2216 ALICIA LN - HVAC ;- A, CITY OF ATLANTIC BEACH
��� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
91, INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-MECH-2772
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 4 TONS
Estimated Value: $4,247.00
Issue Date: 11/30/2015
Expiration Date: 5/28/2016
PROPERTY ADDRESS:
Address: 2216 ALICIA LN
RE Number: 169519-0820
PROPERTY OWNER:
Name: DEPADUA,VIRGILLO G & PAMELA R. *
Address: 2216 ALICIA LNE
GENERAL CONTRACTOR OMATION:STATE HEAT & AIR,INC.
Name:
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:
Furnaces and Heating $24.00
AC and Refrigeration $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION l 131"
• CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845 1 5-ME-C-t-(- .Z.772
.OB ADDRESS: 221 (p 1 1 it(A` • 1-6-11-e_ PERMIT#
PROJECT VALUE $ g)2'1 q200 CD ARI# REQUIRED
Air Handling Equipment Only 1/ Air Handling Unit & Condenser Condenser Only
4EW 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
• tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit Li
Heat: Unit Quantity 1 BTU's Per Unit Li ) 000 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
dLL 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 ru
us application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specific(
at. The permit does not give authority to violate,the provisions of any other state or local law regulation construction or the performance of construction.
V'roperty Owners Name Dr - V tr 1 to Q pQ p act.u t'._ Phone Number
Mechanical Company (Year) f CA4e t ' +kr Office Phone 2 h{1421 Fax 29946 -J
:o. Address: ' if Atc-i'ci L- b Y A City PIe W C)C/t1 State Zip?u —
,icense Holder(Print): J'- C .,,,ii.. . • - Certification/Registration X..1e73)0
notarized Signature of License Holder _•
WETTE P.MORALES Before me this 3 •k • ' 1\) nV t hv► 20 IC
'
! I—'''li NOTA RY PUBLIC 'l,' STATE OF FLORIDA Signature of Notary Public ujj4c�'�"' ' J\fitraJ'-
Comm#EE879174
M0 • Expires 3/2/2017