86 NICOLE LN - HVAC ' �S, CITY OF ATLANTIC BEACH
1 ' •
f 800 SEMINOLE ROAD
j — 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-660
Job Type: MECHANICAL HVAC ONLY
Description: 2 cu 2 ahu 6 ton
Estimated Value: $10,653.00
Issue Date: 3/18/2016
Expiration Date: 9/14/2016
PROPERTY ADDRESS:
Address: 86 NICOLE LN
RE Number: 169519-0720
PROPERTY OWNER:
Name: HETH, DONALD G & VIRGINIA S, *
Address: 768 RIVENOAK I
GENERAL CONTRACTOR INFORMATION:
Name: OCEAN STATE HEAT & AIR,INC.
Address: 1476 ATLANTIC BLVD QA JAMES GLENN JONES
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 $48.00
Total Payments: $135.00
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
OB ADDRESS:
V-Q h t�l 1tC .e-- ,LA IA e— PERMIT#
PROJECT VALUE $ I d 1 1x53 ARI# 1 l(.Q T1 2.. REQUIRED
_Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
4EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity
Tons Per Unit Seer Rating
Heat: Unit Quantity BTU's Per Unit_ _ _ REQUIRED
Duct Systems: Total CFM
.• tEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 2 Tons Per Unit 3 Ton
Heat: Unit Quantity '2— BTU's Per Unit 33,20C Seer Rating lt-1. UG
REQUIRED
Duct Systems: Total CFM
?IRE PREVENTION uantit (Requires 3 sets of plans)
Fire Sprinkler System Q y (Requires 3 sets of plans)
Fire Standpipe Q uantit y (Requires 3 sets of plans)
Underground Fire Main Value ui (Requires 3 sets of plans)
Fire Hose Cabinets Q ant �'
Commercial Hoods Quantity (Requires 3 sets of plans)
r. . Fire Suppression Systems. . Quantity (Requires 3 sets of plans)
IRE PLACES �• MISCELLANEOUS:
Prefabricated Fireplace Qty Auuttomom obile Lifts BTU's
Gas Piping Outlets •
Elevators/Escalators
kLL 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: .
• unapt becomes lion void if know work the saome not to be trucommence nd correct. All provisions Period
laws and ordinances governing this for
ork will be complied with whether specific
its The and
at. 'll�c permit does not give authority to violate the provisions of any other state or local law regulation construction or the performa2nc�f construction.(l
\„ �1d Phone Number -1
'roperty Owners Namenlxx ���� �� �� �� • l�,
Mechanical Company 0 Cefia � 4-4- P l r Office Phone a4('" 25I Fax 16' T l
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'o. Address: �� q��',�.�C�31
,icense Holder(Print): . C 0.∎ - • ate�Certification/Registration# C C.. ,
/otarized Signatu t :c dolderAril,
NOTARY l9�IC �, ��. A►:::.i�!�'T'f' .1► 20
�►• NOTARY , Before ��
f � STATE OF FL'• ■� ,, . ``
�:."I�r: g'/917a Signature of Notary Public -NIM►�� .
•' 3n►2017 .