1021 Atlantic Blvd - Mech HVAC Only Arr ' sA CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j 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: 16 -MECH -337
Job Type: MECHANICAL HVAC ONLY
Description: roof top unit replacement 6 tons
Estimated Value:
Issue Date: 2/10/2016
Expiration Date: 8/8/2016
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
GENERAL CONTRACTOR INFORMATION:
Name: COOL CLIMATE HEATING AND A/C
Address: 3653 REGENT BLVD EAST PARK QA ROBER GUTZWILLER
Phone: 904 - 641 -9307
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
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
AC and Refrigeration $48.00
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
Ph (904) 247 -5826 Fax (904) 247- 845
JOB ADDRESS: 9(.07 n� ? \ �(J , ` p � S k PERMIT #
PROJECT VALUE $ )GOO , G ARI # 5 `') e) REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 6
Heat: Unit Quantity BTU's Per Unit Seer Rating (0 Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit (p
Heat: Unit Quantity BTU's Per Unit Seer Rating )
Duct Systems: Total CFM REQ IRED
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)
+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
,---÷,
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mit 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
application and know the same to be true and correct. All provisions of laws and ordinances goveming 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.
)perty Owners Name E---<-16. , ■ p Phone Number c i pL - 2 s). - 2.2 Z- Z
chanical Com an 1 /
P Y CO CCU v 1 ✓`^ 5 Office Phone 4 y 1- 9507Fax k Y/ 5 30.4
. Address: Co n r
3 3 c n �` �� Cit M - Ic �-► State F I Zip 3.22 -33
!ense Holder (Print): -e � G �
( ) State ertification/Registration # C 1$1 I S I
to % 1 - , - • • • ,y ? ,
.:, "t Pi Notary Pu•lic State of Florida :, ko y
My Cummia Graham
FF 086990 fore me this / Q (IA of = 49 at 20
9.0, Explicr 02/14/2018
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