1741 Seminole Rd HVAC permit " CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5514
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0123
Description: HVAC-1 A/C, 1 AHU, 3 TON
Estimated Value: 0
Issue Date: 7/262017
Expiration Date: 1/22/2018
PROPERTY ADDRESS:
Address: 1741 SEMINOLE RD
RE Number. 169640 0500
PROPERTY OWNER:
Name: SAPIA PETER C TRUST ET AL
Address: 1655 SELVA MARINA DR
ATLANTIC BEACH, FL 32233-5615
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: BROWARD FACTORY SERVICE BFS
Address: 2071 EMERSON ST CIA JERRY LEROY BRIGHTWELL
JACKSONVILLE, FL 32207
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$7,500.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 n
Q Ph(904)247-5826 Fax (904)247-5845 i4 0_RS 17— 0( Z 3
JOB ADDRESS: 1 -7q I 3 e yy\ t 0 0� C__R d PERMIT#
PROJECTPALUE$ 3SOO-0L9
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit I /1
Heat: Unit Quantity ,_ BTU's Per Unit Seer Rating _I
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
7
ST
Air Conditioning: Unit Quantity Tons Per Unit -3 REQUIRED
Heat: Unit Quantity loKw BTU's Per Unit Seer Rating 1 4-{
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 net commence within a six month period or work is suspended or abandoned for six months.l hereby certify that I have read
this application and know the same to be true and core<L 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 -pede, S a et a-- Phone Number 10 y-a 44-700 3
MechanicalCompanyllbwarJ fdcvry Secj;c,e_ -Office Phone 4-3%Pk-Fax4ov-34G-6580
Co. Address: erSon 5f of City Tacksonu, ( StateFC Zips
License Holder(Print): :Te c rjL C: tate C rti Icati mustration#CAC05(o7'74
Notarized Signature of License Holder /7
e this da of 20 19
L
EXPIRES Febmwy t<.40ZO
R01"I"
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