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
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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