1021 Atlantic Blvd 2014 HVAC CITY OF ATLANTIC BEACH
+J v N 800 SEMINOLE ROAD
MECHANICAL HVAC PERMITATLANTIC BEACH, FL 32233
U CALL BY 4PM FOR NEXT DAY IN1 WGCT=I0WPA4WE LINE 247-5814
JOB INF .
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Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 4 TONS
Estimated Value:
Issue Date: 11/6/2014
Expiration Date: 5/5/2015
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD
RE Number: 177602-0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE,
Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT
GENERAL CONTRACTOR INFORMATION:
Name: COOL CLIMATE HEATING AND A/C
Address: 3653 REGENT BLVD EAST PARK QA ROBER GUTZWILLER
Phone: 904-641-9307
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:
Furnaces and Heating $24.00
AC and Refrigeration $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
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: (Q A'- j0(j tj'( 8I V cl PERMIT#
PROJECT YAL UE $ r! (p-�(A S 73LI 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
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity t Tons Per Unit I)
Heat: Unit Quantity 1 BTU's Per Unit 4&)n( Seer Rating /3
Duct Systems: Total CFM 1, o00 REQUIRED
Manual J documentation required on residential change out
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:
'ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certif},that I have read
his 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 o
iot. The permit does not give authority to violate the provisions of an),other state or local law,regulation construction or the performance of construction.
?roperty Owners Name C94i j u One— Phone Number
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Aechanical Company C�0% C 'plylo - C4iha r.d ftc Inc- Office Phone�'LFax caw-430`
-o. Address: 31Pe- " 4' -] City�,'QCksor�y State Ft Zip3QaY
License Holder(Print): r State Certification/Registration# C-6006-13
Votarized Signature of License Ho/der
SUZANNE M.HAYES
Notary Public,State of Florida Before me this �1 S�' day of 20 1
My Comm.Expires Feb.11,2017
Commission No.EE 872477 Signature of Notary Public