1021 ATLANTIC BLVD #997 - HVAC r\l\J
r -/o \
. :)' i_ A CITY OF ATLANTIC BEACH
;-;w`"Viz. J
800 SEMINOLE ROAD
K101 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-2664
Job Type: MECHANICAL HVAC ONLY
Description: 1 AHU 4 TONS UNIT 997
Estimated Value:
Issue Date: 11/12/2015
Expiration Date: 5/10/2016
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
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:
Trade Permit Base Fee $55.00
AC and Refrigeration $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $91.00
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
)B ADDRESS: CI C( 7 M-LA0A-,L. `c \•,ICJ zrtic: ' ri%V■ 8:2.233 PERMIT#
PROJECT VALUE$7330.00 ARI# REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 4
Heat: Unit Quantity BTU's Per Unit Seer Rating14
Duct Systems: Total CFM REQUIRED
ERE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
[RE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
THER: Replacement of 4 TonRoof top Package HVAC unit
mit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that I have read
r application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
:. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
operty Owners Name Hibbet Sports Phone Number 904-247-4771
echanical Company Consery Building Services Office Phone 904-229-9549 Fax 904-328-6115
1. Address: (p:V .t\iz Al)e.. N e t1.., City l-Aec_:c: StateV-t- Zip 7-. p 73
cease Holder(Print): '.---Oft .\ 1_ Vi.,_ �, State Certification/Registration#C C)$)9'1?_(
,tarized Signature of License Holder Q,—A.-3 6
Before me is I U' day of •vz.alma - 20 1 &-. .. ,.
Signature of Notary Pub 'c .�•IIP 1�tt ' Notary Public State of Flonda
_ ‘4,,T7' 'dy Comminebn FF 137186
r'WI Expires 07/26/2018