2233 SEMINOLE RD #001 HVAC I&
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-1282
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3 TONS
Estimated Value:
Issue Date: 6/1/2015
Expiration Date: 11/28/2015
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 001
RE Number: 169519-0102
PROPERTY OWNER:
Name: KARPF, BERNHARD M
Address: 128 6TH AVE APT 4
GENERAL CONTRACTOR INFORMATION:
Name: AMERICA'S AIR LLC
Address: 12292 Clet Harvey Rd Glen ST
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:
Furnaces and Heating $24.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
1�n 1e
800 Seminole Rd Atlantic Beach,FL 32233
1 tPh(904)247-5826 Fax(904)247-5845
JOB ADDRESS: c� -�.M r(l0� K J W. PERMrf#
PROJECT VALUE S y95d ARI# 7$S,�D91 REQULRED
_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 I Tons Per Unit 3LL''
Heat: Unit Quantity 1 BTU's Per Unit Seer Rating�CC==cc�
Duct Systems: Total CFM REQULREDD
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 QtyAutomobile 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 does not commence within a 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 ordiamm governing this work will be complied with whether specified os
not. The permit does not give audamity to violate the provisions of my other state or local law regulation construction or the pesformaace of censhuctim.
Property Owners Name ,n[olxry=flay-iop Phone Number. x,3-5 )-
055
Mechanical Company Aa)eric.o& Alt-,. LLC . OficePhone%py''735-1nx�-a75-3183
Gkn 6+ fYlxO
Co. Address: /,),:)9Q ('. 1-2rVey P-0 City y State rL zipL�x�
License Holder(Print): State ion/Registration#CA.C,I R IS /C)
Notarized Signature ofLicense Hol
riR JESSICA L BLUNT efore me this ger day of 2015
Commbilon#FF1Bnn78 a.
'
Notary Public
Expires October 15,2018 'gnattue of
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