1737 W PARK TER - HVAC r 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-1407
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 6.5 tons
Estimated Value:
Issue Date: 6/16/2015
Expiration Date: 12/13/2015
PROPERTY ADDRESS:
Address: 1737 W PARK TER
RE Number: 172020-0374
PROPERTY OWNER:
Name: BUSH TRUST, LAURIE B
Address: 1737 PARK TER
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 $28.00
AC and Refrigeration $52.00
Stale Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $139.00
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�(,90044)J`247-5826 Fax(904)247-5845
JOB ADDRESS: 1` 9 v w"r` �&LAJ 0 PERM lT#
PROJECT VALUE S I 3 qS. 68/
AR7# 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 QuantiQuantity ,
z Tons Per Unit 2clz z 46, -S9 S77 803
Sr3+/'
Heat: Unit Quantity� BTU's Per Unit� rnt� Seer Rating7 6,3 Z
REQUIRED
Duct Systems: Total CFM /8�
FIRE PREVENTION Quantity (Requires 3 sets of plans)
Fire Sprinkler System Q ty
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/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 bereby certify that I have read
this application and know the same to be we and correct All provisions of laws and ordinances governing this work will be complied with whether specified
or not The permit does not give autbority to violste the provisions of any other state or local law regulation construction or the perforrlmance of construction.
PropertyOwners Name LQ-4-r ltd A-J �C,�) l Phone Number oc�1n�-/p/G�'3°
Mechanical Company 1 La.r. r�C Office Phone `+4B-W4LFax 44-gb
Co. Address:
R-++ir- K. O,, �r pp� City _State` Zip 3 3aa-rrf,
License Holder(Print): �HIder
/-FII rL 5 /1 State Certification/Registration#CA CL 16724
Notarized Signature ojL' QN
d subscribed befor this ` da"of 20
- N imi NA
Cgmmissbn#EEJONES 162761 Siglatlue of Notary Public
Exgres February 26,2ot6
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