1645 SELVA MARINA DUCT REP 2017 ?fel
CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
o? Y INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0066
Description: DUCT REPAIRS
Estimated Value: 0
Issue Date: 6/14/2017
Expiration Date: 12/11/2017
PROPERTY ADDRESS:
Address: 1645 SELVA MARINA DR
RE Number: 171994 0000
PROPERTY OWNER:
Name: LOCKWOOD TRUST
Address: 1645 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5615
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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)247-5826 Fax (904)247-5845 Ph, Cl2S 17 — O Or,
JOB ADDRESS: /G 9/r /Ni . . b r • _ PERmrr#
PROJECT VALUE $ y, 9-I 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
IT" 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)
Wells
JTHER: D v�- s r r..ep ' r re k n yrteJ+�Ki i .S� 6L ✓e1�..o+/
'ermit becomes void if work does oot commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
tis application and know the some to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
of. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'toperty Owners Name 01•W't-0 A4kes Phone Number neN•Sv9 -L349
4echanical Company CL./es, /&� Z —4 A•r LLC Office Phone d 11'W/4 Fax.?7 2
'o. Address: 1300 S40� .¢rt 107 City G,4 X44— State-& Zip 3"S-"
License Holder(Print): n State Certification/Registration#
notarized Signature o Licen r l
�'"I''�kl TGNI C�NGIE6PEPGEa
arcoarnlssloNrrFua9sIB ore me this day 20
:�i,r, EXPIflES'.October6,2019
'•'>;prs„M1v' ao„e.e Tn�wiw vwawav afore of Notary Pu I _