703 Selva Lakes Cir HVAC permit rt�-LJr�c
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j NJ 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-2451
.Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 3 TON
Estimated value: $3,700.00
Issue Date: 11/2/2016
Expiration Date: 5/1/2017
PROPERTY ADDRESS:
Address: 703 SELVA LAKES CIR
RE Number: 172027-5872
PROPERTY OWNER:
Name: DICKSON, JEAN M & DONALD, "
Address: 703 SELVA LAKES CIR 703 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:
Furnaces and Heating $24.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
0,11j"9
ATLANTIC BEACH
PERMIT RECEIPT
November 2, 2016
PERMIT DESCRIPTION: HVAC- 1 AC, 1 AHU,3 TON
PERMIT NUMBER: 16-MECH-2451
ADDRESS:703 SELVA LAKES CIR
OWNER:
Furnaces and Heating $24.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Totals:
$107.00
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd .Atlantic Beacb. FL 32233
Ph(904)247-5826 Fast (904) 247-5845 74 S
IB ADDRESS: 7n2 IWI1 nitac(ai✓rlo (U-InitttLIVaYt FL 'iZZ;'A PERMIT0
PROJECT VALUES 31QQ _ ARIa ?9g5y.�23 REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _Condenser Only
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit --
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: rotal CFM
EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
.Air Conditioning: Unh Quantity __I Tons Per Unit _ 3 Seer Rah45ic EI2
n 1
Heat: Unit Quantiq I BTU's Per Unit 34UQ!O R QUIRED
Duct Svstems: Total CPM
'IRE PREVENTION 3 sets of plans)
Fire Sprinkler System Quantity (Requires
Fire Standpipe Quantity __ (Requires 3 sets of plana)
Underground Vire Main Value (Requires 3 sets of Plans)
Fire Hose Cabinets Quantity _ (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plana)
Fire Suppression Systems Quantity _ (Requires 3 sets of plans)
'IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lias
Boilers _ BTU's._
Gas Piping Outlets - Elevatorsi Escwlators
ILL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets _ Pumps
#Vented Wall Furnaces ,_ Refrigerator Condenser BTLJ's__
4 Water Heaters Solar Collection Systems —__.—
I"anks(gallons) ._--
Wells
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)THER: Is r— 14D� it fiir Itunchcr' ARuf31G1�1A
:nnii htx'mm"Id lfw wk dies not cumlrnmcc within a six nlnnal penal nr work la a.V,.dld W, ax Qv momM.i hcreM'wrlify that 1 hove rwd
�c nPPliwlion ami know tlx orcin hi M:tmu anA axr¢fl. All Prwvtsima of lass and ordinwe,l uovaning Ihi,work will be.cnmplial whh w'Is:ths ymrilinl nt
x. I ha Pemit dose not give nulhtMl)m rmWle the Pmvisimla of wy,xlrtr sW<or local lax n&ulotiwn umwtmti.m m the I,<rinrmwce of nmurvaianq,
roperty O%mers Name Phone Number 9D4-545- l8
it:hanical Company FbIle K L.l+(, _Office Phone QCH- -4ud'•as Qh�l-9
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I). Address: X225
_ St Certifications Registration #0 ilizi II a
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EXPIRES efore me this _day�of,,^ ZO—� --
Signature of Notary Public"