961 atlantic blvd 2015 HVAC X °�' CITY OF ATLANTIC BEACH
SS1
l 800 SEMINOLE ROAD
r 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-364
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 1.5 tons
Estimated Value:
Issue Date: 2/19/2015
Expiration Date: 8/18/2015
PROPERTY ADDRESS:
Address: 961 ATLANTIC BLVD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CERTIFIED AIR CONTRACTORS, INC
Address: 4505 E MARQUETTE AVE QA MELVYN A RODELLI
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 $12.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Feb 181511:02a P.1
i
MECHANICAL PERMIT APPLICATION
i a
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
ph(904) 247-5826 Fax (904) 247-5845
pB ADDRE 61 ATLANTIC BLVD JACKSONVILLE FL 32233 PERMIT#
PR OJE I� VALUE $ 6 541.00 ARI 4 3345295
REQUIRED
Air Han' �gEquipment
Only Air Handling Unit & Condenser Condenser Only
_
(ESV AIR ! I DITIONING & HEATING SYSTEM INSTALLATION
Tons Per Unit 1.5 Seer Rating
Air Condit o -jig: Unit Quantity (1� 15.3
� BTU's Per Unit
Heat: i Unit Quantity REQUIRED
Duct Syst, Total CFM
tEPLACE SIT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Cond "ng: Unit Quantity Tons Per UnitBTU's Per Unit� Seer Rating
Heat: i Unit Quantity REQUIRED
Duct Syst' i Total CFI�I
IgE PRE I ION (Requires 3 sets of plans)
ri
Fire S System Quantity
p 1 Quantity (Requires 3 sets of plans)
Fire Stan i e Q y (Requires 3 sets of plans)
Undergro IFire Main Value (Requires 3 sets of plans)
Fire Hos 4 inets Quantity (Requires 3 sets of plans)
Commerol oods Quantity
Quantity Requires 3 sets of plans)
Fire Supe ion Systems Q y
EIRE PLA S MISCELLANEOUS:
Automobile Lifts
Prefabric Fireplace Qty Boilers BTU's
Gas Piping utlets ElevatorsTscalators
ALL OTH ' GAS PIPING Heat Exchanger
Quantity Pumps
f I utlets BTU's
#Vented 1 Furnaces Refrigerator Condenser
Solar Collection Systems
#Water eters Tanks (gallons)
I
Wells
OTHER: St at bt Cool Mitsubishi ductless system wall mount M/N: PSC A-A18HA4 with M/N: PUY-A1QVt4A4R1 condenser for the
,lectrical room''III
have read
'ermit becomes%'Qld* work does not commence within a Allmrov cith ons of,laws and ordinan eds govern Or s ng th s ndoned work w llbe compliied with hetherlspec rid or
his application an my the same to be true and correct. p
got. The permit d Iat give authority to Violate the provisions of any other state or local law regulation construction o}t� performance or construction.
i
Property ON&7 i IName Navy Federal Credit Union Phone Number 904.65
Mechanical CO. p
MY Certified Air Contractors 1ne. Office Phone 904.389.7950 Fax 904.389.4925
� State Florida Zip 32210
i
_o. Address: 5 '5 Mar uette Ave City Jacksonville
old'el I Print : Mel Rodelli State Certification/Registration# CAC 3092 11
License H II �'� ) EY��YLr
Votarized Sign' ture of License Holden/ / ,