1810 ATLANTIC BEACH DR - HVAC '1z,; CITY OF ATLANTIC BEACH
,� ) 800 SEMINOLE ROAD
3 a. 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-806
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 4 TONS
Estimated Value: $6,450.00
Issue Date: 4/6/2016
Expiration Date: 10/3/2016
PROPERTY ADDRESS:
Address: 1810 ATLANTIC BEACH DR
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 $24.00
AC and Refrigeration $32.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHVAC, INC FAX NO. :9047228944 Apr. 06 2016 11:42AM P2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233 •
Ph(904)247-5826 Fax(904) 47-5845
JOB ADDRESS: ) q 1 i )1.11 `i c_ 1 Cil j)rV . fir# 1b -STIR-a5
PROJECT VALUE S ()LILY).
NEW AIR CONDITIONING&HEAT'I'NG SYSTEM INSTALLATION -
Air Conditioning: Unit Qw ntity 1 Tons Per Unit
Heat Unit BTU's Per Unit�t��a od Seer Rating, l 5
Heat. Quantity REQUIRED
Duct Systems: Total CFM X00 .
.REPLACE1VIENT.AIR CONDITIONING&BEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit REQUIRED
Heat Unit Quantity BTU's Per Unit Seer Rathw QITIRF.TI
Duct Systems: Total CFM
IRE PREVENTION (Requires 3 sets of plans)
Fire Sprinkler. System Q� y (Req�es 3 sets of plans)
�zleay. ,., ti
U rgro .. , 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)
OTHER:
Permit becomes void does not commence within a six month period cr work is suspended or abandoned for sic months T hereby aerrlfy that I have read
this application and know the sane to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether spe ' ed
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 'l t¢.�-s i e- HO i.j - Phone Number
Mechanical Company A-I a�c �� 3,-;.{. Office Phone 70 9rFaor `999
Co.Address:_ `7'/5 iresc o�.�� 'al c, X,'1 City , 1 ca.1 4,x;1/e g zip
License Holder(Print): c. -k-et S*= a:r.�, :..' .''rya- , . on# C� 1 sng52
..„---Notarized Signature of License Holder - !�
Sworn and subscribed before .
- [� of "sae, / 20 /b
_,ieh' DEBRA ANN NOISINGTON NA! CL!))
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