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176 CAMELIA ST 16-MECH-820 HVAC se CITY OF ATLANTIC BEACH s� 800 SEMINOLE ROAD J - «,, v 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-820 Job Type: MECHANICAL HVAC ONLY Description: 1 CU 1 AHU 2.5 TONS Estimated Value: $3,777.00 Issue Date: 4/7/2016 Expiration Date: 10/4/2016 PROPERTY ADDRESS: Address: 176 CAMELIA ST RE Number: 170846-0000 PROPERTY OWNER: Name: HOFFMANN ET AL, SHARON W Address: 176 CAMELIA ST GENERAL CONTRACTOR INFORMATION: Name: CLEANAIRE MECHANICAL INC Address: 10884 Knottingby DR 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 State Mech DCA Surcharge $2.00 State Mech DBPR Surcharge $2.00 Furnaces and Heating $24.00 AC and Refrigeration $20.00 Total Payments: $103.00 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 Phh'(9044)247-5826 Fax (904) 247-5845 JOB ADDRESS: t 7(o 6/cAeU a '2( , PERMIT# PROJECT VALUE '777632 ARI# 7Z1o74 REQUIRED Air Handling Equipment Only XAir 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 3ifW REQUIRED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Tons Per Unit 2.5 Heat: Unit Quantity 1 BTU's Per Unit 27 OW Seer Rating l 5 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) Wells OTHER: 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 I n I Oh(tL- gorniAtki. Phone Number Mechanical Company Akl4irZv- M A1'tC&7 L� Office PhoriA-108 3737Fax 8 O 7?'4I Co. Address: 1 0310 K(iO 11(M i5Y LA 13 city4ACC500huz State FL CAWS/77'6? Zip 3Z-Z‘7 License Holder(Print): �©WO AT'���JDI� ■ State tcation/Registration# Notar a ' nature of�L' e se Aoader �==� - -- L.I .J1 t hill * i/h, Nay RRd lefore me this e)-f1' 0o / 1' da r.l( 20 10 litl& i amB Nli gn ' ��` f�aMioaNaFfl7�i�1$5i afore of No Public L��-�--