398 Skate Rd 2014 HVAC CITY OF ATLANTIC BEACH
111
f 800 SEMINOLE ROAD
J ';r MECHANICAL HVAC PERMIATLANTIC BEACH, FL 32233
CALL BY 4PM FOR NEXT DAY I115115$CHMC P XE LINE 247-5814
JOB IN .
Job ID: 14-MECH-74
Job Type: MECHANICAL HVAC ONLY
Description: 1 AHU 1 CU 3 TONS
Estimated Value:
Issue Date: 9/29/2014
Expiration Date: 3/28/2015
PROPERTY ADDRESS:
Address: 398 SKATE RD
RE Number: 171668-0000
PROPERTY OWNER:
Name: RODENBAUGH, GEORGE W
Address: 398 SKATE RD
GENERAL CONTRACTOR INFORMATION:
Name: A/C DESIGNS OF ST AUGUSTINE
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:
AC and Refrigeration $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $87.00
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
Ph (904) 247-5826 Fax (99044) 247-5845
JOB ADDRESS: 39B �J�'�A �� j j kAAt IL &ACVt �13,Z133 PERMIT#� !"/11i4c�1 7�(
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
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3
Heat: Unit Quantity I BTU's Per Unit 3U K Seer Rating /5
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: PASCGAIL ort �vYlAJ �t�� Gt-C.G[�I SIt�C! ./U/ A>jA �Iu /1n4jih�f
l ts2. W"++ r4 L.3% Codes rLoo_e
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''nn bG�M Phone Number 12,041-'41779109,
'
Mechanical Company1��— 1�e5� (l c�� S` - Office Phone_ 9- g 1 S Fax ?
( � I *Y fes_ p 6
Co. Address: (��J 1� Cit t�1.� State Zi
�3
License Holder (Print): Zr I,bAd-D b i epiki State Certification/Registration#
No Str+se. Liee older
BELINDA B.BYERS /-
A."
day of a tiL t 20we MY COMMISSION#EE 105703 Before me this
EXPIRES:August 8,2015
qF 8nrdedThroNotaryPublicUnderwriters Signature of Notary Public