2291 Oceanside Ct - HVAC Duct Repair for Remodel ' \` - CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
. - 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: 16 -MECH -237
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - DUCT REPAIR FOR REMODEL
Estimated Value: $4,000.00
Issue Date: 2/1/2016
Expiration Date: 7/30/2016
PROPERTY ADDRESS:
Address: 2291 OCEANSIDE CT
RE Number: 168846 -5140
GENERAL CONTRACTOR INFORMATION:
Name: LES'S HEATING & AIR
Address: 25 HAWORTH AVE QA BERT L LORDAHL, III
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:
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
Ph (904) 247 -5826 Fax (904) 247 -5845 ' 1' CQR Z3 7
JOB ADDRESS: 97 Dc e f A/,5, V..- CT PERMIT #
PROJECT VALUE $ % 1 ;i 47 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 /,4'./2 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)
IRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators /Escalators
,LL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
We
p
Wells
THER: )re "i-V/fe l O /12ifr-rdo0e../ A-- ,
mit 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
> 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
. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Jperty Owners Name ,-'5't '4/, k S - Phone Number
chanical Company ph, s /4,4 V //� Office Phone y, 4] lzFax 7./z(W02'
. Address: i /h too/e (.,,_e___ City , ).04 -- X , ).04 -- X State ��,q Zip ,-.?..„2 / 6
sense Holder (Print): '.0 o vie c 0 / ( , / State Certification/Re istration #
Certification/Registration /01003g
(arized Signature o i • . • - • . , ilk
b
j ' , , l` MY CAhtMISSIr0 70 /
�� day o ����
' h~ • EXPIRES: October ne his y 1
k r ii ` :• BOnded Thru Way ' k UnderI rs fir '1E ' 0
— -.._ . Notary Pub
s