1600 W Park ter 2014 Mech fs CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
_. MECHANICAL HVAC PERMI-ATLANTIC BEACH, FL 32233
CALL BY 4PM FOR NEXT DAY If I<l R(3 l0E LINE 247-5814
]OB IN
7oh TD 14 MFC'H- 67
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 4.0 tons
Estimated Value:
Issue Date: 10/21/2014
Expiration Date: 4/19/2015
PROPERTY ADDRESS:
Address: 1600 W PARK TER
RE Number: 171966-0000
PROPERTY OWNER:
Name: HOWIE ET AL, SAMUEL T
Address: 1600 W PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: ONE HOUR AIR
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:
Furnaces and Heating $24.00
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: $115.00
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 (904) 247-5845
JOB ADDRESS: tP®U R T-CRR7VC 3E� PERMIT#
PROJECT VALUE $ ARI# �5 3 58?, 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
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 I`•0
Heat: Unit Quantity t BTU's Per Unit 45000 Seer Rating 13
Duct Systems: Total CFM REQUIRED
Manual J documentation required on residential change out
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 \5A M'k ��'a► f-b N Phone Number 0--fl- '4 b I LJ2
Mechanical Company 0kl(2- 6kUft 12 Office Phone 2LA-3167 Fax2,l7-S sZ 6
Co. Address: /199 City State Zig32233
License Holder (Print): f - at ertification/Registration #C4c a 1(4 VZO
Notarized Si ure oLLjC=e&q&gr
SHIRLEY L.GRAN6V1 vi i4
,.; ., dYCOMMISS10NgDDr e this Z day _ _
�. �dF cXPIRES:February 14,2014
' ` �ondedrhruNot®ryPublicU re of Notary Pub