115 DONNER RD - HVAC 0- 'J r
:S 'jir OF ATLANTIC BEACH
800 SEMINOLE ROAD
t . "" �" 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-2563
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 4 tons UNIT A
Estimated Value:
Issue Date: 10/29/2015
Expiration Date: 4/26/2016
PROPERTY ADDRESS:
Address: 115 DONNER RD
RE Number: 172150-0000
PROPERTY OWNER:
Name: THOMAS, ELSIE LYNN
Address: 1964 FRANCIS AVE
GENERAL CONTRACTOR INFORMATION:
Name: NICK'S SOLAR & AIR SYSTEMS
Address: 4891 TIMIQUANA RD QA MONICA SHEREE BACCA
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:
Trade Permit Base Fee $55.00
Furnaces and Heating $24.00
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
/ 0� rLIl J./
∎-
°' ^ `SS\ CITY OF ATLANTIC BEACH
? j 800 SEMINOLE ROAD
OVF 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-2564
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 4 TONS UNIT B
Estimated Value:
Issue Date: 10/29/2015
Expiration Date: 4/26/2016 _
PROPERTY ADDRESS:
Address: 115 DONNER RD
RE Number: 172150-0000
PROPERTY OWNER:
Name: THOMAS, ELSIE LYNN
Address: 1964 FRANCIS AVE
GENERAL CONTRACTOR INFORMATION:
Name: NICK'S SOLAR & AIR SYSTEMS
Address: 4891 TIMIQUANA RD QA MONICA SHEREE BACCA
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:
Trade Permit Base Fee $55.00
Furnaces and Heating $24.00
AC and Refrigeration $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $99.00
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
/ /5 Ph(904) 247-5826 Fax(904)247-5845
OB ADDRESS: r dire f- IV ) - . PERMIT# /5- O PL 'l Y l
PROJECT VALUE $ ARI# 3c) 5 7 7 REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION .
Air Conditioning: Unit Quantity a Tons Per Unit . !'
Heat: Unit Quantity BTU's Per Unit 4 SS, coy Seer Rating_ ! ' '
Duct Systems: Total CFM REQUIRED
tEPLACEMENT 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
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)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
k.LL 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
ris 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
at- The permit does not give authorit3yto violate the provisions of an} other state or local law regulation construction or the performan.- of construction.
'roperty Owners Name-H 11�,- tiOr l42 5 ' C--1 t. C i S L1''l�J�-c-{SOP Phone Numbe 0 _ • " Z�Q
Mechanical Company Jl)Cl5 S .X7'1 o Ai S 5) - c Office Phone �� axe
j i- n
o. Address: LAUi Oki M i lARI 2 o Ci ':S► t State 11 zip 3 Dz) 0
,icense Holder(Print): Moo I(et 6 I_ , State Ce• ficati registration# oO ,-O
lot, -- --. . .-._.._ - ---- lder PC1,(1�C11 4 ' �-C-r-JCl (K._
i'%y-., LORAINE S.VIGIL
' = MY COMMISSION a FF 200707 Before me. this / day of ►� ` � 20
'. �, EXPIRES;Febnituy 27,2018 i
h r Rr Thiu Wary autI o u --- 1 ignature of Notary Publ' 1.41t1 1----/ 'I . 4 - -