1158 VIOLET ST - HVAC �" CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�+� '`;�' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0II1>r-
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2260
Job Type: MECHANICAL HVAC ONLY
Description: HVAC- 1 AC, 1 AHU, 2.5 TON
Estimated Value: $2,550.00
Issue Date: 9/25/2015
Expiration Date: 3/23/2016
PROPERTY ADDRESS:
Address: 1158 VIOLET ST
RE Number: 171010-0007
PROPERTY OWNER:
Name: PETERSON ET AL, CONNIE
Address: 1158 VIOLET ST
GENERAL CONTRACTOR INFORMATION:
Name: COOL CHANGE HEATING & AIR
Address: 4596 HARBOUR CT QA MANSON L. MCCLAIN, JR
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 LS _M 6C t-1-Z Z Co 0
JOB ADDRESS: 1158 VIOLET ST, ATLANTIC BEACH 32233 PERMIT#
PROJECT VALUE $2550 ARI#_5722652 REQUIRED
Air Handling Equipment Only x Air Handling Unit & Condenser Condenser Only
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 1 Tons Per Unit 2.5
Heat: Unit Quantity 1 BTU's Per Unit 3 Seer Rating 15
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 N\ork 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 Linda Trinidad Phone Number 904-923-5922
Mechanical Company Cool Change Heating& Air LLC Office Phone 571-1944 Fax 928-9261
Co. Address: 4596 Harbour North Ct. City Jacksonville State FL Zip 32225
License Holder(Print): Manson McClain St C rtification/Registration # CAC 1816300
Notarized Signature of License Holder
;:0Fif LEON.WILLIAMS
Before me thise S day of S�r 20 fs
=, .. �`l, Commission#FF 078092 b(..e-12 / / UV,:° `" 29,2018 Signature of N' ' Ex fires January � otary Public
P M10.�. Bonded Thru Troy fain Insurer:°800-385. ,/ W N