2133 Seminole Rd # 4 HVAC 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 13-00002927 Date 6/25/13
Property Address . . . . . . 2133 SEMINOLE RD UNIT 004
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 CU 1 AHU
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Owner Contractor
------------------------
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FORD, DWINELLE COASTAL HEATING AND COOLING
2389 OCEAN BREEZE CT 611 N 4TH STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 241-2030
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 99 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/22/13
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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 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 . 00 103 . 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 ADDRFSS: Se M I n t)I(f PERMrr#
PROJECT VALUE $ '502 (4-, 00
NEW AIR CONDITIONING & BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIPIED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLAT ON
ARI# 4
0 W
Air Conditioning: Unit Quantity Tons Per Unit RWEQ D
Heat: Unit Quantity BTU's Per Unit Seer Rating-- 1-5
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 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:
Permit becomes void if work does not commence within a six month period or is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and coffecL All provisions of laws and ordinances governing this work win 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 NameDk,0 -4 C 0-v, h Phone Number ka�6�Le
Htla neA(2W/-)Fax LP�4U&
Mechanical Company0-ca<��a _:! CL�bj_[r4, L-LC 'OfficePho jj�
Co.Address: Cityjot�sb V, Pe P7L zip 322s—b
Certification/Registration#CAhO-I L1310-
License Holder(Print):
Notarized Signature of License Holder
ert
JLk-VIP-- 20j
Y
MELISSA FORREST DICK orn and subscribed Lbefore me
0
11 .St u lic
bode of Flarlits
Notary public-St 9 of Florwa gnature of Notary Public
I"
My Comm.:Expires MAY 13.201
ssion# 90458
Commission#EE 90458
N io I N t tU
Bonded Through National Notary Assn.
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HEATING & COOLING, LLC
611 North 4th Street
Jacksonville Beach,FL 322$0
State Cert.CAC1817362 (904)241-2030
Dave Dick,President Telephone(904)241-2030
Lisa Dallimonti,Office Manager Facsimile(904)247-6466
FAX SHEET
DATE:
FROM: COA!31-V�C-
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