Poe's Mech A/C 363 Atl Blvd 2011 t_, CITY OF ATLANTIC BEACH
I } 800 SEMINOLE ROAD
J "`'" " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002570 Date 8/31/11
Property Address 363 ATLANTIC BLVD UNIT 01
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
cu ahu
Owner Contractor
POE'S RICKY WILLIAMS HEATING & AIR
PO'S RESTAURANT CONDITIONING INC
ATLANTIC BEACH FL 32233 5507 -100 FIRESTONE RD
JACKSONVILLE FL 32244
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 135.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 2/27/12
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.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 363 A i 'antic 8\ i d ., � ) ic KSOn i 11 I 1- L 3 23 PE RMIT
P R O J E C T V A L U E $ ) Co , og b°
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
Unit ARI #
Air Conditioning: Quantity a Tons Per Unit '7. 5 REQUIREQ
Heat: Unit Quantity BTU's Per Unit Seer Rating 1
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
ALL OTHER GAS PIPING Heat E Elevators/Escalators
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 T vc _ r n , LI C. / i 7 r i'r c 0 I2t'ici C' '<Phone Number 3 ';,) 70 • 7'39
Mechanical Company R r 14.. I Es i le c f i nryf At/ Office Phone ),,i .5-R.(}34l ax 57314 y
Co. Address: 5 yl re. k r r ' 4 10 o ,:
City - ,J c KS rnv, l ir State Zip 3 D, (-1-q
License Holder (Print): (C K' \Ai , l I t y S State Certification/Registration # CAr i R 1:3 (,,g 7
Notarized Signature of License Holder 4 4./.. j
"�'"` NICHOLAS BROCKWEI. Sworn and subscribed before me this 31 day of Ati ,4 20 1
• .__ MY COMMISSION N EE 072452
e.. f •! •V X P IR ru tS: Marcubh Nc U 10, 2015 mdt Signature of Notary Public - Z
Rti otary P nde