Permit Mech 1735 Beach 2011 6* k CITY OF ATLANTIC BEACH
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.� 800 SEMINOLE ROAD At 0 j ATLANTIC BEACH, FL 32233
__ ` INSPECTION PHONE LINE 247 -5826
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Application Number 11- 00001783 Date 3/10/11
Property Address 1735 BEACH AVE
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
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Owner Contractor
LANE, III, EDWARD AIR TO AIR
1735 BEACH AVENUE 11578 DAVIS CREEK CT
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 262 -4279
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 107.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 9/06/11
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 107.00 107.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 111.00 111.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
/1 rr R 5°f p%: CITY OF ATLANTIC BEACH I I I I I
i + 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 (� -
a �) OFFICE: (904)247 -5828 • FAX NO.:(904)247-5845 09-
J BUILDING- DEPTOCOAB.US
�' , ' 3 .: -'' MECHANICAL PERMIT APPLICATION DUVAL COUNTY
1. JOB ADDRESS: 2. THIS A SUB PERMIT: 3. DATE:
1 �'] 1i NO
/ 3 . r ' ` Q 1c c 7 , C h A y ❑ YES PERMIT #: i 9- i 1
PROPERTY OWNER:
4. NAME: 5. ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6. PHONE:
.rne� L -a. Rc=1 - a yr - 8 3 $9
MECHANICAL CONTRACTOR:
7. NAME OF COMPANY: 8. ADDRESS.:
-1 r °1-t) 41'r .,! -.-1 c . 1157 Q au 1's C.r 2, K, C .
9. SATE OF FLORIDA LICENSE NO: 10. CELL PHONE: 11. FAX NO.:
(. 0 018 4o“ - 33 - L113C0 Y[xl -,-?(o - G . 71
12. EMAIL ADDRESS: 13. OFFICE PHONE: 14
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Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)
months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced.
ARI # 3` 1 ✓ 4 , ' ( p � Ilf- ll/�
CONTRACTORS SIGNATURE: `
15. CLASS OF WORK: 18. BUILDING: 17. SERVICE: 18 URRENT CODE:
❑ NEW INSTALLATION ❑ NEW IN RESIDENTIAL a '07 FLORIDA BUILDING CODE -
'la'REPLACEMENT OF EXISTING SYSTEM 01' EXISTING ❑ COMMERCIAL MECHANICAL
❑ ALTERATION / ADDITION TO EXIST SYSTEM
❑ REPAIR ❑ OTHER
MECHANICAL EQUIPMENT TO BESTALLED:
19. HEAT: ❑ SPACE ❑ g,ECESSED ERtENTRAL ❑ FLOOR BURNERS:
20. AIR CONDITIONING: ❑ ROOM ®
21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm
22. REFRIGERATION: MAX CAPACITY: cfm
23. COOLING TOWER: CAPACITY: gpm
24. FIRE SPRINKLER: NUMBER OF HEADS:
25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26. COMMERCIAL HOOD NUMBER: ,
27. FIREPLACE: PREFABRICATED: MASONRY:
28. IRRIGATION: ❑ PUMP ❑ WELL ❑ PIPING
29. GAS PIPING: 5 OF OUTLETS: ❑ GAS AHU: ❑ GAS WATER HEATER:
30. OTHER - SPECIFY:
SOLAR HEATING, BOILERS, UNFIRED
PRESSURE VESSEL, HEAT EXCHANGER
OR COIL IN DUCTS ETC. VALUE FOR OTHER ITEMS:
31. COOLING EQUIPMENT:
AIR CONDITIONING. RLFRIGERATIOJV EQUIPMENT. CONDENSORS. ETC.
NUMBER APPROVING
OF UNITS DESCRIPTION MODEL # MANUFACTURER TONS AGENCY
1 hr., u r-o6.1 to U L.
32. HEATING EQUIPMENT:
FURNACES. BOI ERS. FIREP CES. AIR HANDLERS ETC,
NUMBER APPROVING
OF UNITS DESCRIPTION MODEL # MANUFACTURER BTU AGENCY
33. TANKS:
1 YPE LILIUID APPROVING
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY
BLDG04 Permit Applinton Meth: REVISED: 12/18/2008