Permit Mech 333 5th St 2011 R, OF ATLANTIC BEACH
CITY
SS 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
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Application Number . . . . . 09-00001994 Date 12/11/09
Property Address . . . . . . 333 5TH ST
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . RESIDENTIAL SINGLE FAMILY
Application valuation . . . . 0 -------------------------
-- ----------------------------------------- ------
Application desc
1 AHU
-- ---------------------------------
Owner Contractor--------------
----------
------------------------ ROGERS AIR CARE SERVICES
BRYANT, ALLAN Q/A:ROGERS1 RICHARD D.
333 5TH ST
ATLANTIC BEACH FL 32233 20 HARWORTH AVE.
JACKSONVILLE FL 32216
(904) 724-2015
- --------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc - - 75 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . - 6/09/10 -----------------------
- --------------------------------------------------
Fee summary Charged Paid Credited- ----Due---
----------------- ---------- ---------- -------- . 00
Permit Fee Total 75 . 00 75 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5B45
BUILDINGDEPT@COAB.US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
3.DATE:
1.JOB ADDRESS: 2.IS THIS A SUB PERMIT:
0 YES PERMIT#:
PROPERTY OWNER:
4,NAME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6-PHONE:
Nr, I�I?
MECHANICAL CONTRACTOR:
7.NAME OF COMPANY: 8.ADDRESS.: , �:_j
�-c
9.STATE PF FLORIDA LICENSE NO: 10�C L PHONE. 1.FAX NO..
cl _6 -9? 2_5 Y c)
Cf I C-tj Z_ 55 9011
12.EMAIL ADDRESS: E P ONE: '4.
13.OFFICe H
(-Oox��G_
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after woriL,�menced.
ARI
CONTRACTORS SIGNATURE:
16.CLASS OF WORK: 16.BUILDING: 17.SE_8MCE: 18.C ENT CODE:
0 NE 0 NEW ei�ESIDENTIAL 07 FLORIDA BUILDING CODE-
,W INSTALLATION
2-f�EPLACEMENT OF EXISTING SYSTEM 0-61STING 0 COMMERCIAL MECHANICAL
•ALTERATION/ADDITION TO EXIST SYSTEM 0 OTHER
•REPAIR MECHANICAL EQUIPM LED:
'19.HEAT: 0 SPACE 0 RECESSED O'CENTRAL 0 FLOOR BURNERS:
20.AIR CONDITIONING: 0 ROOM Ert—ENTRAL
21.DUCT SYSTEM: MATERIAL:—_ - THICKNESS: MAX CAPACITY: CfIT1
22.REFRIGERATION: MAX CAPACITY:—GfITI
23.COOLING TOWER: CAPACITY: 9pm
24.FIRE SPRINKLER: NUMBER OF.HEADS:
25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
- 26.COMMERCIAL HOOD NUMBER:— MASONRY:
—27.FIREPLACE: PREFABRICATED: 0 PIPING
28.IRRIGATION: 0 PUMP 0 WELL
29.GAS PIPING: OF OUTLETS: 0 GAS AHU: 0 GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL,HEAT EXCHANGER
OR COIL IN DUCTS ETC. WALUE FOR OTHER ITEMS:
31.COOLING EQUIPMENT:
AIR CONDITIONING.R RIGERATI EQUIPMENT,CONDENSORS,ETC.— APPROVING
NUMBER MODEL#T_ MANUFACTURER TONS AGENCY
OF UNITS DESCRIPTION
L:d EQUIPMENT:
32.HEATING
FURN CES_BOILERS,FIREPLACES�AIR HANDLERS ETC. APPROVING
--NUMBER MAN
OF UNITS DESCRIPTION MODEL# UFACTUREIR BTU AGENCY
33,TANKS: APPROVING
I YPh LIUUIL) MANUFACTURER SERIAL# AGENCY
NUMBER GALLONS CONTAINED
BLDG04 Permid Applicaton Mech:REVISED:12118r2008