1902 N Sherry Dr - HVAC - 1 AC, 3.5 TON ry 1---
""S' CITY OF ATLANTIC BEACH
'''-'7*--,--- r) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 15 -MECH -2956
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC , 3.5 TON
Estimated Value: $2,600.00
Issue Date: 12/29/2015
Expiration Date: 6/26/2016
PROPERTY ADDRESS:
Address: 1902 N SHERRY DR
RE Number: 172020 -0832
PROPERTY OWNER:
Name: PETERS, DONALD E
Address: 1902 NORTH SHERRY DR
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 $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $111.00
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 15 , C.-tA _ 2 9 S CO
JOB ADDRESS: /2 OR PERMIT #
PROJECT VALUE $ � / � d . 6'0 ARI # REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser �ondenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit 3/lZ / ��
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM EQUIRED
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 I
Elevators/Escalators
ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
1 # Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
'emit 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 author J O4l1iCJ • to violae the pr isions of an ther s to or local law regulation construction or the perfo ance of construction.
'roperty Owners Name �i /'S E Phone Numbe fog) y?O'd q /9
4echanical Company /Sr ' 2 f %d f pi ,4/� Ker/Office Phone Fax
;o. Address : 4 City/4/04 State / Zi
,icense Holder (Print): ,4J gor'q 0 971 7 )--
v'e33 State Certi ation/ : - istration # e /h 15181t.3
Totarized Signature o _ i ' � ' - ' " • _ _ _ 4 , �_ �_ _ , - y � '�� IF
� 'r' :.. TONIGINIXESPERGER N I' 7 1 day ��' 1
fi. " . .. MY COMMISSION it 1 +3Ye I I. e thi ' d a of j 21 `'S
: 1 EXPIRES: October 6, 2019 '
Vir-Al "a:; ;,• Bonded ThN Notary Pub • , r f, ; _ o f Notary Public
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