1200 Mayport Rd 2013 HVAC Jv,
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
!� =J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
JitI
Application Number . . . . . 13-00003493 Date 10/03/13
Property Address . . . . . . 1200 MAYPORT RD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
2 cu 2 ahu
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Owner Contractor
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KSH PROPERTIES, INC AIR SOLUTIONS HTG & COOLING
1200 MAYPORT ROAD 2575 EDISION AVE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204
(904) 221-2704
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Permit MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 163 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/01/14
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Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 .45
STATE MECH DBPR SURCHARGE 2 .45
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 163 . 00 163 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 90 4 . 90 . 00 . 00
Grand Total 167 . 90 167 . 90 . 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 (�9
f— PERMIT# '�` /
JOB ADDRESS: � 2,(`� Ill C�c..�-� D6 '� C�
PROJECT VALUE $ ARI# 5 L4 151 t1 S�j REQUIRED
Air Handling Equipment Only t,-�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
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 2 Tons Per Unit "1 �J
Heat: Unit Quantity 2 BTU's Per Unit 42, p(DO 't- Seer Rating
Duct Systems: Total CFM Lt 0 I DO 0 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 5 �i' of r A-1 e S Phone Number QdQ- Zy tel- g
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Mechanical Company I✓^ ',-)c)',-)c)l Lt._h l/� �-P Cc Jn rl� al I T40ffice Phone ? 0 Fax D,�)L&-071 �
Co. Address: �;�' 75 SCA City JCI0 SU'V V I lie State 17'LZip 37-ZD4
License Holder(Print): 1�1�-�+"� l�� State Certification/Registration#
Notarized Signature of License Holder2'�
SUZAMM M PLEMONS Before me this 33 day of x:46-C20
•:
MyCOMMISSON*EESS5272
M ,Wyy�
EXPIRES Fa�brwrY 10.2°» Signature of Notary Public
1407►390.0193