1832 HICKORY HVAC !�=\_jy j
J
CITY OF ATLANTIC BEACH
j s) 800 SEMINOLE ROAD
J 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-2010
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC.. 1 AHC, 2 TON
Estimated Value: $3,500.00
Issue Date: 8/26/2015
Expiration Date: 2/22/2016
PROPERTY ADDRESS:
Address: 1832 HICKORY LN
RE Number: 172020-1450
PROPERTY OWNER:
Name: DAVIDSON, RONALD L
Address: 1832 HICKORY LN
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
Address: 315 SIXTH AVENUE S QA WILLIAM J DONOVAN
Phone: 904-241-3785
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 APPLICAI`ION
CITE' OF ATLANTIC LEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 D— -Z e� 10
10B ADDRESS: / �3a l-/ ��ti����—`ti - �3 -3 Z 2 33 PBRMYr#
PROJECT VALVE 9 ARI#_ 56Gb7 I � R�®UIREl)
Air Handling Equipment Only Air Handing Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HI EATING SYSTEM� INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Ratincy
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM I TS T ALILATI,ON
Air Conditioning: Unit Quantity 1 Tons Per Unit
Heat: Unit Quantity i BTU's Per Unit Seer Rating %L
Duct Systems: Total CFM REQUIRE)
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 dans)
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
4 Vented Wall Furnaces Refrigerator Condenser BTU's
?r 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
tis 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
ot. 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 )oNi�) S, Phone Number
Mechanical Company bz), A�� kz x A' r Office Phone Q ax
Co. Address: �; 6 +k A� e 5o_�k City�'oy, 1 �L�State -L_zip.30_Q63
License Holder(Print): W k \\ \N, ��OS�`;� 7� State Certification/Registration r :)O,CO 3g7� 1
Notarized Signature of License HolderBefore me me this Q-6 day of oS 20 I j
RICHARD TOMPKINS
: : Commission#FF 040399 Signature of Notary Public
W Expires July 29,2017
%:F ror��Qp•`, 0ond�d TMu Tray Fm insurance 800-385-7019