Permit Mech 2223 Alicia 2011 '��I CITY OF ATL ANTIC BEACH
"' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
,013 INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002768
Property Address 2223 ALICIA LN Date 10/18/11
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 cu 1 ahu
Owner Contractor
FLORIDA HOME DBA ARS
4211 EMERSON ST
DEFUNIAK SPRINGS FL 32435
(904) 777 -4300
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 115.00 Plan Check Fee
Issue Date .00
Expiration Date Valuation 0
4/15/12
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
Plan Check Total .00 .00
. . .00
Other Fee Total
4.00 4.00 .00 .00
Grand Total 119.00 119.00 .00 .00
41
/ 1
A,
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: ).[, / L. \ 1 Le-A V\ c PERMIT #
PROJECT VALUE $ ON 100 t D O
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
ARI # LV 7 ) % L6(
Air Conditioning: Unit Quantity 1 Tons Per Unit S A on 5 REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating in 71 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:
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 - 3 - 0 Y1 �- ( i r 5 k 1 Phone Number )fl - 1/04
Mechanical Company F \ a r', ci ci t -c n, A 1 /-} ,p,s , Office Phonein --1 Fax ` S') (- 1
Co. Address: L -- 1 - ), I ` E vv r rs c 5 + City SG, c k d Sc %, u, \ I z State 1= Zip 3
License Holder (Print): ---- ,, `. D State Certification/Registration # G C V)M - 11
Notarized Signature of License Holder \ i
S worn an d su b sc rib e d before # i i' 19- day of OCA -1 DtX-Y 20 11
, s;I: , ; '• CARO LYN TURNER �
_• 4 MY COMMISSION # EE061381 Signature of Notary Public i '
:, r ; R � EXPIRES May 16, 2015 ' Meta 64-01•0
(407) 390 -0153 Florida NotaryService.com
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