2233 Seminole Rd #20 HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4113M FOR NE)IT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-2193
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5 TON
Estimated Value: $2,800.00
Issue Date: 9/29/2016
Expiration Date: 3/28/2017
PROPERTY ADDRESS:
Address: 2233 SEMINOLE RD UNIT 020
RE Number: 169519-0138
PROPERTY OWNER:
Name: SHORSTEIN, JACK F
Address: 8265 BAYBERRY RD
GENERAL CONTRACTOR INFORMATION:
Name: BRAD'S HEATING AND COOLING INC
,CAC056784
Address: 580 ELLIS RD SUITE 117 QA BRADLEY KENNETH
FARMER
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 Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
~y �� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 _M�•�� . Z ' 9
JOB ADDRESS: 2a3 3 ��� r R d ' •� PERMIT#
PROJECT VALUE$ ��JO0 Apj# 17) 1CS REQUIRED
_Air Handling Equipment Only x 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 UnitSeer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity 1 BTU's Per Unit,3 O o Seer Ratin �.
Duct Systems: Total CFM g 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)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
LL OTHER GAS PIPING Elevators/Escalators
Quantity of Outlets Heat Exchanger
#Vented Wall Furnaces Pumps
Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
THER•
mit becomes void ifwork does not commence within a siz-on period or work is suspended or abandoned for six months.I hereby certify that I have read
application end know the same to be true and correct All provisions of laws end ordinances governing this work will be complied with whether specified or
The permit does not give authority to violate the provisions ofany oEatt state or local law regulation construction or the perfornumce of construction.
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ense Holder(Print): "A Stte Certification/Registration#�4 ( 006
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