625 Sailfish Dr - Mech HVAC Only TAIL_ CITY OF ATLANTIC BEACH
J r 800 SEMINOLE ROAD
\ J� 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 -379
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5 TONS
Estimated Value: $3,500.00
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 625 SAILFISH DR
RE Number: 171221 -0000
PROPERTY OWNER:
Name: CARROLL LIFE ESTATE, SHIRLEY F, *
Address: P O BOX 331391
GENERAL CONTRACTOR INFORMATION:
Name: COOL CHANGE HEATING & AIR
Address: 4596 HARBOUR CT QA MANSON L. MCCLAIN, JR
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:
Furnaces and Heating $24.00
AC and Refrigeration $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
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 6 co
JOB ADDRESS: 625 SAILFISH DR, ATLANTIC BEACH 32233 PERMIT #
PROJECT VALUE $3500 ARI # _ 7995113 REQUIRED
Air Handling Equipment Only x 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 2.5
Heat: Unit Quantity 1 BTU's Per Unit 27800 Seer Rating 14
Duct Systems: Total CFM 1000 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 authority to violate the provisions of any other state or local law regulation construction or the performance of constriction.
Property Owners Name Salt Air Homes Phone Number 904 - 333 -6607
Mechanical Company Cool Change Heating & Air LLC Office Phone 571 -1944 Fax 928 -9261
Co. Address: 4596 Harbour North Ct. City Jacksonville State FL Zip 32225
License Holder (Print): Manson McClain State Certification/Registration # CAC 1816300
Notarized Signature of License Holder 7
- '1/4-
Before me this /_Z day of • 20 /6
v LEON. WILLIAMS / /
1' t ,y Commission # FF 078092 `
Signature of Notary Public „ ,•
Expires January 29, 2018 g ry
Bonded Thru Troy Fan Insurance 800 - 38540
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