322 6TH ST HVAC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
L. 3 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-1206
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2.5 tons
Estimated Value:
Issue Date: 5/21/2015
Expiration Date: 11/17/2015
PROPERTY ADDRESS:
Address: 322 6TH ST
RE Number: 169858-0000
PROPERTY OWNER:
Name: LITSKY, PETER J
Address: 322 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING &AIR
Address: 315 SIXTH AVENUES CIA 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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
loo ADDRESS:— 3 a G t1, + A I 3 aa n PERMrr#
PROJECT VALUE$ y Cog ARI# SSC�_REQUIRED
_Air Handling Equipment Only Air Handling Unit& Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit QuantityTons Per Unit
Duct Systems: T Total Quantity BTU's Per Unit Seer Rating
REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit a.5
Heat: Unit Quantity BTU's Per Unit� Seer Rating 4
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 g'I'U•g
ALL OTHER GAS PIPING ElevatorsBscalators
Quantity of Outlets Heat Exchanger
Pumps
#Vented Wall Furnaces
#Water Heaters Refrigerator Condenser BTU's
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
tis application and know the same to be true and correct. All pmvisions of laws and ordinances governing this work will be complied with whether specified or
at. The permit does not give authority to violare the provisions ofany other state or local law regulation construction or the performance ofconsuuction.
Property Owners Name !)e)A -tks m� Iae„ y3 Phone Number 994 — c)I (Z
Mechanical Company �_��� 7\1 r Office Phone ol 41—27 Fax
Co.Address: ZIL, 6-r)l. A.,, <ni-+,t- Cit}rVati 5�eneStateT-1 _Zip3Q'a 0
License Holder(Print): SkEr Nftt, State Certification/Registration# 29
Notarized Signature ojLtcense Holder 1 1t "\;—Before me this 00 'day of 20
v`j RICHA=TOMPKINS CommisSignature of Notary Public
7 Ex a.a,etm