1769 Seminole Rd Duct Work Only 2014 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . 14-00000990 Date 6/18/14
Property Address . . . . . . 1769 SEMINOLE RD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 0
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Application desc
DUCT WORK ONLY
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Owner Contractor
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NARKIEWICZ, BRENT NORTH FLORIDA AIR MANAGEMENT
1769 SEMINOLE ROAD P O BOX 17186
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/15/14
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Special Notes and Comments
STICKER FOR OVERCURRENT PROTECTION MUST
BE ON A/C EQUIPMENT PRIOR TO
INSPECTION. FAILURE TO COMPLY WILL
RESULT IN A FAILED INSPECTION AND
REINSPECT FEES . NO EXCEPTIONS .
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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
Ph(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: Z/1e � j/ /OG� �7 PERMIT #
PROJECT VALUE $ SOo ov ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM 919T REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM 1,gi2e— REQUIRED
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 �7✓T Phone Number -W 0W'319e
Mechanical Company, . i ,5�;AZW _Office Phone 's ax
Co. Address: ee /.*, l7/ow, City -%w- State Zip
License Holder(Print): / 104 State Certification/Registration#
Notarized Signature of License Holder `
Before me this day of
Signature of Notary Publi