75 BEACH AVE HVAC (2) CITY OF ATLANTIC BEACH
r 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-1195
Job Type: MECHANICAL HVAC ONLY
Description: 2 UNIT HEAT/AC 6 TONS
Estimated Value:
Issue Date: 5/26/2015
Expiration Date: 11/2212015
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 QA HAROLD A KELLY, JR
Phone: - -
PERMIT INFORMATION: Sticker for overcurrerlt 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 $28.00
AC and Refrigeration $48.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $135.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
05/20/2015 09:04 9043962691 INDOOR COMFORT INC PAGE 02/02
MECHANICAL PERMIT PLICATION
CITY OF ATLANTI BEACH
goo Seminole Rd Atlantic FL 32233
ph(904)247-5826 Fax(9 )247-5845
oD ADDRESS: _ 15�C �R Fr '32233 PEx ftr► II
P OJECT VALUE$
(EW AIR CONDITIONING & HEATING SYSTEM STALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Hest; Unit Quantity BTU's Per U Sear RE
Duct Systems: Total CFM
tEPLACEAaNT AIR CONDITIONQULRED
ING At HEA G SYSTEM INSTALLjATION
a # Y
TonsPdtUin � � on-)3
Air Conditioning: Unit Quantity ,N
Hear: Unit Quantity BTU's pe,U t Seer Rati4g N to h•)�
Duct Systems: Total CFM a REQUIRED
se a lion - 649iva7
rjRE Sp � SytemFire Sprinkler System Quantity requires
uires 3 sets of pl j°�" bc13816"}
Fire Standpipe Quantity 3 sets of pla> )
Underground Fire Main Valueuires3 sets of plan's)
Fire Hose Cabinets Quantity uires 3 sets of plants)
Commercial Hoods Quantity LLifts
ires 3 seta of plane)
Fire Suppression Systems Quantity ires 3 sets of plane)
IRE PLACES MI EOUS:
Prefabricated Fireplace QtyAutomGas Piping Outlets BoilBTfT'g Elev rs _,LLL OTHER GAS PIPING Heat of Outlets — s##VVeent d Wall Furnaces _ RRefiigenser BN'6Water Heaters Solar SystemsTanks
Wella —
)THER:
emtit becomes void if work docs not emnmarec within a six month period of wont uda ad abwdwed for mix months.'t hereby calif amt I have read
s
tis application and know the same to be true and woxc All mo woos of Inmos and 'mmm gowming this work will be cdmplied with whethu spwified
rnot. Thepermit does rot give aulharitymviolem nitre views of any aha state or local law regulation construed-or lit paramancc ofcoonswctiw.
'roperty Owners Name , . /V�/ Phone Number �H6 - 93Sq
vfechanieal Company nV_Gxwl%t^i Z1 Moe Phone ) Fax 33,1&"
;o.Address: City . State E.Zip $;1B
,ieense Holder(Print): I Stan Celtification/Regisunoon# C 4col
Valorized Signatwe of License Hol
worn and subscribed be n Athis °
Signature of Notary Public ISSI°N a an13a77a
' 61(pIP6S Nevoaaar0