1542 PARK TER W - HVAC CITY OF ATLANTIC BEACH
".` ;? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
l;339%' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0069
Description: 1 A/C, 1 AHU, 4 TON
Estimated Value: 0
Issue Date: 6/19/2017
Expiration Date: 12/16/2017
PROPERTY ADDRESS:
Address: 1542 W PARK TER
RE Number: 171940 0000
PROPERTY OWNER:
Name: COLEMAN MARTHA J TRUSTEE
Address: 1542 PARK TER W
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: GURLEY HEATING AND AIR
Address: 2028 INDIAN SPRINGS RD QA PAUL EDWIN GURLEY
JACKSONVILLE, FL 32246
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.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 A C RS(7_ b C O9
JOB ADDRESS: J64 Z.. Pad< *17e &e--1 PERMIT#
PROJECT VALUES "3 ARI# 9e69- 8 v REQUIRED
Air Handling Equipment Only V Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditionin r 1nit Qua rte • .,, ,__ / �L
Heat: Unit Quanti ; I s Per Unit a. ,, , Seer Rat T
Duct S stems: . . REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit
Heat: Unit Quantity I BTU's Per Unit A Teo 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 errimA CPI E WI/1-A) Phone Number .14-541.o-/s-33
Mechanical Companyivr/y / �/h /lzr 6n;t 4-t;n tr�� ffice Phonee0� 'b Fax 9oV.-271-chs'
2._.9 Zo/i� onf'a41 ,5jprtniS`�v.. Cit acc�hvn fI Zip 3,2-44,
Co. Address: y V ! t ( State rt.
License Holder(Print): V4-LV/ e., S d ey State Certification/Registration#CAC'03I/ 2
Notarized Signature o License i der fit4A1
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9 of tnatureofNotary
B.,rded lbw Notary Public Underwuters Public •