1766 BEACH AVE - HVAC ,'S y'�'�ji'
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f CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
�" ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2245
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 1.5
Estimated Value:
Issue Date: 9/23/2015
Expiration Date: 3/21/2016
PROPERTY ADDRESS:
Address: 1766 BEACH AVE
RE Number: 169603-0500
PROPERTY OWNER:
Name: EDWARDS. DAVID J
Address: 1922 LARGO RD
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA COOLING STORE. INC.
Address: 6211 JAMISON CT QA ERIC ARONDALE ANCLIFFE
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 $12.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $95.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH All CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
I
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph (904) 247-5826 Fax (904)247-5845
JOB ADDRESS: \ 7S� �-e��� ,--
PERMIT#
PROJECT VALUE$ U 1 ARI# J c�q\ ( --". REQUIRED Sa'33
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITI• L. ► . : ►G SYSTEM INST. LLATION
Air Conditioning: Unit •u. s ' ons 'er Unit •
Heat: .ni I uantity BTU's Per Unit i-(,�GJ Seer : . 7 If 1 ystems: Total CFM : . RED
REPLACEMENT AIR CONDITIQNING & HEATING S STEM INSTALLATION
Air Conditioning: Unit Quantity t Tons Per Unit
Heat: Unit Quantity \ BTU's Per Unit Seer l
Duct Systems: Rating 1,
ys ms: 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
Heat ors/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
)THER: L Q t' e-f\i
'ermit 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
lis application and know the same to be true and correct. Al provisions of laws and ordinances governing this work will be complied with whether specified or
ot. The permit does not give a to-vf lathe pro io s of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name k e N Phone Number
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echanical Company ('c ( 1 ) Office Phone 2z?O'(f
ax
o.Address: g�2$..Z A LL k v� _� c�S _t
• �//City J`"�- Stat Zi I
,icense Holder(Print): M' I�P�' State Certification/Registration#4c 033/c
fofariz' i • , ' - c • . , „ ArKev
l.ss'r°gar Notary Public State of Flor'
Shirley L Graham c$ef► e i Mr-
41 day oWilifir! 20
My Commission FF 086990
4oil f Expires 02/14/2018 Si' ,; r- : Notary Public .