Permit Mech 335 Country Club Ln 2010 d 1w fJl
ws CITY OF ATLANTIC BEACH
% � F 800 SEMINOLE ROAD
�
1 >, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001331 Date 11/03/10
Property Address 335 COUNTRY CLUB LN
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 cu 1 ahu
Owner Contractor
BROADWELL DONOVAN HEATING & AIR
335 COUNTY CLUB LANE 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241 -3785
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 99.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/02/11
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 99.00 99.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 103.00 103.00 .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: 335 (our) / cicLh L a ne- PERMIT #
PROJECT VALUE $ 3000 &
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
Air Conditioning: Unit Quantity
/ Tons Per Unit .3tbd REQUIRED
Heat: Unit Quantity / BTU's Per Unit 3&;Lw Seer Rating�Q
Duct Systems: Total CFM
FIRE PREVENTION R uires 3 sets of plans)
Fire Sprinkler System Quantity
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
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
3THER: `
'ermit 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
its 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
r 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.
)roperty Owners Name PA r 1r are di' E' 1/ Phone Number
✓lechanical Company Donovan Heat & Air Office Phone 241 -3785 Fax 241 -3745
'.o. Address: 315 6 ave s City Jacksonville beach State fl 32250
License Holder (Print): William Donovan State Certification/Registration # cac039761
N o t a r i z e d S i g n a t u r e o f License H o l d e r t J- ) , r.4)
Sworn and subscribed before me this 3 — day of V fi t' 20/
Signature of Notary Public �t� -- -R-
4 9 we, ` votary Public States ,;' Florida
)errick ' r
A c t Come' issior� DDi 83555
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