535 Atlantic Blvd HVAC permit . iAA
Ss� CITY OF ATLANTIC BEACH
Irv`�3 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL COMMERCIAL HVAC DETAILS PER BUILDING PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: MCAC17-0005
Description: 4 10-ton AC units, 2-64K-BTU heat units, 10K-CFM duct system
Estimated Value: 74500
Issue Date: 12/14/2017
Expiration Date: 6/12/2018
PROPERTY ADDRESS:
Address: 535 ATLANTIC BLVD 507
RE Number: 170684 0000
PROPERTY OWNER:
Name: GATE PETROLEUM COMPANY
Address: 9540 SAN JOSE BLVD
JACKSONVILLE, FL 32257
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CERTIFIED AIR CONTRACTORS, INC
Address: 4505 MARQUETTE AVE 13 QA MELVYN A RODELLI
JACKSONVILLE, FL 32210
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 CN —DOOM
JOB ADDRESS: '� A<�lewh . F-L PERMIT#
PROJECT VALUE $ ARI# REQUIRED
Air Handling Equipment Only -Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
.Air Conditioning: Unit Quantity H Tons Per Unit
Heat: Unit Quantity 2_ BTU's Per Unit Seer Rating
Duct Systems: Total CFM jo= 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 au rtty to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name "1@ � m Phone Number -4220
Mechanical Company `( 'Q A ABY NAXAC M, TnC.. Office Phoneq(yL.V MFax%-N -H92S
150 fYlarcuQ ill) A '�
Co. Address: L City L kMOY)Vl I 1 State FJ,Zip 32210
License Holder(Print): t rtification/Registration# CMC12Q
older
SHARON ALLEN
1`,p'P ry
Notary Public-State of Florida Before me thi /,3 day of �f 20�
Commission N GG 018714
My Comm.Expires Aug 4,2020 Signature of Notary Public
"��� ''• Bonded through National Notary Assn
s�t�
CashRe • • • Number
•
City of • •
..tF
DESCRIPTION • QTY PAID
PermitTRAK $349.53
MCAC17-0005 Address: 535 ATLANTIC BLVD 507 APN: 170684 0000 $349.53
MECHANICAL $341.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
AC AND REFRIGERATION 455-0000-322-1000 40 $170.00
AIR DUCT SYSTEM 455-0000-322-1000 10000 $84.00
FURNACES AND HEATING 455-0000-322-1000 128300 $32.00
STATE SURCHARGES $8.53
STATE DBPR SURCHARGE 455-0000-208-0600 0 $5.12
STATE DCA SURCHARGE 45500002080700 0 $3.41
TOTALPAID BY RECEIPT: • • $349.53
Date Paid:Thursday, December 14, 2017
Paid By: Scherer Construction of NEFL L
Cashier: LE
Pay Method: CREDIT CARD 01431G
Printed:Thursday, December 14,2017 8:38 AM 1 of 1
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