75 10TH ST - HVAC r) ' ''"„k ` A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r-tr.);i»%' INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0035
Description: replace 2-ton 22.2K-BTU AHU
Estimated Value: 3500
Issue Date: 1/24/2018
Expiration Date: 7/23/2018
PROPERTY ADDRESS:
Address: 75 10TH ST
RE Number: 170263 0030
PROPERTY OWNER:
Name: MARK FORREST H
Address: 2833 SINKS CANYON RD
LANDER, WY 82520-9114
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
r-� Ph(904) 247-5826 Fax (904)247-5845 It c K S I -o0,3
JOB ADDRESS:—' 5 ` lam .91-re e_ -f^ ,5-
• __ PERIr#
PROJECT VALUE$350-0 ,V o ARI# `6l 00 8$
REQUIRED
_Air Handling Equipment Only /Air 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
Duct Systems: Total CFM Seer Rating___
REPLACEMENT MR CONDITIONING & HEATING SYSTEMREQUIRED
Conditioning:
INSTALLATION
Air Unit Quantity Tons Per Unit
Unit Quantity BTU's Per Unit‘22_,_ _)(___) Seer Ratin 1`f'
Duct Systems: Total CFM
REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity
Underground Fire Main Value — (Requires 3 sets of plans)
Fire Hose Cabinets (Regwires 3 sets of plans)
CommercialFoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity — (Requires 3 sets of plans)
Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Cris Piping Outlets Boilers BTU's
ALL OTHER GAS PIPING Elevators/Escalators
Quantity of Outlets PuHemat Exchanger
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters ______ Solar Collection Systems
Tanks (gallons)
Wells
OTHER:OTHER:
nsw
Perin it becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.f hereby certify that I have read
:his;,p;:lication 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
iot The permit does not give authority to violate the provisions of any other state or Io ='law regulation construction or the performance of construction.
?roperty Owners Name 0' I( t ' , ' s 4 c. ,, (4- Phone Number 51)d- "6)41') 4
vlechanical Company 00 rti 7-‘ l�-a-e. Air Office Phone Z4t-37g-S-.- Fax ))11 '37 VS-
7,o. Ad
dress• •-
-- � � �° t y �` city,T44- -13 0-- State� ��
" Zip�
.icense Holder(Print): V v N tk► r"-- a""' `i &•1--- State Certification/Registration# Cl4& '3 QI-i j
Notarized ,, , • !7 Via-f f ,�i!.,er 1m / -��
If'`i, 1.1 I'' commission#GG 1195
Expires July 29,2021 Before . this � - day o ` 2p
',;,op,'45+. Baidod Thou Troy Fala In8�ce e0J„857U 15 �-�
. •�• of Notary Public