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Permit 1791 Sea Oats Drive CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD \J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 10-00000499 Date 4/26/10 Property Address . . . . . . 1791 SEA OATS DR Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 11900 ---------------------------------------------------------------------------- Application desc CHANGE OUT 4 TON SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DRESISONSTOK, THOMAS F OCEAN STATE HEAT & AIR, INC. 1791 SEA OATS DRIVE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . CHANGE OUT 4 TON UNIT Permit Fee . . . . 107 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/23/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 107 . 00 107 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 107 . 00 107 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MECFIAMCAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 .TOS ADDRESS: 1 7 V Sty ©a, DV' PERmrr## G r(t PROJECT VA.L UE 1/, y p 0. 0 0 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 ARI# 34I5-By 3 Air Conditioning: Unit Quantity—(— Tons Per Unit REQUIRED Heat: Unit Quantity / BTU's Per Unit 3k1« Seer Rating ZL Duct Systems: Total CFM 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 ALL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's #Water Heaters Solar Collection Systems 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 that I have read 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. The 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 6 �;pmt 6o JL Phone Number 247-O T,3 / Mechanical Company oCe-c-n ZI-6s C_ 4 1A A T Office Phone Z_Y9-2a y-r Fax Co. Address: f 7Le A-h i Vie_ 61vd City 1 04,,i , State & Zip &C License Holder (Print): / e Certification/Registration# C,4G e y q,3121 Notarized Signature of License Solder ,............ p. RALES`........ Sworn an fo e me this day of Y 20� Comm#DD0860534 -_-_� 3 ,13 ;—.Si etre of Lary-P-_ublic _. Du..w....u....ww ,v° _- - ---_ NOTICE OF COMMENCEMENT S (PREPARE IN DUPLICATE) Permit No. Tax Folio No. J State of County of 4 To whom it may concern: DThe undersigned hereby informs you that Improvements will be made to certain real property,and in i = accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF O COMMENCEMENT. _ a -73(-i n Lege(description of property being improved: di '.a4 A x i'o v Nw Address of property being improved: ON O W 4 1X Z N -j H 0 General description of improvements: rte o�+ zO � 3 9�O W t,]Z W Owner ,q Address 1741 2— (�-�� Ulm � !i_.r /�... �{ /'L. i Z L.� : •i`�'l_9. Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) u Name Address Contractor Address l x r� fCst W T Phone No. �Y'— L - L'�t Fax No. t Gj�r — z Surety(if any) Amount of bond$ Address Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statutes.(Fill in at Owner's option). Name Address / Phone No. Fax No. I t Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different dateis specffied THIS SPACE FOR RECORDER'S USE ONLY OWNE Sig 1 Before me day of rn the County of Duva, has pe ally a peered m........YV rM P*'•.••r•. ..5......... herein by himself/herseB and affirms that all statements and declarations herein are true and accurate faun ■ baa rr EXOM 31M13 . = GV '��' Fade Nola?Assn. �►iqy ............ ......... i•••••••••• ubticat rge, teof r County of �.•du.+r.n•anu.....���■�■■ Nolery XV My Ion expires or Pe Known My Identification