190 Seminole Rd ACRS17-0092 HVAC permit CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
sa n� L INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0092
Description: replace 1200 CFM duct system
Estimated Value: 2212
Issue Date: 7/6/2017
Expiration Date: 1/2/2018
PROPERTY ADDRESS:
Address: 190 SEMINOLE RD
RE Number: 170593 0000
PROPERTY OW NER:
Name: LAWHUN SHERI L ET AL
Address: 190 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4141
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: OCEAN STATE HEAT&AIR,INC.
Address: 1476 ATLANTIC BLVD CIA JAMES GLENN JONES
NEPTUNE BEACH, FL 32266
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
MECHANICAL PERMIT APPLICATION o `,
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
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/1 Ph(904)2447-5826Fror(904)247-5845 C Q-S
JOS ADDRESS: A2) —Je1'Yl '}aC�I�� a )? _ PERmrr#
PROJECT VALUES 2a Q ARI# 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
Heat: Unit Quantity BTU's Per Unit 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 QtyAutomobile Lifts
Gras Piping Outlets Boilers BTU's
Elevators/Esoalators
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 FAXE D
OTHER:
Permit becomes void itwork does not cenininrce within a six month period or work is suspended or abandoned for six months I hereby certify amt I have read
this application and know the same to be true and correct. All pmvisions of laws and ordinances governing this work will be complied with whether specified or
nor The permit does not give authority to viola,the provisions of my other state or local law regulation consfmaion or the performan
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11 of construction..
Property Owners Name 1 Phone Number AL1 G,— 10;x?)a
Mechanical Company OC CU--� Phone¢� 8a5 Fax ,
Co. Address: L 7 �� , C iLd_, City �21 (.tn'1.1.Y"� State a=Zip bLo
License Holder(Print): State et 'on/Kegistration# CftCN 130
Notarized Si nat r er
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