303 10TH ST - HVAC CITY OF ATLANTIC BEACH
" - 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1�1�`"
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-723
Job Type: MECHANICAL HVAC ONLY
Description: 2 CU 2 AHU 3.5 TONS
Estimated Value:
Issue Date: 3/25/2016
Expiration Date: 9/21/2016
PROPERTY ADDRESS:
Address: 303 10TH ST
RE Number: 170063-0000
PROPERTY OWNER:
Name: BOUY, KIM L
Address: 303 10TH ST
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 $28.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHOAC, INC FAX NO. :9047228944 Mar. 25 2015 09:22AM P2
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
'""�� /!(�a Ph(904)247-5826 Fax(904)247-5845
J O B ADDRESS: ✓Q rc e J- PERmin # F G ',
PROTECT VALUE$ I l 1.-S
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit I, ` 4--
Heat: Unit Quantity BTU's Per Unit 1 'i)WO Seer 1g, 5
Duct Systems: Total CFM )1 00, ... !
SQUIRED
REPLACEMENT AM CONDITIONING & HEATING SYSTEM INSTALLATION
: Unit Quantity Atli#
Air Conditioning: Q tY Tons Per Unit REQVTRED
Heat: Unit Quantity BTU's Per Unit _ Seer Rating
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION no
Fire Sprinkler System Quantity (Requires 3 sets of plans) u
Fire Standpipe Quantity (Requires 3 sets of plans) r,
Underground Fire Main Value (Requires 3 sets of plans) ' V
Fire Hose Cabinets (Requires 3 sets of plans) 1
CCommercial Hoods Quantity
oe m al Ho Systems Quantity (Requires 3 sets of plans) (.
ys� Quantity (Requires 3 sets of plans) U
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace
Gas Piping Outlets Qty Automobile b>le Lifts
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 sir,month period or work is=ended strspended or abandoned for six months_I hereby certify that E have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be wed 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 0 . Phone Number
Mechanical Company ; Li_-1-cv-s 1 At Ti,. Office Phone f9(Fax -7)-" l/
Co.Address: 5 , . -J. _ S , ti City a ff.p0.0;th State - Zip 5-111.5
�
License folder(Print): tt-.�. - Cz.-a .ram:_ S - dii■ fr.lion/Registration#citc, )gi-3459
Notarized Signature of License Holder , . • -
Sworn and subscribed before m; .'s )'Y day P►--c,. 20)-t
_ e*�� .. DEBRA ANN HOISINGTON I I, r
.' MY COMMISSION X EE213758 Signature of Notary Public • •..Wir%'. ;t, EXPIRES October 15 2016 •