303 1st st 2014 HVAC CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
MECHANICAL HVAC PERMIATLANTIC BEACH, FL 32233
CALL BY 4PM FOR NEXT DAY Ilj (fflCR4TR0AE LINE 247-5814
JOB IN
Job ID: 14-MECH-105
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 5 tons
Estimated Value:
Issue Date: 9/30/2014
Expiration Date: 3/29/2015
PROPERTY ADDRESS:
Address: 303 1 ST ST
RE Number: 169759-0150
PROPERTY OWNER:
Name: SMITH, CHRISTINE F
Address: 80 THORNBANK RD THORNHILL ON CANADA L456X7
GENERAL CONTRACTOR INFORMATION:
Name: EAST COAST HEAT &AIR INC.
Address:
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:
Heat Exchanger or Coil in Ducts $10.00
AC and Refrigeration $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $89.00
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
l Ph(9004) 247-5826 Fax (904)247-5845
.TOB ADDRESS: U� l S, J� PERMIT#
s��a�as
PROJECT VALUE O SO G 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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity _ Tons Per Unit o� S
Heat: Unit QuantityJam— BTU's Per Unit 5 K w Seer Rating
Duct Systems: Total CFM i\V` J _ 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)
FIREPLACES 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 :� ere y _Phone Number q65" e81 ag yU
Mechanical Company Uwk_ ('a mk- 1k e A a Ir Office Phone 4 7,6103 Fax 379-it3 p ?'
Co. Address: �� �l�' 3 5 S tk (4) City �P`P (�►'? State (-`/ Zip a�SO
License Holder(Print): c 1—� ��h w►�°✓ eertifieati gistration#
Notarized Signature of License Holder
Before me thi y of 20
Signature of Notary Public