Permit Mech 277 15th St 2011 .5
` CITY OF ATLANTIC BEACH
.. - Wax § I A
800 SEMINOLE ROAD
J iimf , ` "`' . ' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002378 Date 7/22/11
Property Address 277 15TH ST
Application type description MECHANICAL HVAC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 1700
Application desc
change out 1.5 ton condenser
Owner Contractor
HUMPHRIES, BEBE HUXHAM HEATING & AIR
277 15TH STREET 2101 FLORIDA BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 246 -6721
Permit W /W /O MECHANICAL PERMIT
Additional desc . CHANGE OUT CONDENSER
Permit Fee . . . 134.00 Plan Check Fee .00
Issue Date . Valuation . . . . 0
Expiration Date . . 1/18/12
Other Fees STATE MECH DCA SURCHARGE 2.01
STATE MECH DBPR SURCHARGE 2.01
Fee summary Charged Paid Credited Due
Permit Fee Total 134.00 134.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.02 4.02 .00 .00
Grand Total 138.02 138.02 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY 01? ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247 -5845
)BADDREss: ' 7w7 - (_ r `' 5 I Per# //- 237_ .
PROJECT VALUE $ / loo -
EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Heat Conditioning Unit Quantity Tons Per Unit ,
Unit
Duct Systems: Total Quantity BTU's Per Unit Se Rating
RF.OMIED
EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit ARI #
Quantity / Tons Per Unit /, 5 REQUIRED
Heat Systems: Unit Quantity Seer BTU's Per Unit Rig /
REQUIRED
RE PREVENTION
Fire Sprinkler S � Quantity. (Requires 3 sets of plans)
U Fire Main y (Requires 3 sets of glans)
(Requires 3 sets of Finns)
Fire HoseCabinets Qty
Commend Hoods (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Regalia' 3 3 sets of sets of plans)
Fes)
RE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Li is
Gas Piping Outlets Boilers BTU's
Elevators/Escalato
4L OTHER GAS PIPING Heat Exchanger
Quaniity of Outlets
# Vented Wall Furnaces gm's
# water Heaters Solar Collect inn Systems
w )
LI R: (FA-r4e.,z,—,..6-k _ .
lit becomes void ifssacic does not commence within a sir month peed or wreck is
+pplicatim and lo,o�wffie same to be true and co the All provisions abandoned Sor:DUCmae� I hereby cevtifytbat I have read suspended
Ft The permit does no t give authority to and co the pr oflaws and ordinamxs governing this wo�c will be complied wj whether specified
16,-vie.,-(s- pr ofany other state or local law n�nbatiom ion or the P of on.
Petty Owners Name I 5 Phone Number
thanical Company f 1v I g72 ) ? /94t Office Phonel Yh47 /Fag ii6 -o37)
Address: A /0/ / F /o/..i ,-fir.- ii/'i City /l, izim of State 7 Zip 3.9� 9 6
sue Holder (Print): .v i s g � / Slate Certification/Registration # (4Co S 79(_3
�Siga�e of License Solder / „`, �` --------- III a subscribed before i' - _, 2 of I 20
_Y °, ° iss+ : , a n , of No Public � /
/Pr ii j
• 160 Bonded t"
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