250 BELVEDERE ST - HVAC -S l\i'7
�" 1: r:--401 CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
V }"_r 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-2457
Job Type: MECHANICAL HVAC ONLY
Description: 1 AC, 1 AHU, 3 TON
Estimated Value: $3,500.00
Issue Date: 10/16/2015
Expiration Date: 4/13/2016
PROPERTY ADDRESS:
Address: 250 BELVEDERE ST
RE Number: 170497-0000
PROPERTY OWNER:
Name: CUNNINGHAM, NILDA
Address: 250 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
Address: 315 SIXTH AVENUE S QA WILLIAM J DONOVAN
Phone: 904-241-3785
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 BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 1 5-m a -Z 4 E 7
FOB ADDRESS: ,,C1 Uk� \ PERMIT#
PROJECT VALUE $ ARI# (: 15.)1C1 REQUIRED
_Air Handling Equipment Only ( Air Handling Unit & Condenser Condenser Only
JEW 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
2EPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity � Tons Per Unit
Heat: Unit Quantity i BTU's Per Unit 3 607 6, Seer Rating 1.C.
Duct Systems: Total CFM REQUIRED
'IRE 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)
IRE 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
)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
is 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
ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.j �/
'roperty Owners Name � 'L S Qc \ Phone Number 9 I o LI O
Mechanical Company N c! \\C JA 11 c; Office Phon 13� ax
:o. Address: State TZ Zip 3 JD
T
4icense Holder(Print): �,��, 1.0� State Certification/Registration#(0.e6 3 11L
dotarized Signature of License Holder
Before me this i1 L day of 20
'••'r RICHARD TOMPKINS
t' "
,.: Commission#FF 040399= Signature of Notary Public
isT1 Expires July 29,2017
Pf 104. Boded TMu Troy Fin insurance 800385.7018