1855 N SHERRY DR HVAC CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-971
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 5 tons
Estimated Value:
Issue Date: 4/27/2015
Expiration Date: 10/24/2015
PROPERTY ADDRESS:
Address: 1855 N SHERRY DR
RE Number: 172020-0804
PROPERTY OWNER:
Name: OGILVIE, AMY MARIE
Address: 1460 GREYFIELD DR
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 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 $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $123.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: PERMIT#
PROJECT VALUE$ REQUIRED
_Air Handling Equipment Only ZAir 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 1 Tons Per Unit
Heat: Unit Quantity I BTU's PerUnitlrotoo= Seer Ratmg—N U
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fin: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
Gas Piping Outlets Boilers BTU's
Elevators/Escalatom
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:
Pemut 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 the same w be we and w=t. All provisions of laws and ordinances governing this work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of my other state or local law regulation construction or the perfarmance of construction.
Property Owners Name4r—Y„r. ` 4cPhone Number9oV-\,29= VL\
q;a 1
Mechanical Company A (�:, Se.,.y�, t- km� -Office
P,hon�e233- %j\ Fax M'12-90"12_
Co. Address: 'Z_U ' 3t \1 Cit} State_S:�L Zip_501 -'6l0
License Holder(Print): State Certification/Registration hr AA %-M\cMl�c
Notarized Signature of License Holder
TRACY POOR
NOTARY PUSl1C Blelir,this oZ y 20 %15
STATE OF R..0rJM
Ca nn*FF12NN Signature of No Public
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