1630 ATLANTIC BEACH DR - HVAC , !,Ae
`� ' CITY OF ATLANTIC BEACH
f
r' r) 800 SEMINOLE ROAD
c ;" 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-1528
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3.5 tons
Estimated Value:
Issue Date: 6/26/2015 .
Expiration Date: 12/23/2015
PROPERTY ADDRESS:
Address: 1630 ATLANTIC BEACH DR
RE Number: None
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.
FEES:
Furnaces and Heating $24.00
AC and Refrigeration $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE wrrn ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHVAC, INC FAX NO. :9047228944 J_in. 26 2015 07:70AM 79.
MECHANICAL PERMIT APPLICATION
°1-
CITY OF ATLANTIC BEACH ' i 1\16, 26
800 Seminole Rd Atlantic Beach,FL 32733
) (
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: j ().3 D lA+ a n 4-rc. 2 e-t-e 4 PER1s:rr# /5 /c3e- 715:
PROJECT VALUE$ 7..1,
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tans Per Unit 3,5-
/
Heat: Unit Quantity 1 BTU's Per Unit 10 KO Seer Rating ,
Duct Systems: Total CFM I II 00 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
AR!#
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
OTHER:
•
Permit becomes void if work does not commence within a six month period or work is sospcaded or**Wooed for sec months.Thereby ccrtify 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 oonstnietion or the performance of construction_
Property Owners Name tg.Fv t rs e_s Phone Number
Mechanical Company A4 C .-,1.a)-cf s if A-�. ,-(- Office Phone 13. - 19T-Fax -71) 9 L19
Co.Address: 14`?. -1--rue., R.ate c„. - .)--014 City 01-c.fi��, J )le state R- zip 3 a1.,a''
License Holder(Print): :L a✓I s S• C r. t' S _ .e :_ onlRegisttation#.. Yi J iYth
Nota •, , 11 • 1 • ' 1 • ;Older ....-
'4;e,
DEBRA ANN HOiSINGi ON Sworn and subscribed before me — 5 day o EM- 2Q l�
MY COMMISSION it EE213758 ,
EXPIRES Oceaber 15 2018 Signature of Notary:.Public � � . %ALL _ .,L�.
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