1055 SEMINOLE RD HVAC j Vy-
r °s, CITY OF ATLANTIC BEACH
r f 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-1104
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3 TONS
Estimated Value:
Issue Date: 5/12/2015
Expiration Date: 11/8/2015
PROPERTY ADDRESS:
Address: 1055 SEMINOLE RD
RE Number: 170096-0000
GENERAL CONTRACTOR INFORMATION:
Name: JACK STRICKLAND HGT &AIR
Address: 7259 Electra DR
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 $24.00
AC and Refrigeration $24.00
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.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
1057-"
r. ✓ Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: f 0 J AW6 A240 q2MIPERMIT #
PROJECT VALUE $ 77" ARI# REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INST L L N
Air Conditioning: Unit Quantity
/ Tons Per Unit � 16 t1
Heat: Unit Quantity ! BTU's Per Unit Seer RatingREQUIRED
Duct Systems: Total CFM /2Dn
REPLACEMENT 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
FIRE PREVENTION e
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.
Property Owners Name //y7d f�� Phone Number / 7d� 40x3
e�,r 11r f/��%� Office Phone 3pr mol ax 3 '-5�K
Mechanical Company 1.9[l S'T�ic�e!/!n/el
Co. Address: o2 J 1,41-C fhb 4141cll City 1s c*044/I� State rl Zip 5_4z1&4
License Holder (Print): 0/'le 1Z_4-f 1r-r State C rtification/Registration# /�/rr
NoteSi nature of License Holder4&OZ ,
MempuL09 .Xa io
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epuoij;0 8193$opgnd luelON ''3,,,,, ,�` ignature of Notary Publi