2049 Seminole Rd HVAC permit �� n• CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
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-2226
Job Type: MECHANICAL HVAC ONLY
Description: HVAC-1 AC, 1 AHU, 3.5 TONS
Estimated Value: $4,999.00
Issue Date: 10/3/2016
Expiration Date: 4/1/2017
PROPERTY ADDRESS:
Address: 2049 SEMINOLE RD
RE Number: 169712-0500
PROPERTY OWNER:
Name: BURAK, CARL
Address: 2049 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA COOLING STORE, INC.
,CAC1813316
Address: 6211 JAMISON CT QA ERIC ARONDALE ANCLIFFE
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
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
AC and Refrigeration $28.00
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(9Q4)2 7-5826 'M[ten /
Fax 04)247-5845 1.6 -� ' \cc�`ZzZ(O
JOB ADDRESS: toy h'���C J '�� /� PERMIT#
PROJECT VALUE $ -l. ARI#gf(98q ?g REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _ Condenser Only
NEW AIR CONDITIONING & HPJING SYSTE ALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rt
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATIN�S�STEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit (�
Heat: Unit Quantity BTU's Per Unit Seer Rating 1
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 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: 1 . 1/� Det, � '
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 1 have read
this application and know the same to be we 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 commuction or the perlmon�aaanjnce``o''f wr`�s��ction..—,
Property Owners Name A c 6_ L Phone�N��u7�mber((pp770-1"
Mechanical Company E=lk v l Office Phon v�beFax
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Co. Address: 0-2 �ac City State_Zip
License Holder(Print): rtG l Stat&Certification/Registration# zip
No
TONI GIN PEP _
MY COMMISSION Y FF77,olgBefore
. eEXPl Nasal 2019 s day 20
`�•Qt••'•' Signature of Notary Public