1220 Seminole Rd - Mech HVAC Only j y�J�f
s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
tjlif -" 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 -371
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3 tons
Estimated Value:
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 1220 SEMINOLE RD
RE Number: 171936 -0000
PROPERTY OWNER:
Name: ELF, ROBERT D TRUST
Address: 1220 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: DONOVAN HEATING & AIR
Address: 315 SIXTH AVENUE S QA WILLIAM J DONOVAN
Phone: 904 - 241 -3785
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
Furnaces and Heating $24.00
AC and Refrigeration $24.00
Total Payments: $107.00
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
FOB ADDRESS: lab 4�t l PERMIT #
PROJECT VALUE $ ' E ARI # 75-enyy3 REQUIRED
Air Handling Equipment Onli Air Handling Unit & Condenser Condenser Only
—
4EW 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
ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity / Tons Per Unit 3
Heat: Unit Quantity / BTU's Per Unit WM Seer Rating I7
Duct Systems: Total CFM REQUIRED
IRE 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
ULL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
# Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)THER:
ermit 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
tis 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
ot. The permit does not give authority to violate t e provisions of any other state or local law regulation construction or the performance of construction.
'roperty Owners Name &CV � 45' Phone Number � c J - 61
✓Iechanical Company .� � ;O. . l Gam. Co' /A) c' Office Phone 1 -37 c
;o. Address: t f 1r. JA V StateR, Zip 353
.icense Holder (Print): \ X \ State Certification/Registration # 39
Jotarized Signature of License Holder
Before me this 15 day of 4 20 1 C
riaelwaieplairr4IM i nature of Notary Public
Cornmissen # FF 040399 g Y
Expires July 29, 2017
• ,•,. Os Bonded Tnru Troy Fen Insurance 80038540