1 Fleet Landing Blvd #130 - HVAC - 1 AC, 1AHU, 3.5 TON , , /
�" ,i ,�''� CITY OF ATLANTIC BEACH
800 SEM I NOLE ROAD
ii
K)1111 =-'i 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-2966
Job Type: MECHANICAL HVAC ONLY
Description: HVAC- 1 AC, 1AHU, 3.5 TON
Estimated Value: $3,750.00
Issue Date: 12/30/2015
Expiration Date: 6/27/2016
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BLVD UNIT 130
RE Number: 169397-0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BOULEVARD
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY PLUMBING INC.
Address: 6491 S POWERS AVE QA DAVID FRED GRAY
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 $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 I S -AA sew - aci,6,,
JOB ADDRESS: I lam( er LANDinii, •# /3o, 47C-IIN Tic- 1301 3,1.233 PERMIT#
PROJECT VALUE $ l � ARI# J 9 5YQ/ REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit 3-,7
Heat: Unit Quantity / BTU's Per Unit (j Seer Rating I
Y
Duct Systems: Total CFM QO REQQIRED
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
OTHER: dh; t [ 36
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
this 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
not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name FL.Eel L ANJ1 N9 Pone Number 9o4-021/6-9 90 U
an I R Til3 4 4 t . Office Phone h�a'-7�--,51:102.5-
Mechanical Company CAA UI D � �Y �� � 702#42/)
Co. Address: 10.4q1 7U1Wt S A f, City L..A ONt/1//E Stateri. Zip &/'7
License Holder(Print): ep31,1 XII /NSky State Certification/Registration# CAL' /e/78$(v
Notarized Signature of License Holder Jjy,4,
Before m is l04 d4 of I 20 Ib
Notary Public Stems of Florida ���� 3
� � My Commission FF 180368 Signature of Notary Public
a w Expires 01/04/2019
12/30/2015 David Gray Heating and Air
Priority Dispatch Ticket
Dispatch Cust# Loc# 09:14 AM Received By Called In By
76781 0036857 00001 KPIERSON
Customer/Location Address Billing Name/Address
Fleet Landing Fleet Landing
1 Fleet Landing Blvd. 1 Fleet Landing Blvd.
Atlantic Beach FL 32233 Atlantic Beach FL 32233
Phonel 904-246-9900
Phonel 904-246-9900 Phone2
Phone2 Fax 904-246-9455
Fax 904-246-9455 Cellular
Customer Notes
Ok To Billl
MAKE SURE TO PARK BEHIND BUILDINGS ALWAYS***** * DO NOT LEAVE TRASH ONSITE"***
Maintenance : Sherry Ext:141 , lou 150
Dispatch Notes
#130 Install 3.5ton Full System 8KW Heat Strip Quoted $3750.00 APPROVED GOODY 12/29/2015
PO Number
Tech Prom Date Prom Time Status Disp Date Disp Time Time On Time Off Travel Job Time Total Time
William S. 12/30/2015 10:14 AM Traveling 12/30/2015 07:57 AM