1667 SEA OATS mECH 2017 (14-7j
'*,'
CITY OF ATLANTIC BEACH
:� 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0056
Description: 1 A/C, 1 AHU, 3.5 TON
Estimated Value: 0
Issue Date: 6/6/2017
Expiation Date: 12/3/2017
PROPERTY ADDRESS:
Address: 1667 SEA OATS DR
RE Number. 172020 0150
PROPERTY OWNER:
Name: GODWIN JAMES T
Address: 1667 SEA OATS DR
ATLANTIC BEACH, FL 32233-5827
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AIR SOURCE AMERICA INC
Address: 2615 CRYSTAL COVE CT RICHARD E EPPERSON JR
JACKSONVILLE, FL 32224
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845 1'y�
1 C 2 Sf-7_ 0 05 6
JOB ADDRESS: k 1_e\o"L �1e a.. E�cy"'S`-��L-�v t q G PERMIT#
PROJECT VALUE$ 5680 ARI# 7927839 REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser _ Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tone 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 1 Tons Per Unit 3.5
Heat: Unit Quantity BTU's Per Unit Seer Rating 16
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
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
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that I have read
this application and know the same to be me and wrrect. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name JAMES GODWIN Phone Number 904-813-0957
Mechanical Company AIR SOURCE AMERICA Office Phone 904-233-883 1—Fax 904-485-8788_
Co. Address: 207 20TH ST N City JAX BEACH State FL_Zip 32250_
License Holder(Print): JASON BUEHLER to Certification/Registration# CAC 1816716
Notarized Signature ojLicen Holder
—
TRACY POOR •
rioTAavlxfauc Before me this 5TH JU�E2017
STATE OF RORIOA
Corm*FF129199 Signature of No: ubli (1 ExpaM81412018