195 SEMINOLE RD - HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION�:__. .x._. _. .N PHONE LINE 247.5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0249
Description: HVAC- 1 A/C, 1 AHU, 4 TON
Estimated Value: 0
Issue Date: 12/1/2017
Expiration Date: 5/30/2018
PROPERTY ADDRESS:
Address: 195 SEMINOLE RD
RE Number: 170604 0000
PROPERTY OWNER:
Name: MICROBIAL NATURAL PRODUCTS INC
Address: 1207 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CUSTOM HEATING AND AIR OF FLORIDA, LLC
Address: 1567 TAWNY MARSH CT
ST AUGUSTINE, FL 32092
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 Re,RS17 _ 074
JOB ADDRESS: I 1 S SeAtIn j li Q k R QQd PERMIT# RS 1 1-Ca
PROJECT VALUE $ )) 526,9° ARI# cl j5R5L) REQUIRED
Air Handling Equipment Only /Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit y
Heat: Unit Quantity I BTU's Per Unit Lig' OW Seer Rating l 5�
Duct Systems: Total CFM JleQY REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit 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 ter state or local law regulation construction or the performance of construction.
Property Owners Name Dou I Q $ S i l r'�`73,(_0,104, Phone Number (900 65-(1—q w
Mechanical Company CfjSJ-Or 1 geopnj J Ai D[ F & Office Phone6-0Y)2K-ed2ax(1/4.`()20- /8`/?
Co. Address: /5(1 (a4J Masi, C-f-- Cityco 14/Ayshne State EL Zip 3202
License Holder(Print): TJ< 14/2a4-h �,; State Certification/Registration# C 1-(
Notarized Signature of License Holder //�
aF' TONI GINDLEuPERR ` �J a 2
1Be'.re me this 1 da •
rrrr MY COMMISSION°4 F11-2,1951 Y
`�' ae` EXPIRES:October 6,2019
%;of •• Bonded Thru Notary Public Undermiiters Signature of Notary Public op--
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