1701 Selva Marina Dr 2015 HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-83
Job Type: MECHANICAL HVAC ONLY
Description: duct work
Estimated Value:
Issue Date: 1/13/2015
Expiration Date: 7/12/2015
PROPERTY ADDRESS:
Address: 1701 SELVA MARINA DR
RE Number: 172013-0000
PROPERTY OWNER:
Name: STER, JOHN W
Address: 1701 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR,INC.
Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES
Phone: - -
PERMIT INFORMATION: 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.
FEES:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $124.00
Heat Exchanger or Coil in Ducts $10.00
Total Payments: $138.00
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
806 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5926 Fax(904)247-5845
PERMff#
SS:
JoB ADDRE \K)\0, n Y\a-
PROJECT VALUE ARI# REQUIRED
Air Handling Equipment Only AirHandling 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 REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
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 BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
-Wells
OTHER: e
7P17rmi"t`bZ;c,_o`mes void if work does not commence within=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 i
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.
PhoneNumb
Property Owners Name er
_3L&_V1 /_ � Office PhoneZq�-91,5� Fax Z-qq -2�0
Mechanical Company :Z;�:4
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Co. Address:
-1�f ( �Cl .State Zip '5
State Certification/Registration#C
License Holder(Print): Acl
Notarized Signature of Llkcenmse s of 20 YVETTE p.MORALES
efore me T PUBLIC
Si e of Notary lie STATE OF FLORIDA
C,, EEFrV74___
expires 3/2/2017
STOP . WORK
CITY OF ATLANTIC BEACH
BUILDING AND ZONING DEPARTMENT
NOTICE
This building has been inspected and:
General Construction Mechanical
Concrete and Masonry F-1 Electrical
F-] Plumbing F] Gas Piping
IS NOT ACCEPTED
CORRECT AS NOTED BELOW, BEFORE ANY FURTHER WORK
JOV C 114,-On P42 la-f e ky\--o rl /7e,,d
r
DO NOT REMOVE TIJIS NOTICE
Inspector: C� Date:
Failure to respond to this Notice within 10 days will result in this violation being forwarded
to the
CODE ENFORCEMENT BOARD.
The posting of this Placard by its contents shall serve as due notice.