395 AHERN ST 2015 DUCT WORK �s S, CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
v INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247=5814
JOB INFORMATION:
Job ID: 15-MECH-1599
Job Type: MECHANICAL HVAC ONLY
Description: duct work 800 cfm
Estimated Value:
Issue Date: 7/2/2015
_Expiration Date: 12/29/2015
PROPERTY ADDRESS:
Address: 395 AHERN ST
RE Number: 169727-0030
PROPERTY OWNER:
Name: FERMENTER, BENJAMIN C
Address: 395 AHERN ST
GENERAL CONTRACTOR INFORMATION:
Name: BRISK AIR HEATING & COOLING
Address: 4626 WASSAIL DR QA GREGORAY ALAN SUMMONS
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
Jos ADDRESS: N5 Man .Sf-. PERmrr#
PROJECT VALUE $ �5�'OD ARI#
REQUIRED
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating REQUIRED
Duct Systems: Total CFM
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 Refrigerator Condenser BTU's
#Vented Wall Furnaces
#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 h (� Phone Number
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License Holder(Print): Irlt &Lwvrv`(In State Certification/Registration# C6C(g I q (IL—
Notarized
ZNotarized Signature of License Holder
wo and subscribed before me day of 1 2015JOSETTE A RETHMEL Q
Commission#FF 218261 ignature of Notary Public
Expires April 7,2019
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