2245 Fairway Villas N ACRS17-0064 Submittal 2. zekB Rte,Nwg7 V1 ( 1 as 1\
ci.vi;-,, INVOICE #
\s , City of Atlantic Beach INV-441
i 800 Seminole Road Date Due: 7/14/2017
Atlantic Beach, FL, 32233
Invoice Date:6/14/2017
Record# Record Type Fee Group Fee Description Quantity Amount
ACRS17-0064 MECHANICAL RESIDENTIAL MECHANICAL AC AND REFRIGERATION 1 $8.00
HVAC
FURNACES AND HEATING 1 $24.00
MECHANICAL BASE FEE 0 $55.00
STATE SURCHARGES STATE DBPR SURCHARGE 0 $2.00
STATE DCA SURCHARGE 0 $2.00
$91.00
Invoice Total:$91.00
Please send your payment to this address:
11,
Printed:Wednesday,June 14,2017 9:37 AM 1 of 1 t
/-- MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 R C KS ` i - O O 6 4—
JOB
JOB ADDRESS: 2 2 yS F9/e "41 v/« 9S £i9iE 4'0 R7.4! PERMIT#
PROJECT VALUE $ 313 o o , °° ARI# 99 i 3 9'S' 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 02 Y
Heat: Unit Quantity BTU's Per Unit 2 3 , too Seer Rating
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
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 C/9 Pi P 8 CCL 1 i9'1'CS Cl Phone Number 90 y-2 8S- -5o9
Mechanical Company:NORTHPORT HEATING AND AIR Office Phone 904-731-8248 Fax 904-731-8249
Co.Address: 2905 SPRING PARK ROAD City JACKSONVILLE State FL Zip 32207
License Holder(Print): TIMUR ISPARYAN S. a Certification/Registration#CMC1250039
Notarized Signature of License Holder 0(
ALMIR HADZIC ALMIR me this O 8 day of 1 v NC 20 / 7
., MY COMMISSION r G wog gnature of Notary Public ..g— ---....„
EXPIRES February 01,2021
Scanned by CamScanner