1163 Beach Ave 2015 HVACCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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 HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID:
15-MECH-464
Job Type:
MECHANICAL HVAC ONLY
Description:
1 cu 1 ahu 2.5 tons
Estimated Value:
Issue Date:
3/5/2015
Expiration Date:
9/1/2015
PROPERTY ADDRESS:
Address:
1163 BEACH AVE
RE Number:
170272-0000
PROPERTY OWNER:
Name:
ADAMS, CHARLES P
Address:
1163 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name:
LEGGETT HEATING &AIR
Address:
660 KING ST QA TERRY W LEGGETT
Phone: - -
INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to
PERMIT
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.
FROM : Leggett Heating & Air,Inc. FAX NO. : 9043844893 Mar. 05 2015 12:25PM P1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FI.. 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS:
PFRMIT #
PROJECT YAL UE $ 0 (_pCl 6D ARI # �'1 ��"'� REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AYR C ONDTTIONDiG Sk. 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 _ Seer Rating. --50
Duct Systems: Total CFM
REQUIRED
)PYRE 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
El evators/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 commenen within a six month period or work is suspended or abandoned for six months. l hereby certify that I have read
Chis aoolication And know the, RAMr to hr tnlr And correct .All provisions of lawo and oniindt.e45 gvre,,,uig tt,i, winh will be vv apiled w1kh whc1hcr specitieo 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 ��on PbU rr6 Phone Number Y)AA' 14b9.
Mechanical Company - GIS- 'A -ktq�-�Vr.. Office Phone --IBA 4' 4C'l
Co. Address: I A 6 City ILL ( env; L State c_. Zip
License Folder (Print): f`J t 1�u Y_Lkl State Certifiication/Registration # 1Lf-7
Votarized Signature of License Holder l
}` fore me this day of Ir Y C,� 2_0
�
5.5.KATHERINE L. PHILUPS