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Permit Mech 171 Club 2011 c..) ..1 r �* CITY OF ATLANTIC BEACH p is 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 ' .r 319 Application Number 11- 00001773 Date 3/08/11 Property Address 171 CLUB DR Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 cu 1 ahu Owner Contractor HUGHES, BRIAN P. AIR AMERICA HEATING AND AIR 171 CLUB DRIVE 1892 RIVER OAK DRIVE ATLANTIC BEACH FL 32233 ST JOHNS FL 32259 (904) 522 -1760 Permit W /W /O MECHANICAL PERMIT Additional desc . Permit Fee . . 206.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/04/11 Other Fees STATE MECH DCA SURCHARGE 3.09 STATE MECH DBPR SURCHARGE 3.09 Fee summary Charged Paid Credited Due Permit Fee Total 206.00 206.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 6.18 6.18 .00 .00 Grand Total 212.18 212.18 .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 f Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: / / / aff5 6 6 PERMIT # PROJECT VALUE $ 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 ARI # /4p Air Conditioning: Unit Quantity Tons Per Unit ...�/ RE , Heat: Unit Quantity BTU's Per Unit y a © t7 Seer Rating /3 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 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 t provi ions of any other state or local law regulation construction or t �� erf rmance of construction. p Y Pro ert Owners Name 13 el 74-- f//-e/C Phone Num e 3 ' 9 V y� � 7-11-e-.' � � p y /� 7 Office Phon2/7�d Fax �) Z -J2 // Mechanical Com an * Co. Address:99 C "'Big 177 7',€ei2.6e - 9. , S tate r:/. Z ©c / � License Holder (Print): 6 'P) (. 0 State Certification/Regis ration # , 9 1 35, Notarize d Si f License Holde 1 / ��� Signature o Swo 1; c:': • , •scri1 bufo; th ,� of l a €01/ 201 / 1 +i ..' rCOMMIS •N t.i� 60 Signat - 94.- +y � - ,,,,iv ,1 a l •._. - II