1911 Creekside Cir HVAC 2015 `S\ 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-862
Job Type: MECHANICAL HVAC ONLY
Description: 3.5 tons 42K btus
Estimated Value:
Issue Date: 4/21/2015
Expiration Date: 10/18/2015
PROPERTY ADDRESS:
Address: 1911 CREEKSIDE CIR
RE Number: 172020-1214
PROPERTY OWNER:
Name: OWENS ET AL, LAURI A
Address: 1911 CREEKSIDE CIR 1911 CREEKSIDE CIR
GENERAL CONTRACTOR INFORMATION:
Name: A/C DESIGNS OF ST AUGUSTINE
Address: 103 LIBERTY CENTER PL QA EDWARD DOUGLAS TENNANT
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 $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM (WEU)APR 15 2015 7:49/57. 7:40ZH- 7520404097 P 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: 191 ) CREEKSJDE C1k PERMrr# 154t9bb-389
PROJECT VALUE$ 5 L D C - O D ARI#_ S7,,?c?44 l REQUIRED
Air Handling Equipment Only >� Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit -3• 1 JC"
Heat: Unit Quantity= BTU's Per Unit K Seer Raring
Duct Systems: Total CFM 1`1'0 0 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM
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)
Wells
OTHER:
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 read
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 specified 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.
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Property Owners Nam FLot-1DA eoA5THJiJE C0�S7-R0CTl04hone Number TO'L 71� ^1392
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Mechanical Company Me DFS16+jS of- Srr POG OST)nl I SNCOffice Phone 8a 4- 898Fax Sag-(ay 97
Co. Address: 103 �I QE-kV CENTEP- PL City ST At)6 STMG State FL Zip 302C1.?
License Holder (Print): eD jjC)R-b �E^f^�Pr"�T e Certification/Registration # C'R C J 813370
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Notary PubFlorida
.; .•; My Comm. 5.2015 Before me this day of Commis995PUbliC
°f,;;a Bonded Throuary Assn. Signature of Notary