1021 ATLANTIC BLVD HVAC Pf' '
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-1039
Job Type: MECHANICAL HVAC ONLY
Description: duct work only returns and controls unit 997
Estimated Value:
Issue Date: 5/4/2015
Expiration Date: 10/31/2015
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: SOLUTIONS HEATING AND AIR, INC
Address: 1570 CREEK POINT BLVD QA GERALD A FOURAKER
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:
Air Duct System $20.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
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
dos ADDRESS: 121 W4411, 811d * q,9 4 PERmrr#
PROJECT VALUEARI# 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 �BTUs Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTAL ATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM S,,000
REQUIRED
FIRE PREVENTION S-tl .)o„ 9114's efisiiris . DuAjoak only
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 seta 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 Refrierator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER: (_ dd;,I ��u uP��� d Ittiusn dnill�s chd ne J4UH4 e&, j1te,15
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that I have read
this application and know the same to be true and cortect. 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 conxrui oo or the perfonnmce of eonstractim.
Property Owners Name 4ibbA Spon45 a'a30 Mi Cr.. oi1 Phone Number
Mechanical Com9--44"l
Pant ,So14�i0n1 iG..rl Ha 7eL Office Phone 3149-004 Fax
Co. Address: 11 8, ,s N • Nj,$ 64 14-;;4 City .McMikga NIZ State FLZip 3P3/B
License Holder(Print): d State Certification/Registration# C6GISIM74
Notarized Signature of License Holder s/
Before me this da
' / p Shirley L Graham
70 - Y �0 _ Signature of Notary Pu; J� w z
cammi.