22 Seminole Rd ACRS17-0062 HVAC permit CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RE91eE PIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0062
Description:
Estimated Value: 5725
Issue Date: 6/13/2017
Expiration Date: 12/10/2017
PROPERTY ADDRESS:
Address: 22 SEMINOLE RD
RE Number: 170655 0000
PROPERTY OWNER:
Name: DORSCH SALTAIR PROPERTIES LLC
Address. POINT2517 HOLLY ORANGE PARK, FL 32073-5632
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MADDENAIRE INC.
Addred0: 6642 SAN JUAN AVE QA GEORGE JOSEPH MADDEN JR
JACKSONVILLE, FL 32236
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: -Z y S 0- w PERMIT#
PROJECT VALUE$ S n Z ARI# 9 SA °I J B 1 REQUIRED
_Air Handling Equipment Only _Air Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit Seer Ratin
Heat: Unit Quantity BTU's Per Unit PREQU/RED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity,�_ Tons Per Unit 5
Heat: Unit Quantity 1 BTU's Per Unit u-w Seer Rating / If
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION 3 sets of tans
Fire Sprinkler System Quantity (Requires P )
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
Refrigerator Condenser BTU's
#Vented Wall Furnaces Solar Collection Systems
#Water Heaters 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.I hereby certify that I have mad
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The pemrit does not give authority to violate the provisions of any other state or local law regulation construction or the perfotr mace of construction.
Property Owners Name -rWy 'Z>u D L 5 SEA 600D
Phone Number 904- L000
Mechanical Company MADhENA gLC ts1c- OfficePhonejpv-19t-_ axgoa-7✓;f-KtS3
Co.Address: &-to4 :7 C'A,J JvArJ Alfa City . 1 A—De Stater Zip zZIG
License Holder(Print): E tate a 'fication/Registration# Cacl 2247.5
Notarized Signature Ojl.rc nse Holder
rR ow,cea+cxev Before me this dayof, -S,m 201
t AfytGMMISSION X GG 01fla9 Si natureof Notary Public art.
17fo�tue� �-c�+tfi ca •.¢IondaOnJcr SGS