45 10th St 2015 HVAC `S f CITY OF ATLANTIC BEACH
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: 15-MECH-107
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 2.5 TONS
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 45 10TH ST
RE Number: 170263-0060
PROPERTY OWNER:
Name: WILDER, THOMAS H
Address: 45 10TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ONE HOUR AIR
Address: 1015 ATLANTIC BLVD APT 249 QA CRAIG FARRELL EDDY
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
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
,t" Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 'T5 1 U-1-14 S I AB, 9-z--Z-:3 ._�5 PERMIT#
PROJECT VALUE $ -1-1-LZU ARI# ,57 3 it+ Q U 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 Z• 5 1
Heat: Unit Quantity I BTU's Per Unit 2-:]412(1 Seer Rating !
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 '-OVA W 1 Phone Number '104-Z4-Z` Cyci I 1
Mechanical Company QAj(L>_ �-ky2 At 2 Office PhoneZKl73 167 Fax2417-S 5Z G
Co. Address: 1198T KDirl City .&14 Statea Zig32233
License Holder (Print): t Cr at ertification/Registration#CAL I U l f qf-D
Notarized Si r
°Vq
+ SHIRLEY L GRAH�^�
'AY COMMISSION pDDr e this day �hK�� 0_ 1
a cYPIRES:February 14,2014
'I ' 13ondedThru"°"'y Public re of Notary Pub