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126 Seminole Rd HVAC permit fl T CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 �r MECHANICAL HVAC PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-MECH-3000 Job Type: MECHANICAL HVAC ONLY Description: replace one (1) 3.0-ton 34K-BTU AHU Estimated Value: $5,979.00 Issue Date: 1/17/2017 Expiration Date: 7/16/2017 PROPERTY ADDRESS: Address: 126 SEMINOLE RD RE Number: 170602-0050 PROPERTY OWNER: Name: Marvin, Charles and Diane Address: 126 Seminole RD GENERAL CONTRACTOR INFORMATION: Name: ONE HOUR AIR CONDITIONING & HEATING ,CAC1814420 Address: 1015 ATLANTIC BLVD APT 249 QA CRAIG FARRELL EDDY Phone: 9 04-241-3107 PERMIT INFORMATION: Sticker for wercurrent 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 Furnaces and Heating $20.00 State Mach DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 PERMIT IS APPROVED ONLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. TT yLlrl�; CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Tatal Payments: $103.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDOVANCES AND THE FLORIDA BUILDING CODES. 01/17/2017 10:03 9042475526 ONE HOUR AIR PAGE 01/01 MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 .IOBADDREss: 12—Le SFMiN6LE PERKU# PROJECT VAL UE s--5 C 7 ) ARI# 0,34Z Le 3 ,RTiQUIRED _Air Handling Equipment Only ZX Air Handling Unit & Condenser _Condenser Only NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit= y Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating�,,� Duct Systema: Total CFM REilKED REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity ITons Per Unit a D f R C' Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total M REQUIRED FIRE PREVENTION Fixe Sprinkler System Quantity (R squires 3 seta of plans) Fixe Standpipe Quantity (Requires 3 sets of plans Underground Firo Main Value (Requires 3 sets of plans Fire Hose Cabinets Quantity (Requires 3 sets of plans Commercial Hoods Quantity :quires 3 sets of plans Fire Suppression Systcros Quantity equina 3 sets of plans FIREPLACES MISCELLANEOUS: Prefabricated Fireplace QtyAutomobile Lifts Gas Piping Outlets Boilers BTU's Elevators/liscalators ALL OTHER GAS PIPING Heat Exchanger _ Quantity of Outlets Pumps #Vented Wall Furnaces Refrigerator Condenser BTU's — 0 Water Heaters Solar Collection Systema Tanks(gallons) Wella OTHER: smolt becomd void if work duos not commentt within a six month period or work is suspended or abandoned for six months.t hereby comity that 1 have read his application and know the some to be t-oo And correct. All provisions of laws and urdinancos governing this work will be complied with whether specified or iot. Tisa permit does not give authonlyto violate the provisimr,ofany other state or local law miulaa on construction or the perfamanee of comensulon. 'roperty Owners Name 0419ELES 'k DIAW MRE 1Af S Phone Number 5470'-44— Qechanical Company 0� uR M p , Office Phone 01101 YFax.,&7^$SL(..Q ;o.Address:_,u,;`U__, ZU.fF'Q .J'1� "( City rf'I'� State iV Zip 3. Acense Holder(Print): SIC S e e ' cation/Registration#-G IsrqtZ-D ✓ofarized Signature of License Holder OSB%4.y., SPIMMY.laxtelAao Before me this l day of firCn ES',A0N1 Ffataatt auplfres:nuaua2l,aav Signature of Notary Public__~_ n_..m� 9aMrEnauMEeaNeaNServan ATLANTIC BEACH ' PERMIT RECEIPT in January 17, 2017 PERMIT DESCRIPTION: replace one(1)3.0-ton 34K-BTU AHU PERMIT NUMBER: 17-MECH-3000 ADDRESS: 126 SEMINOLE RD OWNER: CITY OF ATLANTIC BEACH 800 SEMINOLE RD AC and Refrigeration $24,00 ATLANTIC BEAC,R 37233 011172017 09:06:51 Furnaces and Heating $20,0p CREDIT CARD MC SALE CARD F XKXYNXY=9573 State Mech DBPR Surcharge $2.00 INVOICE 0002 SEQ A: 0002 -- Bad p: MD476 State Mech DCA Surcharge $2.00 Approval Code: 140881 B*y M": Mnw Trade Permit Base Fee $SS.00 Mode. ONn Tax Avant: $0.00 Cad Cada: M Totals: SALE AMOUNT $103.00 $103.00 CUSTOMER COPY P09 CPN lq 1011 CH G\I.q OF PS\AHt1CBFA