712 Main St 2015 HVAC 1IS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-738
Job Type: MECHANICAL HVAC ONLY
Description: 2.5 TONS 30k BTUS
Estimated Value:
Issue Date: 3/30/2015
Expiration Date: 9/26/2015
PROPERTY ADDRESS:
Address: 712 MAIN ST
RE Number: 170915-0450
PROPERTY OWNER:
Name: MONTGOMERY, MATTHEW SCOTT
Address: 712 MAIN ST
GENERAL CONTRACTOR INFORMATION:
Name: WRIGHT BROTHERS DISCOUNT AIR INC
Address: 180 BUFFALO BLUFF RD
PALATKA, FL 32177-8309
Phone: 386-972-5415
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
.TOB ADDRESS: r I I a- Mtn 10 S-� d P e+ PAA Av-1 I c B-Pc,cG rt 3 2? � 3 PERMIT#
PROJECT VALUE $ 900-0 ARI# REQUIRED
Air Handling �uipment Only 4�Air Handling`Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity r Tons Per Unit 1. S
Heat: Unit Quantity BTU's Per Unit I o00b Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity f' Tons Per Unit a• S-
Heat: Unit Quantity�— BTU's Per Unit 3000a Seer Rating l
Duct Systems: Total CFM REQUIRED
FIRE 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
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
�1 Wells
OTHER:
'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
his 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
lot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
3roperty Owners Name FQ d#r#,k W t*N%oa Rk Vio ri .*5-c ass oo sA-410" Phone Number
Aechanical Company *AN VI jLr 0kA-R r s DtJ cokA,4 AIS 1 iJ Office Phone 4,)t h-4 is Fax
,o. Address: c� �o �� City �R 1 k State ZipTZ
,icense Holder(Print): I wlw• 1C WA 1614 1- State Certification/Registration# (� (�C 1�I Ll k y
Votarized Signature of License Holder
Y. JENNIFER WALKER fore me t is ay of 20
COMMISSION#FF 011480
*: * nl 24,2017
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Thru Nota'Y Public Un�"M"� nature of Notary Pub11