695 Atlantic Blvd unit 29 2012 mech HVAC r j CITY OF ATLANTIC BEACH
1 � 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000818 Date 6/29/12
Property Address . . . . . . 695 hTLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 29 (HAIR SALON)
Application type description MECHhNICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 ahu 1 cu
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Owner Contractor
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ELITE PRO REALTY LLC ALL CARE MAINTENANCE & REPAIR
P.O. BOX 50664 14370 DEMERY DR S
JAX BEACH FL 32240 JAX BEACH FL 32250
(9 04) 821-0220
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Permit . . . . . . MECHANICAL HVA2 PERMIT
Additional desc . .
Permit Fee . . . . 99 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/26/12
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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 P id Credited Due
----------------- ---------- ---- ----- ---------- ----------
Permit Fee Total 99 . 00 99 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 103 . 00 L03 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
MECHANICAL PERMI ' APPLICATION
�1 CITY OF ATLANTIC BEACH / /
Q� no e Atlantic Beach, FL 32233" V C�
Ph(904) 247-5826 Fax (9(4) 247-5845 j pzY
JOB ADDRESS: Q PERMIT#
PROJECT VALUE $ y G�C� ARI 0 �'�j S-' Z7 ----
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity f BTU's Per Ur it 06D Seer Rating J�
Duct Systems: Total CFM Zg G 0 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Ur it Seer Rating
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 Boiler BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat E changer
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 su pended 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 T C " G �7� Phone Number
Mechanical Company ��� -I /ce Office Phone FZ-1 07-Z-6 Fax
Co. Address: City—Y State /9 Zip 22 SZ'
License Holder(Print): r J 1 �°''� �l-, i r4Q
State Certification/Registration# r1tC1 k1- E5T
Notarized Signature of License Holde
YY'rv•.,
SHIRLEY L.GRAHAM rn and subscribed befo this ay of 20
na * OY COMMISSION#DD 9577
r .4* EXPIRES:February 14,23ig ature of Notary Pu <c
Bonded Thru Notary Public Underwriters
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