1 FLEET LANDING UNIT 790 - HVAC J J�
CITY OF ATLANTIC BEACH
%,� l 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-2405
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 1.5 TON
Estimated Value: $3,125.00
Issue Date: 10/12/2015
Expiration Date: 4/9/2016
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BLVD
RE Number: 169397-0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BOULEVARD
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY HEATING AND AIR INC
Address: 6491 S POWERS AVE RYAN C ZABINSKY
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 $20.00
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: $91.00
PERMIT IS APPROVED ONLY IN ACCORDANCE.
WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 i 5_ NV AC Zzl 05
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: / t ra L 7 LA NDln) DI Diva 7Q0, AT N7ic &/PERMIT#
5 301,9.33
PROJECT VALUE$ 3l 95, 0 v AR'# '7/'15O33 REQUIRED
Air Handling Equipment Only /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 I Tons Per Unit /, �,
Heat: Unit Quantity I BTU's Per Unit a, 000 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: U /)IY -- 7c/ 0 -.10o t„.);h, L2war-) 6,1 :/c),,,,
Permit becomes void if work does not commence with: ,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 ppr visions of any other state or local law regulation construction or the performance of construction.
Property Owners Name r(,(� ( C �Di A Phone Number 9.9/fib - 994'0
Mechanical Company .J/4UrD l� (QLc� -A%�T Al2 Office Phone VII- �JI Fax
I _
Co. Address: L `7t Q/ voW�/c s AVE City\J?C�vi I/[-; State --Fa.-Zip 3 /7
License Holder (Print): 5 y7}A) ?pc/ State Certification/Registration# CAC /817887
Notarized Signature of License Holder " �1 Notary Public State of Florida
Before - djy of 040‘2,Q 20 19
LaSheica Wilson
'
lir My Commission FF 180366 1 ignature of Notary Public CiaOnCA ri,
'40,,p, Expires 01/04/2019