1643 Beach Ave 2014 HVAC I
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001110 Date 7/11/14
Property Address . . . . . . 1643 BEACH AVE
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
1 cu 1 ahu 4ton
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Owner Contractor
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ANDERSON ROSINA MARGIT TRUST COMPLETE AIR SYSTEMS
1643 BEACH AVE 1721 FOREST BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 268-4486
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . . . 00
Permit Fee . . . . 107 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/07/15
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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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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
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: /643 P Av ENL16 3-2-139 PERMIT#
PROJECT VALUE $ ?q Q0 C>J ARI# 524 �'�i 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 SYSTEMINSTALLATION
Air Conditioning: Unit Quantity L Tons Per Unit 4R( 0-
Heat: Unit Quantity I BTU's Per Unit Seer Rating SCS2
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System Quantity Raequires 3 sets of plans)
Fire Standpipe Quantity (Req
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 Phone Number
Mechanical Company� I c ti S S
S t�L N►C_ Office Phone ax 2Z9�
l C �(�� a� City 1Ac�S�ti,�,ir� State�Zip 32LS'�
Co. Address: , I � � ��^/'�� �'�
State Certification/Registration
License Holder(Print): �oc.� ��� S fication/Registration# CAC (�I�oY
Notariz a IVA „ � �a Florida C
Shirleycxan20
Myo
My Commission FF FF 088990Be re me this day of
�ofExpins04/14f2018
ature of Notary Public