Permit 75 W 10th Street SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000472 Date 4/20/10
Property Address . . . . . . 75 W 10TH ST
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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BRANCH AIR EXCELLANCE INSTALLATION
AND SERVICE INC
ATLANTIC BEACH FL 32233 3813 BALD EAGLE LA
JACKSONVILLE FL 32257
(904) 923-4967
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 91 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/17/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91 . 00 91 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 91 . 00 91 . 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 BEACH
800 Seminole Rd Atlantic Beach, Fl, 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 7-5 LLc, PERmrr#
r� " <0
PROJECT VALUE $,,�/ - L2
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 REQ UIR ED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI# )qL[3q-71
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Y voO Seer Rating I L.. C-)
Duct Systems: Total CFM REQ UIRED
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 NameLIMID'N RkAtJLH Phone Number
Mechanical CornpanyAIR Excel(CENCEE SVC e-L Office Phone,22---&74 Fax
Co. Address: 3913 8,-41-1) F-Abuz- LAJ city State)CZ- Zip,?X 5-2
License Holder(Print): )3CAPALO yj LC-/=- State Certification/Registration#.c,4aajs!j6��-
Notarized Signature ofLicense Holder ,/I Z,-- ,Ze-z �\ da�o . � 0 20Q
Sworn and subscribed be �this _n A
DEBRAO;RE
Wm DNTZELL Signature of Notary Pu lie
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rw�J*25,2012 Die
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