1835 Seminole Rd HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
-� ?I ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NE)IT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 16-MECH-2720
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHIJ, 2 TON
Estimated Value: $5,800.00
Issue Date: 12/6/2016
Expiration Date: 6/4/2017
PROPERTY ADDRESS:
Address: 1835 SEMINOLE RD
RE Number: 169631-0000
PROPERTY OWNER:
Name: WATERS, JANICE B
Address: 1835 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: COOLER BEAR HEAT &AIR LLC
,CAC 1818739
Address: 1300 Sheffer AVE STE 8207
Phone: 904-923-5665
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 $16.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERM][ IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 I r_ rr ''
Ph(904)24/7-58226 Flax(904)247-5845 ` W " M��1' Z7Z 0
JOB ADDRESS: 1,23-5" �iu✓e° 41 PERMIT#
PROJECT VALUE$ S. 80 0 /.. ARI# /w 43 4 $/9 REQUIRED
_Air Handling Equipment Only 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 Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit -r �� O
Heat: Unit Quantity i BTU's Per Unit 7A% Seer Rating
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 Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/F.scalatms
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pinups
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended m abandoned for six months I hereby certify that l have read
this application and In ow the same to be Iroe and correcl. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority in violate the provision�s/of any other stale or local law regulation construction or the perforouom of construction.
Property Owners Name �� ee r A e w.-Y Phone Number
�ao/ri- raeal.t � 4.�� —office phoneS72-Will Fax 372f
Mechanical Company q ,,�..
Co.Address: 1360 54e_ 4 �8za7 City State!A. ziPJ2z3Z
License Holder(Print): R re.»+o r C • Oee d" S e Certification/Registration# C4( I f4739
Nor Ilf�aa der �
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efore me this t�day of 20
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