1816 ATLANTIC BEACH DR HVAC NC, '�i� CITY OF ATLANTIC BEACH
j 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-1851
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 6 tons
Estimated Value:
Issue Date: 7/31/2015
Expiration Date: 1/27/2016
PROPERTY ADDRESS:
Address: 1816 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: THIGPEN HEATING & COOLING INC.
Address: 2801 DAWN RD QA MICHAEL WAYNE HAYES
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 $28.00
AC and Refrigeration $48.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $135.00
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
Ph(904)247-5826 Fax((9/9904)247-5845
/���,� � PERMIT# is - Y
JOB ADDRESS:
PROJECT VALUE $ a`s U ARI#Z�L�-o 793S-S-3,5`1
REQUIRED
NEW AIR CONDITIONING & BEATING S MINS-FALL PION -
Air Conditioning: Unit Quantity
Tons Per Uni�;� ��
Heat: Unit Quantity BTU's Per Unit Seer Ratin
Duct Systems: Total CFM 2 Yo a
le- Y REQUIRED
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
TIRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity a
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:
P77�ermit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months,i hereby certify that 1 havC read
this application and know the same to be true and correct. All provisions of laws and ordinances goveming this work will be complied with whether specified
or not. The permit does not sive authority to violate the provisions of any other state or local law rcgulution construction or the performance of construction,
Property Owners Name
Phone Number
moi.' vs _,z lc- Office
Mechanical Company 5/' �' '
Co.Address: 210
City �� State 6l Zip 722
� S ��C'oSG
License Holder(Print): State Certification/Re istration# 722-6;
J
Notarized Signature of License Holder
;; pFNAIONES 20�hi2o _
Gtrxryssion�EE 167161 —� �
., Exptrs February 26,2016 Signature of Notary Public
Wr W TM T7/Fen Iftmo 4-315-7011
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