3000 Fleet Landing Blvd. - Mech HVAC Only r !.J_AJ`l�_ ''y" 's\ CITY OF ATLANTIC BEACH
J a m 800 SEMINOLE ROAD
., ,y
\ J" �' -r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
A0.219r
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- MECH -97
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 2 tons UNIT 3106
Estimated Value:
Issue Date: 1/13/2016
Expiration Date: 7/11/2016
PROPERTY ADDRESS:
Address: 3000 FLEET LANDING BLVD
RE Number: LOC ID -0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
GENERAL CONTRACTOR INFORMATION:
Name: DAVID GRAY HEATING AND AIR INC
Address: 6491 S POWERS AVE RYAN C ZABINSKY
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 $16.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $99.00
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: / FLLET ND.'I 3)vD 3ioc4 / 4- 1LAN7►C- N PERMIT#
5aaa `3
PROJECT VALUE $ 3 15 - b ' v O 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 1 Tons Per Unit c- 144
Heat: Unit Quantity 1 BTU's Per Unit a < i , „e „ 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: Ut
1 , 'r I' S; o & 300• 6,4; 1}
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 J L L � 7 L I N Dr 1 \ \ Phone Number q p ( - / - -
M e c h a n i c a l Company ' D140 rD Cr y 14[ - A - r 1 01 6/ A i 2 Office Phone 'dal{ -702/i Fax '74: 4-
Co. Address: b g q 1 — PDLJ Qis" AUK City ..JnckSoNu; I I L State FL Zip .38a/ 7
License Holder (Print): A( ZAal31A/ , State Certification/Registration # d /lC I g1783 to
Notarized Signature of License Holder - PM
Before me is a4 day of 20 1 L
9ow \ Notary Public State of Florida •
l asheica Wilson Si g nature of Not Public d C4SQ}t i � 1, SV-.)
My Commission FF 180366
soy' Expires 01/04/2019