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1642 ATLANTIC BEACH BLVD -HVAC r-- �<, 1- ��s CITY OF ATLANTIC BEACH .. ;---, N,. _ .) 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-1526 Job Type: MECHANICAL HVAC ONLY Description: 1 cu 1 ahu 3.5 Estimated Value: Issue Date: 6/26/2015 Expiration Date: 12/23/2015 PROPERTY ADDRESS: Address: 1642 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 S24.00 State Mech DBPR Surcharge $2.00 State Mech DCA Surcharge $2.00 Trade Permit Base Fee $55.00 AC and Refrigeration $28.00 Total Payments: $111.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. FROM :A/C MASTERSHUAC, INC FAX NO. :9047228944 Jun. 26 2015 07:28AM P2 MECHANICAL PERMIT APPLICATION t C/1 CITY OF ATLANTIC BEACH I P" Z Cp 800 Seminole Rd Atlantic Beach,FL 32233 I Ph 904 247-5826 Fax 904 247-5845 I JOB ADDRESS: )to). 4+)a✓t --t, 30.72_,J) 1 r;\r-, — PERNHT# l 5 1J k"6 `. PROJECT VALUE$ 6)'?-5, — NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity. I BTU's Per Unit i()�I) Seer Rating Duct Systems: Total CFM i V 0 REQUIRED REPLACEMENT AIR CONDMONING & 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 OTHER: Permit becomes void if work does not commence within a silt 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 1`ivt r -S ti ?e_ )---©m e 4 Phone Number Mechanical Company A'd C ILs 4r3 14'V k -.,1_,, So Phone 7 -ig 91Fax -7,)J—fq 4/l Co.Address: 9'15 "rrez v� o �.;�. J S,k( . 1 City ,1at,i4s3,1,,.II, State Zip License Holder(Print): ; ,a,, i .., C to -- --to •e :I cation/Registration#,CR. 1113"5f Notarized Signature of License Holder Ia, + `i�":" DEBRA ANN NQISlNG7dN Sworn and subscribed before me is c day •Aiik- k 20 IS -' •' MY COMMI3310N EE213758 Signature of Notary Public aJ •,• EXP1RE8 October 15 2016 (s0rls46-0tn3 FiawsN