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
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Application desc
DUCT WORK ONLY
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Owner Contractor
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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
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/09/14
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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
----------------- ---------- ---------- ---------- ----------
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
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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