575 TIMBER BRIDGE LN - HVAC 0% \4 ./4i
• , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J •.
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.011 19
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2001
Job Type: MECHANICAL HVAC ONLY
Description: MECH. - 2 AC, 2 AHU, 5.5 TONS
Estimated Value: $12,250.00
Issue Date: 8/31/2015
Expiration Date: 2/27/2016
PROPERTY ADDRESS:
Address: 575 TIMBER BRIDGE LN
RE Number: None
0
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:
Furnaces and Heating $28.00
AC and Refrigeration $44.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
TotalPayments: $131.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHVAC, INC FAX NO. :9047228944 Aug. 25 2015 09:22AM P2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 1 `�
3 ,�
Ph(904)247-5826 Fax (904)247-5845 - L0 Q
JOB ADDRESS: 5 )5 I 'In� __ .e, PERmrr# 15-S - /01
PROJECT VALUE$ )c)-.).5 0
NEW AIR CONDITIONING &HEATING SYSTEM INSTALLATION �/
Air Conditioning: Unit Quantity. _- Tons Per Unit / /
Heat: Unit Quantity ,2... BTU's Per Unit I , Seer Rating ,
Duct Systems: Total CFM .. _ OO REQUIRED
REPLACEMENT AIR CONDITIONING &HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer Rating..
Duct Systems: Total CFM REQU.Ltt.ID
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 provis)erts of any other state or local law regulation construction or the performance of construction.
Property Owners Name 06a1 10 t ak.vl ;�� - Phone Number
Mechanical Company " } Offoe Phone-The)-<19i Fax -7`)').
Co. Address: `7'75 Tre,s cip_ R,04,4 S <' '1 City Ac L!';?n v i l(1 State Zip
License Bolder(Print): • .4v-e. S.K.1- . • a. m/Registration# C -)g)3S 5
Notarized Signature of'License Holder c:.- ,
DEBRA ANN HOISIIVGTON Sworn and subscribed before m- `s 2) day o lima, �- 20 l 3.
i. " = MY COMMISSION#EE2I3758
Signature of Notary Public IF
-4, 2(116 . .i �___ V ,4aa.
• � October 15
Men 396-0168 F1ondetlotary3arv,cs_tam /