679 OCEAN BLVD - HVAC 1,A,,p.
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!v�sJ CITY OF ATLANTIC BEACH
13 z.. 800 SEMINOLE ROAD
w ATLANTIC BEACH, FL 32233
'..4OE 9 INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: 16-MECH-830
Description: RE INSTATED 2 cu 2 ahu 5 tons
Estimated Value: 0
Issue Date: 4/8/2016
Expiration Date: 10/5/2016
PROPERTY ADDRESS:
Address: 679 OCEAN BLVD
RE Number: 170130 0010
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that maybe found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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.
CITY OF ATLANTIC BEACH
41 s 800 SEMINOLE ROAD
- ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-830
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 5 tons
Estimated Value:
Issue Date: 4/8/2016
Expiration Date: 10/5/2016
PROPERTY ADDRESS:
Address: 679 OCEAN BLVD
RE Number: 170129-0010
PROPERTY OWNER:
Name: PURCELL, EMILY BENHAM
Address: 654 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: APPLIANCE TECHNOLOGIES &AIR
Address: 1989 BRISTA DE MAR BRUCE ALLEN BROMMER
Phone: - -
PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply will result in a failed inspection and reinspect fees. No
exceptions.
FEES:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Furnaces and Heating $28.00
AC and Refrigeration $40.00
Total Payments: $127.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 // - f C i1 , 8'26
Ph (904) 247-5826 Fax (904) 247-5845 <YJ �/
JOB ADDRESS: 6 ?el O ,cv-, i2< PERMIT#
PROJECT VALUE $ /1000 '25 5-G6,��
ARI# 6,19 5-5-1 5 7 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 Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3 I /L
Heat: Unit Quantity ')_._ BTU's Per Unit Seer Rating 73 . d z'
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
ETHER:
'ermit 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
his 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
iot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.J
'roperty Owners Name S671 y0€<CO Phone Number l.0`1 35 2 -772?
✓lechanical Company A-",.>�t j 1FL ,i.t, Z'` C Office Phone Fax Fax e2- '2--u°53
:o. Address: OF? /S; ,a r/ 1 ( C,// City Ar 9 G State (2 Zip 3 2233
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.icense Holder(Print): r�cJGz-' 6C; State Certification/Registration# C76 03 2 3 93
Totarized Signature of License Holder 7 ----__
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ro Y 1!0.1,t, Notary Public State of Florida ' ore me this day •f :� 20 �p
i ley L Graham , V.
"a ` ' My C rnmissiori FT 086990 S'._nature of Notary Publ.
''`.oF ft, Expires 02/14/2018
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