Permit Mech 1975 Brista De Mar Cir 2012 '
` O' CITY OF ATLANTIC BEACH
(ill- s) 800 SEMINOLE ROAD
�� �" : ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
n 1�3 ,
Application Number 12- 00000111
Property Address Date 1/26/12
Application type description MECHANICAL AHVAC MAR
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
1 CU
Owner Contractor
HOUSER ENVIRONMENTAL A/C SERVICES,INC
1975 BRISTA DE MAR 8110 CYPRESS PLAZA DR STE 106
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 279 -0030
Permit MECHANICAL HVAC PERMIT
Additional desc .
Permit Fee . . . 95.00 Plan Check Fee .00
Issue Date Valuation . 0
Expiration Date . . 7/24/12
Other Fees STATE MECH DCA SURCHARGE 2.00
STATE MECH DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 99.00 99.00 .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: ? 75 4 le
PERMIT #
PROJECT VALUE $ ci,C �- ARI # Y3YS YS-S460
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Conditioning: Unit Quantit TION
Heat: Quantity � Tons Per Unit �
Unit Quantity BTU's Per Unit Seer R -{
Duct Systems: Total CFM Rating
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ( Tons Per Unit S
Heat: Unit Quantity BTU's Per Unit
Duct Systems: Total CFM Seer Rating l- 0
REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Cabinets Quantity (Requires 3 sets of plans)
Commesei Hoods
Fire Hose C (Requires 3 sets of plans)
Fire Suppression Systems Qy (Requires 3 sets of plans)
Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Lifts
Gas Piping Outlets Boilers
BTU's
ALL OTHER GAS PIPING Elevators/Escalators
Heat Exchanger
Quantity of Outlets
# Vented Wall Furnaces Pumps
# Water Heaters Refrigerator Condenser BTU's
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 authori to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name f 1 l (S 2
/ f
Phone Number
Mechanical Company E (J()C. vdn4 i v (� Ale 6, 147 Office Phone 'n" ? -cx
Fax �-7 ?Si
Co. Address: . C/O -irP,Ss lk ' ,y,,, (c,
City 7"4.?C. State F2- Zip 3 -,..s
License Holder (Print): day/' ' / '1 S"
r— S ate Certification/Registration # C � - Tt�__ p
Notarized Signature of License Holder u... --
Sworn and subscribed b: 'ore me i zaik kn e ►�j „ '' 2(12(12 . � Signature of Notary Publi � � i
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