150 Sherry Dr 2015 HVAC Xe f ✓�s
..1 SS\
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-125
Job Type: MECHANICAL HVAC ONLY
Description: 5 TONS, 60K BTUS
Estimated Value:
Issue Date: 1/16/2015
Expiration Date: 7/15/2015
PROPERTY ADDRESS:
Address: 150 SHERRY DR
RE Number: 170652-0000
PROPERTY OWNER:
Name: COMMUNITY PRESBYTERIAN CHURCH
Address: 150 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: INDOOR COMFORT
Address: 1539 MONTANA AVE QA HAROLD A KELLY, 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 $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $123.00
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
Jos ADDRESS: ISO PERMrr#
PROJECT VALUE 04jjO
a O� ARI# 39),3 �"j REQUIRED
Air Handling Equipment Only VAir 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
Heat: Unit Quantity BTU's Per Unit U _�0 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 provisionspre'r-NKI
f any other state or local law regulation construction or the performance of construction.
Property Owners Name e vial, C6tcjn Phone Number g0ki-a"q-06W4_q
Mechanical Company v C614AAOffice Phoned-777) Fax2R�o—.rjo I
Co. Address: 15,�vi1w)cL Ne,. City State Zip
License Holder(Print): Hasola- State Certification/Registration
Notarized Si ' e - Ider ggle
`. LINDA S.WOQDARDr
': MY COMMISSION#EE135774 Before me this_ 16� day of�A0444" 20 15 _
,
EXPIRES November os.205 i nature of Not Public
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