1760 SELVA MARINA DR HVAC " \ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NOT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1155
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU i AHU 3 TONS
Estimated Value:
Issue Date: 5/14/2015
Expiration Date: 11/10/2015
PROPERTY ADDRESS:
Address: 1760 SELVA MARINA DR
RE Number: 172009-0000
PROPERTY OWNER:
Name: HESSION, FRANK W
Address: 1760 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: THIGPEN HEATING &COOLING INC.
Address: 2801 DAWN RD CIA 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 $24.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(9044)247-5826 Fax(904))247-5845
JoB ADDRESS: IV D *--Ph
PERMIT#
PROJECT VALUE$ 7 7 • bol
ARI#
REQUIRED
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 Tons Per Unit
Heat: Unit Quantity I BTU's Per Unit DOO Seer Rating f�
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.l hereby certify that I have read
this application and know the same m be true and carted. All provisions of laws and ordinances governing this work will be complied with whether specified
or not- The permit does not give authilrity to violate the provi o of any other state or local law regulation concoction or the performance of construction.
Property Owners Name _Phone Number -7°S — 83/7
Mechanical Comqppany ^ Office Phone 448-( /iy1F�ax
fO
Co.Address: rQ( �d City Stat�yc Zip3�
License Holder(Print): M 1 C ll A&LA State Ce ificanon/Registration#C4�S(.7L(v
Notarized Signature oJLicense Holder
d subscri ed efore me this 14 day of 201�
A� Signature of Notary Public
nEANNA JONES
Canr fission#EE 162761
Expires February 2I 2016