1765 SEMINOLE RD 2015 GAS CITY OF ATLANTIC BEACH
j 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-242
Job Type: MECHANICAL HVAC ONLY
Description: 3.5 TONS, 42K BTUS
Estimated Value:
Issue Date: 2/2/2015
Expiration Date: 8/1/2015
PROPERTY ADDRESS:
Address: 1765 SEMINOLE RD
RE Number: 169636-0000
PROPERTY OWNER:
Name: DYAL, MARY ANN
Address: 1765 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: AIR SOURCE AMERICA INC
Address: 2615 CRYSTAL COVE CT ,��;-;B E F=RCL��l4�JnR�
Phone: 904-233-8831
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 $20.00
AC and Refrigeration $28.00
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.
Feb 02 15 09:00a Air Source America Inc 904-372-9379 p.1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904)247-5826 Fax(904) 247-5845
fOB ADDRESS: PERMIT#
PROJECT VALUE $6560.00 ARI#_6938013 REQUIRED
Air Handling Equipment Only X Air Handling Unit & Condenser Condenser Only
STEW ALR 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
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3.5
Heat: Unit Quantity 1 BTU's Per Unit 42,000 Seer Rating 15
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
I,LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
4 Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
ETHER:
;rmit 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 1 have read
is 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 MARY ANN DYAL Phone Number 904-246-3056
lechanical Company AIR SOURCE AMERICA Office Phone 904-233-8831_Fax 904-372-9379
o. Address: 207 20TH STREET City JAX BEACH State FL Zip 32250
icense Holder(Print): JAS N BUE State Certification/Registration#CAC 1816716
'otarized Signature ofLice s older
TR-kCY POO $efore me this.-2-- day 2015
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