2233 Seminole Rd #23 HVAC permit ;'11.Ailll'ra
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
r JI;10'
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
lob ID: 16-MECH-2194
lob Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC. 1 AUH, 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 023
RE Number: 169519-0144
PROPERTY OWNER:
Name: SHORSTEIN ET AL, MARK
Address: 8265 BAYBERRY RD
GENERAL CONTRACTOR INFORMATION:
Name: BRAD'S HEATING AND COOLING INC
,CACO56784
Address: 580 ELLIS RD SUITE 117 OA BRADLEY KENNETH
FARMER
Phone: -
PERMIT INFORMATION: Sticker for ovemurrent 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
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
3
Total Payments: $103.00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JoBADDREss: ��33 5� ._ , ) +2d �..;>3 —PERMIT#
PROJECT VALUE ARI# 7 Y g9 1'7 S REQUIRED
_Air Handling Equipment Only ZC Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING& HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit _2t
Heat: Unit Quantity ti
BTU's Per Unit Seer Rang
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ITons Per Unit _�v1
Heat: Unit Quantity I BTU's Per Unitoo o Seer Ratint? D
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity Quantity Fire Standpipe (Requires 3 sets of plans)
)
Q ty (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 ITT
LL OTHER GAS PIPING Elevators/Escalators
Quantity of Outlets Heat Exchanger
Pumps
#Vented Wall Furnaces
Refrigerator Condenser BTU's
#Water Heaters Solaz Collection Systems
Tanks(gallons)
Wells
THER:
mit becomes void if work does not commence within a siz monN 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 oflaws and ordinances governing this work will be complied with whether specified or
The pemdt does not give authority to violate the provisions ofany other state or local law regulation construction or the performance ofconstmction.
rperty Owners Name Phone Number9/��
chanicaiCompanydS 4t rKS t C�2o1 • 2a
s Office PhoneFaxfoSS •151y
Address:� cS s 't ) I city TATS StateFL Zip3.235y j
ense Holder(Print):�v� Fy
_ e q y t _ C State Certification/Registration# C 19 p
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' re me this�day Of �20 �
ture of Notary Public