374 1ST ST - HVAC trvir
b' ' ''‘; ''''''' v CITY OF ATLANTIC BEACH
?4, '" _ 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-2200
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3.5 tons
Estimated Value:
Issue Date: 9/17/2015
Expiration Date: 3/15/2016
PROPERTY ADDRESS:
Address: 374 1ST ST
RE Number: 169752-0000
PROPERTY OWNER:
Name: LECATES. JOSEPH & PAMELA M, "
Address: 374 1ST ST
GENERAL CONTRACTOR INFORMATION:
Name: SERVICE EXPERTS
Address: 8475 WESTERN WAY STE 100 QA CAREY ZARM
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 $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 15-(V\£CH- Z ZO O
FOB ADDRESS: 3 7 / — 5 ( PERMIT#
PROJECT VALUE $ Si 470 ARI# 701/ 5 123 / REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser
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 3° .�
Heat: Unit Quantity / BTU's Per Unit C/0/,006 Seer Rating E S. =s 0
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
Us 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 0 e L.F' C J 76-7. Phone Number 6 c.�- 3 6
Mechanical Compa Service Experts Office Phone 271-2182 Fax
Co. Address: 8475 Western Way Suite 100 City Jacksonville State Fl Zip 32256
License Holder (Print): Carey Zarm -,State Certific ' n/Registration # CAC 1817129
Notarized Signature of License Holder C,cARout _ Before me this / 7 day of j3y2. --,-.1.-°,--. 20 1 S
!r MY COMMISSION A FF %990 0,,, a ,o�,7•--�� EXPIRES•July 5,201e Signature of Notary Public
R:: ;. Bonded Thru Notary Public Underwrders