1833 N SHERRY DR - HVAC DUCT WORK (-j!"-\11:-
s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
13 1 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-1846
Job Type: MECHANICAL HVAC ONLY
Description: DUCT WORK
Estimated Value:
Issue Date: 7/30/2015
Expiration Date: 1/26/2016
PROPERTY ADDRESS:
Address: 1833 N SHERRY DR
RE Number: 172020-0786
PROPERTY OWNER:
Name: GETSY, STEPHEN JEFF & DENISE, *
Address: 1833 N SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
Phone: 904-722-8995
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
ILPERMIT 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
JOB ADDRESS: /8.-.?-3 Th 47ZI/ Az- /U, PERMIT#
°;
PROJECT VALUE $ 7Sad ARI# 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
Heat: Unit Quantity BTU's Per Unit Seer Rating
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
I OTHER: er 1.,4 411 /144.0/ L. c.rzr-' I Cr
Ic4 Apv r/df1 /ZOO 'M I
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 Phone Number
,y2
Mechanical Company 4/d_ s i s o/ ,{` ks.' 7`'Le Office Phone 90 075-k-Y-Tax(9,,q)ssr-Nay)
Co. Address: /I 2 t M. TcH4'1 . 4 ice City_ ✓"fe- '`v' I LC State IL Zip 3 2.2e f
License Holder(Print): ✓L it C 6,,z /Av.1'e z :.to -rtification/Registration# 64Z-4 (3 2 33
Notarized Signature of License Holder 7 4:7
° ,. RITA J DUBRAY Before me this J D day 1 L• ' 20 I
: ,. MY COMMISSION 8FF081544 , `
�` 'P`' EXPIRES January 8.2018 Signature of Notary PublicC� �` - -
(a07)398.0153 FIoridallotaryService.com