592 TIMBER BRIDGE LN HVAC 2016 11
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sue CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
..v - 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 -529
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 5.5 tons
Estimated Value: $9,995.00
Issue Date: 3/4/2016
Expiration Date: 8/31/2016
PROPERTY ADDRESS:
Address: 592 TIMBER BRIDGE LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: A/C MASTERS HVAC INC
Address: 11243 ST JOHNS PKWY APT 3 QA CHARLES STEVEN
CRABTREE
Phone: 904 - 722 -8995
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 $44.00
Total Payments: $131.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :R /C MASTERSHURC, INC FAX NO. :9047228944 Mar. 02 2016 04:58PM P2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 -
Ph (904) 247 -5826 Fax (904) 247 -5845 `�
JOB ADDRESS: 9 a h k tv~ i •.,, , , e_ PRRIVRT # /J SF /3
PROJECT VALUE $ 1 5 .
NEW Ate. CONDITIONING & HEATING SYSTEM INSTALLATION •
Air Conditioning: Unit Quantity Tons Per Unit L3, 5 /
Heat: Unit Quantity BTU's Per Uni (D 5 i f; NV Seer Rat 0
Duct Systems: Total CFNT
REQUIRED
REPLACEMENT AIR CONDITIONING . & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat: Unit Quantity BTU's Per Unit Seer g EQ�IRD
Duct Systems: Total CFM
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fixe Main Value (Requires 3 sets of plum)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fite 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
Pumps
Quantity V W�Fur aces Refrigerator Condenser BTU's
# Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: _. -
Permit becomes void if wotic does not commence within a six month period or work is sided orabandoaed for six months. I hereby away that I have read
this application and know the same to be trite and correct All provisions of laws and ordinances this work wr'lm be complied with whether specified
or not The permit does not give milhoAV,. to violate t1 the provi� of any other state or local law regulation or the performance of construction.
Property Pro Owners Name iV t r el r S , m e - Phone Number
Mechanical Company 14 -.. 4ei . A-C- Office Phone 1 ` Fax �j� 0 q �_
Co. Address: 1 15 �Y`C -3 c-, f., , Su. ) City . 1 ,n cl,) L State a Zip , .3q5
License Holder (Print)- - ;,�.A;!yv ..:
.i ,i t r ` =ri a `.ii On #C ti,) $ I
Notarized Signature of License Holder n ;
Sworn and subscribed before zxe aG f / 20 1 n
'•., l BRA ANN HQIS�NGTON
d } 3 f
:�= p Signature o fNetaryPublic
`, My �,OMMtSSION # EF213758 + •
xa1t7ES October 1$ 2016