345 6TH ST HVAC 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-1903
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 2 TONS
Estimated Value:
Issue Date: 8/10/2015
Expiration Date: 2/_6/2016
PROPERTY ADDRESS:
Address: 345 6TH ST
RE Number: 169897-0150
PROPERTY OWNER:
Name: ROGERS, DAVID P
Address: 380 10TH ST
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 $24.00
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
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(�j904) 247-5826 Fax(904)247-5845
JOB ADDRESS: ` — ��r�Ei/r.._= "r PERMIT#
PROJECT VALUE $ s�-1 db LAN#
REQUIRED
NEW AIR CONDITIONING & HE TING S 1V, INS -ALLATION-
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
4
Hua REQUIRED
Duct Systems: Total CFM av Q
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 3 sets of plans)
Fire Sprinkler System Quantity _ (Requires
(
Fire Standpipe Quantity itequires 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 ___ (Ztequires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
)FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile sifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
ALL OTHER GAS PIPING Beat Exchanger
Quantity of Outlets Pumps -
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks(gallons)
Wells
OTHER:
six month period or work is suspended or abandoned for six months,I hereby certify that 1 hav
Permit becomes void if work not commence within ae rend
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. T1te permit does not give authority to violate the provisions of any other stale or local Inw regulation construction or the perfonnance of construction,
Property Owners Name /`°�1��'S Phone Number
l -�i� Office Phone`Iy8/944ax 5�y,9a90
City
Mechanical Company i�s'ers� � �
Co,Address' gO( w� �X
State, Zip _1212-e22
License Holder(Print): % � S State Certification/Registration# Cy�"6 7026
Notarized Signature of License Holder
Before me this� .., y of 20 _
;��:�r:e'"''•., DEANNAJONES \
Commission#EE 162761
Expires February 26,2016 Signature of Notary Public
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