122 6TH ST 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 NMIT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1286
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3.5 tons
Estimated Value:
Issue Date: 6/2/2015
Expiration Date: 11/29/2015
PROPERTY ADDRESS:
Address: 122 6TH ST
RE Number: 170149-0000
PROPERTY OWNER:
Name: HITE, JEFFREY
Address: 122 6TH ST
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING &AIR
Address: 315 SIXTH AVENUES QA WILLIAM J DONOVAN
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 Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
IOB ADDRESS: I a.a tf, �+ PERMIT#
PROJECT VALUE$ 5 GJ ARI# 4 -ILI()6.7 REQUIRED
_Air Handling Equipment Only 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 ToPer Unit 3•
Heat: Unit Quantity
BTU's Per Unit '1,9 5— Seer Rating--L4—
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 Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalamrs
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wail Furnaces Refrigerator Condenser BTU's_
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
Permit becomes void ifwork does amt commence within a six month period or work is suspended or abandoned far,six months.I hereby certify that I have road
tis application and know the same to be true and cancer. All provisions of laws and ordinances governing this work will be complied with whether specified or
at. The permit does not give authority in villate the proltions of any other,state or local law regulation construction or the performance of construction.
Property OwQlners Name Sl) t U -rl t jre Phone Number 7 - n 7
Mechanical Company Office Phone 41 -'? t�Fax a 1731 r.
Co. Address: , 1r 6,'L Aoe. G Cit-_—X State-4:-�Zip3Z&(yj
License Holder(Print): I i H, , `�L- �k� State Certification/Registration# 34-14 I
Notorked Signature ojticense Holder
Nabry Puak Sued w-.
this ay of U,k 20 _
P Snulev t��pp
+� My CommbWn FF pt®1at of Notary Public
IV Enpua0L1042018