590 OCEAN BLVD HVAC Adak 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-1092
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3.5 tons
Estimated Value:
Issue Date: 5/11/2015
_ Expiration Date: 11/7/2015
PROPERTY ADDRESS:
Address: 590 OCEAN BLVD
RE Number: 170142-0000
PROPERTY OWNER:
Name: FULLER, ROBERT H
Address: 590 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: THIGPEN HEATING S COOLING INC.
Address: 2801 DAWN RD QA MICHAEL WAYNE HAYES
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 $28.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY W 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
h Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 9 D O Cel 6AA .,oc PERMIT#
PROJECTVALUE $ JSD • 01 APJ# S/ 8737
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Unit uanti BTU's Per Unit Seer Rating—
Heat: Q tY
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit 3 S /,r
Heat: Unit Quantity / BTU's Per Unit �h 2y o0O Seer Rating—
Duct Systems: Total CFM
FIRE PREVENTION tl (Requires 3 sets of plans)
Fire Sprinkler System - Quantl' ¢ uires 3 sets of plans)
Fire Standpipe QuantityURequires 3 sets of plans)
Underground Fire Main a uires 3 sets of plans)
Fire Hose Cabinets Quantity
rquires 3 sets of plans)
Commercial Hoods Quantity (Requires
3 sets of plans)
Fire Suppression Systems Quantity (Req
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts BTU's
Gas Piping Outlets Boilers
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets — Pumps#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Sola Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void if work does not commence within a sin month period or work is suspended or abandoned for six months.I hereby certify that 1 have mad
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 MY other stare or local law regulatian construction or the performance/ooff consttrrucption.
Property Owners Name
4L, /,(,JdL.C/JN/3 Phone Number�417 _ o i4
Mechanical Company, w Office Phone L48
Co.Address: City State_Zip
License Holder(Print): MIcA kE.L State Certification/Registration# CAC41 VI?u.
4awMSignature of Notary Public