1480 LAUREL WAY HVAC � rt�llLl�-hip
o 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-501
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3.5 TONS
Estimated Value:
Issue Date: 3/9/2015
Expiration Date: 9/5/2015
PROPERTY ADDRESS:
Address: 1480 LAUREL WAY
RE Number: 170704-0055
PROPERTY OWNER:
Name: BELL, MURRY S &ALMA S, '
Address: 1480 LAUREL WAY
GENERAL CONTRACTOR INFORMATION:
Name: THIGPEN HEATING & COOLING INC.
Address: 2801 DAWN RD CA MICHAEL WAYNE HAYES
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 $24.00
AC and Refrigeration $28.00
State Mech DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMUL IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TBE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904'')24�,7-58226 Fax (9Q�4) 247-5845
JOB ADDRESS: 1#,610 Lt.c.r tAd 4 Q2 t PERmrr#
PROJECT !VALUE S s/ ARI# J 1 0a 7 3 7/
REQUIRED
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 Tons Per Unit J • S s/
Heat: Unit Quantity BTU's Per Unit V-3t SoSoo 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 the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
"not. The permit does not give authority to violater , the provis' nlq s of any other state or local law regulation wnstraction or the performance of construction.
Property Owners Name ,m/ wr'w1 /•.(lug Q� Phone Number 441,34-51 ,9
Mechanical Company n� t f..AP B�Office Phone�'ig4kax
Co. Address: J 8 I R.t.�rrJ City Aa.A�f Stateuk- zip 3"a 7
License Holder(Print): IU 141 A State Certification/Registration# U DSIA,/?�l
Notarized Signature of License Holder
Swom and subscribed before me this T '' day of ma-t-ch 20L!5
e` "fib SHERRII t THIGPENignature of Notary Public 5'�'hnn.�+�+-�- 1 rte.++Ck—
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» � Expires January 14,2018