586 NAUTICAL BLVD N - HVACV �'� - `s s CITY OF ATLANTIC BEACH
r .',1 _,,- ,: 800 SEMINOLE ROAD
.J 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-823
Job Type: MECHANICAL HVAC ONLY
Description: 1 cu 1 ahu 3.5
Estimated Value:
Issue Date: 4/7/2016
Expiration Date: 10/4/2016
PROPERTY ADDRESS:
Address: 586 N NAUTICAL BLVD
RE Number: 170703-0350
PROPERTY OWNER:
Name: LUNING, DONNA MARIE
Address: 586 N NAUTICAL BLVD
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA HOME AIR COND DBA ARS
Address: 4211 EMERSON ST QA DENNIS M BROWN
Phone: 904-803-9329
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 $28.00
Total Payments: $111.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/ tiPh (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: „co? C� /a / /c i4- & vp "�V
PERMIT#
PROJECT VALUE$ Cd'a a
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
ARI# 7 ii •9/,d 0
Air Conditioning: Unit Quantity 1 Tons Per Unit 3- ) REQUIRED
Heat: Unit Quantity / BTU's Per Unit 3 9 J`) Seer Rating / L/.. 0°
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
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 -iv/. e- Z L 42 U Phone Number 70(--/--c-/ `-/- 0-3
Mechanical Company C2/1/v4 AZ. a-fd" /1'/t co-.-o/rd.,' OfficePhone772 'J ° Fax 777-St Fr
Co. Address: Z// 4/141L-/0 1
9 City 74t.x state - Ziple -')'7
License Holder (Print): b.,p,• N.c ,5 j cp,1.j • tate Certification/Registration#C'sic/L y Q9 Jj
Notarized Signature of License Holder C-/ , - . .4 BONNE� N worn and subscribed before m• ' = d. • JIMA201
L
'k y c'Sta.a ■ignature of Notary Public ;,�.����
N, "e$ Ce bebn•fF 200032 e
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bonded through Natlo� s'2019
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