1890 BEACH AVE HVAC �1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
id
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1205
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2 tons
Estimated Value:
Issue Date: 512112015
Expiration Date: 11!17/2015
PROPERTY ADDRESS:
Address: 1890 BEACH AVE
RE Number: 169542-0602
PROPERTY OWNER:
Name: SUMNER, WILLIAM D& DEBORAH F.
Address: 1890 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING &AIR
Address: 315 SIXTH AVENUES OA WILLIAM J DONOVAN
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
109 ADDRESS: 1�f40 l�re,r 1, AYt Ail FL :2 z PEANUT#
PROJECT VALUE$ 4341 ' ARI# 57C I V 37 REQUIRED
_Air Handling Equipment Only _X_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 I_ Tons Per Unit _0
Heat: Unit Quantity 1 BTU's Per Unit.Zy no Seer Rating, 14
Duct Systems: Total CFM _S2=_ 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 I have read
tis application and know the some to be mre and correct- All provisions of laws and ordinances governing this work will be complied with whether specified or
or. The permit does not give authority to violate the provisionsof any t 6(0 other stat, e or local law regulation concoction or the performance ofconaWetion.
S utne.c �
Property Owners Name I Q j
`. r. Phone Number '7l� -Xyl-q7
Mechanical Company 17sha.ts,�f Nr .k_��J= kc Office Phone4� 1 3)k&x
Co. Address: "; Irl /11. Ave. CityJox I�cetStateT-L Zip
3a 6%
1
License Holder(Print); W`\\tar 1�w\tuw Slate Certification/Registration# 34")/. I
Notarized Signature of License Holder l.\;17:— Y�Lw—
Before me this_ _day of t.lt t& 20 IS
h' RICHARDTOMPKINS
Commission x :F M99 Signature of Notary Public
Expires Juy 29,Zo17
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