522 PLAZA MECH 2010 - !.Ai\J
CITY OF ATLANTIC BEACH
r a
. ) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00000992 Date 8/09/10
Property Address 522 PLAZA
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 cu 1 ahu
Owner Contractor
KUDER AIR SOURCE AMERICA INC
522 PLAZA 2615 CRYSTAL COVE CT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
( 90) 247 -6474
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 95.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 2/05/11
Fee summary Charged Paid Credited Due
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.00 95.00 .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
OB ADDRESS: .5a ee . PERMIT #
PROTECT VALVE $ 5 000 .
fEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Qii ntity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
' PLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
s ARI /(o 7-Slo
Air Conditioning: Unit Q»ntity / Tons Per Unit �- REQUIRED
Heat: Unit Quantity / BTU's Per Unit Seer Rating
Duct Systems: Total CFM _ RE'QUIRED
IRE 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)
'IRE 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
)'.TIER:
Trait 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
s 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
not. The permit does not give city to violate the provisions of any other state or local law regulation construction or the performance of construction.
operty Owners Name Ct/k -1 / t _ Phone Number 36 1 W gs
echanical Company C, eit/LGQ aoo'u - c- Office Phone d33-0/ Fax (37A - ?31 9'
). Address: 9 C Ci State P21 Zip 3
cense Holder (Print): W(CI rot - 7 State Certification/Registration # e4e- M(...5
)t€lrized Signature of License Holder w "
orn and subscribed before me this q day of �5
'20 /0
4 ' Notary Public State of Florida
tore o f N o Public Y ' ( - tie ( Ce i
My Gcxnmitsion OL784>,727 ' 1
V 6x�itl8ti d 11 bJ2t 14 / �;