153 Pine St HVAC 2014 CITY OF ATLANTIC BEACH
sj 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
J INSPECTION PHONE LINE 247-5814
'+-ohl, �
Application Number
14-00000164 Date 2/04/14
Property Address . . . . . . 153 PINE ST
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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Contractor
Owner
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JURZEC, GAIL HAMMOND AIR CONDITIONING INC
153 PINE ST 3412 GALILEE ROAD
FL 32207
ATLANTIC BEACH FL 322334011 (904)JACKSO626-6867
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----- ermit
P ----
. MECHANICAL HVAC PERMIT
Additional desc . plan Check Fee . 00
Permit Fee . . . . 95 . 00 0
Issue Date Valuation
Expiration Date . . 8/03/14
____ ------------------------------------
Other Fees
STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
Charged
Fee summary
Paid Credited Due
--------- ----------
- . 00
Permit Fee Total 95 . 00 95 . 00 00 . 00
Plan Check Total • 00 00 . 00 4 . . 00
Other Fee Total 4 . 00 00 . 00
Grand Total 99 . 00 99 . 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: I53 ?iVIL -It- PERMIT#
PROJECT VALUE $ y '310 f4 ARI# 3`10 5 REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating Heat: Unit Quantity BTU's Per Unit gREQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity�_ Tons Per Unit Z-•S 'S
Heat: Unit Quantity 1 BTU's Per Unit'DrQ�St Z Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System Quantity (Re q
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 l714-A )S Phone Number's-`i-ZF56'S(AZ-
Mechanical Company PlaMr—� ��f ` �►x�,E,a►�f o► Office Phone - -(&% Fax 35k't00%&
n
Co. Address: r�ll'L VAIL•�P�e- City &'ACkrb`�+ Ny- State- Zips-017
License Holder(Print):
ate Certifi io istr ion
Notarized Signature of License Holderey
:
..........•`` IVA
�E �RyyAtl�R Before me this 1y of 20
MY COMMISSION#FF 011480
e EXPIRES:Ap6i 24,2017 Signature of Notary Public
NotaryPublic Undervmter5