332 Seminole Rd 2015 HVAC ,6 'i, CITY OF ATLANTIC BEACH
q3 800 SEMINOLE ROAD
+� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-219
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu
Estimated Value:
Issue Date: 1/28/2015
Expiration Date: 7/27/2015
PROPERTY ADDRESS:
Address: 332 SEMINOLE RD
RE Number: 170431-0015
PROPERTY OWNER:
Name: ANTICO TRUST, DAVID W
Address: 1465 HOPKINS CREEK LN
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
Address: 315 SIXTH AVENUE S QA WILLIAM J DONOVAN
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 $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
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
lOB ADDRESS: 3 3 DLSc M`�1��L F)- 3 PERMIT#
PROJECT VALUE $ Lq9 ARI# G 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 j Tons Per Unit 3•�
Heat: Unit Quantity BTU's Per Unit --�,4 VOD Seer Rating
Duct Systems: Total CFM 1Ooc, 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
its 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
ot. The permit does not give authority
t�to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name L�.�I�- �n�t t O Phone Number
Mechanical Company� �A c-o' �► �\ Office Phon yE�X7 ax
Co. Address: �`� �'�� � 1. City-3� 1�o4.tate 1--L- Zips
License Holder(Print): (�J i 1 i o c� �U4.� State Certification/Registration
Notarized Signature of License Holder
RICHARD TOMPKINS Before me this 1 day of 20 J r=>
.= Commission#FF 040399
Expires July 29,2017 Signature of Notary Public
�oF r,o Bonded Thm Troy Fein Imuran"900-3957019