312 4th st # 310 2014 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
Application Number . . . . . 14-00001104 Date 8/08/14
Property Address . . . . . . 312 4TH ST
Tenant nbr, name . . . . . . UNIT 310
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0 --------------
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Application desc
1 Cu 1 AHU ROOF TOP
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Owner Contractor
------------------------
-------- -- --- --------
HOLLOWAY-ET-AL, MARGARET M ALL WEATHER CONTRACTORS, INC.
1200 OCEANFRONT 5151 SUNBEAM ROAD FL 32257
NEPTUNE BEACH FL 32266 JACKSONVILLE
(904) 781-7060
-- -------------------------------------------------------------------------
Permit ' * * * * ' MECHANICAL HVAC PERMIT
Additional desc . - 103 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 2/04/15 -----------------------
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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 . ---------------
2 . 00
Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE
STATE MECH DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 103 . 00 103 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 107 . 00 107 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM All (THU)�JUL- 10 Z014 1O:68Z8T. 1O:54ZN-.715OOOOOS2O P 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
goo Seminole Rd Atlantic Bewh,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOBADDRESS: '310- q112 'b-tf-F-el) MAC�-(, V-L— PERMff#
PROJECT VALUE AR1#. 6�0-1 -7'6-1-7 REQUIRED
Air Handling Equipment Only ,/ Air Handling Unit & Condenser Condenser Only
,jEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Ratiniz
Heat: Unit Quantity BTUs Per Unit lWa-VIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit b - !:�
Heat: Unit Quantity I BTU's Per Unit_LL12 500 Seer Ratin2
Duct Systems: Total CFM REQVIRED
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 plum)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty— Automobile Lifts
Gas Piping outlets Boilers BTU's
Elevatorsffiscalators
kLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets !UTPS
#Vented Wall Furnaces Refrigerator Condenser BTUs
#Water Heaters solar collection Systems
Tanks(gallons)
Wells
[)TRER: A &00bAkA,#,J
,ermit becomes void if wo&ao—a not commence-within inix month period or work is suspended or abandoned for six months.I hW&Y certify that I have read
his application and latow the same to be true and correct All provisions Of laws and ordinances governing this work will be compiled with whether specified or
th rf cc stru
lot. The permit,does not give authority to violate the provisions of any other state or local law regulation construction or e Pe Orman of oon cdorL
3,roperty owners Name f,P-'5'r RLAcZ Phone Number
qechanical Company-ALA- 0frIce phone-Mi--7Q(,0 Fax--7S(--1-0 S I
"o. Address: -TT�js tb"N #1 1-467- IIE4-7 City JA&t--',�L�xOtate Q ZIP
License Holder(Print): State Certification/Registration# Ad--
Votarized Signature of License Holder
Before me thi -11,s,L -1 20--L'4—
A L STAMWLI-ER s lr-)V+- day of
0 EE 190W
21,2D14 signature of Notary Public.
E*ms
9onftdTtwvTrmF1fl1
'low
400
r
Al I WORD Mthep-rr
C 0 N T R A C T 0 R S
7749 Normandy Blvd,#145-347
Jacksonville,FL 32221
904.781-7060—Office
904.781-7051—Fax
.FAX
TO: Aflanflc Beach Bufldinp-Dept FROM: Heather Staggs-Milter
FAX: 904-247-5845 PAGES: 3
PHONE: 904-247-5826 DATE: 07/10/14
RE: CC: File
Please find 2 mechanical permit applications. Please let me know the fees and if I am
able to pay over the phone with a credit card.
If you need anything further,please let me know,you can reach me at the office.
Thank you,
Heather
Confidentiality Notice
The information and documents transmitted by this telecopy are privileged and could obtain confidential
information intended only for the person(s) named above. Any other distributed, copy or disclosure is
strictly prohibited. if you have received this telecopy in error,please notify us immediately by telephone,
and return the original to us without making a copy.
lot MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: '310- 44t4h `�;t%2-ECT) ATL-AN310- P>E-;Ac�.k ) Vt-- PERmrr#
PROJECT VALUE $ -1922- 02 ARI# 6�a-1 -7'Z-1-7 _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 WE-QUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit
Heat: Unit Quantity I BTU's Per Unit 9
Seer Rating L4
Duct Systems: Total CFM 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 BTUs
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: A Goof�xkA-tJ
nth period or work is suspended or abandoned for six months.I hWeby certify that I have read
Permit becomes void if work does not commence within a six mo d ordinances governing this work will be complied with whether specified or
this application and know the same to be true and correct. All provisions of laws an
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 flk`21' PLACZ Phone Number
Mechanical Company ALL- Co,,JT-&AC-TC)a-!�� Office Phone Fax-7S(--)-O
145- �z4-7_ city '�,Q �tLjState Zip
Co. Address: _�A-JJ64 tbL-V-f�, I __j�
License Holder(Print): M-a-tcm-, State Certification/Registration
Notarized Signature of License Holder
100- day of 20 14
HEANER L STAGGS-MILLER Before me this
1EEE
W -p-
CoTr�Ww#EE 190667
r
Ex0reswvw&r21,2D14
-,X A 9wded T�.Tmy Fain lnwwcl NO-3 Signature of Notary Public r,�DALA.�S �E
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