305 GARDEN LA - HVAC r r\.`r.`� 1,s\ CITY OF ATLANTIC BEACH
' °'" 9 800 SEMINOLE ROAD
�' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'�J;i 1 9''
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2643
Job Type: MECHANICAL HVAC ONLY
Description: 2 CU 1 AHU 5 TONS
Estimated Value:
Issue Date: 11/9/2015
Expiration Date: 5/7/2016
PROPERTY ADDRESS:
Address: 305 GARDEN LN
RE Number: 172020-5062
PROPERTY OWNER:
Name: AYCOCK, CHERYE D
Address: 305 GARDEN LN
GENERAL CONTRACTOR INFORMATION:
Name: CLASS A HEATING AND AC, INC
Address: 1578 SCOTTRIDGE LN QA LYNN M DELAY
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 $28.00
AC and Refrigeration $40.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $127.00
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
2 � Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 3t3 ��YMU i Q vt L-h - PERMIT#
PROJECT VALUE $ ARI# 94 1 to b Q I REQUIRED
Air Handlin g Equipment E ui ment 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 l �5�
Heat: Unit Quantity 5 J1(l v BTU's Per Unit I ?f t 000 Seer Rating /7
Duct Systems: Total CFM woo 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 rovisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name CkeAtit CO CIL Phone Number got 7a g-ta51
Mechanical Company CI k SS Y't kkitcs c 6Ati' Office Phoney 0 Fax
Co. Address: 15 h R ScroWst L • City S • Vb hn s State FL Zip 37-2,5-1
License Holder(Print): , i , 1" /./ State Certification/Registration#C>PiC Igi 14x(35
Notarized Signature of License Holder /f �/
::e'.'' DEBORAH L DELAYBefore me tl is ( `(-4` day : / )0 ' ' ' 20 15
,: -� MY COMMISSION#FF206979
..;',707-;,. EXPIRES March 05.2019 Signature of Notary Public !, ..� w _1 _
1,400139s-0•o3 FlondahoteryServke.corc I
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 0 S GSAOh / 1 - PERMIT#
PROJECT VALUE $ ARI# iNi 0 1 REQUIRED
Air Handling Equipment Onl y ' 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 Tons Per Unit 3 •6
Heat: Unit Quantity' BTU's Per Unit 14 a,Doe. Seer Rating
Duct Systems: Total CFM [400 R Q IRED
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 provi 'ons of any er state or local law regulation construction or the performance of construction.
l
Property Owners Name i Q • to Phone Number - /1,2f- ) /
r Mechanical Company Class �'�21iu J c irl� Office Phone90' 7t ) ax
Co. Address: 5 rg cutyk)j v - City 5'( . To it h S State Zips 51
License Holder(Print): /v� �� S State Certification/Registration#C 1(?) 141135
Notarized Signature of Licens4 Holder rsetiLiti,/ pp
efore me this fD day IV}}a.AI _.CJ I
;,:i4'f•it,.. DEBORAH L DELAY
i': MY COMMISSION X FF206979 ignature of Notary Public IW 1 �:�:..� t ik;._
EXPIRES March 05.2019 I
-t:•43 FkxMeNotvysernee.con'