5119 polaris Ct 2014 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J fir, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�4 J131
Application Number . . . . . 14-00000023 Date 1/10/14
Property Address . . . . . . 5119 POLARIS CT
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 CU 1 AHU
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Owner Contractor
-
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NAVAL CONTINUING CARE AIR PRO MECHANICAL OF N FL LLC
RETIREMENT FOUNDATION, INC 1008 COUNTY RD 217
1 FLEET LANDING BLVD JACKSONVILLE FL 32234
ATLANTIC BEACH FL 322334599 (904) 759-9019
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 99 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/09/14
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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 99 . 00 99 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 103 . 00 103 . 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
SOB ADDRESS: 1 t �6)A P'S CT` PERMIT#
PROJECT VALUE $ 3000 ARI# 35�I LISS-O REQUIRED
Air Handling Equipment Only _XAir Handling Unit & Condenser Condenser Only
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
REQUIRED
Duct Systems: Total CFM
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unit 3j3
Heat: Unit Quantity-7- BTU's Per Unit 3�x Seer Rating REQUIRED
Duct Systems: Total CFM
TIRE PREVENTION Re uires 3 sets of plans)
(
Fire Sprinkler System Quantity (Requires
3 sets of plans)
Fire Standpipe Quantity Requires 3 sets of plans)
Underground Fire Main Value (Requires
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
(Requires 3 sets of plans)
Fire Suppression Systems Quantity ( q
TIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Boilers BTU's
Gas Piping Outlets Elevators/Escalators
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
months.I hereby certify that I have read
oned for si
ermit becomes void if work does not commence within a six month period or work is suspended or abandx
tis 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
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name F 16cr L v4rz►rl.G Phone Number a yCL�
Mechanical Company ' 19-
� �Vo L Office Phone a99-qftFax �
J�IEcHr�►�icw 1 �-�
l,r1 AYVi )t E State Zip 7"3 V
EL
;o. Address: L�`� Co��'� '120A1 `d1'1 City 2 6�6
Stat Certification/Registration#PWIG! yq
,icense Holder(Print):
Totarized r
1y COMMISSION#DD 957�6Gr0 me this day of 20
EXPIRES:February 14
Bonded Thru Notary Public Underwriters
ure of Notary Pub c