370 1ST ST - HVAC i, # CITY OF ATLANTIC BEACH
r , 1%
r A ? 800 SEMINOLE ROAD
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ATLANTIC BEACH, FL 32233
"!o;3 r INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0018
Description: 2 TON
Estimated Value: 0
Issue Date: 5/10/2017
Expiration Date: 11/6/2017
PROPERTY ADDRESS:
Address: 370 1ST ST
RE Number: 169752 0000
PROPERTY OWNER:
Name: CAROLYN WOODS
Address: 370 1ST ST
ATLANTIC BEACH, FL 32233-5228
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CLEANAIRE MECHANICAL INC
Address: 10884 Knottingby DR
JACKSONVILLE, FL 32257
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 rA cgs t 7- bO t 8
JOB ADDRESS: 3/01 5----reed, --( `�-I.1 t ((` bPERMIT#
PROJECT VALUE$ ARI# '7821 p 1)73 REQUIRED
Air Handling Equipment Only _Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ Tons Per Unit
0 Heat: Unit Quantity BTU's Per Unit Seer Rating_ ,
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit a l�
Heat: Unit Quantity i BTU's Per Unit g-3v) 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)
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 read
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 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 (G r 0 t u�(1 woods Phon Number
Mechanical Compan n Office Phone `Q
6c1F;x3737
Co. Address: I 1 --vrac\PJ C-v kl City ,. State\L Zip3 /
License Holder(Print): In Ma4kLsoir State Certi 1 'ells i ion#4)2PC be-i-(Q9?
Notarized Signature of License Holder M ,. ,I
,,,„ me this 10._\__` day 20 1-7
0 ";4y. SHANNON ROSE L
rilh Commission N FF 984 84 1 (, 1
';a• My Commission Exp' a ofNotary •
Public /� yik
'a4a•:+.:... April 19, 2020