75 BEACH AVE HVAC CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
J " ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEItT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1135
Job Type: MECHANICAL HVAC ONLY
Description: 2 TONS 24K BTUS
Estimated Value:
Issue Date: 5/14/2015
Expiration Date: 11/10/2015
PROPERTY ADDRESS:
Address: 75 BEACH AVE
RE Number: 170220-0000
PROPERTY OWNER:
Name: GULLIFORD JR, WILLIAM I
Address: 75 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: INDOOR COMFORT
Address: 1539 MONTANA AVE OA HAROLD A KELLY, JR
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 Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 75 peac V\ Pry f. . 3�rn. PERMrr#
PROJECT VALUE$ I Il I SQO
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 INSTALLATIONS
Air Conditioning: Unit Quantity� ARl#_ Tons Per Unit a- PE
Heat: Unit Quantity I BTU's Per Unit 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 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 mmmmce within a six month period or work is suspended or abandoned fire six months.I hereby certify than I have read
this applicetim and know the same to be true and correct All provisions of laws and ordinances goveming this work will be complied with whether specified
ornot. The permit does not give authority to violate the provisionsofany1 otha state or local law regulation construction orthe performance ofcoonnssttruction,
Property Owners Name L' )1 Crl It 11 ii TO�'!A, Phone Number .4 6-RJgq
Mechanical Company:YV Cf�un�i'4IhL OfTicePhone �1Fax 3%-a 91
Co. Address: 15 39 I I rivA .nn R Of, City 'Tax State EL zip,1�Z-7
License Holder(Print): State Certification/Registmtion# C I cs)olL 19
Notarized Signature ojLkense Holder
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