1209 BEACH AVE 2015 HVAC If , CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
j 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-977
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 7 tons
Estimated Value:
Issue Date: 4/27/2015
Expiration Date: 10/24/2015
PROPERTY ADDRESS:
Address: 1209 BEACH AVE
RE Number: 170290-0000
PROPERTY OWNER:
Name: BEAUBOUEF, JUDITH S
Address: 1209 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: ENVIRONMENTAL A/C SERVICES,INC
Address: 8110 CYPRESS PLAZA DR STE 106 QA HOWARD KENNETH
STALLS, JR
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 $28.00
AC and Refrigeration $56.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $143.00
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) 47-58226 Fax (904)247-5845
.TOB ADDRESS: ( v� / ��E'' �U` PERMIT#
Ti�J �Z3
PROJECT VALUE $ ARI# !�-To`w 7< 55" _z� _REQUIRED
Air Handling Equipment Only _Air Handling Unit & Condenser Condenser Only
NEW 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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit o'1 T^� S770—'OU /
Heat: Unit Quantity BTU's Per Unit Seer Rating (P o
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)
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 vio to the pr visions o y other state or local law regulation construction or the performance of construction.
Property Owners Name Pkv� - Phone Number
y �
Mechanical Company. N ! rore tv f` le Office Phone!:-? -003VFax D?j 002&
Co. Address: )no 6111 rq City ✓kX State FL zip
License Holder(Print): S' State Certification/Registration# 9-NOI
INotarized Signature of License Holder
Before me this day of 20
Signature of Notary Public