Permit 2025 Semimole Rd #102 HVAC 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
V jilt
Application Number. . . . . . 10-00001491 Date 12/22/10
Property Address . . . . . . 2025 SEMINOLE RD 102
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 CU 1 AHU
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
FORD WAYCHOFFS AIR CONDITIONING
202S SEMINOLE #102 6929 PHILLIPS PARKWAY DR S
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 838-9052
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 99 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/20/11
----------------------------------------------------------------------------
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
JOBADDRESS: '4*710- PERMIT#
PROJECT VALUES
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Ratin
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI 4 -S(,,4r)4o4
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity I BTU's Per Unit 163W Seer Rating_l�_
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
DTHER:
lermit 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
his 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
ir 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.
Iroperty Owners Name I FU-d Phone Number(3S,2)539-09W
4echanical Company LboLPAC Q -Office Phone I�3-1r�-�Faxl 3 2 6- 5_�-a7
"o. Address: Vl� ef,_.ev(��v or, S� city OV_ State Pf— Zip 3??-S_(o
icense Holder(Print): 0 ct&wJ _W�U_zc St e ication/Registration 9 CACA�13 99
'otarized Signature of License Holder
VERNA GEANEEN HAMPTON Sworn and subscribed b ' r methis- day of 20-I b
MY COMMISSION#EE35016
EXPIRES:JAN 08,2015 Signature of Notary Public LA Cj 0-4 Ct --,A k I
Bonded through I st State Insurance 0