885 SEMINOLE RD - HVAC 6t ifr sA CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
„ __
xATLANTIC BEACH, FL 32233
"!�.3 >%' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS17-0265
Description: HVAC- 1 NC, 1 AUH, 2.5 TON
Estimated Value: 0
Issue Date: 12/20/2017
Expiration Date: 6/18/2018
PROPERTY ADDRESS:
Address: 885 SEMINOLE RD
RE Number: 170026 0000
PROPERTY OWNER:
Name: HENRY PLANT OSBORNE III
Address: 885 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: DONOVAN HEATING &AIR
Address: 532 S 3rd ST
JACKSONVILLE BEACH, FL 32250
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 R OAS (7- 0 z 65
JOB ADDRESS: 6E3.5 ' e nn, ,c Le _ PERMIT#
PROJECT VAGUEs .�Q. ARI# 51O'-- REQUIRED
Air Handling Equipment Only j Aar Handling Unit & Condenser Condenser Only
NEW 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
REPLACEMENT MR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity iTons Per Unit Z-S
Heat: Unit Quantity_ t- BTU's Per Unit a or 0 o c3 Seer Ratin r
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
Cres Piping Outlets Boilers BTU's
ALL OTHER GAS PIPING Heat /Escalators
EExcxchanger
Quantity of Outlets
s
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters __ Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Peri>>ii hc•comes 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:iplllictrtion 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 [40,A,,,� Q S Vj c, � Phone Number s ? `f—1`I Z.P
Mechanical Company 06"J o v c -Ei b'i ,Office Phone 2_11/--37 -Fax i- r
4,.t, •z.4l g 7 c j
Co. Address: 3 {5- ve S City _a- I c State L Zip ?S,2,�a
License • . . . ' ' - a t _ '- , 4 4‘FNf el O Ckl State Certification/Registration# C 0 ?16
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RICHARD 1, ta_Votarize �6 *o
lder rr. -iiu
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Expires July 29 2021
•Ps;:: a& d Thor irayFain Insaance t+o *; • me s 2-C) day of O-C.e' Q 20 I 7
Signature of Notary Public ....