Permit Mech 533 Atlantic 2011 .0 a `4 a CITY OF ATLANTIC BEACH
� 800 SEMINOLE ROAD
UV �' = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
J , 3l s)f'
Application Number 11- 00002566 Date 8/30/11
Property Address 533 ATLANTIC BLVD
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 cu commerical
Owner Contractor
APPLIANCE TECHNOLOGIES & AIR
CONDITIONING INC
1989 BRISTA DE MAR
ATLANTIC BEACH FL 32233
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 135.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 2/26/12
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: 533 ,; I fry r r C et (/%�
PER
PROJECT VALUE $ w Cf000
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 REQ IRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit ( 0 ARI# REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating
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:
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 auth ty to violate the provisii s of any other tate or local law regulation construction or the performance of construction.
Property Owners Name e- ! / C ► /1`� 0 C p' Phone Number
Mechanical Company c n y r icJ T �c� q 11 -4 /Al c- Office Phone ' - V O( F ? ' Y - - 05
Co. Fax
/ / / �f5 a Ix_ C1 City 117*-7 (C t 1f State (-.- Zip 3 22 33
License Holder (Print): 13 ✓c 6er � P I c. State Certification/Registration # CPC 0 3 Y3
/ 2______
Notarized Signature of License Holder
Sworn and su •scribed ore ,,. d- , A l _, ,d 20 11
Y P ' g p p
y ,`- a i XPIRES: February 14, 20
J1 1, � tonded Thru Notary public Underwriters
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