67 Forrestal 2014 HVAC " , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r MECHANICAL HVAC PERMI
ATLANTIC BEACH, FL 32233
T CALL BY 4PM FOR NEXT DAY IryLbRAE LINE 247-5814
JOB I
Job 14-MECH-402
Job ype:
Description: 1 CU 1 AHU
Estimated Value:
Issue Date: 11/10/2014
Expiration Date: 5/9/2015
PROPERTY ADDRESS:
Address: 67 FORRESTAL CIR
RE Number: 171734-0000
PROPERTY OWNER:
Name: WILSON, RANDY
Address: PO BOX 330833
GENERAL CONTRACTOR INFORMATION:
Name: DONS AIR CONDITIONING INC
Address: 2403 KELLOW CIR QA DONALD ANTHONY CICALE
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
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION . .
Date:
Property Address:
Cs7' -7 F 2 p�S -7A-L 012
Owner /�/L 2� Aw,,d ��?� Telephone
_ «.
Contrat:ioor: N g Nf� Telephone#:
Contractor Address: S�.Ce AJ�"- ��i R'�- �° Fax#:go, -3 �?LAS
In coosidemtion of permit givm 1+a doing the work as described in the above statement,we h=by agree to PtXM!Nd W=s aMbD0°
with the attached pians and specificWtiuns which are a part hereof and in accordance with the City of A*00c Beach m mao m and lwicds of
oodlisted tlaaeaa
Type of Healon Fuel- If other construction is being done on tbL building
• or site,list the building permit number.
Electric
Cl Gas: LP Natural Central utility A
O Oil
a OdXT—
MFCHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Space Recessed Central Floor '" Residential
[Ar, . u Conditioning r_Ro�2m Central
Duct System: Material f��F,1�_Tycness _ _ ❑ Commercial
Maximum capacity i�o cfm -
❑ Refrigeration ❑ New Building
❑ Cooling Tower:Capacity gym ❑ Existing Building
E3Fire Sprinklers:Number of Heads
❑ Elevator: __ Manlift Escalator (Number) ❑ Replacement of Existing System
❑ Gasoline Pumps (Number)
(Number) New Installatia®
❑ Tanks
❑ LPG Containers (Number) (No s� °' °wly' l�
❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System
❑ Boilers j9l.t*9zY FAY-�{L
❑ Gas Piping Ocher-Specify
❑ Other—Specify dlALstG,,t}a«!�t �i tzs z0 ci d q ZW
LIST ALL EQUIPMENT
AIR CONDITIONING,ROWCE"TIOlti EQULKdUVr&CONDErMWS Aging
Xwnber Units Dma"= MOM# Maou>i cc Ton's Agcy
HE kM NG—FUBNACFS,BOH"S,MiTI.ACES&AIR HANDLER'S Approving
Number Units Description Model# Mafiadur� BTU's Agency
TANKS Nominal Capacity Type Liquid Serial AFpra�g
How Many &Dimensions Contained Mw'Bcwa No. Agency
SOP!Seminole Road•Atlantic Beach,Florida 32233-5445 r,/64-a ar— 3 47
Phone:("4)247--%M,- Fax: (904)247-5845• ht tpJ/www.d stiantie-beach.fLus
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