384 1ST ST - HVAC t`;fr CITY OF ATLANTIC BEACH
°'t- " , _; ) 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233.7)\ 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-2873
Job Type: MECHANICAL HVAC ONLY
Description: 2 CU 2 AHU 4 TONS
Estimated Value: $9,300.00
Issue Date: 12/14/2015
Expiration Date: 6/11/2016
PROPERTY ADDRESS:
Address: 384 1ST ST
RE Number: 169755-0000
PROPERTY OWNER:
Name: MARCO. DAVID
Address: 2339 OCEAN BREEZE CT
GENERAL CONTRACTOR INFORMATION:
Name: HUXHAM HEATING & AIR
Address: 933 S 11TH AVE QA JAMES EDWARD GILBERT
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $119.00
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
Ph(904)247-5826 Fax(904)247-5845
J O B • t DRESS: )- /° ,4./2 4- 1. 11 •.C_ 8 c W PERMIT# is-5Fe-
PROJECT VALUES q;SW as7
NE ' ' AIR CONDITIONING& HEATING SYSTEM IN ALLATION
t Conditioning: Unit Quantity g. Tons Per Unit A-5 S
i eat_ Unit Quantity BTU's Per Uni c /6 vex' Ste-Rating 5
• v Systems: Total CFM 4 C,r) REQUWED
[tE : • CEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
AR2#
iii. Conditioning: Unit Quantity Tons Per Unit REQUIRED
i-•I _ Unit Quantity BTU's Per Unit Seer Rating
f M Systems: Total CFM REQUIRED
F ' [ PREVENTION
e Sprinkler System Quantity (Requires 3 sets of plans)
e Standpipe Quantity (Requires 3 sets of plans)
!J' ' - : s. It.1 Ere Main Value (Regtttires 3 sets of plans)Hose Cabinets Quantity (Requires 3 sets of plans)
mmercial Hoods Quantity (Requires 3 sets of plans)
I • Suppression Systems Quantity (Requires 3 sets of plans)
a I' 3 PLACES MISCELLANEOUS:
w "cared Fireplace Qty Automobile Lifts
: Piping Outlets Boilers BTU's
—
IIcygtors/ calators
ILL il I :l' ' GAS PIPING Heat Exchanger
•• of Outlets Pumps
• ented wall Furnaces Refrigerator Condenser BTU's
ater Heath Solar Collection Systems
Tanks(gallons)
Wells
g—
wind if work does not cxamesnnc within a six myth period or s n&s suspended or abamlo_ed for six months_I hereby certify that I have read
Lis..,Irf•, ... and kovw the some to be kae and cased All provisions of laws and ordinances governing dos wart will be aoieptied with whether apocaMed
r I. permit does not give malice y to Vilohdc ale provisions of nay(4.er state or local laws oaas section or the performance of construction.
• . l Owners Name l 1 i t `L- ilC�✓r?45 Phone Number
4. .-: Company lie-740/77 1
, ' 11),)2 Office Phone9Y(c--(o7g1 Faxgg& -a3?7
;o- �., ,..: 9.33 J/ ``` Pia v-1--1-- City J F1 State F0- Zip-3 9 )
• Holder(Print)- . 4=‘' -� L) State - ##7k05 7P 5
-� Z�s a 1Ia1. I� w ��
r p,. s and subscribed ,. '� r/0 day of �g-eA 20 l I
• � ., before
'e MIRNA ADSHADE-DOWNING Of Notary -(A)1,/,, 4
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