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2045 Selva Madera Ct 2013 Duct work CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00003811 Date 12/11/13 Property Address . . . . . . 2045 SELVA MADERA CT Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . RES SF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DUCT WORK ONLY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ POTTER STEVEN A TRUST SERVICE EXPERTS 2045 SELVA MADERA CT. 8475 WESTERN WAY STE 100 ATLANTIC BEACH FL 322334531 JACKSONVILLE FL 32256 (904) 271-2182 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/09/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00 STATE MECH DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 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: �O `I � ��eLy� {'Y) �O0/2j C--r PERMIT# PROJECT VALUE $ -711 -16- NEW 11 -1SNEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer RatingREQUIRED Duct Systems: Total CFM REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSAT�ALLATION Air Conditioning: Unit Quantity Tons Per Unit REQ UIRED Heat: Unit Quantity BTU's Per Unit Seer Rating�QUIRED Duct Systems: Total CFM 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 -T Phone Number Mechanical Company 1 (lc�T�� Office Phon 7��r ax gy75 l,J�sl�n CLU SLID ICb city U''� StateFl Zip c Co. Address: �,Q� License Holder(Print): �_ k�� State Certification/Registration#�/s/-=',e/�I 71o� Notarized Signature of License Holder Sworn ands scribed before me this / d of 20 CAROL A.BRESSLER Signature of Notary Public Notary Public State of Florida My Comm.Expires Jul 5.2014 ., �•,,�« °' commission * EE 36112