1665 SELVA MARINA DR 15-MECH-1499 HVAC 6' -. :\<S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ;,;:..-..:Zr.: 4 ,.Fr? 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-1499
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 4 tons
Estimated Value:
Issue Date: 6/24/2015
Expiration Date_: 12/21/2015
PROPERTY ADDRESS:
Address: 1665 SELVA MARINA DR
RE Number: 171996-0000
PROPERTY OWNER:
Name: HEWETT. PHILLIP M
Address: 1026 N 18TH 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
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
AC and Refrigeration $32.00
Total Payments: $115.00
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: I (r 67 L" HOCI4i,t)/1 ----1A PERMIT#
PROJECT VALUE $ 4 4- 13 ARI# Z 72 /6 ig
/ REQUIRED
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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSSTEM INSTALLATION
Air Conditioning: ' Unit Quantity / Tons Per Unit 4- /
Heat: Unit Quantity / BTU's Per Unit LI'8/ bO /
O Seer Rating 7, v
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
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 au 'ty to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name O"Al J L L I" /&W / r l Phone Number 2 Vz —/40 5�
p `T 41"4 4x `/��— $7c�
Mechanical Company —rt.-14 (7,���T� 1�C�V�ffice Phone
Co. Address: 2 go 1 City R.e, State j L Zip 3 2-2-07
License Holder(Print): /4 i -' t e Certification/Registration#�c.si 724
Notarized Signature of License Holder •-
worn and subscribed befo - m_this Z da of o�.,...,...lc_ 20 It—
Y"' •• DEANNA JONES
4,7`�as = Commission#EE 162761 Signature of Notary Public110.1111kIlLib,__
% .--;;;.i.F1 Expires February 26,2016
.• • • gyg9d Thou Tow Fain Murano 800.365.7019■