604 TIMBER BRIDGE LN - HVAC (2) dia.t ATLANTIC BEACH
PERMIT RECEIPT
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PERMIT DESCRIPTION: 1 cu 1 ahu 3 tons
PERMIT NUMBER: 15-MECH-2236
ADDRESS: 604 TIMBER BRIDGE LN
OWNER:
DATE ISSUED: (.. ) ,e,
FEES DUE:
z )-7 \,\\\,N
Furnaces and Heating [ $24.00
i
AC and Refrigeration $24 0 \ 4(..
State Mech DBPR Surcharge $2.0 (X
State Mech DCA Surcharge \ $2.00
Trade Permit Base Fee $55.00
Totals: $107.00
FROM <TUE>SEP 22 2015 7:68/ST. 7:52/No. 7620404681 P 1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 644 Tm(3EC 8 R ibG E Lk) PERMIT#I5'SFF- 1507
PROJECT VALUE$ (oo?0O - 0O ARI# 5gaItLf 9 REQUIRED
Air Handling Equipment Only )K Air Handling Unit& Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity ) Tons Per Unit .3
Heat: Unit Quantity I BTU's Per Unit 3 0O n Seer Rating /5
Duct Systems: Total CFM I OO 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
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 construction.
Property Owners Name HOLDER. JOHNSOAl f-}O!)1ES Phone Number fOf"a�0o�5373
Mechanical Company R JC D ES 16rJS OF .9r A G v$To3 E) 14C Office Phone 9-8898 Fax 8a9-
Co. Address: 3370 AGRICuLTOAAL CEiJ1ER. 1 4 City Sr A060.37-J4 e State Ft- Zip 3O
License Holder (Print): EDWAR-1 TEN&ftA T State Certification/Registration# CAC 1$133731
Ider
,,..+"r GUY D.PLAICE j
,-'` * Notary Pottle-Mato of Floida Before me this a day of I 20
NMI•FF 220663 qpv
' Its s s.p s.2019 Signature of Notary Public
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