Permit Mech 1854 Seminole Rd 2010 BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT
CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
TLAT'ONFS'fl.-.'
Address:_ ( �rsecting Streets: Between
ed
BUILDING - Ana
Subdivision
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the above stafement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a pert hereof end in accordance with the CHy o/ Jacksonville ordinances end standards
of good practice listed therein.
Name of Mechanical
Contractor (Print) Contractors
Name of Mes}er
Property Owner
Signature of Owner — Signature of
or Authorised Agent Architect or Engineer
111•
GENEM61N
JAIRMATION
A. Tree of heating fuel: g•
m/ c IS OTHER CONSTRUCTION BEING DONE ON
�+ THIS BUILDING OR SITE?
❑ Gas—❑ LP ❑ Natural (r-Cenfral Ufility
❑ Oil IF VES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Other — Specify
IV. MICHANICAL EQUIPMENT TO It INSTALLED NATURE OF WORK
(Provide complefs lid of components on back of this form) CI Residential or U Commercial J
Q''"eat ❑ Space ❑ Recessed & Central O Floor �❑�New Building
E"'r Conditioning: [3 Room [�enfrel rC�l,.Existing Buliding
❑ Duct System: Material Thicknesx �►+aplacement of existing system
Maximum capacity e.f.m, ❑ New Installation(No system previously Installed)
❑ Refrigeration ❑ Extension or add-on to existing system
❑ Cooling lower: Capacity 9-P-m ElOther — Specify
❑ Fin sprinklers: Number of head•
❑ Elevefer ❑ Man"" , ❑ Esulefor (number)
E3 Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY
E3 Tanks (R•e•hedi
(number)
Remarks
❑ LPG confoinerti (number)
❑ Unfired pressure vessel
❑ Sellers Penni) Approved by Das+
❑ Other — Specify Permit Fee.
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Unit. Deaeription M*del Number 1ianutaeturer �Capacity
A Bvins
ey
CCO
�� �/
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION.. .,.,.., LOCATION INFORMATION
Permit Number: 18325 Address: 1854 SEMINOLE ROAD
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 6/04/1999 Name: ROBINSON, ELAINE
Total Fees: 37.00 Address: 1854 SEMINOLE ROAD
Amount Paid: 37.00 ATLANTIC BEACH, FL 32233
Date Paid: 6/04/1999 Phone: (000)000-0000
Work Desc: REPLACE CONDENSER AND AIR HANDLER
........................................... .
CONTF�ACTOR S
APPLICATIONFEES
HUXHAM HEATING &AIR PERMIT 37.00
FINAL Anspectiorts'Required::
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
PAID
JUN 4IY99
C*j of
ATLANTIC BEACH UILDIN T. Atlawc Bch,
i
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18325 Address: 1854 SEMINOLE ROAD
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: .OWNER INFORMATION' _
Date Issued: 6/04/1999 Name: ROBINSON, ELAINE
Total Fees: 37.00 Address: 1854 SEMINOLE ROAD
Amount Paid: 37.00 ATLANTIC BEACH, FL 32233
Date Paid: 6/04/1999 Phone: 000)000-0000
Work Desc: REPLACE CONDENSER AND AIR HANDLER
CONTRACTORS APPLICATION FEES
FHUXHAM HEATING &AIR PERMIT
37.00
Ins ions Required.
FINAL
I
I
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
I
�_ $37.88 14
ATLANTIC BEACH UILDIN Date: 6/84/99 81 Receipt: 8861939
CHECKS 285
88188883221888