261 BEACH AVE - HVAC r
(rJ 1 :' - CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j "'r ATLANTIC BEACH,FL 32233
10
INSPECTION PHONE LINE 247-5814
1J;il9r
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 _ __
JOB INFORMATION:
Job ID: 15-MECH-1502
Job Type: MECHANICAL HVAC ONLY
Description: duct work only
Estimated Value:
Issue Date: 6/24/2015
Expiration Date: 12/21/2015
PROPERTY ADDRESS:
Address: 261 BEACH AVE
RE Number: 170191-0000
PROPERTY OWNER:
Name: SNEAD.
Address: 261 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: ISLAND HEATING AND AC
Address: 751 CAVALLA RD RONALD WAYNE LEE
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:
Air Duct System $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
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: 2 64 R e ad') AV E PERMIT#I5 -RA Mp-I�3
PROJECT VALUE SA)i cc C• 0-0 ARI# 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 I con REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit_ Seer Rating 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
OTHER: ? PII ie N,c* (Id (\,cf 3C R.CiLri) AJCJ1+icA ,teA+ Ec.t L4 ,JeA:f di Pr
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 NameSc/5cfl $ S/V'c / c Jf a-c_5'crt Sip o,cI Phone Number goV 7 lo-'h37
Mechanical Company 7S/c/ .ztL Office Phone33.3-6V Fax
Co. Address: I KA bic.A4 4- C ' cityAkPpAe. I c Ii State P( Zip 3;244?
License Holder(Print): 60'Ili .. Al' - State Certification/Registration#rAG1$171sf
o
Notarized Signature of License Holder
HEATHER D.BURRELL ;cfore me this day of ell i (AS. 20
MY COMMISSION N EE 188650
,; °;.. EXPIRES:April 11 2016 i gnature of Notary Public '�1�
4,q k t Bonded Thru Notary Pubic Underwriters