Permit Mech 1902 Hickory Ln 2011 r..." reA I CITY OF ATLANTIC BEACH
x 800 SEMINOLE ROAD
�;:� ,,, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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Application Number 11- 00002366 Date 7/19/11
Property Address 1802 HICKORY LN
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 cu 1 ahu
Owner Contractor
JOHNSON /OLOFSSON DONOVAN HEATING & AIR
1802 HICKORY LANE 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241 -3785
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 115.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 1/15/12
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 115.00 115.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 119.00 119.00 .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: /360) h i c--- (t1-4 /cf7/ f PERMIT #
PROJECT VALUE$ (a3CIS — ARI# 3
REQUIRED
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
Air Conditioning: Unit Quantity 1 Tons Per Unit S
Heat: Unit Quantity I BTU's Per Unit Lora Seer Rating ( C
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:
'ermit 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
pis 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
r 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.
'roperty Owners Name 'de ot 0 C 55D e Phone Number
4[echanical Company i)r\ v6. {\ {-k ccf -t }; 6 Office Phone Z W-3 7k Fax z ( ? yS
:o. Address: 3l S t ov e S City d a y
y 6 c L State k, Zip 3 Da 5
Accuse Holder (Print): bo c li Of) yt o>,XG.1 State Certification/Registration # Ca cd 3q )6/
Totarized Signature of License Holder 6
Sworn and ubscribed before me this oq day of Jk / 201/
s ar
+ :. .,% DERRICK FETNER Signature of Notary Public ' -
* -,_ * MY COMMISSION A EE 090823
iD EXPIRES: June 7, 2015
os. °it oc nog' Bonded TMu Budget Notary Services
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