1021 Atlantic Blvd Culhane's HVAC permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
U ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 17-MECH-3480
Job Type: MECHANICAL HVAC ONLY
Description: replace 4-ton 48K-BTU AHU
Estimated Value: $5,000.00
Issue Date: 3/14/2017
Expiration Date: 9/10/2017
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD
RE Number: 177602-0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE,
Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT
GENERAL CONTRACTOR INFORMATION:
Name: COOL CLIMATE HEATING AND A/C
Robert L Gutzwlller,CAC1814517
Address: 3653 REGENT BLVD EAST PARK QA ROBER
GUTZWILLER
Phone: 904-641-9307
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 $32.00
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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CITY OF ATLANTIC BEACH
- � 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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
Gl p $00 Seminole Rd Atlantic Beach, FL 32233
w a i F}�c II l' "/1 Ph(9104)247-5826 Fax(904)247-5845 11_ M ECS{ _ , X14
.TOB ADDRESS: l0 I ' k ^'r h'G 1� I kird , PERMIT#
PROJECT VALUE $ 5'jC'00 • ARI# 351_ �REQUIRED
_Air Handling Equipment Only _Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION i U
Air Conditioning: Unit Quantity Tons Per Unit FPS
Heat: Unit Quantity BTU's Per Unit Seer Ratin
Duct Systems: Total CFM REQ IRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit -tv
Heat Unit Quantity BTU's Per Unit Seer Rating
-
Duct Systems: Total CFM - o - / 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/Fwalators
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:
Permit becomes void ifwork does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the Meme to be true and correM. All provisions of laws and ordinances governing this work will be complied with whether specified or
noL The permit does not give authority to violate the provisions of my other state or local law regulation construction or the performance of construction.
Property Owners Name i�, G I Phone Number/° /^1-`/.2^ZZ 2 Z
Mechanical Company/I Office Phone ,?��d��g
Co.Address: Y S )—a t r City TAX State F Zip
License Holder(Print): o `a v tatrtification/Registration# (,r}°( jycl 7
older
comm) stJ #W(It11 f'M dayof tAUC ) 20 l�-
MUNO S.0owW0001]9Ea Beforemethis
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`^`�:'.t+�'= a""e4TM1rvNe1ry Signature of Notary Public \�b�--