71 Beach Cottage Ln 2014 HVAC J�3
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 14-00001141 Date 7/24/14
Property Address . . . . . . 71 BEACH COTTAGE LN
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 0
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Application desc
2 cu 2 ahu
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Owner Contractor
-
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JENOMA LLC OWNER
PO BOX 3274
PONTE VEDRA BEACH FL 32004
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 135 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/20/15
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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 . 03
STATE MECH DBPR SURCHARGE 2 . 03
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135 . 00 135 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 06 4 . 06 . 00 . 00
Grand Total 139 . 06 139 . 06 . 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: c C114 L4-41 C' PERMIT#
PROJECT VALUE $ �� �•
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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSAT�A#LL T'00/�.,y f31
Air Conditioning: Unit Quantity Tons Per Unit ¢� REQUIRF.0
Heat: Unit QuantityBTU's Per Unit Seer Rating 1 -�Duct Systems: Total CFM REQUIRED
FIRE PREVENTION a 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
3 sets of plans)
Fire Hose Cabinets Quantity (Requires3 sets of plans)
Commercial Hoods Quin' (Requires 3 sets of plans)
Fire Suppression Systems Quantity
FIRE PLACES
MISCELLANEOUS:Prefabricated Fireplace Qty Automobile Lifts
Boilers BTU's
Gas Piping Outlets 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
OIL S Phone Number 9('y'L1 7 7-6 ,3
C �� T Office Phone� 91 Fax 7d),490
Mechanical Company ✓
Co. Address: ��5 �Y"�S i.�. +� �
City `)� S s}n J i 1/,State � Zip 3�• '�
Sfic ate Certiio a 'stration# C 1 yj 95
License Holder(Print): r t
Notarized Signature of License Holder I J
W
EBRA ANN HOISINGTON Sworn and subscnbed before thisf w 20Y COMMISSION SEP13758 Signature of Notary Public
EXPIRES October 15 2016
F