528 Royal Palms 2010 - Mech Permit CITY OF ATLANTIC BEACH
SS
800 SEMINOLE ROAD
--t -, ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . 10-00001280 Date 10/21/10
Property Address . . . . . . 528 ROYAL PALMS 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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OGIN, EVAN DON' S AIR CONDITIONING INC
528 ROYAL PALMS DRIVE 2403 KELLOW CIR
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 398-4972
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 103 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/19/11
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 103 . 00 103 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 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.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 322.33
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT—Applicant to complete all items in sections i, II, III, and IV.
I• Street Address' 2 - l
LOCATION OF IA.tersectatg Streets:Be en ,fid Act IG71S.G, A
BUILDING Sub-division —
II. INDENTIFICATION—To be completed by all applicants.
In consideration of parnut given for doing the work as described in the above statement we hereby agree to perform said work in
accordance with the attached plow and specittcatioos which are a part hereorand in accordance%ntta the City of Atlantic Bach
ordimncas and staodards of zood arectics listed tbereia.
Name of Mechanical f
Coatrultor ?nut d t^ bestir nN tCl4 CLS CAco 4
Name of Property /a
Chvaer �?C 0631 Ai
Signature of Owner Si=wture of
Or Authorized Agent C Architect or En beer
III. GENERAL INFORMATION
A. Type othwing dud: EYFS,
Ekcaic ONSTRUCTION BEING DONE ON THIS
O Gas. _LP _,Natural Central Utility R SITE?
O Oil
Cl Other–SPWifYNumseR OF COWISTRLcnoNIV.
MECHANICAL EQUIPMENT TO BE NATURE of WORK
INSTALLED O Residential or ---- Commercial
(Provide oo p�list of w on back of this dorm) O New Building
Hoo O Eutisriog Building
Air Conditioning; 3, Room s comers k�or Replacetmtemu otexisting system
Duct Sym: , T�n� O New Installation(No sysum previously instilled)
Maiday— { C] Extaasion or add-on to WdStiagste
sym
O Rai♦deambon �b dm 0 Other- Specify
Cl Cooling tower. Capacity som
O Fire sprinklers: Number of heads
O Elevator: _ MaaliR---,Esofator (Number) THU SPACE FOR OFFICE USI ONLY
O Gasoline pumps (Number) (Received)
O Tacks (Number)
0 LPG containers (Nwnber) Remarks
O Unfired pressure vessel
O Boilers Permit Approved by Date
O Other–Specify
Permit Fee _
LIST ALL E UIP [ENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Downptiaa Model Number Manufacturer Capacity Approving
ons A
G( 74 72-1 /0
HEATING–FURNACES,BORERS,FIREPLACES
Number Univ Description Model Number Manufacturer Capacity Approviag i
BT t
TANKS
How Many Nominal Capacity Type Liquid Name of Semiaf Approving
And Dimetsions Contained Manufacturer No. A enc
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2430 Kellow Cir.
Jacksonville, FL 32216
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