2233 SEMINOLE RD - #12 - HVAC , i r}:Ly'
S, CITY OF ATLANTIC BEACH
A s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
2-JF319�
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-1289
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5 TON
Estimated Value: $6,413.00
Issue Date: 6/7/2016
Expiration Date: 12/4/2016
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 012
RE Number: 169519-0124
PROPERTY OWNER:
Name: HUGHES, JAMES D AND SUSAN, *
Address: 631 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: SERVICE EXPERTS
Address: 8475 WESTERN WAY STE 100 QA CAREY ZARM
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:
Furnaces and Heating $24.00
AC and Refrigeration $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE. WITII ALL CITY OF ATLANTIC REACII ORDINANCES AND THE FLORIDA
BUILDING('ODES.
MECHANICAL PERMIT APPLICATION ) 03
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 1 (-0_Nlae N - I ZV q
fOB ADDRESS: 03 3 �e /1) /")D i / 6 ' /a.li PERMIT# 1
PROJECT VALUE $ (o (1 / 3 ARI# 70 4/ 113 F 7 REQUIRED
Air Handling Equipment Only Handling Unit & Condenser Condenser
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ [ Tons Per Unit --
Heat: Unit Quantity BTU's Per Unit, , Seer Rating1 , . -
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Per Unit j• .5.-Heat: Unit Quantity 1 BTU's Per Unit,l3 01 0 0 Seer Rating AS t v
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
its 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
ot. 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 S U S4 ' !.f 5- N e S Phone Number 30/- yj -‘,6 9
Mechanical Company Service Experts Office Phone 271-2182 Fax
Co. Address: 8475 Western Way Suite 100 City Jacksonville State Fl Zip 32256
License Holder(Print): Carey Zarm -State Certificatio /Registration# CAC 1817129
Notarized Signature of License Holder (7:` .7 -
Before me this day of 20 / &
J, EL,yb,, CAROL A.BRESSLER �2�`��
_.; r MY COMMISSION t FF 099035 S gnature of Notary Public ��
ii°. L�� EXPIRES:July 5,2018
1S>n"f Bonded Thru Notary Publk Underwriters