580 Sherry Dr 15-MECH-1836 HVAC permit ;25" CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
`- r
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-1836
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 3 TONS
Estimated Value:
Issue Date: 7/30/2015
Expiration Date: 1/26/2016
PROPERTY ADDRESS:
Address: 580 SHERRY DR
RE Number: 170467-0000
PROPERTY OWNER:
Name: ERICKSON. SARA J
Address: 580 SHERRY DR
GENERAL CONTRACTOR INFORMATION:
Name: CREEKS AIR CONDITIONING & HEATING INC
Address: 120 Cumberland Park Dr# 205 ST # 205
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 $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 771E FLORIDA
BUILDING CODES.
01-21-16:02:06PM;From:Family Care Partners To:9048271950 : 1111 # 2/ 2
January 20,2016
Re: Sara Erickson-580 Sherry Dr.Atlantic Beach, FL 32233
I hereby waive the required inspection of this permitted work on permit#15-MECH-1836. If you
have any questions please call me at 904-483-6030.
Thank you,
n
Sara Eric son
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MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904) 247-5826n�1 I Fax (904)247-5845 1
JOB ADDRESS: SS o S l err` C D{ a n d e, �� t PERMIT#
))
PROJECT VALUE $ .s q Ala# g*g 7J 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 I Tons Per Unit 2
Heat: Unit Quantity l 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
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 LL.i'(tb @r 1 okLon Pho9(�ie umber ��� -CO
Mechanical Company S �� Office Phon r� � ax"10+10---/-�SC
p yG�l� 1�-I� COI�� l-KC��,1� (1J
Co. Address: 0.0 (Ct1/\:X(r1 arik ((I& Lti 9D5 -City a ' gU , ' n'-State Zip 17;�(J` lJ
License Holder(Print): ,!, SU I t I • _ S e ification/Registration#
Notarized Si g nature of License Holder �,
KNIGHT L
AMY
Before me this 30 day of lit 20 \5
MY COMMISSION#EE125572 ++�� n
•,,a,,, EXPIRES August 28,2OS4gn ature of Notary Public�/�'�,v■(/ "V \�&i A4.4
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