477 SATURIBA DR - HVAC -, 1,iVi-r
�� 1'.- '' `s\ CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
J c F - "� ° -'V� 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: 15-MECH-1758
Job Type: MECHANICAL HVAC ONLY
Description: NEW HVAC - 1 C, 1 AHU
Estimated Value: $6.366.00
Issue Date: 7/23/2015
Expiration Date: 1/19/2016
PROPERTY ADDRESS:
Address: 477 SATURIBA DR
RE Number: 172020-0712
PROPERTY OWNER:
Name: MCGIBANY, RONALD L
Address: 477 SATURIBA DR
GENERAL CONTRACTOR INFORMATION:
Name: MCGOWANS HEATING & AIR
Address: 4850 COLLINS RD QA WADE S MCGOWAN
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:
Furnaces and Heating $20.00
AC and Refrigeration $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
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 ). �(\1 2e2
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: y 77 Sc+(kct Q 1_)( P-F1G0■C RPG CJI -FL PERMIT#
PROJECT VALUE $ (43(h) • CC ARI# -70 4 5 2 .3 REQUIRED
Air Handling Equipment Only X.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 1 Tons Per Unit '-(
Heat: Unit Quantity 1 BTU's Per Unit l.t"],SOO Seer Rating 15
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 kor,a1 d Mc C i b an y Phone Number (904 2t-lco-4187
Mechanical Company Mc_Gc>u. (-1 s Nerek,("1 l 4- A-I C Office Phone a78-6339 Fax
Co. Address: ( I?)ZcD Pk,II t ps toy O. E City - o 0 ,.,1 le _ State FL Zip 3225-(0
License Holder(Print): `1-1-Np mu S • . . S to Certification/Registration# (r'tC t25 0075
Notarized Signature of License Holder A <41._ - ,
?:�'"-.44; DEBRA LYNN SPITZ
:• ,� _ Before me this ay of Jl�t��/ 20
MY COMMISSION#FF168999
` '`` Signature of Notary Public �., � w�
\'a:--; EXPIRES October 15,2018
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µ0r1998-0153 FloridaNOtaryService.com