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Permit 319 19th Street CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number Property Address . . . . . . 10-00000350 Date 3/26/10 319 19TH ST Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation 0 ----------- ---- Application desc------------------------------------------------------- 1 cu ---------------------------------------------------------------------------- Owner ------------------------ Contractor SIROIS, STEPHEN ------------------------ 319 19TH STREET THE VILLAGE HEATING & AIR ATLANTIC BEACH 840 MACKENZIE CIR FL 32233 ST AUGUSTINE FL 32092 Permit MECHANICAL HVAC PERMIT Additional desc . . Permit Fee 79 . 0o Issue Date . . . . Plan Check Fee . 00 Expiration Date . . Valuation 9/22/10 0 Fee summary Charged--------Paid--------------------------------- ----------------- ---------- Credited Due Permit Fee Total 79 . 00 -----79 . 00 ---------- ---------- Plan Check Total . 00 . 00 . 00 Grand Total . 00 . 00 . 00 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC 13EACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 JOB ADDRESs: _5+ PERMIT# PROJECT VALUE $ 51.�O. 00 NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Heat: Unit Quantity Tons Per Unit Duct Systems: BTU's Per Unit Total CFM Seer Rating WkQ_UIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity ARI 4-- 3511771D sg Heat: Tons Per Unit 3 Duct Systems: Unit Quantity BTU's Per Unit. REQUIRED Total CFM Seer Ratin oo cl.oo FIRE PREVENTION REQ6_U RAO Fire Sprinkler System Quantity Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) (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 Gas Piping Outlets Automobile Lifts Boilers 7E�scalators ALL OTHER GAS PIPING Elevators _T�s Quantity of Outlets Heat Exchanger # Vented Wall Furnaces Pumps # Water Heaters Refrigerator Condenser Solar Collection Systems NTU�s 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 t7at I h�averead 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. fhe permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name -54e-va- Phone Number Mechanical Company Co. Address: V11 —Office Phone 9!va- Fax _jfo & J e- e city !!rl"Auj StateR_ Zip License Holder(Print): _Roy State C _SZR�0 _? ertification/Registration Li e Notarized Signature of License Holder -C-4c 19'13a7 C� Sworn and subscribed before me this—day of 20 Signature of Notary Public