Permit Mech 372 10th St 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002871 Date 11/10/11
Property Address . . . . . . 372 10TH ST
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
duct work only
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Owner Contractor
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JULIA FLETCHER TRUST OCEAN STATE HEAT & AIR, INC.
1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/08/12
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANTIC-kL, PFR:N/IIT APPLICATION
CITY OF ATLANTIC BLACH
800 Seminole Rd Atlantic Beach., FL 32-`33
Ph (904)247-5826 Fax (904) 247-5945 33
JoB ADDRESS: 3 T4 S�E- fil(aA4t-o. &4- Ft . PERNUT #
PROJECT T,"ALUE S-9/3� 9,
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
-Adr Conditioning: Unit Quantity Tons Per Unit
I I
Heat: Unit Quantity BTUs Per Unit Seer RaTm* L�,
Duct Systems: Total CFM REQUIRED
REPLACEMENT -,�-IR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI 4
Air Conditioning: Unit Quantity Tons Per Unit P-EOL17RED
Heat: Unit Quantity BTU's Per Unit Seer Rating_
Duct Svstems: Total CFM 112alo P-E 0 L TIP,ED
FIRE PRENTNTION
Fire SprffiU- er System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity
Underground Fire Main Value (Requires 3 sets of plans)
(Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantit�7 (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricatted Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU*s
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Furnaces Refrigerator Condenser BTU's
4 Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: 1) L P-,
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 corTect t. 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 ofconstruction.
Property O-wners Namej-4 (,-,x E(eok�e/- ee-5- Phone N,umber Tl/
Mechanical Company ean s4cd e Clio 1, 41, Office Phone Faxgl(?-??'�9
4 " 0 e State&--Zip
Co. Address: lq-�& kqj(a-dZC n,"j. /Ueo, Rc- city 96Y- &
License Holder(Print): ertification/Registration iL�r—A(CW3�O
Notarized Signature ofLicense o* er
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