522 PLAZA MECH DUCT/RELOCATE COND 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
N ATLANTIC BEACH,FL 32233
�: 0• V INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0076
Description: add 3 duds&relocate condenser
Estimated Value: 1500
Issue Date: 6/23/2017
Expiration Date: 12/20/2017
PROPERTY ADDRESS:
Address; 522 PLAZA
RE Number: 170703 0204
PROPERTY OWNER:
Name: KUDER DANIEL T
Address: 522 PLAZA
ATLANTIC BEACH, FL 322334123
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COWART Air Conditioning
Address: P O BOX 6033
Starke, FL 32091
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
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)2477--5826 Fax(9p04) 247-5845 f RS {—OC7'};�
JOB ADDREss:� �'A Zµ S I . kl c tl� 3 29 R PERMIT#/7-K9D D-377c�
— 0 (
PROJECT VALUE $�, s� 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 Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
AA 11 Wells
OTHER: �L� 11cz t SJ�p( c� u :✓ t/� ✓ H r� on/ %aic �a srr
Permit becomes void if work dres not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that 1 have read
this application and know the same to be one and correct. All provisions of laws and ordinances governing this work will he complied with whether specified or
not. The permit does not give authori violate[he�jrovisions of any other slate or local lax regulation construction or the performance of construction.
Property Owners Name /'�� !'�c/^�P�L Phone Ntunber
Mechanical Company C _6�///H1 A T— —Office Phone 9dY 99 ax
Co. Address: 26130Xff U City _516,4, States U9 Zip 2
License Holder(Print): 61,r- -r _Jcr-.Pr�r' State Certification/Registration
# G�L'nS603�
No[ari older � �-
- JENNIFER JOHNSTON
L "� av coaNlsslau�sc wzsea Before me this day of J (k 20 k�+
EXPIRES:October 27,NX
(I ".:a{r; • sonawrl+a n^'=nP�ma wmer.ni«+ Signature of Notary Public `Y..rt 46, A—