1739 BEACH AVE 2015 HVAC �' ,bli j•
`S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
. <E 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-253
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu
Estimated Value:
Issue Date: 2/3/2015
Expiration Date: 8/2/2015
PROPERTY ADDRESS:
Address: 1739 BEACH AVE
RE Number: 169669-0000
PROPERTY OWNER:
Name: CLEMENTS, ROBERT M & ANN H,
Address: 4667 ORTEGA BLVD
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
OB ADDRESS: I ),51cl PERMIT#
PROJECT VALUE $ 5�y C' ARI# g2 I REQUIRED
_Air Handling Equipment Only _Air Handling Unit & Condenser Condenser Only
4EW 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
MPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3,c'
Heat: Unit Quantity I BTU's Per Unit 32eoc' Seer Rating �' 7S
Duct Systems: Total CFM REQUIRED
IRE 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
,LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
ermit 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
lis 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
it. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name f o PPi1 C i e,�e4 5 Phone Number
Mechanical Company Enol aAA1 t1) rah� �C��1.fi "} /✓Ica1 (,t. Office Phone r101-2-7'j-4)3oFax 2-15 cc)-)f
'o. Address: 5511C' (yp rtss i t'it, Dc"L S� I Ub City J ek t�� It State 12- Zip 32-Z3�
,icense Holder(Print): PT-k4 k• S +115 tate ertification/Registration# 6 CS--N 61,
iotarized Signature of License Holder
---- Before me this 3`' day of 2020 1S
KAY VEGA-NAVARRO _
.: Commission#FF 103631 Signature of Notary Pu
�,• 'a Expires July 17,2018
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