583 COASTAL OAKS LN - HVAC - .%.�� ' ` �sf CITY OF ATLANTIC BEACH
ci
� _ s-) 800 SEMINOLE ROAD
\J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1319''"
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-196
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3.5
Estimated Value:
Issue Date: 1/26/2016
Expiration Date: 7/24/2016
PROPERTY ADDRESS:
Address: 583 COASTAL OAK LN
RE Number: None
I
GENERAL CONTRACTOR INFORMATION:
Name: AIR FLOW DESIGNS NORTH, LLC
0 Address: PO BOX 180308 QA TERRY HILE BURD
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
0 exceptions.
FEES:
Trade Permit Base Fee $55.00
Furnaces and Heating $24.00
AC and Refrigeration $28.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Total Payments: $111.00
I'ERIN11T IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,SL- ov -o
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904)247-5826 Fax(904)247-5845
JOB ADDRESS: 5g 3 Caa, ca / Oir A. L ar, PERMIT# /5-5FR-23$5
H-i-l ate'_c. /,fie e c A c PI 32.2-33 • 0
PROJECT VALUE$ 62-06
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit 3. 5
Heat: Unit Quantity I BTU's Per Unit Seer Rating /`i v
Duct Systems: Total CFM /io 0 REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI#
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
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
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 tbority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name t GGO I n �,L C Phone Number q04-511,1-60i-1V
Mechanical Company /k'r /u� De5; „ s Office Phone^3`/S 533 Fax
Co.Address:. '/5.374 4"Cc s-/i AI t_ — City J ti X State Fi Zip 321-0
License Holder(Print): Ttv-pi 8t,,r-d �� State Certification/Registration# C' 1"1 0/2-2--
Signature of License Holder -�e..i
Sworn and subscribed before me ' 2 .-/-/—
ay of `"4i, 20/
Si gnature of Notary Public ( .5.,—...5.,—......— - -..----1
egg DONNA L.THOMASON
•.= Commission#FF 138497
t,,,,,—:4 Expires November 2,2018
,..,„ &MedTMU Trey Fin Insurance S00385.7019