128-11 seminole Rd 2014 HVAC tCITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00001323 Date 8/20/14
Property Address . . . . . . 128 SEMINOLE RD 11
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 cu 1 ahu 3 tons
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Owner Contractor
------------------------
BLACK, DON DONOVAN HEATING & AIR
2146 HAWKCREST DR E 315 SIXTH AVENUE SOUTH
JACKSONVILLE FL 32259 (904)CKSO VIL E BEACH FL 32250
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Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 99 . 00 .
Valuation . . . . 0
Issue Date . . . .
Expiration Date . . 2/16/15
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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 .
_ _ ------
Other Fees
. STATE MECH DCA SURCHARGE 2 •
00
STATE MECH DBPR SURCHARGE 2 . 00
___ _ ________ --
Fee summary Charged
Paid Credited ----Due---
_ _ ---------- ---- --
----------
- - . 00
Permit Fee Total 99 . 00 99 . 00 00 . 00
Plan Check Total . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 103 . 00 103 . 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 A'T'LANTIC 13EACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 2475826 Fax (904) 247- 845
FoB ADDRESS: o�� >r 1 f i PERMrr#
PROJECT VALUE $ 4 B0l ARI# 3(-7 0,0S S REQUIRED
Air Handling Equipment Only /Air Handling Unit & Condenser Condenser Only
NEW AiR CONDi:TIONING & 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 INSTALLATION
Air Conditioning: Unit Quantity! Tons Per Unit 3 /
Heat: Unit Quantity r BTU's Per Unit 3b(SOD Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVEN'T'ION
Fire Sprirdder 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 floes not commence within a six month period or worlr is suspended or ahandoned for six months.T hereby certify that I have read
its 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
ot, The permit does not give authority to violate the provi dons of any other state or local law regulation construction or the performance of construction.
Property Owners Name 1.J_D�_ L' = Phone Number
! 1 Q+ -Office Phone Z'tl 3�P Fax
Mechanical Company '.Jr�Nov�� �'I�� �
Co. Address: 31 fz, City 1 sx -g,- State Zip 3,zz g)
License Holder(Print): _. State Certification/Registration # 0-40 M7 6 1
Notarized Signature of License Holder fl�� .ear
RICHARD TOMPKINS Before me this -is_day of 20
Cofnm}sslon#FF 040399
` - Expires July 29,2017
80(dWTmnTmyFrim rrwURmoeA jg5.Mjg Signature of Notary Public