10 SEMINOLE LANDING RD - HVAC A s, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
j t:- -,- r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ft.-/-0.1-119�
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-854
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1AHU, 4 TON
Estimated Value: $10,900.00
Issue Date: 4/12/2016
1 Expiration Date: 10/9/2016
PROPERTY ADDRESS:
Address: 10 SEMINOLE LANDING RD
RE Number: 168908-1032
PROPERTY OWNER:
Name: CRAIG, CAROL & DARRELL, *
Address: 10 SEMINOLE LANDING RD
GENERAL CONTRACTOR INFORMATION:
Name: MATHIEU BUILDERS
Address: 1778 OCEAN GROVE DR QA DUSTIN MATHIEU BROWN
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 $32.00
State Mech DBPR Surcharge $2.00
State Mech DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $115.00
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 [ 'n/1, ' 4– a54--
JOB ADDRESS: 10 Seto;nole. Lo rd i ni Zoac/ PERMIT#)bJ FP \ .'
qijo°° �PROJECT VALUE $ 10 � ARI# 33 \\ a l REQUIRED L `
Air Handling Equipment Only V 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 S STEM INSTALLATION
Air Conditioning: Unit Quantity I Tons Per Unit ' Seer
Heat: Unit Quantity—IBTU's Per Unit '[, 0:1 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
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 authI1c44hieLA_it to vio the provisions of any oth st to or local law regulation construction or the performance of construction. �/�/�
Property Owners Name bikt 1d S Phone Numberc/�J`1– a/ 3 ..3""'l
Mechanical Company 4a.XCO 44c4-/ in 4 Ai r Office Phon143'3) Fax73– 442
Co. Address: 7A O M II elu t P Cit V/ (estate j Zip 322 1 1
License Holder(Print): !a rr� f b `'/ ate Certification/Registration#
Notarized Signature of License Holder •
` ,,
_., TINA DAWN HEYMEN Before me this I a da of t $ _ 20 �J
�!. STATE f PUBUC FLORIDA Signature of Notary Public `_�1i 'A& A iLL*t \—se_
.Y1.�t.��':-Ccmn
.,.�....;. FF170295
Expires 10/21/2018