Permit Mech 494 Selva Lakes Cir 2011 o' 9 CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
7 ,..:; ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number . . . . . 11- 00002013 Date 4/29/11
Property Address 494 SELVA LAKES CIR
Application type description MECHANICAL HVAC ONLY
Property-Zoning TO BE UPDATED
Application valuation . 6100
Application desc
CHANGE OUT 2.5 TON SYSTEM
Owner Contractor
ABDULLAH ANITA OCEAN STATE HEAT & AIR, INC.
494 SELVA LAKES CIRCLE 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249 -8251
Permit MECHANICAL HVAC PERMIT
Additional desc . CHANGE OUT 2.5 TON SYSTEM
Permit Fee 95.00 Plan Check Fee . . .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/26/11
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 99.00 99.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
4t,M .
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
: I,( -( 0 , CA-A-. PERMIT # /7' /
JOB ADDRESS: �c
PROJECT VALUE $ � l OU cro
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
QUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTTALLATIONN
nditionin : Unit Quantity t Tons Per Unit 1 1 a REQUIRED
Air Co g Q tY
Heat: Unit Quantity 1 BTU's Per Unit 3D Seer Rating Q REQUIRED
Duct Systems: Total CFM
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 the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name ( Y \ ( 4 . P b 1 at C & h Phone Number I 7(.0 - 51cC)3
Mechanical CompanyDC Stale— II C-
` t rt
laf1 Office Phoned g 1 Fax (1O s `t t
Co. Address: I 4 4 # a rA fi L )l V U City N f f t . r k _ &a 1 State R Zip32(4:::
License Holder (Print): ... .
C e M L .: ertification/Registration # C t U
Notarized Signature of License Hob b • "�
Sworn and s - before s e s , �� day •
R i 1 20 t 1
Signature of No r Public A___._. .41112_ -..
O r IEDA S. JONES
"`` it % Comm# DD0781863
;1"- Expires 7 /18/2012
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i C Florida Notary Assn., Inc