831 MAIN ST HVAC CITY OF ATLANTIC BEACH
J 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-1238
Job Type: MECHANICAL HVAC ONLY
Description: 2 tons 5k btus
Estimated Value:
Issue Date: 5/27/2015
Expiration Date: 11/23/2015
PROPERTY ADDRESS:
Address: 831 MAIN ST
RE Number: 170944-0020
PROPERTY OWNER:
Name: SAPIA TRUSTEE ET AL, PETER C
Address: 1655 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: BROWARD FACTORY SERVICE BFS
Address: 2071 EMERSON ST QA JERRY LEROY BRIGHTWELL
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORHIA
BUILDING CODES. `
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
JJ �� q Ph(904) 247-5826 Fax(904) 247-5845
JOBADDREss: � 3 f Y�La10 S+ PERMH #
PROJECT VALUE $ 7
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit ( -
Heap Unit Quantity BTU's Per Unit Seer Rating /
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSSTTALLATIO
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity—I BTU's Per Unit 5Kcu Seer Ratin
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 QtyAutomobile 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 1 have read
this application and know the same to be mte and correct All provisions of laws and ordinances governing this work will be complied with whether specified
or mt. The permit does not give authority-ttoo violate the provisions of any other state or local law regulation construction or the performance ofconsmoction.
Property Owners Name t( Phone Number �c/-?,*rf-6 d$G
Mechanical Company-l(7� W7rn� � GR5 f2r f e r A c E Office Phone. SFax �rF-3Yf-LS$t
Co. Address: r City State R- Zipa�o7
License Holder (Print): o istmtion#
N d(mma9;tgder
MY COMMt�ION a EE1
ptpIRES FelMmt f4.'�a1a worn d subs 'bed b me th�is � da of'.m 20 /5
soe.oten ^°"'s Signature of Not Public