448 Osprey Key 2015 HVAC �e
� s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
rJ V" 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-591
Job Type: MECHANICAL HVAC ONLY
Description: 2.5 TONS, 30K BTU'S
Estimated Value:
Issue Date: 3/16/2015
Expiration Date: 9/12/2015
PROPERTY ADDRESS:
Address: 448 OSPREY KEY
RE Number: 172027-5094
PROPERTY OWNER:
Name: REGAS, LLOYD C
Address: 448 OSPREY KEY
GENERAL CONTRACTOR INFORMATION:
Name: BRISK AIR HEATING & COOLING
Address: 4626 WASSAIL DR QA GREGORAY ALAN SUMMONS
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 $20.00
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: $99.00
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
JOB ADDRESS: - i I 0 Dsn red PERNIIT#
PROJECT VALUES 3500 -o0 ARI# --703'4-7
o
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
I Tons Per Unit Z
Air Conditioning: Unit Quantity Seer Rating (J
Heat: Unit Quantity�— BTU's Per Unit >,�O REQUIRED
Duct Systems: Total CFM
FIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System Quantity a uires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value a uires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires
3 sets of plans)
Commercial Hoods Quit' (Requires 3 sets of plans)
Fire Suppression Systems Quantity
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts BTU's
Gas Piping Outlets Boilers
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:
onths.I hereby certify that 1 have read
Permit becomes void if work does not commence withinta All six month
s la speriod or oand ordinancesrk is dgoverning thor e work wr six ill be complied with whether specified
this application and know the same to be true and c P
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.
L a S Phone Number
Property Owners Name Fax 6 -Z
qa�l-
r n C. Office Phone
Mechanical Company 3ZL4
Co. Address: 6 .3
Cityi—a-La A(r(°, State R- Zip_�
Holder Print • �e S State Certification/Registration# M�(�1���Z-
License Hold (Print):
Notarized Signature of License Holder
n JOSETTE A
IZETHMEL Swo d s bscribed before me this day of 20� 'J
Commission#EE 075233 Signature of Notary Public t�
5-3
Expires April 4,2015
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