1696 Atlantic Beach Dr - PreFab Fireplace CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
15 ft, 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 -260
Job Type: MECHANICAL HVAC ONLY
Description: PRE FAB FIREPLACE
Estimated Value: $830.00
Issue Date: 2/9/2016
Expiration Date: 8/7/2016
PROPERTY ADDRESS:
Address: 1696 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: AMERICAN INSULATORS LLC
Address: 6935 DISTRIBUTION AVE S Jkvl S
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
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Prefabricated Fireplaces $7.00
1
Total Payments: $66.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
02/03/2016 11:01 9042686501 AMERICAN INSULATORS PAGE 01/04
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: \ L010 --)--\ f\ f Q be.Pte—k PERMIT # j c
PROJECT VALUE $ > 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 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 1 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 / 00
OTHER:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that 1 have read
this application and know tlic same to be true and correct. All provisions of laws and ordinances governing this work will he 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 \ r Phone Number 17 - 07 ` 7
Mechanical Company fv 5 aim
PA — . U `Off ce Phone �p' -7 `c7 _ 213_:-.j 5O 1
Co. Address: - 1,L5_ * x6 '!t City _� fi rr� `'', ► l to Zip , .5
License Holder (Print): /12Cirer/AJ / - /± 7.7 Al State Certification/Registration # _
Notarized Signature of License Ilolderr 71
. Be
' �i:rs
LISA L. MILD c2
act. me this day of � % Ay" 0
My COMMISSION 0 FF939394 I,,"
EXPIRES November 29, 241 Signature of Notary Public � "�
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