148 W 14th St - Mech HVAC Only � \ , CITY OF ATLANTIC BEACH
__ a 800 SEMINOLE ROAD
J ti� 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 -3
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU
Estimated Value:
Issue Date: 1/4/2016
Expiration Date: 7/2/2016
PROPERTY ADDRESS:
Address: 148 W 14TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AVALON HEATING AND AIR
Address:
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $103.00
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
JOB ADDRESS: /f MLA LA 9/ . lN. At la d, e j, FL, 32 3 3 PERMIT #
PROJECT VALUE $ 25S o ARI # REQUIRED
Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
—
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity f T ons 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 'Woo 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
OTHER:
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 Phone Number
Mechanical Company AV IOii 14ali e- Office Phone .) /3'lo Fax
Co. Address: 3C C5 S p zl hS Pa24 k1/. City /eke)/ VA State FL Zip zzai
License Holder (Print): Tier UK f epxP. /(Xn State Certification/Registration # 102
Notarized Signature of License Holder NU,
Before me this 4 - 111 day of .5:any a R y 20 i 6
a4 •� Notary Public State of Florida Signature of Notary Public
Mn s sto /
•
My y C Commimission FF 228256
' 4 o, O Expires 06/17/2019