747 JASMINE ST - HVAC S J -- -,
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:\\ CITY OF ATLANTIC BEACH
Is-
9 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
______j
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-MECH-3788
Job Type: MECHANICAL HVAC ONLY
Description: replace 3-ton 36K-BTU AHU
Estimated Value: $6,350.00
Issue Date: 4/21/2017
Expiration Date: 10/18/2017
PROPERTY ADDRESS:
Address: 747 JASMINE ST
RE Number: 170930-1000
PROPERTY OWNER:
Name: Marshall, Jack
Address: 747 Jasmine ST
GENERAL CONTRACTOR INFORMATION:
Name: COOL R US
Lek Gjorka, CAC1815614
Address: 6900 PHILIPS HWY SUITE 46 LEK GJOKA, QUALIFIER
Phone: 904-281-2108
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
Furnaces and Heating $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
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
800 Seminole Rd Atlantic Beach. FI, 32233
Ph (904) 247-5826 Fa: (904) 247-5845 \ -7 ` eak4 -3-7 5E,
)13 ADDRESS: itfr7 S a\ 1 AthkC2Cee---911RM IT #
PROJECT VALUE S C� -_.6V ARI # V.. -191W3 REQUIRED
Air Handling Equipment Only / Air Handling Unit & Condenser Condenser Only
1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity 13.111's Per l!nit — Seer Rating
Duct Systems: Total CFM REQUIRED
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit _ _
• Heat: Unit Quantity / BR is Per Un' Seer Rating /#/
Duct Systems: Total CFM REQUIRED
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lilts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LL OTHER GAS PIPING I feat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces _ Refrigerator Condenser BTU's
Tanks (gallons)
Wells
)TH E R:
emit becomes void if work does not commence w ithin a six month period or work is suspended or abandoned tit six months. I hereby certil% that I have read
its application and know the same to he true and correct. All provisions of taws and ordinances govbming this work w ill he complied w ith whether specified o
.n. The permit does not give authority to v'olate the ox kions of any ther state or local law regu Ilion conruction or the pertimance of construction.
'roperty Owners Name • t . u i A i/. ke.... . Phone Number 0--',.. . ;rdr_'
Mechanical Company C. 'tP 116 . ._. r► Office Phon Z gra: •I _ •
'l-L� State t. �ip �.
'o. Address: ,AA.e . ` I. _� Ci
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.icense Holder(Print): 0. / ;iit• '
Sertilication/Registration &#
or
lotarized Siunature of License Holder /� J /
I lit"`^+ ;.' PATRICIA A STARK I 'fore me this "/44.day of `� 1 �0
n Y
•'? MY COMMISSION#FF916009 �►
; /
,;. `. EXPIRES October 17.2019 ,nature of Notary Public Ci /._ ./ • II /
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