398 Skate Rd 2014 HVAC (2) CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
MECHANICAL HVAC PERMIATLANTIC BEACH,FL 32233
CALL BY 4PM FOR NEXT DAY LINE 247-5814
]OB IN Inh ID-
4- E H-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.
(WE0)sEP 24 2074 73:34/ST. 13:33/No.7M2O404344 P l
FROM
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904) 247-5826Fax (904) 247-5845
JOB ADDRESS: 398 5Kfl�. Q.D �� U��1�"tC- '" " "" ' �/ 32a33 PERMIT #
PROJECT VALUE $ I ARI# 3('4 Sg q 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 _ Seer Ratio -
Heat: Unit Quantity _ BTU's Per Unit_ Rating
Duct Systems: Total CFM _
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ L Tons Per Unit 3 /S
Heat: Unit Quantity I BTU's Per Unit 3(&K Seer Rating
Duct Systems: Total CFM — REQUIRED
FIRE PREVENTION vires 3 sets of plans)
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity ._._ (Requires 3 sets of plans)
Underground Fire Main Value _ (Requires
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: o �
11 pyAJ �l«�r� a-co�1.5� S l�C ./I,e� w�{•rGr �jc.�¢ ,P�n��,�scn�
we_ w
Permit,becomes void if work does not commence w ::a six month period or work is suspended or abandoned for six months.]hereby certify that 1 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.
D Phone Number '?DY-A177- C660
Property Owners Name oY
Mechanical Company
�st A L hG Office Phone yq- 89$Fax 0.2 9-G SB7
I z6 -�
b?J ., �. ���` '�-- City �CtfL State Zip.
Co. Address: �<
License Holder(Print): LSD �I� ieN Sta Certification/Registration# 1.446
Nn a older
liAY a'• ealNt)A e.6YEFI5 y 0
wcommllSSIONi!EE105703 Before me this�_day of
EXPIRES:August 8,2015
A:r'= eadedrhfuNotaryPI�unde�w�iters Sign-.' tre of Notary Public
C BEACH
CITY OF ATL800ISEMINOLE ROAD
ATLANTIC BEACHPHONE�(904) '47FL 35855
Job ID: Job ID: 14-MECH-74 - 1 AHU I CU 3 T
Tender Details: Cash $87,00
Tender Type: CC
Tender Amount: $87.00
Receipt Header:
Cashier Id: aspcust\atlbbja
Receipt Date: 9/29/2-014
Receipt Number: 0S-55208