178 BEACH AVE - HVAC r,:\i In CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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V 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-2432
Job Type: MECHANICAL HVAC ONLY
Description: MECH - 1 AC, 1 AHU. 2 TON
Estimated Value: $4,995.00
Issue Date: 10/14/2015
Expiration Date: 4/11/2016
PROPERTY ADDRESS:
Address: 178 BEACH AVE
RE Number: 170210-0000
PROPERTY OWNER:
Name: 178 BEACH AVE LLC
Address: 6 E BAY ST SUITE 500
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BUILDING CODES.
1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax 904)247-5845 I cj f Ec H -Z4 3z_
JOB ADDRESS: A(78. F
tor 2 A.+ /Yc a4ct,
PER MIT#
PROJECT VALUE$ li#S ARI# 956 REQUIRED -.7 916
Air Handling Equipment Only (/Air Handling Unit & Condenser • Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit Z 1 (�/
Heat: Unit Quantity BTU's Per Unit -141 c Seer Rating ` l
Duct Systems: Total CFM 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
LLL 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:
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
its 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
X. The permit does not give au • ity to viol:to the • ov''sions of y other state or local law regulation construction or the performance of construction.
'roperty Owners Name Ai,I ./�J wo, Phone Number ,53,
4echanical Company Or t C t , ' "rt. Office Phone-`l Fax
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'o. Address: 17� Z d i ye .: City ("6"`�'�t ft' State .i T2 l
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,icense Holder(Print): / State Certification/Registration#
Totarized Signature of License Holder ��
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