361 Seminole Rd 2014 HVAC �3 CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r� a ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
>>�
Application Number . . . . . 14-00001028 Date 6/26/14
Property Address . . . . . . 361 SEMINOLE RD
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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DEASON, JENNIFER L AA SERVICE AND REPAIR
361 SEMINOLE RD P O BOX 57896
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241
(904) 626-8199
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . . . 00
Permit Fee . . . . 107 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/23/14
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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
Fee summary Charged Paid Credited Due
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----------------- ----------
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Permit Fee Total 107 . 00 107 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 111 . 00 111 . 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
n Ph (904) 247-5826 Fax (90/4) 247-5845
OB ADDRESS: %dol /t G PERMIT#
PROJECT VALUE $ � �� ARI# So 5-761 REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit /s-. a
Neat: Unit Quantity BTU's Per Unit Seer Rating
REQUIRED
Duct Systems: Total CFM
MPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_� Tons Per Unit_ f, ,
Heat: Unit Quantity I BTU's Per Unit�000 Seer Rating
REQUI 0
Duct Systems: Total CFM 79Z _
ED
iRE PREVENTION Quantity (Requires uires 3 sets of plans)
Fire Sprinkler System
Quantity (Requires 3 sets of plans)
Fire Standpipe
Underground Fire Main Value (Requires 3 sets of plans)
Re uires 3 sets of plans)
Fire Hose Cabinets Quantity ( q
(Requires 3 sets of plans)
Commercial Hoods Quantity Reuires 3 sets of plans)
Fire Suppression Systems Quantity (Requires
IRE 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
)THER:
x months.I hereby certify that I have read
ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for si
is 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
n. The pennit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of const��on•
�-o 11 Pe a,s a6 Phone Number q04 ill
roperty Owners Name v qax 9OL, �.7f 6�
4echanical Company �� -�e��'`'� � �� � Office Phone FF
'o. Address:
)00 9 ?1,� .S� v City ��� rly`+ Statel� zip
icense Holder (Print): o � � State Certification/Registration # 6446 o-070)
Jotarized Signature of License Holder
X
CECILE HASSAN efore me this �day of Z24 e20MY COMMISSION#FFt)69671EXPIRES December 8.20» ignature of Notary Public
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