2338 BAREFOOT TRAC HVAC ,II
CITY OF ATLANTIC BEACH
,. 800 SEMINOLE ROAD
j 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-1224
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu
Estimated Value:
Issue Date: 5/26/2015
_ Expiration Date: 11/22/2015
PROPERTY ADDRESS:
Address: 2338 BAREFOOT TRAC
RE Number: 169463-0610
PROPERTY OWNER:
Name: SEBOLD, GLENN B AND MARY J, '
Address: 2338 BAREFOOT TRAC
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 I7
JOB ADDRESS: 21,36 PERMIT#
PROJECT VALUE$ C r °\o • ARI# l t o\-x� REQUIRED
_Air Handling Equipment Only CAir Handling Unit & Condenser _Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit �TJ
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity l Tons Per Unit
Heat: Unit Quantity I BTU's Per Unit ao 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 reed
this application and know the same w be we and correct. All provisions of laws and ordinances governing Nis work will be complied with whether specified or
not. The permit does not give authority to violate the provisions of any other sure or local law regulation construction or the performance of construction.
Pmperty Owners Name(- 1 _ Phone
� Number 9d - iD3'
o ��3
Mechanical Company 15 MbN— Vfiha qZU20
Co. Address: 20-1 Lois " —t `lv City —\h, �. StateV�- Zip 327.5 v
License Holder(Print):�^� State Certification/Registration# C�C�\%I It 114
NotarizO'Expires6XIMS
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sTATE OF FL01�� Befo a this _ ,_201YL
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Signature of Notary Pub