352 8TH ST - HVAC -S \i‘jj,
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r J.�r- - `s, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J . _ z 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-2898
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 4 TONS
Estimated Value:
Issue Date: 12/15/2015
Expiration Date: 6/12/2016
PROPERTY ADDRESS:
Address: 352 8th ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: HOKE KELLER HEATING & AC INC
Address: 4466 W JADE DR HOKE KELLER
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
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
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
q)-\-"A(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 35 `C� . PERMIT# l`I bl
PROJECT VALUE $ C� 00 6. 61) ARI# 5-7 '76 Si REQUIRED
Air Handling Equipment Only e'i. ir Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Ratin
Duct Systems: Total CFM — REQU RED
REPLACEMENT 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
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
JTHER:
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
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 or
ot. The permit does not give authority to violate the provisions f any other state or local law regulation construction or the performance of construction.
•
Property Owners Name 1 t k12_`` ��( 1,1 0 , Phone1�y�rtber ` "3yCi-21 Rq
4echanical Company % -W' E >n. Office Phone ,
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:o. Address: L1.R (e ��ac. - Ya• City claS Ltt,l4- State a Zip 3.07 /10
,icense Holder(Print): 1- 1 ,, Mk.
/// ate / -rtification/Registration#CU S7+<P
Totarized Signature of License Holder #3k/�
• DEIORE L KNOTT
Before me this / - of - l .. ,a`-Ii_A = !���l • ; MY COMMISSION#FF241174
Signature of Notary Pub •c ;����, ,Ali , • ; EXPIRES August 22,2019
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