604 TIMBER BRIDGE LN - HVAC - 1,J-\11---
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�' ': '1, CITY OF ATLANTIC BEACH
, _ .�- J 800 SEMINOLE ROAD
.)111, ----, 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-2317
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3 tons
Estimated Value:
Issue Date: 10/2/2015
Expiration Date: 3/30/2016
PROPERTY ADDRESS:
Address: 604 TIMBER BRIDGE LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: A/C DESIGNS OF ST AUGUSTINE
Address: 103 LIBERTY CENTER PL QA EDWARD DOUGLAS TENNANT
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 $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
�1 Ph (904) 247-5826 Fax (904) 247-5845
/
JOB ADDRESS: IDbT I Jm&Ek BRIDGE f.,AJ PERMIT#)5'SFR- 1507
PROJECT VALUE$ (1).;D D - O O ARI# 5 R a tf tf a 9 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 3
Heat: Unit Quantity l BTU's Per Unit 3;00 C7 Seer Rating 15
Duct Systems: Total CFM 100 0 REQUIRED
REPLACEMENT 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
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 HOLD Ell .JDHt4SOF) r}DtriES Phone Noum o
umber 90q--a 0 0 -5373
Mechanical Company Pic D ES I GIJS or Sr et)6 OSTJA)E) IIJ C Office Phone 8)9-829 8 Fax 8J9
Co. Address: 33?O AGRICuLTO ML OE IJTER. DK City.51" A060,Sri E State FL Zip 3DO3.
License Holder (Print): EbOAKT TENNRn)i .State Certification/Registration# CAC I$13370 -
ehtnni_7od tuA o_aafl ice, 'a-fielder
„10%",,,, GUY D.PRICE '/ ,0
/ r Notary Public-State of Florida Before me this ` day of I 20•. CommIsslon•IT 228683 ' v
;, - tlAy Comm.ExNr•s Sep S,2019 Signature of Notary Public ■ A
`• Bonded though National Notary Assn F