41 ARDELLA RD - HVAC T� 444‘` 0 CITY OF ATLANTIC BEACH
ii, j 800 SEMINOLE ROAD
71)-.%,:,-2- Zr: ATLANTIC BEACH, FL 32233
, 5 w .w< INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2710
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 2 TONS
Estimated Value:
Issue Date: 11/19/2015
Expiration Date: 5/17/2016
PROPERTY ADDRESS:
Address: 41 ARDELLA RD
RE Number: 172077-0000
PROPERTY OWNER:
Name: CONSELICE JR TRUST, JOSEPH J
Address: 209 S OAK DR
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR,INC.
Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES
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 APPLICATIONFA <E D
CITY OF ATLANTIC BEACH F���E D
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 I I
.OB ADDRESS: 4/1 AY ('//a., Rd PERMIT#
PROJECT VALUE $ �ay(e' ARI# gv25-20V0 REQUIRED
_Air Handling Equipment Only yAir Handling Unit & Condenser Condenser Only
1EW 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
• tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION CO
Air Conditioning: Unit Quantity Tons Per Unit 2 /5.Heat: Unit Quantity BTU's Per Unit 2 2,000 Seer Rating /5.
Duct Systems: Total CFM
■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
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
ETHER:
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 c
3t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name JO e_cti P–liC e- Phone Number .237-,."715/
Mechanical Company Oe eay, c51-4 ,aii Office Phone)V9S 5/ Fax ,7K-eKY9
'o. Address: 1L / 62 44/Qth blvd City /Ulf 6C-11 State A- Zip322640
,icense Holder(Print): J • 607/1 '.-...�r■ State Certification/Registration # C AC/4'
lotarized Signq#U rfT~g�Holder 4 _
`-► NOTARY PUBLIC Be re me t is r 'day of r .1, _ 20
.� STATE OF PLt?K1tjA --!
,�.t.�= Como*EEf37tl 74 Sign; ure • Notary Public LL At
• EXpires 3/2/2:017 �-