633 ORCHID ST HVAC CITY OF ATLANTIC BEACH
l
800 SEMINOLE ROAD
rj !l 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-1311
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 2 TONS
Estimated Value:
Issue Date: 6/4/2015
Expiration Date: 12/1/1015
PROPERTY ADDRESS:
Address: 633 ORCHID ST
RE Number: 170818-0070
PROPERTY OWNER:
Name: MORAN, THOMAS E
Address: 633 ORCHID ST
GENERAL CONTRACTOR INFORMATION:
Name: THIGPEN HEATING & COOLING INC.
Address: 2801 DAWN RD QA 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 $16.00
State Mach DBPR Surcharge $2.00
State Mach DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
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•
In 33 Ore c-ik ra 61— PERMfT#
PROJECT VALUE $ 3 ARI# Z O
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity_ Tons Per Unit _ _
Heat: Unit Quantity_ _ BTU's Per Unit Seer Rating�QUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit /� G
Heat: Unit Quantity BTU's Per Unit �7 Seer Rating REQUIRED
Duct Systems: Total CFM
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
ElevatomTscalators
ALL OTHER GAS PIPING Heat Exchanger
Pumps
##Vent dWall FOutlets
urnaces _ Refrierator 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
or not The permit does not give authority to violate the previsions of any other state or local law regulation construction or the performance oiwnstruction.
Property Owners Name I o ff M C 2At l Phone
r,N�umb�e�r��I aaggCt//99�j
Mechanical CompanyTt`r 4 �C.'moi w�C ��tw�Ca,JCofficePhone4�i_t&ZFax'f a' " Lo-
Co.
Co. Address: uor11AWIA( Q4 city`J�A�c State FL Zip 3' eO
License Holder(Print): t Q State Certification/Registration#CAd6"10121.
Notarized Signature of License Holder '•
Swom and subscribed before me this 3rd da 20
8rNAl0NES
Cornmiseion#EE 162761 Signature of Notary Public
a' Expires Februay 2Q 2616
8YM1Nuim/Figy�m6016py