93 OCEANSIDE DR - HVAC i' Iv. i1, CITY OF ATLANTIC BEACH
'"° f4.-..00-. f 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-752
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC. 1 AHU, 3 TON
Estimated Value: $4,300.00
Issue Date: 3/31/2016
Expiration Date: 9/27/2016
PROPERTY ADDRESS:
Address: 93 OCEANSIDE DR
RE Number: 168846-5105
PROPERTY OWNER:
Name: PAPPAS, RALLIS
Address: 93 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:
Furnaces and Heating $24.00
AC and Refrigeration $24.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $107.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
03/29/2016 11:34 9042460377 HUXHAM HEATING & AIR PAGE 01/01
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233 i (0/ ` ELk` `75 Z-
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: i 1 (`tJtPI-A`t dc- PERMIT#
od
PROJECT VALUE $ 9300
NEW 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
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
ARI# g0?'013
Air Conditioning: Unit Quantity i Tons Per Unit 2 REQUIRED
Heat: Unit Quantity / BTU's Per Unit16,C4X Seer Rating_LS
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 Huse 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 pet iud or wurk is.uspended or abandoned fbr 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 authori to violate the provisions of any othcr state or local law regulation construction or the performance of construction.�Y
Property Owners Name A v s Phone Number
Mechanical Company Huxham Heating&Air Conditioning,Inc. Office Phone 904-246-6721 Fax 904-246-0377
Co. Address: 933 11th Avenue South '' City Jacksonville Beach. State FL Zip 32250
License Holder(Print): James Gilbert 1 Sta Certific• ion/Registration#CAC057815
Notarized Signature of License Hob �r
'wo .. and subscribed before ' - this ; - / day of 20 (4,
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Nagy Public=slate of Florida Si_ ature of Notary Public . , _ ►. "ice _ _-/ --:1
Oct a1,2016 .•
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