1878 BEACH SIDE CT - HVAC r "`' � �°
�I, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
- /' 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-771
Job Type: MECHANICAL HVAC ONLY
Description: HVAC - 1 AC, 1 AHU, 4 TON
Estimated Value: $7,408.00
Issue Date: 4/13/2016
Expiration Date: 10/10/2016
PROPERTY ADDRESS:
Address: 1878 BEACHSIDE CT
RE Number: 169542-0546
PROPERTY OWNER:
Name: TAYLOR,FRANKLIN R & KATHLEEN L, *
Address: 1878 BEACHSIDE CT
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:
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.
1
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/ �7
Ph (904) 247-5826 Fax (904) 247-5845 16_�EC. -( _-7 7
/JOB ADDRESS: / 1 We H -s /PPG c T PERMIT#
PROJECT VALUES 7 . Vol
-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 INSTTiALLAT�I,ON ,
Air Conditioning: Unit Quantity 1 Tons Per Unit yO REQUIRED
Heat: Unit Quantity I BTU's Per Unit (7•75-0C) Seer Rating / 7. 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 1
Tanks (gallons)
Wells
OTHER: Ii }c-li G � -tL� o„ r -5” r Syrj• /ewe-A-1 yT/t'7J-4.1
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 /4 T.e/4 4I 7/1iZD/Q Phone Number p°y Y/-"/04
Mechanical Company / -o' / 4 ltd- f 4' Office Phone77?Yf.' Fax 772 Sf 99
Co. Address: %/Z /( L�'�'' J 7 City 1•1 State/CL Zip-7 Z v
License Holder (Print): •� . ... K-1) ry State Certification/Registration#C4fC/Lc/gyj9
Notarized Signature of License Holder
met '1':t- Sworn and subscribed before me is _ •' .° I ay of 201k.
tltd: ,.., �.
caq�il�ip1�l V ,fi Signature of Notary Public ( !)A\- t 1
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CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
Cashier Id: aspcust\,atlblae
Receipt Date: 4/13/2015
Receipt Number: 0S-69676
Job ID: 16-MECH-771 - HVAC - 1 AC, 1 AHU, 4
TON M18 - Furnaces and Heating $24.00
Job ID: 16-MECH-771 - HVAC - 1 AC, 1 AHU, 4
TON M2 - AC and Refrigeration $32.00
Job ID: 16-MECH-771 - HVAC -. 1 AC, 1 AHU, 4
TON MDBPR - State Mech DBPR Surcharge $2
.00
Job ID: 16-MECH-771 - HVAC - 1 AC, 1 AHU, 4
TON MDCA - State Mech DCA Surcharge $2.0
0
Job ID: 16-MECH-771 - HVAC - 1 AC, 1 AHU, 4
TON TP - Trade Permit Base Fee $55.00
Amount Due: $115.00
Tender Information: Cash $115.00
Tender Type: CC
Tender Amount: $115.00
Change Due: $0.00