Permit Folder 1907 Sherry Drive MS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000520 Date 4/28/10
Property Address . . . . . . 1907 N SHERRY DR
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 cu 1 ahu
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Owner Contractor
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GABRYNOWICZ DONOVAN HEATING & AIR
1907 N. SHERRY DRIVE 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-3785
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 107 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/25/10
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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
IMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
jLDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: o r � - ----- PERwr#
PROJECT VALUE $ `�-SbQ
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
AR19 -3(oL1(a3(9
Air Conditioning: Unit Quantity Tons Per Unit qT-bo REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating 15-
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 Je6,r1ntt (�,AW-�yj()vj Phone Number
Mechanical Company Office Phone 2.Lj 1-31 kS-Fax__��3-?�1�f
Co. Address: 31�- V�- . 4 VC city J-4 g U 4 c.k State f-1- Zip 3P�-
License Holder(Print): .-o')1,[It'a M 00 V1 ova y) State Certification/Registration# C4CC)3i-)(-- )
-2
,,tarized Signature of License Holder 1,o -
11X
Sworn and subscribed before me this dayof Ce 1�2,--J , 20 1
-2
4otary=Ublic Stat FlAorida Signature of Notary Public -4101,
Derrick Fewer
��,Ay cammWQn DD683555
,� Expires 06/07/2011