365 8TH ST 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
30BINFORMATION:
Job ID: 15-MECH-1016
Job Type: MECHANICAL HVAC ONLY
Description: 3 cu 3 ahu 9 tons
Estimated Value:
Issue Date: 4/30/2015
Expiration Date: 10/27/2015
PROPERTY ADDRESS:
Address: 365 8TH ST
RE Number: 169974-0000
PROPERTY OWNER:
Name: FRISCH, BENJAMIN P
Address: 10758 WAVERLY BLUFF WAY
GENERAL CONTRACTOR INFORMATION:
Name: ENVIRONMENTAL A/CSERVICES,INC
Address: 8110 CYPRESS PLAZA DR STE 106 CIA HOWARD KENNETH
STALLS, 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 $32.00
AC and Refrigeration $72.00
State Mach DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $163.00
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)247-582/6 Fax(904)247-5845 �[
JOB ADDRESS: �(,n S g+k S a Y PERMrr#
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PROJECT VALUE UE S 35:0W ARI# [ REQUIRED
_Air Handling Equipment Only _&Air Handling Unit & Condenser _ Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit a - ;L T N /- r7d IJ
Heat: Unit Quantity BTU's Per Uni[ Seer Rating /9. O
Duct Systems: Total CFM 3 exP REQUIRED
REPLACEMENT 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
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)
Fare 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 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"abandoned for six months.1 hereby certify that 1 have read
this application and know the seme to be we and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority toviolate thej reAsions ofany other state or local law regulation contraction or the performance of contraction.
Owners Property Name GI'YSGGIe . . Phone Number
AzMechanical Company �,wV[ryn/ A4 "fOffice Phone -27f-� Fax
Co. Address: ��� /'PSS AA. Dr' .65 oG City State Zip
License Holder(Print): .f J r- et e Certification[Registration# G *04EZyOF
Notarized Signature of License Holder
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3+ ,� E..ovt.ao m Si tune of Notary Public