1065 HIBISCUS MECH PERMIT � r
CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-MECH-569
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU
Estimated Value:
Issue Date: 12/5/2014
Expiration Date: 6/3/2015
PROPERTY ADDRESS:
Address: 1065 HIBISCUS ST
RE Number: 171088-0108
PROPERTY OWNER:
Name: DEARMS, MEME ROSE
Address: 761 CRAWFORD CT
GENERAL CONTRACTOR INFORMATION:
Name: COOL CHANGE HEATING & AIR
Address: 4596 HARBOUR CT QA MANSON L. MCCLAIN, JR
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
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: 1065 HIBISCUS ST. PERMIT#
PROJECT VALUE $_2,095 ARI# 5647193 REQUIRED
Air Handling Equipment Only X 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 1 Tons Per Unit 2
Heat: Unit Quantity 1 BTU's Per Unit 24000 Seer Rating 13
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:
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 pertbnnance of construction.
Property Owners Name Salt Air Homes Inc. Phone Number 333-6607
Mechanical Company Cool Change Heating&Air LLC Office Phone 904-571-1944 Fax 904-928-9261
Co. Address: 4596 Harbour North Ct City Jacksonville State FL Zip 32225
License Holder(Print): Manson L McClain _ tate Certification/Registration# CAC 1816300
Notarized Signature of License Holder
Before me this _day of L -0ory9 er
�t NINA MIXSON 20
• :f Commissionx2Signature nature of Notary Publt
a=? �t Expires October 24,2015
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