610 TIMBER BRIDGE LN - HVAC I01-';.\-0;/.:/,,,
f _ CITY OF ATLANTIC BEACH
n \-9 800 SEMINOLE ROAD
j "° "-- - ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
�J.219r-
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
4 Job ID: 15-MECH-2203
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu
Estimated Value:
Issue Date: 9/28/2015
1 Expiration Date: 3/26/2016
PROPERTY ADDRESS:
Address: 610 TIMBER BRIDGE LN
RE Number: None
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:
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Furnaces and Heating $28.00
AC and Refrigeration $44.00
Total Payments: $131.00
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 IS _rn Vii-(_ZZ63
Ph(904)247-5826 Fax (904)247-5845
/ Ic // PERMIT# I5Sf1 /5 o
JOB ADDRESS: � i � bey � (�a..h c
PROJECT VALUE $ "5
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity .P-• Tons Per Unit 13. 5 1
Heat: Unit Quantity a BTU's Per Unit .2y)0)0 s 9;0 Seer Rating REQUIRED
Duct Systems: Total CFM 01100
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
REQUIRED
Air Conditioning: Unit Quantity Tons Per Unit RE Q
Heat: Unit Quantity BTU's Per Unit Seer Rating
REQUIRED
Duct Systems: Total CFM
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 provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name YL i J 1,5.d t- en e...5 Phone Number
Mechanical Company M C. .s ler,s /4 1) A e. !"Ir.c Office Phoneme 95 Fax 7 a M4'
Co. Address: -111 5 I r e 5 c kis • Sk 4e c)-04 City owtls l r : lit State- Zip 3 )
License Holder(Print): C /)e state Certification/Registration# C4C(i)3 51
Notarized Signature of License Holder
�_ _ �i
r '" DEBme -r a . o cerk .t t.' 20/S
" = e t_
MY of Notary Public *�
EXPIRES October 15 2010
(401)31it+-0153 FIaMsNorySennoccom