Permit Mech 665 Atlantic 2011 y
4� r CITY OF ATLANTIC BEACH
' 0 800 SEMINOLE ROAD
"` Z ATLANTIC BEACH, FL 32233
�. INSPECTION PHONE LINE 247 -5814
4 . 1 . 0 19.,
Application Number 11- 00002317 Date 7/08/11
Property Address 665 ATLANTIC BLVD
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . 0
Application desc
1 CU 1 AHU
Owner Contractor
DORN, THOMAS FLORIDA HOMES
WINE WAREHOUSE 1145 WOODYARD RD
665 ATLANTIC BLVD. DEFUNIAK SPRINGS FL 32435
ATLANTIC BEACH FL 32233 (904) 777 -4300
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 135.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/04/12
Other Fees STATE MECH DCA SURCHARGE 2.03
STATE MECH DBPR SURCHARGE 2.03
Fee summary Charged Paid Credited Due
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.06 4.06 .00 .00
Grand Total 139.06 139.06 .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: ( 6 S AT 1 4A n ; L
PERMIT #
PROJECT VALUE$ X 6000 it' p
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Unit Quantity ARI #
Air Conditioning: Q y 1 Tons Per Unit .1 1 C Ton REQUIRED
Heat: Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating
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
ALL OTHER GAS PIPING Elevators /Escalators
Heat Exchanger
Quantity of Outlets
Pumps
# Vented Wall Furnaces
# Water Heaters Refrigerator Condenser BTU's
Solar Collection Systems
Tanks (gallons)
Welts
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 fl ' \ c r k & r C c r
++ Phone Number �y t.,-- , �-(5 6
Mechanical Company F I o r j cal c Ho rh -- tO, T A r AR IS , Office Phoneln - 9100Fax
Co. Address: H7. t ConcrSah 5 t City- 'ycuSov\,,',11 State
Zip ...
License Holder : Print ----- "
Holder ( Print): `^,'^, % S 1 O c .■'i State Certification/Registration # Cwt(-: 1 ' ) • - \ `1
Notarized Signature of License Holder
. ,1,. ' ,, CAROLYN TU RNER Sworn and subscribed before met i� I day of 1 % 20 l
MY COMMISSION # EE061381
Signature of Notary 1
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±�a„ EXPIRESMpy y
(407)398 -0153 FloridaNOtaryService.com
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