336 8TH ST - HVAC r JJ ,
CITY OF ATLANTIC BEACH
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-2468
Job Type: MECHANICAL HVAC ONLY
Description: MECH - 1 AC, 1 AHU, 5 TON
Estimated Value: $7,200.00
Issue Date: 10/19/2015
Expiration Date: 4/16/2016
PROPERTY ADDRESS:
Address: 336 8TH ST
RE Number: 169927-0000
PROPERTY OWNER:
Name: HACKNEY FAMILY TRUST, LELAND R, *
Address: 1747 LIVE OAK LN 1747 LIVE OAK LANE
GENERAL CONTRACTOR INFORMATION:
Name: AIR FLOW DESIGNS NORTH, LLC
Address: PO BOX 180308 QA TERRY HILE BURD
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 $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JA 600 l0 A3
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 QQ-�
Ph (904)247-5826 Fax (904)247-5845 1 5 " Vane-(-z4(oV
JOB ADDRESS: 33 6 8 "n l-e.c-'4- 111-)an 4i,-.6 A) Fj 3 u33 PERMIT# /55FA- `{6
PROJECT VALUE$ 2OO a�
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit S /c/. 6
Heat: Unit Quantity ( BTU's Per Unit Seer Rating
Duct Systems: Total CFM ?o o e REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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 Jo (-) r. e. 1_n n I Phone Number g Dq-° y'30 73
Mechanical Company Ai r now w 1)&S'c,, S Office Phone 3'15-5-3.13Fax
Co.Address:5( I 5 f 4-t n ti 1ZL City J la$ State"P I Zip 3 azo 7
License Holder(Print): _ ,PAP-n-y 61,,,r�/� State Certification/Registration#Cris//yL2-
Notarized Signature of License Holder /h-��
Sworn and subscribed before me t 's /Ste`" day of &-io.6' 20 I S
Signature of Notary Public ��,--,-..,-
4 ..ig DONNA L.THOMASON
s*: c*= Commission#FF 138497
..4= Expires November 2,2018
„ Borland Thu Troy Fin 8uuranoe 800-3115-7018