Permit Mech 290 Magnolia 2012 .t.4,,,„a. 4 1 C 4
C r
{ CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
N
Application Number 12- 00000038 Date 1/11/12
Property Address 290 MAGNOLIA ST
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 cu 1 ahu
Owner Contractor
HILLIS, ROBERT HAMMOND AIR CONDITIONING INC
3412 GALILEE ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 626 -6867
Permit W /W /O MECHANICAL PERMIT
Additional desc .
Permit Fee . . . 190.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 7/09/12
Other Fees STATE MECH DCA SURCHARGE 2.85
STATE MECH DBPR SURCHARGE 2.85
Fee summary Charged Paid Credited Due
Permit Fee Total 190.00 190.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5.70 5.70 .00 .00
Grand Total 195.70 195.70 .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: Lam - I 0 Trim/10)(a_ ` Eel- PERMIT #
7 0 4 an -- (c h aaa 3 0
ROJECT VALUE $ yU
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 INSTAL TI OQN
ARI # ( y 7 y O Z
Air Conditioning: Unit Quantity i Tons Per Unit a . J QUIR D
Heat: Unit Quantity 1 BTU's Per Unit 0 Seer Rating 1 5
Duct Systems: Total CFM %a 09 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: ep(a Q )<4-)--I'l 5 5 -telvk and he K ) - Turf-�s (-e((1_ r)-L.
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 , ... e T H' (, 5 Phone Number q Obi - ,37 2- 7 17S
Mechanical Company n h r a (p( 0.044-16r) i!l T(COffice PhonQOV3�l6'n 9 97 "9E" 5 '
Co. Address: 3I la (90, - 1 e e Road G City X Statg Zip3 Z ?O 7
License Holder Pr'
( int): 1(3._ry n (� ) P m M) State Certification/Registration # (/} 01 �J 6 �j 0
Notarized Signature of License Holder . / �� 1W -y�' �-
Sworn and subscribed befor: me t ' s /'a , I ay . f -... t 20 /2-
Signature of Notary Public' % (1
FL-1:- -b
fr
MECHANICAL FERM1T APPLICATION '� ti
CITY OF ATLANTIC BEACH i v
800 Seminole Rd Atlantic Beach, FL 32233 1
Ph (904) 247 5826 (904) 247 - 5845 rj
t
JOB ADDRESS: _ 9 q0 � I . � /� � (� Lo f PERMIT # _
4+ (vr -1 '(c &IP ' Y 1 3 r o 3 3 PROJECT VALUE $ _ ? .5- () 0 ° °
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Aix Conditioning: Unit Quantity _ . Tons Per Unit
Heat: Unit Quantity _ BTU's Per Unit Seer Rating,
Duct Systems: Total CFNI REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTT IO
Air Conditioning: Unit Quantity Tons Per Unit d. Q RF'
Heat: Unit Quantity 1 BTU's Per Unit _3.44.000 Seer Rating 1
Duct Systems: Total CFM /.2 O _ 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: e ce , ind 5k $ 4 tLricl tre N) vc s (fiA{ 6-4- t`cyy
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 riot. The permit does not give authority to violate the provisions of any othcr state or local Law regulation construction or the performance of construction.
Property Owners Name 0 rT 1-L ( V5 _ Phone Number
Mechanical Company 4.,. ALARA i t \ . .0.4 .0.4 r ( l Tf office PhonQo &cT .l ax 3v8-�nDS-
„, L
Co. Address: - 1�19f1,r e uuC ( -6 _
r� city d7:..1c Stag Zit-37W O 7
License Holder (Print): r �Cair1C. �1 to r t \ State Certification/Registration # C.'f) (-1 ') �5 c
Notarized Signature of License Holder
Sworn and subscribed before me this day of _ 20..
Signature of Notary Public
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