1852 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-973
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2 tons
Estimated Value:
Issue Date: 4/27/2015
Expiration Date: 10/24/2015
PROPERTY ADDRESS:
Address: 1852 BEACH AVE
RE Number: 169531-0100
PROPERTY OWNER:
Name: MARSHALL, MARGO J
Address: 1852 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: AIR SOURCE AMERICA INC
Address: 2615 CRYSTAL COVE CT RICHARD E EPPERSON JR
Phone: 904-233-8831
PERMIT INFORMATION: Sticker for overcHirrent protection must be on A/C equipment prior to
inspection. Failure to comply wBI result in a failed Inspection and reinspect fees. No
exceptions.
FEES:
Furnaces and Heating $24.00
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: �rj 2 }^^ ,v ,(_ PERMIT#
PROJECTVALUE$ ARI# 1l3 REQutRED
_Air Handling Equipment Only f 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
Air Conditioning: Unit Quantity k Tons Per Unit c-='�
Heat: Unit Quantity I BTU's Per Unit 7A,oG] 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)
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.I hereby certify that I have read
this application and know are some to be true and correct All provisions of laws and ordinances governing this work will be complied with whether specified or
noL The permit does not give authority to violate the provisions of my other state or local law regulation co rsometion or the perfommnce of construction.
Property Owners Name Mw. Phone Number%A1 5 -0 �
Mechanical Company�: 5=.�-re-o. �' CM�Y'• �-�._ Office Phone 2`3-i�3yax� `�O'�'Z_
Co. Address: 20'\ 'Z�'r1"� �� N City��4x.1�t State�yZip''a226�
License Holder(Print Qv State Certification/Registration#C k-\,I"\\.1\\D
Notarized Signature of License Ho
TI POOR
uoT,wypuallc re me this day of ••� _20�t`,L
STATE OF FLORIDA
Cminat FF129460 Signature of No Ic
Ezphem 6/4/2018