-7-„, , / 1
�tarizecl Signature of License Holder L k. + "'�'i� '"`' —�I
. Before me this I day of A A �I 20 I,
I
=6ov°t'q._ Notary Public State of Florida rAlff■ormo' _ T
7+ •ignature of Notary P +li' ,��,_
Shirley L Graham li f,
�I,� Arty Commission FF 086990
'e or alc4 ExNlraa 0$/14/2018 1 ,/� k.:
I 0�,� own�/ xva C5:00 tTOZ/i0/TO