220 12 TH 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 NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1382
Job Type: MECHANICAL HVAC ONLY
Description: 3 cu 3 ahu 6.5 tons
Estimated Value:
Issue Date: 6/12/2015
Expiration Date: 12/9/2015
PROPERTY ADDRESS:
Address: 220 12TH ST
RE Number: 170289-0000
PROPERTY OWNER:
Name: HAWKINS, ROBERT&JANETTE, '
Address: 220 12TH ST
GENERAL CONTRACTOR INFORMATION:
Name: ENVIRONMENTAL A/CSERVICES,INC
Address: 8110 CYPRESS PLAZA DR STE 106 QA HOWARD KENNETH
STALLS, JR
Phone: -
PERMIT INFORMATION: Sticker for wercurrent 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 $20.00
AC and Refrigeration $52.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $131.00
PERMIT IS APPROVED ONLY N ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDMG CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
OR ADDRESS: 2.20 ILfy 9t.LC. FL 3zz33 PERMIT#
PROJECT VALUE$ l q%,0d ARI# 941753 Je1V0—1/-Io1714S REQUIRED
_Air Handling Equipment Only ✓Air Handling Unit& Condenser _Condenser Only
iEW 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
tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 3 Tons Per Unit 2.S 3.a 1.5
Heal: Unit Quantity 3 BTU's Per Unit 3axm rcwn i✓wo Seer Ratin 1 �SY katj ae
Duct Systems: Total CFM REQUI D
TIRE 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)
?IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace QtyAutomobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
)THER:
ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.1 hereby certify that 1 have read
its 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
at. The permit does not give authority to violate the previsions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name Rom(- PhoneNtmtber 90443400I
4echanicalcompany (:nrmran.,u>'x) A, . 1•r. Office PhoneJoy-Z74 Fax 40-4717.w7if
V Address: 9110 res 0. D.-,,, * lob City -J�clsan„Ilc State f--c —Zip 31,2
,icense Holder(Print): �d k. S Us A. Stats Certification/Registration# (-A60 S7ya°I
notarized Signature of License HQ/der �Q
"'+i �mm!JJyD972187B fore me this day f +^� 20_K
Fxpiry5014
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