1973 COLINA CT - HVAC �' t \s, CITY OF ATLANTIC BEACH
t 800 SEMINOLE ROAD
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` N ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2686
Job Type: MECHANICAL HVAC ONLY
Description: duct work only
Estimated Value:
Issue Date: 11/16/2015
Expiration Date: 5/14/2016
PROPERTY ADDRESS:
Address: 1973 COLINA CT
RE Number: 169506-1062
PROPERTY OWNER:
Name: PEREZ, PAUL I
Address: 1973 COLINA CT
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR.INC.
Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES
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:
Trade Permit Base Fee $55.00
Air Duct System $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $79.00
PERMIT' IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH FAXED
800 Seminole Rd Atlantic Beach, FL 32233 ,
Ph (904) 247-5826 Fax (904) 247-5845
OB ADDRESS: ( 7 3 C' I 1 nc& C 1 PERMIT#
PROJECT VALUE $ 1,50 O 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 Seer Ratin g 7
Heat: Unit Quantity BTU's Per Unit REQUIRED
Duct Systems: Total CFM
• tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Rating
Heat: Unit Quantity BTU's
s Per Unit REQUIRED
Duct Systems: Total CFM We
■IRE 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)
IRE 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
J 1 tx I� r d.�
)THERRePIG c2d �JCISty �� / Q
ennit 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
us 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<
DI. 'I he permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
-er e.Z/�,� /Y1(t C4SYYI,-6 U kt Phone Number y 5/O-/5/f
'roperty Owners Name o �L Q //
Mechanical Company Oe t°4/1- 5 kk 1 61 Office Phone Q(W1 Fax a c'4 V9
:o. Address: l O MQ' 6 I City MO- / -+' 1 State Zip32"-40
-`` / O .1 a State Certification/Registration # e `�-31fd
,icense Holder(Print): � J � �l L%f�1�1 � , _._
lotarized Signature of License Holders _��
, FRIEDA S.JONES PUBLIC :efo>'e m- his /4() day of 20 l3�
tot A • STATE OF FLORIDA Signature of Notary Public . v.
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144 -� Comm#EE210055 g
Expires 7/18/2016