1021 ATLANTIC BLVD - 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-1438
Job Type: MECHANICAL HVAC ONLY
Description: 100% SELF CONT REFRIG CASES 3 REACH IN 1 WALK IN
Estimated Value:
Issue Date: 6/23/2015
Expiration Date__: 1.2/20/2015
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: SOUTHERN AIR MECHANICAL SERVICES. LLC
Address: 6169 SE 60 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:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Mechanical Valuation $47.60
Total Payments: $106.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATI ID;►!tf. - -_ .... i•CITY OF ATLANTIC BEACH JYYN1187 lily
800 Seminole Rd Atlantic Beach, FL 32233 fl i Oil'h I,�
Ph (904)247-5826 Fax (904) 247-5845 • I y`_
JOB ADDRESS: X01/ /9f/Qi,/i c /V/d. Ile. 9 P9 PERMIT#
PROJECT VALUE $ 5-95-0. " ARI# A 247"e"7-471041 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 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 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)
gUvr ma Sup•u.v• A49 Ai"or.04, Wells
OTHER: As/Q!/ /OD/ sac COd/TA/NEB ,'areat1Iriow exts. J:b -/n, //14/B/E-/1 .
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 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 construction or the performance of construction.
Property Owners Name D& .i t TIE( Tro.2Ed' Ale. Phone
Mechanical Company t 1u/Aein Air /iieehQRiieti cft!/NeeQ Lc'4 Office Phone 4/72-y00/ Fax X23/7,2.I/004
Co. Address: 764 SE Sale Aid 24, C ' 77edon State iL Zip J2t9.J
License Holder(Print): 4 - 4 •i aoc ! ■ .t.t: ertification/Registration # 69'4 6 t19f
NOlari,43/4,../..of L;,..ac Hach, IE t 0
i`'�� :: LISA M DAVIS
1`• •' MY COMMISSION#FF18lii¢fcre me this /7 ' day of U/7e / 20 /S
\•, e,„ EXPIRES December 6.2018 �� wow
FlorldallotaryServlce.corSignnture of Notary Public - Zlt.!/e.
Walker, Jennifer
From: Lisa Davis [LisaD @SAMSHVAC.net]
Sent: Thursday, June 18, 2015 9:51 AM
To: Walker, Jennifer
Subject: Mechanical Permit Application
Attachments: Mechanical Application_DT 1010.pdf
Importance: High
Hello Again Ms.Walker
I have attached our permit application for the refrigeration case install at the Dollar Tree on Atlantic Blvd.
Please note that these cases are 100%self-contained it does not involve plumbing or running refrigerant lines. The
condensers and "evap-away" pans are mounted on top of the equipment.
If you need anything more, please let me know and I'll get it right to you!
Thanks again for your help with this!
Thank You,
Lisa M Davis
Southern Air Mechanical Services, LLC
Voice: 352.472.4001
Fax: 352.472.4006
Email: LisaD @SAMSHVAC.net
SOUTHERN AIR. MECHANICAL SERVICES, LLC
Air Conditioning. Heating. Maintenance Agreements. Preventive Maintenance.
352.472.4001(ph) — service@SAMSHVAC.net - 352-472-4006(%ax)
Information contained in this e-mail transmission is privileged,confidential and covered by the Electronic Communications Privacy Act,18 U.S.C.
Sections 2510-2521.The information contained in this message and any attachment hereto is privileged,confidential,and is for the sole use of the
intended recipient. If the reader of this message is not the intended recipient,or an employee or agent responsible for delivering this message to
the intended recipient,you are hereby notified that any reading,dissemination,distribution or copying of this communication may be a violation of
law and is strictly prohibited.If you have received this communication in error,please notify the sender immediately by replying to the message
and deleting all copies of it from your computer. Thank you.
1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: /01/ 191/Q4/i G /7/vd. Ile. 919 PERMIT#
PROJECT VALUE $ tr9J 00 ARI# 'V4 247"1-44711141 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 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 Qty Automobile Lifts
Gas Piping Outlets _ Boilers BTU's I�S
Elevators/Escalators I�
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Cgearomiz. SP/L/Ea• A0 04Lt,,.,r,Bi , Wells
OTHER: /js/ll// /0D% sezr Ca,viAive 2ex,el4-Ayia,v axis. /4Mi/i-A.
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 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 construction or the performance of construction.
Property Owners Name DDOLLAit Mr STORES Ave. Phone Number
� 2.1"A Mechanical Company t IDL/AeM /9/r /IfeehdA,1ed J?fk2L'P,q L u! Office Phone 4'72-4/00/ Fax 0-2•V7,2-1/004
Co. Address: % ' se- Rae bad 241 C' riernii/2 State iL Zip J.1493
License Holder (Print): - . i er / .t. ertification/Registration# Cc& 1s;; ivir
r
Notarizrd,,9 ,�iuiu.G of LLGILJG IIuldk, __ - a I
ter
USA M DAVIS
• "' •'
MY COMMISSION#FF1ta¢€c re me this /7 day of ();/-4e 20,/fIS
EXPIRES December 6,2018
(407)3se-01sa FbridallotaryService.cort+'lgl�ture of Notary Public /
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