1837 OCEAN GROVE DR - HVAC - % A
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` \ CITY OF ATLANTIC BEACH
r � 800 SEMINOLE ROAD
X ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1464
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 6 tons
Estimated Value:
Issue Date: 6/23/2015
___ Expiration Date: 12/20/2015
PROPERTY ADDRESS:
Address: 1837 OCEAN GROVE DR
RE Number: 169600-0000
PROPERTY OWNER:
Name: SHEPARD. JR. BOBBY
Address: 18730 E COOL BREEZE
GENERAL CONTRACTOR INFORMATION:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
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.
0 FEES:
AC and Refrigeration $48.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Furnaces and Heating $28.00
Total Payments: $135.00
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
�
j Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 1 O 3I 6sr04) /P--N c PERMIT# 155x'1 6/
PROJECT VALUE $ 11 050
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit 3 /
Heat: Unit Quantity a BTU's Per Unit 5K4t) Seer Rating Z/
Duct Systems: Total CFM ,)/1 00 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit 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 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
i 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 provisions of any other state or local law regulation construction or the performance of construction.
/
Property Owners Name 9►y,r s Phone Number
Mechanical Company A- I C i 4-t3 I-) V Ac.. .1n c Office Phone 499lTax 7. '94'
qJ resc . a c� Sin.' L )L/ City �uc I�..r()„ a,II? State Zip s-/r
Co. Address: �j
License Holder(Print): i a.f l.) S /_r, • �-e Sta C if ation/Registration# CA-e 1033c5/
Signature of License Holder A 4 .�
Notarized Srgna f l
es,„ DEBRA ANN HOISINGTON Sworn and subscribed before m:t .'s I 6 ' day •• ' a. c 20 )5
• ••c MY COMMISSION R EE213756 Signature of Notary Public , 'i� /NW_
�4• V., EXPIRES October 13 2018
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