1872 Hickory Ln 2013 HVAC CITY OF ATLANTIC BEACH
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J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003095 Date 7/18/13
Property Address . . . . . . 1872 HICKORY LN
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 cu 1 ahu 2 . 5 tons
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Owner Contractor
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PIERSON COOL CHANGE HEATING & AIR
1872 HICKORY LANE 4596 HARBOUR CT NORTH
JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32225
(904) 571-1944
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . . . 00
Permit Fee . . . . 95 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/14/14
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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
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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: 1872 HICKERY LN. ATLANTIC BEACH FL 32233 PERMIT#
PROJECT VALUE $3,000 ARI#_4546741 REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating 13
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 2.5
Heat: Unit Quantity 1 BTU's Per Unit 28000 Seer Rating 13
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 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 Dan Pierson Phone Number 891-2618
Mechanical Company Cool Change Heating&Air LLC Office Phone 571-1944 Fax 928-9261
Co. Address: 4596 Harbour North Ct. City Jacksonville State FL Zip 32225
License Holder(Print): Manson McClain State Certification/Registration# CAC1816300
Notarized Signature of License Holder � _
ZINA FITZGERALD efore me this / day of 20�
Commission#DD 998024ignature of Notary Public
Expires June 3,2014
Bonded Thr;TMY Feih lnswar ee 800-385-1019