Permit Mech 902 Camelia 2011 -t 1,,.,' -1.1`1 r
, f CX� CITY OF ATLANTIC BEA z._. . ,, 04,1* CH
800 SEMINOLE ROAD
J v ATLANTIC BEACH, FL 32233
a INSPECTION PHONE LINE 247 -5826
.A1 X1;11 '
Application Number
11- 00001960 Date 4/21/11 Property Address 902 CAMELIA ST
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . • 0
Application desc
1 cu 1 ahu
Owner Contractor
FOX OCEAN STATE HEAT & AIR,INC.
1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE E4BE8CH1 FL 32266
(904) 463 -2059
Permit MECHANICAL HVAC PERMIT
Additional desc . .00
Permit Fee . . . • 103.00 Plan Check Fee .
Issue Date . . . . Valuation . . . • 0
Expiration Date . . 10/18/11
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: ?C L C-0-01c.1 (a_
PERMIT #
PROJECT VALUE $ C r 3 3 A, 0 0
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating
Unit Quantity BTU's Per Unit g REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
u
Air Conditioning: Unit Quantity ( Tons Per Unit 3,T REQUIRED
Heat: Unit Quantity / BTU's Per Unit t014 Seer Rating / S
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 Fur naces Pumps
Refrigerator Condenser BTU's
# Water Heaters
#Vented Wall Fur Solar Collection Systems
Tanks (eons)
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 the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name /` r FO X Phone Number 20 6 - A, 2. b
Mechanical Company • ,:! - -_sK _ P Office Phone 2) Fax 0Ys gs Vs
Co. Address: tY7C0 A - ( - 10. r. gi vd • City Hetiv . a , State Fe_ Zip 3 z z_66 License Holder (Print): �_rl
/ a � �- AI State Certifi • on/Registration # CAC Oc/93r'd -- Notarized Signature of License Ho r AY ,�� i
worn and • • • ed before e • : _ ' I S day of " 1 h 20 I
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TTE P . MO}ZALES
`a` `mu,,,, ij Gomm# DD08605 i � , / ,
Expires 3/2/2013 . gnature of Notary �' u. 1 — _ ' .. lA YE
pr cg Florida Notary Assn., Inc i
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