22 STANLEY RD HVAC 2015 11 SS CITY OF ATLANTIC BEACH
1
J 800 SEMINOLE ROAD
`~ r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
9r
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1562
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2 tons
Estimated Value:
Issue Date: 7/13/2015
Expiration Date: 1/9/2016 —
PROPERTY ADDRESS:
Address: 22 STANLEY RD
RE Number: 172056-0000
PROPERTY OWNER:
Name: PRITCHETT, JAMES R & AMY E,
Address: 301 3RD ST SUITE A
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA AIR SERVICE & ENG.LLC
Address: 150 QA JOSE FERNANDEZ
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH Is -
C R ,
800 Seminole Rd Atlantic Beach, FL 322331 2'
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: L S f4 Ll-- PERMIT# l
PROJECT VALUE$ 3900 . o ARI# 36455'71 REQUIRED
Air Handling Equipment Only x Air Handling Unit& Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 2 . 0 15
Heat: Unit Quantity 800
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 3 sets of sans
Fire Sprinkler System Quantity (Requires p )
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 1 have read
this application and know the same to be tete and correct. All provisions of laws and ordinances governing this work will he 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
BEACHES HABITAT Phone Number 904-332-1.202
Mechanical Company
FLORIDA AIR SERVICE Office Phone823-9696Fax823-9995
Co.Address:
150 HILDEN RD 308 City PONTE VEDR.A StateFL N" fit X81
License Holder (Print):
JOSE FERNANDEZ State Certification/RegistratioeJ A
Notarized Signature of'License Holder .
Before me this a 20_
y •
Signature of\otarnN.Public
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