610 OCEAN BLVD - HVAC 770-1Akeit
` ���, CITY OF ATLANTIC BEACH
N.-' 4 - 800 SEMINOLE ROAD
j _ :, ATLANTIC BEACH, FL 32233
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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-810
Job Type: MECHANICAL HVAC ONLY
Description: duct work
Estimated Value:
Issue Date: 4/6/2016
Expiration Date: 10/3/2016
PROPERTY ADDRESS:
Address: 610 OCEAN BLVD
RE Number: 170133-0000
PROPERTY OWNER:
Name: SKINNER JR, C B
Address: 78 SAN JUAN DR
GENERAL CONTRACTOR INFORMATION:
Name: ANGLER HEATING &AIR INC.
Address: 4533 SUNBEAM RD SUITE 403 QA ELLIOTT, BERNARD VANE
III
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
Air Duct System $20.00
Total Payments: $79.00
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
JOB ADDRESS: 7 O
i 0 (- e- A /-) 8 k d PERMIT#
PROJECT VALUE $ OD ARI# REQUIRED
Air Handling Equipment Only \/Air Handling Unit & Condenser Condenser Only
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
Air Conditioning: Unit Quantity fit Tons Per Unit I" �,;/,A ,
Heat: Unit Quantity BTU's Per Unit Seer Ratin: I f r
Duct Systems: Total CFM tM® REQUIRED
Manual J documentation required on residential change out
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 C \ 6 , 5 14 ,-,,) ,,,)0 r Phone Number ct o t'f' �1 A 3 i u 1 ut
Mechanical Company Q 1,3 g l C lie e 1 N 1 s A I f Office Phone Z i y~ 13 V° Fax
Co. Address: CI 7 35-
ii '/- S 4 , Al ki S j-,r c 12 e. City T d , State Ls Zip 362,07
License Holder(Print): 0.=- Vo' eB, ^'u(d ,i ('° State Certification/Registration# C P Cc) 57 (1 ;
Notarized Signature of License Holder / CS,
+01•Z,c REBECCA N*1 RAY Before me this (0-UL" day of .� 0 $ •
MY COMMISSION#EE 849116
Ti� * EXPIRES:March 6,2017 Signature of Notary Public s�.. . c C- ��- 4si
4 s Boded Thm Budget Notary Smites