701 BEACH AVE #101 - HVAC �S\ CITY OF ATLANTIC BEACH
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-1678
Job Type: MECHANICAL HVAC ONLY
Description: MECH - 3 TON. 1 CU. 1 AHU
Estimated Value:
Issue Date: 7/14/2015
Expiration Date: 1/10/2016
PROPERTY ADDRESS:
Address: 701 BEACH AVE 101
RE Number: 170237-0702
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFO
FORBES, RAYMOND E & BARBARA H.
4975 E LAURE GREEN WAY
RMATION:
Name: ANGLER HEATING & AIR INC.
Address: 4533 SUNBEAM RD SUITE 403 QA ELLIOTT. BERNARD VANE
III
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 $20.00
AC and Refrigeration $24.00
Trade Permit Base Fee $55.00
Furnaces and Heating $20.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
J`
�' - �S, CITY OF ATLANTIC BEACH
,,, •,--, . _ ...:__-6 - ________}
800 SEMINOLE ROAD
r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Trade Permit Base Fee $55.00
Total Payments: $202.00
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 1 5-(Yl ELL-(- /6
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 7 O / 6 04 I-, A `J t ' J 8 P PERMIT# I v l'
PROJECT VALUE $ � g 11° 'Qs9 ARI# 4 S 5 7 6 tV REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM I STALLATION
Air Conditioning: Unit Quantity it 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 3 Ton• 'er Unit 3(0g-
Heat: Unit Quantity : 's Per Unit Seer Rating)S.c0
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 Roy mow( For b e S Phone Number S Y -f— S yi 4
Mechanical Company A n> /et 1 zi -1,r'j ' A l r. Office Phone/49-1 3'10 Fax
J
Co. Address: 973 5 S4. Al t/s'1 i Rd. City 1 All State c `- Zip3 Z Z 07
License Holder(Print): PRZ -,vtiid C LL u !// State Certification/Registration# CO Co S 74 b3
Notarized Signature of License Holder ���N �i i��2rir
eKELLY L COLEMAN—lido a me this / .1/ day of SZ 1 20 f 5
=� MY COMMISSION 8 EE156506
/
•:;t EXPIRES Apt oe.2a.` dgn. ure of Notary Public _ .
407)a0 a143 001"