975 Atlantic Blvd. - Replace Duct Work f.2' 'i \s \ CITY OF ATLANTIC BEACH
Y ) 800 SEMINOLE ROAD
\ 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: 16- MECH -29
Job Type: MECHANICAL HVAC ONLY
Description: REPLACE DUCT WORK
Estimated Value: $3,000.00
Issue Date: 1/6/2016
Expiration Date: 7/4/2016
PROPERTY ADDRESS:
Address: 975 ATLANTIC BLVD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: COOL CLIMATE HEATING AND A/C
Address: 3653 REGENT BLVD EAST PARK QA ROBER GUTZWILLER
Phone: 904 - 641 -9307
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:
Air Duct System $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $79.00
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
f� Ph (904) 247-5826 Fax (904) 247 -5845 { MC N ( o �C- - Z`�
JOB ADDRESS: 9 / 5- )- +-Ici N �1'c 1 `j\ 1 , al , PERMIT #
PROJECT VALUE $ `? 30 co , G U ARI # 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
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM 1(o 0 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
ALL OTHER GAS PIPING Elevators /Escalators
Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: e . , A-c e �M e it i 0 �_ L + We) r
Pl T u
'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 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 violate the provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name 6 ,„ U
Phone Number 0 � - 222- 2--
4echanical Company G )0 1 ) , ',_ 4 1 Office Phone bk-f l -c75 c 7 Fax 6 `j ) -`73 4
'o. Address: 3 6 c 3 e _5 e_„ )- ) Le J, City j714f State n Zip 32 2 -2
license Holder (Print): k o b ,r+ L - - t' - , 1 LL i tate Certificati o n/Registration #(4- fig' /qS 2
Totarized Signature of License Holder
Before me this day of 20
Signature of Notary Public