1731 Seminole ACRS18-0451 MECHANICAL RESIDENTIAL HVAC PERMIT NUMBER
D '+ ACRSIB-0451
PERMIT ISSUED: 11/5/2018
2 CITY OF ATLANTIC BEACH EXPIRES:5/4/2019
INSPECTIONMUST CALL . t , FOR DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONt OF BUILDING
CODE, . CITY OF • . OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1731 SEMINOLE RD MECHANICAL RESIDENTIAL DUCT SYSTEM $5500.00
HVAC
TYPE OF • BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169642 0000 OCEAN GROVE UNIT 02
COMPANY: ADDRESS:
THE MALLE COMPANY, 12025 SAN JOSE BLVD JACKSONVILLE FL 32223
INC.
• ADDRESS:
LAURIN SUZANNER 103786TH CT NW CORALSPRINGS FL 33071
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
AIR DUCT SYSTEM 455-0000-322-1000 1000 $20.00
MECHANICAL BASE FEE 455 Dow 322-1000 0 $55.00
STATE DBPR SURCHARGE 45S Dow 208-07M 0 $300
STATE DCA SURCHARGE 455-0000-208-06M 0 $300
7TOTAL:$79.00
Issued Date:11/5/2018 1 of 2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 2447-15826 Fax(904)247-58845 f �%� -(Y4S
JoBADDREss: 1731 m;nrle1 �1• IT-rIQntiC AL°GCA PERmrr# 1
—( PROJECT VALUE$ �� 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
yt Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
g Duct Systems: Total CFM lo0o 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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name 4 Phone Number 7/(i'L
,��A,t__ �4-645-2
Mechanical CompanyTu% /"KJL-t_� �'1��tiy Office Phone ax
p A+jSTP(4
Co. Address: JY26J ��TIUCQI.UOoD 36 city_State FL zip 37b4Z
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License Holder(Print): State Certification/Registration# NO it 3 701
; 'Notarized Signature ofLice r 2i ER ER ( S day o 2
°e'• h1Y CJMM15510NrFFRc951 $ ore me this
' '•h- E%PIRES:October5,2019
Pia'^=""aur.'u ature ofNotary Public
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