210 Pine St - Mech HVAC Only '"' �S\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -MECH -452
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU DUCT WORK 3 TON
Estimated Value:
Issue Date: 2/22/2016
Expiration Date: 8/20/2016
PROPERTY ADDRESS:
Address: 210 PINE ST
RE Number: 170557 - 0000
PROPERTY OWNER:
Name: BIGGAR ET AL, RYAN MAXWELL
Address: 397 AHERN ST
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
Heat Exchanger or Coil in Ducts $10.00
AC and Refrigeration $24.00
Total Payments: $93.00
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
JOB ADDRESS: . e ; ' () I Ne S"'-- PERMIT #
PROJECT VALUE $ ` - S-CC0 ARI # S?/ ( L 53 f 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 34
__/:, Seer Rating / 0
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION T` (/
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)
Wells
THER:
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.
)perty Owners Name A 7 ( Phone Number
chanical Company /�� .r
p y �ZUG/�uJ1u�°�Ir��/° ���u���ur�r Office Phone 2 - f'''' Fax 7-77
. Address: D7e C° /O9�i'64_ o , City 761.-3C State F Zip 3�aS
sense Holder (Print): ,L-'� 4 IS is 7 ,, et. - _ - rtification/Registration # C `6S7
04 0 °( s Notary Public State of Florida all
S►�ir!e L Graham B■' ore me this day , _ A i My Cammission FF 086990 i
' o, Expires 02/14/2018 • ✓ ��
ature of Notary ' s .