19 N SARATOGA CIR - HVAC Ir���1\.
C� � CITY OF ATLANTIC BEACH
10 800 SEMINOLE ROAD
\) 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-1527
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3 tons
Estimated Value:
Issue Date: 6/26/2015
Expiration Date: 12/23/2015
PROPERTY ADDRESS:
Address: 19 N SARATOGA CIR
RE Number: 171792-0000
PROPERTY OWNER:
Name: BRANDT NOBUKO B ESTATE, *
Address: POST OFFICE BOX 7239
GENERAL CONTRACTOR INFORMATION:
Name: A/C DESIGNS OF ST AUGUSTINE
Address: 103 LIBERTY CENTER PL QA EDWARD DOUGLAS TENNANT
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 $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CI'T'Y 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: 19 yC` CL C 1r N 14-1-1Cnt7 C 6f ac, 5 PERMIT#
PROJECT VALUE $ )C) '00 ARI# AC)-1-9 CS 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 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity \ Tons Per Unit 3 I 1
Heat: Unit Quantity 1 BTU's Per Unit 6 K Seer Rating "T
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 authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name'DCAV lc\ UAW - 001 t-Zor $C, Ace, Phone Number(104"-1 Kt,--1
Mechanical Company PIC Ortars OP 16tu9LlSfi(le, Office Phone 829-8886 Fax 82G- losAl
Co. Address: 3314 kr%tAliu.fctl Cf4r U . City$ . Pt&9 kS'hne State Ft_ Zip 3r9O L?
License Holder(Print): Efltxxx- '9 XlfrtX)- _ :te Certification/Registration#C.AC_181331?_
N • a t c;g,,i,h,ro ^• o„co older c�
=Or:,BVERS
s #EE 105703 Before me this . _ day of . Gwt-e_. J>:
••;;;„ EXPIRES:August 8,2015 J/15r•, $" 8onded Thru Notary Public Under hers Signature of Notary Public % ■