170 8th St 2015 mech gas CITY OF ATLANTIC BEACH
1 s 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-791
Job Type: MECHANICAL HVAC ONLY
Description: GAS PIPING TANKS
Estimated Value:
Issue Date: 4/7/2015
Expiration Date: 10/4/2015
PROPERTY ADDRESS:
Address: 170 8TH ST
RE Number: 170326-0000
PROPERTY OWNER:
Name: DORSEY, WILLIAM J & MARSHA,
Address: 170 8TH ST
GENERAL CONTRACTOR INFORMATION:
Name: AEI INTERNATIONAL CORP.
Address: 7709 ALTON AVE QA LEWIS SPRADLIN
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:
Heat Exchanger or Coil in Ducts $10.00
State Mech DBPR Surcharge $2.00
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
Total Payments: $69.00
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: % 7 �� s� PERNIIT#
PROJECT VALUE $
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 INSAT�ALLATION
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: . Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION .(Requires 3 sets of plans)
Fire Sprinkler System Quantity (Requires3 sets of plans)
Quantity
Fire Standpipe a
Underground Fire Main Value quires 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
Boilers BTU's
Gas Piping Outlets
Elevators/Escalators
ALL OTIER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons) (�JJe,9
Wells
OTHER: 44,1,c
Permit 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 re<
this application and know the same to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specifies'.
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 ,� Phone Number
Mechanical Company Q2 i Zn CO rr ��t�C>s Gi!/�e�sOffice Phone W�/ iFax
Co. Address: -
-72T)�, /ti ,.� >� City J/[ p yra.//� State�Zip z-z
� � �� � ��- ��
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20___--
Signature of Notary Public --