130 MAIN ST - HVAC '' �
!../ 1.- : ' %, CITY OF ATLANTIC BEACH
- - 800 SEMINOLE ROAD
j `� ') 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-1748
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 5 TON
Estimated Value:
Issue Date: 7/22/2015
Expiration Date: 1/18/2016
PROPERTY ADDRESS:
Address: 130 MAIN ST
RE Number: 170844-0000
PROPERTY OWNER:
Name: OCEANSIDE CHRISTIAN CHURCH OF
Address: P 0 BOX 330740 P.O. BOX 330740
GENERAL CONTRACTOR INFORMATION:
Name: NICK'S SOLAR & AIR SYSTEMS
Address: 4891 TIMIQUANA RD QA MONICA SHEREE BACCA
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 $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $123.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Rai Ph(904)247-5826-Faxx(904)247-5845
JOB ADDRESS: 130 Rai r' S-e-e 1 PERMIT#
PROJECT VALUE$ ic:'(9C) - ARI# t 5y-3? �� REQUIRED
Air Handling Equipment Only K 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 r`%t
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit a-7771 3
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM R QUIRED
I 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 ( e Phone Number 30(4 ties 3
Mechanical Company N as So Mono'`R_ �l 14.0(• Office pii net ,Y Fax ����0S 1
J J
Co. Address: T�9) / (. ovictZ �1 ' CitLI/�c /�(,Ykl�l re State Zip 3,23'/O
License Holder(Print): U .,It( .1a f • State rtif •o gistration# 1nie0 SS Sc Y
Notarized Signature of License Holder r U../
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•n,. WWIINE 4,... r-fore me this r)k St day of u LI 20
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i EXPIRES February 27,2019 ' gnature of Notary Publ. �Oux-+'\ ,..