1074 STOCKS ST - HVAC N
A ' � e, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
X 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
I JOB INFORMATION:
Job ID: 16-MECH-783
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 2.5 TON
Estimated Value: $2,500.00
Issue Date: 4/4/2016
Expiration Date: 10/1/2016
PROPERTY ADDRESS:
Address: 1074 STOCKS ST
RE Number: 171000-0020
PROPERTY OWNER:
Name: NOLEN, PATRICIA A
Address: 1074 STOCKS ST
GENERAL CONTRACTOR INFORMATION:
Name: EAST COAST HEAT &AIR INC.
Address: 1537 -C PE PENMAN RD QA JEFFREY JOSEPH OTHMER
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 $20.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $103.00
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 6 G 1\1\1\1\ —e
t{ _ `78 3
JOB ADDRESS: 1074 STOCK ST PERMIT#
PROJECT VALUE$2500 ARI# 7837073 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 1 Tons Per Unit 2.5
Heat: Unit Quantity 5kw BTU's Per Unit Seer Rating 14
Duct Systems: Total CFM 1125 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
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 Pat Nolan Phone Number 9045719042
Mechanical Company east coast heat and air Office Phone9042470033_Fax
Co. Address: 3948 3rd St s#216 City jax beach State fl Zip 32250
License Holder(Print): Jeffre ' Othmer State Certification/Registration# cac 1816575
Notarized Signature of License Holder i►.4L�........ _ _
�;;: TOM cINDI.ESPEfore a this 4.- day .� �� 20 [ 11
::s .:tip: I_.: ,. .,, MY COMMISSION FF 924951
y:;°l EXPIRES:October e of Notary Publi"-,?o `. Bonded Thor Notary Public TWO,