1626 MARITIME OAK DR - HVAC r� t.> CITY OF ATLANTIC BEACH A
ill
j 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-734
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 4 tons
Estimated Value:
Issue Date: 4/5/2016
Expiration Date: 10/2/2016
PROPERTY ADDRESS:
Address: 1626 MARITIME OAK 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: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
FROM :A/C MASTERSHVAC, INC FAX NO. :9047228944 Mar. 25 2016 02:23PM P2
MECh A.NICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: /o �i kv- -1-;w, e 0 cd t )r-N PERMIT#) b---rile-'`a
PROJECT VALUE$ 6516-6'3
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity 1 Tons Per Unit I/
Heat: Unit Quantity—1--- BTU's Per Unit Seer Rating )50
Duct Systems: Total CFM 14 oQ _ REQUIRED
REPLACEMENT AIR comnriONYN'G & SATING SYSTEM INSTALLATION
AR1#
Air Conditioning: Unit Quantity, Tons Per Unit 'REQUEtED
Heat: Unit Quantity BTU's Per Unit Seer Rating
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 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
El evators/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€nd know the same to be true and correct MI 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 I ,1 o vas i e1 t rn c s • Phone Number
Mechanical Company A-1( 4,•-d )k ...1-k- Office Phone- Fax-7 .)--.99(0
Co. Address: Lots -- eS r a- s,,,,,) y City 5:4/46-4-0&v,114_ State Zip 3-3
License Bolder(Print): l ,Lt ,-.),,,c, . (1r- 1 rr~r State K:•.. •lion# Cl k. I d 13Z"
Notarized Signature of License Holder _ _ .
Sworn noel subscribed before m `s . of ,�rr 20 i b
r ''' DEBRA ANN HOISINGTON
1. MY COMMISSION#EE213758 Signature of Notary Public 'r. "
EXPIRES October 15 2016)seents3 Fw�,, �._...,...
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P
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
Cashier Id: aspcust\atlbbja.
Receipt Date: 4/5/2016 8:18:32 AM
Receipt Number: 0S-59500
Job ID : 10-IIECH-734 - 1 cu 1 ahu 4 tons TP
- Trade Permit Base Fee $55.00
Job ID: 16-MECH-734 - 1 cu 1 ahu 4 tons MDC
A - State Mech DCA Surcharge $2.00
Job ID: 15-MECH-734 - 1 cu 1 ahu 4 tons P1DB
PR - State Mech DBPR Surcharge $2.00
Job ID: 16-MIECH-734 - I cu 1 ahu 4 tons 118
- Furnaces and Heating $24.00
Job ID: 10-MECH-734 - 1 cu 1 ahu 4 tons M12
- AC and Refrigeration $32.00
Amount Due: $115.00
Tender Information: Cash $115.00
Tender Type: CC
Tender Amount: $115.00
Change Due: $0.00