132 BELVEDERE ST HVAC ;s
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-1317
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1AHU TON3
Estimated Value:
Issue Date: 6/5/2015
Expiration Date: 12/2/2015
PROPERTY ADDRESS:
Address: 132 BELVEDERE ST
RE Number: 170588-0000
PROPERTY OWNER:
Name: Atlantic Beach Pinnacle Properties, LLC
Address: 132 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: HOKE KELLER HEATING &AC INC
Address: 4466 W JADE DR HOKE KELLER
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 Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH -
800 Seminole Rd Atlantic Beach, FL 32233
2 ^ Ph(904)247-5826 Fax(904)247-5845 t
Jos ADDRESS' 13 L F C Iye j e—r e_ PERMIT# t `
PROJECT VALUE$ �r��. ARI# y6 LI--) j q -� REQUIRED
_Air Handling Equipment Only �r Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unit `
Heat: Unit Quantity BTU's Per Unit Seer Rating 1
Duct Systems: Total CFM I REQUIRED
REPLACEMENT 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
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:
Penmt 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 Inflows and ordinances governing this work will be complied with whether specified or
not. The permit does not give and i to violate the provisions ofmyl oa r state or local law regulation constmction or the performance�doff+constino tioonn.
Property Owners Name � i � I S l(' '^'ems Phone Number , —2-q�
Mechanical Company pp T Y AtY Office Phone/�e!3d x � �
Co.Address: 11116 AC& 1/I'- M1 City A44 lG. State Zip.J��9
License Holder(Print): (c, v _ late Certification/Registration#CftC{J 'S7ft Cl rJ
Notarized Signature of License Holder_ L
""^ MAUREEN PELLETIER fore me this y day of 201 _
( ;_ my coMl MISSION#PF046WS gnature of Notary Public �o
' EXPIRES November 1,2017
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