475 Selva Lakes Cir HVAC permit 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 10: 16-MECH-2453
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 3 TON
Estimated Value: $3,600.00
Issue Date: 11/2/2016
Expiration Date: 5/1/2017
PROPERTY ADDRESS:
Address: 475 SELVA LAKES CIR
RE Number: 172027-5026
PROPERTY OWNER:
Name: CASEY, BRIAN J
Address: 475 SELVA LAKES CIR
GENERAL CONTRACTOR INFORMATION:
Name: Elite AC, LLC
,CAC1818659
Address: 10150 Belle Rive BLVD #1407
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:
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $83.00
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
Y ,1 ATLANTIC BEACH
PERMIT RECEIPT
J111; November 2,2016
PERMIT DESCRIPTION: HVAC-1 AC,3 TON
PERMIT NUMBER: 16-MECH-2453
ADDRESS:475 SELVA LAKES CIR
OWNER:
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Totals: $83.00
CITY OF ATLANTIC BEACH
800 SBgNOLE RD
ATLANTIC BEAC,R 32233
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NSA SALE pV p2 cw
CARD xXNxxxxx%xxl(8256 N N'G\G6EP
INVOICE
OICE 0004 G\.C'4 OF Pj�P
Q 0003
wk 000432
Approval Code: 000012
fty Me#W: Mapal
Mode: Onlhe
Tar Ar we $0,00
Cad Code: M
SALE AMOUNT $273,00
CUSTOMER COW
1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 321-33 �-•
Ph (904)247-5826 Fax (904) 247-5845 1 (o -fv\Ec 4- z4S3
36 ADDRESS' 41't ) C r r 1 n illy Cr Af M ntil &03 fl2=-P PERMf7#
PROJECT VALUE $_ 31t000u ___ ARIk _7`I95ZS3 REQUIRED
_Air Handling Equipment Only /Air Handling Unit & Condenser _Condenser Only
IEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unit Seer Ratio
Heat: I hol Quantity BTU's Per Unit gREQUIRED
Duct Systems: Total CFM
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quanlity i Tons Per Unit —2—_ - Seer Ratio MHeat: Unit Quantity BTU's Per Unit___ Rating
Duct Svstems: Total CFM
IRE PREVENTION Re
Fire Sprinkler System Quantity (Requires 3 sets of plans)
)
Fire StandpipcQuantity (Requires 3 sets of plans)
Underground Fire Main Value ___ (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plana)
Commercial floods Quantity --- (Requires 3 sets of plans)
Fire Suppression Systems Quamit}' (Requires 3 sets of plans)
IRE PLACES
MISCELL%,NE. OUS:
Fieplace Qt) Automobil,01.11`4
SlaBoilers ^^(21f17F'd BT ---
_
FlevatorsEscalators
tLL OTHER�sA� PIPING Heat Exchanger
Quhn�-of utlets Pumps
_ a Vented Wall Furnaces _L�ii,�-;"----- Refrigerator Condenser BTU's
5 Water Heaters liiection Systems
I anks(gailons) —
'�,�"' .. . Wells --.
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erma hecomn vvd if work d.>G:rwt comnlenee wiMin a Mx nxmlh pmxb.m xrrrk i,w.perxlM r nWmdraJ f h i h wl jf�%l h I h uU
jis application and know the s io he me mat colm't. Ali prncisims of laws and ordinances gnlenting this work will be mtnplia with whghe spaif or
9. I'he permit dnx nm gixr nucha Ri mriolmc arc{nvviaion,of mn mh.r rnww..rL.,+IIn.. regulmi..n emawucwun nr tho rwoomill a of conamletinn.
mpeny0utiers Name IN ini ('aseq Phone Number
lechanical Company ILL Offrcc Phone__—Fax
c: otl City 1 rL vlI State F. Zip
'o. Address:�j'IO Fhnda Rtl4(�i(aub S._ ��t — �r---
ficeftS.Holder(Print): fishert SSete Certification/Registration CN[' to itt.Srl ___
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JOxgrkaeGE,Signature aj License Holder
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y CdtdO. Signature of Notary IiM''' '