780 Sabalo ACRS18-0411 {S.d1Jyy
CITY OF ATLANTIC BEACH
u _
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL RESIDENTIAL HVAC -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ACRS18-0411
Description: DUCT SYSTEM
Estimated Value: 4200
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 780 SABALO DR
RE Number: 171482 0000
PROPERTY OWNER:
Name: GLOVER MARY S
Address: 780 SABALO DR
ATLANTIC BEACH, FL 32233-3944
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: COMPLETE AIR SYSTEMS
Address: 1721 FOREST BLVD CIA BRIAN KEITH TOOLE
JACKSONVILLE, FL 32246
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 may be 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$7,500.
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 o - 4
JOB ADDRESS: 780 SQ\Apo ) '�){ PERMIT#
PROJECT VALUE$ X10@00 ARI# 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 i_ 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 1 Loo 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 QtyAutomobile 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 some to bettor and correct All previsions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violatethe provisions of any other state or locallawregulation consmretion or the performance of construction.
Property Owners Name AAE fh�S"Jn_1 /�Qt u lca164tfP c Phone Number-Q 4
i
Mechanical Company COO- \e�E Air n c Office PhoneJk"4L9!,LFax,2kizQa?c,
Co. Address: Uv,ua.�r�'�,,lDr�&&A nl city . �cx State FL zip 3X59
License Holder(Print): ! Sta ' cation/Registration# C/RCIRI4gc*
Notarized Signature of"icense Holder
,p","•-,% IEWYIAMY`AD"M Beforeethic dayo Pt 20�
MV COMMISSION t FF IM
r a EXPIRES:AP1115,2019
�+a 1c:::rnNesrynxMansarta Signature ofNotary Public �R (