130 CLUB DR 2016 HVAC 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-445
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 4 tons
Estimated Value:
Issue Date: 2/24/2016
Expiration Date: 8/22/2016
PROPERTY ADDRESS:
Address: 130 CLUB DR
RE Number: 170319-0000
PROPERTY OWNER:
Name: Shields, David
Address: 53 Oceanside DR
GENERAL CONTRACTOR INFORMATION:
Name: HUXHAM HEATING & AIR
Address: 933 S 11TH AVE QA JAMES EDWARD GILBERT
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
Furnaces and Heating $28.00
AC and Refrigeration $32.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
AIECRAMCAL PERY#ffr APPIIGATION
CrrY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Bach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
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MIRNA ADSHADE-DOWNING
."= Notary Public-State of Florida
re My Comm.Expires Oct 21,2016
' dt Commission#F EE 845406