290 BEACH AVE - HVAC 6J ?Or- CITY OF ATLANTIC BEACH
'j°z :%"" f 800 SEMINOLE ROAD
j ,-, 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-465
Job Type: MECHANICAL HVAC ONLY
Description: 2 CU 2 AHU 5 TONS
Estimated Value:
Issue Date: 2/23/2016
Expiration Date: 8/21/2016
PROPERTY ADDRESS:
Address: 290 BEACH AVE
RE Number: 170196-0010
PROPERTY OWNER:
Name: PITLER, ANDY
Address: 273 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: HAMMOND AIR CONDITIONING INC
Address: 3412 GALILEE RD QA DONALD E HAMMOND
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 $40.00
Total Payments: $127.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
li
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
•
JOB ADDRESS: Zdl O P/a6-, Aver , PERMIT#
PROJECT VALUE$ 15000 ARI# R Z$u,, l0 X01 toy REQUIRED
Air Handling Equipment Only /Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 2 Tons Per Unit 3 Ti:),,) Z re v
Heat: Unit Quantity 2.. BTU's Per Unit%ctao 2 1 ooU Seer Rating 19
Duct Systems: Total CFM /per, REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
LLL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
THER:
mit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
I application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
v ert Owners Name i ex'p Y Phone Number pLf -2-Lt i- 0 321)
chanical Company I-I A rim,- -,b R► r C.CisJ&i-,U 0 Office Phone g-cfl-tt8 Fax n$-(o c,
. Address: 1 l L G-4 ke,e_ )+Ro raL1 City pcler, - .11.e —
_, State . Zip 322.0 7
:ense Holder(Print) s, N46,0-au1J _ State j rtification/Registration# CIAC)F 1(0-‘%)
tarized S: , ,• , ., , /�►'��L
�,�Y Notary Public State of Florida //
Shirley L Graham Before ►1 e this 23 day ► . .110 20 !(0
'�jG My Commiss on FF 086990
�'pfµ Expires 02/14/2018 jwork._....■. :r.. :- of Notary Public Wt.