1753 Seminole Rd HVAC permit SSI CITY OF ATLANTIC BEACH
s3 800 SEMINOLE ROAD
!� 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
JOBINFORMATION:
Job ID: 16-MECH-2059
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 3.5 TON
Estimated Value: $4,500.00
Issue Date: 9/13/2016
Expiration Date: 3/12/2017
PROPERTY ADDRESS:
Address: 1753 SEMINOLE RD
RE Number: 169639-0010
PROPERTY OWNER:
Name: BROWN, HOWARD & HAZEL TRUST,
Address: 1753 SEMINOLE RD 1753 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: ALPINE AIR, INC
,CAC1813982
Address: 6185 DEMAGGIO RD QA ADRIAN JONES
Phone: -
PERMIT INFORMATION: Sticker for overcument 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:
Fumaces and Heating $24.00
AC and Refrigeration $28.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 ' Cp —{MwL��(, Z OS9
JOBADDREss: / X-3 Stmt c- R,� 191"3" ft 3u33 PERMfr# I
PROJECT VALUE$ /4� ARI# 79Y`9y78 REQUIRED
Air Handling Equipment Only D Air 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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 4 Tons Per Unit 3.5
Heat: Unit Quantity J BTU's Per Unit—o Seer Ratin�
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile 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 fiat I have read
this application end know the some to be We end correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. 7Le permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance ofconstmetion.
Property Owners Name S N41I�) CA64�7- f ROf&;y % Phone Number 22-6'- 0/63
Mechanical Company A�Pi%�r� /9 f� Office PhoneS�Ol 973
Co. Address: 6/ S DE AI,G-✓��t��ppRO City SAX State-Zip 3Z2,
License Holder(Print): /""J A ' State Certification/Registmtion# QAC /fir 3 702.
Notarized
EXPIREMY S,
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of Notary Public