1987 BEACH AVE 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1100
Job Type: MECHANICAL HVAC ONLY
Description: 5.0 TON CU AHU
Estimated Value:
Issue Date: 5/14/2015
Expiration Date: 11/10/2015
PROPERTY ADDRESS:
Address: 1987 BEACH AVE
RE Number: 169705-0000
PROPERTY OWNER:
Name: SCOTT,WILLIAM W
Address: 1987 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING 8 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 $20.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
AC and Refrigeration $40.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
IOB ADDRESS: 0112 &,m& Amit, TS -mva PERMrr#
PROJECT VALUE$_q E`I1Ql� ARI# &eg'3 q9 REQUIRED
_Air Handling Equipment Only 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
An Conditioning: Unit Quantity 1 Tons Per Unit
Heat: Unit Quantity BTU's Per Unit 7AM Seer Rating 1�+
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
Gras 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
tis 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
at. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perforo mee of construction.
Property Owners Name
rr_ ' (,J i co" 5 co++ Phone Number
Mechanical Company ZD1`m� 14top o Qlk-( Office Phone r,N1-Z�-1 x
Co. Address: 3-1 r)` AV e +� CityjeA( �m,t6tate T1- Zip 3`,1.^ot5'0
License Holder(Print): W1 11�Oa. "4tt, State Certification/Registration#
Notarized Signature ojLwense Holder 1 a ill. P-:l.
Before me this 13 day of 20
RICHARD TOaP1040
Ec01Niria�" tp1� Signature of Notary Public
e.epe�ra ra ie.e emasm n