95 10th St (vault) r -
PSR-3844
- x_0803
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- ---- LOCATION INFORMATION ----
ermit Number : 16803 A, -ess : 95 TENTH STREET -
Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 3223
.. ass of Work :ALTERATION ----- LEGAL DESCRIPTION -------
'onstr . Type :WOOD FRAME Block: Lot Twp: 0
Proposed Use: Section: 0 Subd:O Rnq: 0
Dwellinas : 1 Subdivision:
Est . Value: 0 .00
'mprcv. Cost : 0 . 00
Total Fees : 74 . 00
Amount. Paid: 74 .00
Date Paid: 7/17//1998
I . ork Desc :REFLACE CONDENSER AND AIR HANDLER - FEE DOUBLED WORK
r
OWNER INFORMATION ___.___.__ ._ _ ___ - ,APPLICATION FEES -----
- me: KAY LANIER 'ERM IT 74.00
dr : 95 TENTH STREET
ATLANTIC BEACH . FLORIDA 32233
:,ne: {. 904) 396-Ill 3
-- CONTRACTOR INFORMATION -------
me :
--_-_.me : FLORIDA HOME TECH A/C & APPL .
dr : 6677 BLANDING BOULEVARD
JACKSONVILLE, FLORIDA 32.,244
.-c : CAC051492 Exp :
-rye . 3
NOTES:
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTI ,BEACH BUILDING DEP TMENT
By: L
BUILDING AND ZONING INSPECTION DIVISION
Cl TY OF ATLANTIC BEACH
ATL.AMIC nEACH, FLotIMA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTAHl' --- Applicanf fu Complefe all ifernS in sections I, II, III, and IV.
LOCATION street Addrets -
OF Intersecting Slrocls• Pl Jl en ---- And
BUILDING
sib-division
II. IDENTIFICATION --- To ke completed by all applicants
In rons;derafion oI r--0 0 gi..nn I— doing the w,rrl as described in the abr slalcrnenl we I,ereb o f "',
y r T qree In p r o tnid wcr4 m accordnncn
wifh Iha affaclyed plans and srrc;f;.atiens which are a part hereof and in accnrdance wili, the Cify of Jacksonville ordinances and standards
of good pracfico lisfed therein.
Nam• of Mechenicel [ Contractors '
Contractor (Print) pXygl' J�ple rvz f J Master
flame of / / .
Property Owner (/
Si9naIura oI Owner $ignoIure of
or Authorised Agent Archilecf or Engineer
III. GENERAL INFOR ION
A' 1ype of heating fuel: B•
IS OTIIER CONSTRUCTION BEING DONE ON
K E4•ctric TI4IS BUILDING OR SITE T A/0
❑ Gas — ❑ LP ❑ Nelurel ❑ Central Utility
IF VES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Ofher — Specify
IV. MECHANICAL EQUIPMENT TO IF INSTALLED NATURE OF WORK
(Provide complete list of cornpon•nls on back of this form) nesiderllial Of I.] CorTnitercial
(.]
Heel ❑ Space ❑ R.c•ss•d k"Control f7 Flow Now BUlldln g
Cj Air Conditioning: ❑ Room Central Exisling 13Ulldlnq
❑ Duct System: Materiel Thickn•u
DQ neplacofnenl of existing system
Me■imum capacity c.1.m,
C-I New Ir1slallatl011(No systern previously Installed)
❑ Refrigeration
(� Extenslon or add on to exlsling syslenl
_
ElCooling to-or: Capacity g.p.m, U Other — Specify
❑ Fire tpr;Alern Number of headt,
❑ Elewtor ❑ ManRft ❑ Escalator---(number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pump► (number) (R•e•iwd)
❑ Tanks (number) Remarks
1jLPG containers (number)
❑ Unfired pressure vaster
toilers Permit Approved by Vele
❑
❑ Ottser — Specify Permit Fee
LIST ALL EQUIE'MLNT
AIR CONDITIONING AND REFRIGERATION UQUIPNIENr
Capacity Appprovtnr
Number Un1G Dricrlptlon Model Number Manufacturer (Tons) Asency
HEATING FURNACES, BOILERS, 11REFLACES
Capacity Approvtng
Number Unita Dcacriptlon Model Number Xanufacturor (BTU) Astncy
TANKS
Jfo�w Many Notclna] Capaelty Type UgWd Name of Serial ApprovIM .
and Dlmwwtons Contalned Manufacturer No. Agency